Features of Tadora
Tadora is a medication for ED treatment, designed to improve symptoms of erectile dysfunction (ED).

This product contains the same active ingredient as the globally popular drug Cialis, and is characterized by yellow oval tablets.

Effects of Tadora
The main ingredient Tadalafil has the effect of inhibiting the enzyme PDE-5 (Phosphodiesterase Type 5), which impedes erection.

The PDE-5 enzyme breaks down cyclic guanosine monophosphate (cGMP), which is necessary for erection.

When cGMP is broken down, it results in the inability to achieve an erection, a condition known as ED (Erectile Dysfunction).

Tadalafil, by inhibiting the PDE-5 enzyme, expands the blood vessels around the penis and relaxes the muscles of the penile corpus cavernosum tissue.

This effect promotes more blood flow into the penile corpus cavernosum tissue, thereby inducing an erection.

Duration of Tadora
Although theoretically lasting up to 36 hours, it does not force an erection; sexual stimulation is still required to trigger an erection response.

Dosage of Tadora
Tadalafil 20mg

It is recommended for first-time users to use a pill cutter to split the tablet and start with a half dose.

Other Information
As a generic version of Cialis, Tadora is popular for its excellent cost-effectiveness.

The original drug Cialis, known for its ultra-long duration of up to 36 hours, is called the "weekend pill," and in 2014, it surpassed Viagra to become the global market leader.

Related Pages
・Generic Cialis

Timing of Administration
The correct way to take Tadora is on an empty stomach, one hour before sexual activity.

After the first dose, wait at least 24 hours before taking the next dose.

Recommended Dosage
The Tadora sold on this site is only available in 20mg strength, but you can use a pill cutter to split the 20mg tablet in half, allowing you to take it as a 10mg dose.

If the 10mg dose is ineffective, you may increase it to 20mg; adjust the dose based on your individual needs.

Note: Some users take 2-3 times the recommended dose in pursuit of stronger effects, but this does not enhance efficacy.

The maximum dose per sexual activity is 20mg.

For individuals with a smaller build, a 10mg dose may be sufficient to achieve the desired effect.

Recommended Starting Dose
When taking a medication containing tadalafil (the main component of Tadora) for the first time, it is recommended to start with a 10mg dose.

Effect of Food
It is advised to remain on an empty stomach for at least 2 hours before taking it.

This requirement relates to the absorption process of tadalafil, the main component of Tadora:

Tadalafil must be absorbed through the intestines to enter the bloodstream.

If there is food in the stomach, the tablet may be absorbed by the stomach before reaching the intestines.

Additionally, if you consume a high-fat meal before taking it, the fats in the food can coat the intestinal wall, reducing the absorption rate of the component.

Poor absorption may lead to lack of efficacy or insufficient effects, so it is essential to follow the principle of taking it on an empty stomach.

Note: Absorption of the drug component is mostly complete about 30 minutes after administration, after which eating is unrestricted.

Effect of Alcohol
Although it can be taken with alcohol, vasodilatory effects may accelerate intoxication, so excessive alcohol consumption must be strictly avoided.

Contraindications
・Individuals with cardiovascular diseases (heart/vascular disorders) who are not suitable for sexual activity.

・Individuals with severe liver impairment.

・Individuals with hypotension or uncontrolled hypertension without treatment.

・Individuals who have experienced a stroke/cerebral hemorrhage/myocardial infarction within the past 6 months.

・Individuals with a history of allergy to the tadalafil component.

※Always follow your doctor's instructions when taking this medication.

Main Side Effects
Main side effects include decreased blood pressure due to vasodilation, eye congestion, facial flushing, palpitations, nasal congestion, etc.

These are considered to be caused by the vasodilatory effect, and side effects may diminish when sexual arousal enhances blood flow to the penis.

Special Symptoms
Special symptoms may include visual abnormalities, such as a sensation of seeing through blue-tinted glasses, inability to distinguish between blue and green, or other abnormal visual phenomena.

In most cases, this is transient and not a cause for concern, but if significant vision loss occurs, there is a risk of Non-arteritic anterior ischemic optic neuropathy (NAION).

If symptoms such as sudden vision loss or loss of vision occur, consult an ophthalmologist immediately.

Additionally, if an erection persists for more than 4 hours with pain, there may be a risk of Priapism (persistent erection).

If an erection lasts longer than 4 hours, seek medical attention immediately.

※What is Non-arteritic anterior ischemic optic neuropathy (NAION)?
It is caused by interruption of blood supply to the optic nerve, leading to dysfunction or necrosis of optic nerve cells.

This condition is called ischemic optic neuropathy.

Although the causal relationship is not fully established, it has been found to be associated with the use of ED treatment medications (though the incidence is very low).

※What is Priapism?
Priapism, also known as persistent erection, refers to a condition where the penis remains erect and cannot return to normal or is very difficult to restore.

It is also known as penile rigidity.

The main cause is believed to be damage to the arterial system within the corpora cavernosa of the penis.

If the erection does not subside on its own and lasts more than 4 hours, seek medical attention immediately.

Contraindications
Contraindicated drug combinations refer to drugs that are incompatible with Tadora and must not be taken simultaneously.

・Nitrate drugs and nitric oxide donors
(Nitroglycerin, Amyl Nitrite, Isosorbide Dinitrate)
Concomitant use may enhance the hypotensive effect.

・sGC stimulators
(Riociguat)
Combined use may cause a decrease in blood pressure.

Precautions for Concomitant Use
Drugs requiring caution during concomitant use refer to those that need special attention when combined with Tadora.

・Grapefruit (including juice)
The furanocoumarins it contains inhibit the activity of metabolic enzymes in the body, delaying drug breakdown.
This may lead to excessive absorption of drug components, enhancing both efficacy and side effects.

・CYP3A4 inhibitors/inducers
Ritonavir, Saquinavir, Darunavir

・Antihypertensive drugs
Tadora itself has a hypotensive effect, and concomitant use with antihypertensive medications may cause temporary symptoms of hypotension, such as dizziness and instability upon standing.

・Please store in a place away from direct sunlight, with low humidity and cool.

・Please keep this product out of reach of children.

・To prevent the risk of accidental ingestion or affecting product quality, do not change the original container.

・If you need to take the remaining part of one packet of medicine in divided doses, store it to minimize exposure to air and consume it within 2 days.

・Do not consume or use the product after the expiration date.

German Remedies Pharma