Features of Apcalis-sx Oral Jelly
Apcalis-sx Oral Jelly is a medication for treating ED (Erectile Dysfunction), designed to improve symptoms of erectile insufficiency.

This product contains the same active ingredient as the globally best-selling Cialis, with its key feature being the jelly formulation available in 7 different flavors.

Efficacy of Apcalis-sx Oral Jelly
The main component, Tadalafil, effectively inhibits PDE-5 (phosphodiesterase type 5), which causes erectile dysfunction.

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

When cGMP is broken down, the penis cannot maintain an erection, a condition known as ED (Erectile Dysfunction).

Tadalafil works by inhibiting the PDE-5 enzyme, effectively dilating blood vessels in the penis and relaxing the smooth muscle in the corpus cavernosum.

This mechanism promotes increased blood flow to the corpus cavernosum, thereby inducing and maintaining an erection.

Duration of Apcalis-sx Oral Jelly's Effects
Up to 36 hours, but please note that the medication does not force an erection—sexual stimulation is still required to trigger the erectile response.

Dosage of Apcalis-sx Oral Jelly
This website offers the product in a 20mg dosage.

Additional Information
As a generic version of Cialis, Apcalis-sx Oral Jelly is highly popular for its excellent cost-performance ratio.

The original Cialis is renowned for its long-lasting effects of up to 36 hours, earning it the nickname "Weekend Pill," and in 2014, it surpassed Viagra to become the global market leader.

Related Pages
Tadalafil Product Series
・Generic Cialis

Timing of Administration
Apcalis SX Oral Jelly should be taken on an empty stomach, 1 hour before sexual activity.

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

Recommended Dosage
The Apcalis SX Oral Jelly sold on this website is available only in 20mg strength.

First-time users or those sensitive to its effects should start with half the dose.

If half a dose proves insufficient, the full packet may be taken. Adjust dosage according to individual response.

Note: Some users attempt to take double or triple doses for stronger effects, but this does not enhance efficacy.

The maximum single dose during any sexual encounter should not exceed 20mg.

Standard Dosage
For first-time users of tadalafil-containing medications, a starting dose of 10mg is recommended.

Food Interactions

Maintain 2 hours of fasting before taking Apcalis SX Oral Jelly.

This requirement relates to the absorption mechanism of tadalafil: the active component must be absorbed through the intestines into bloodstream.

Food in the stomach may cause premature absorption before the medication reaches intestinal tract.

High-fat meals before administration may coat intestinal walls and reduce absorption rate.

Poor absorption may result in suboptimal effects - strict fasting is essential.

Note: Absorption completes approximately 30 minutes post-dose, after which normal eating may resume.

Alcohol Interaction
While compatible with alcohol, vasodilatory effects may accelerate intoxication - avoid excessive drinking.

Contraindications
・Cardiovascular disease patients (heart/blood vessel disorders) for whom sexual activity is inadvisable

・Individuals with severe hepatic insufficiency

・Hypotension patients or untreated hypertension patients

・Those who experienced stroke/cerebral hemorrhage or myocardial infarction within past 6 months

・Individuals with tadalafil allergy history

※ Strictly follow medical instructions

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

These symptoms are believed to be caused by vasodilatory effects and may alleviate as enhanced libido increases blood flow to the penis.

Special Symptoms
Special symptoms may include visual abnormalities, such as experiencing a blue-tinted vision like wearing blue glasses, or difficulty distinguishing between blue and green hues.

Most cases are temporary and not concerning, but significant vision loss may indicate risk of non-arteritic anterior ischemic optic neuropathy (NAION).

If sudden vision deterioration or loss occurs, immediately consult an ophthalmologist.

Persistent painful erection lasting more than 4 hours may indicate risk of priapism (abnormal erection).

If erection persists beyond 4 hours, seek immediate medical attention.

※What is non-arteritic anterior ischemic optic neuropathy (NAION)?
This condition occurs when blood supply to the optic nerve is interrupted, causing dysfunction or necrosis of optic nerve cells, clinically termed ischemic optic neuropathy.
Although causality remains unclear, studies suggest a weak association between ED medication users and this condition.

※What is priapism (prolonged erection)?
Priapism, also known as prolonged erection, refers to an erection that persists abnormally without natural subsidence.
This condition is alternatively called "penile rigidity disorder," primarily linked to dysfunction in the penile cavernosal arterial system.
If an erection lasts over 4 hours without resolving, seek emergency medical assistance immediately.

Combination Contraindications
Combination contraindicated drugs refer to medications that are incompatible with Epcaris SX Oral Jelly and must not be taken simultaneously.

・Nitrates and NO donors
(Nitroglycerin, Amyl Nitrite, Isosorbide Dinitrate)
Concurrent use may enhance blood pressure-lowering effects.

・sGC stimulators
(Riociguat)
Combined use may cause blood pressure reduction.

Combination Precautions
Combination precaution drugs refer to medications that require special attention when taken with Epcaris SX Oral Jelly.

・Grapefruit (including juice)
Furanocoumarins in grapefruit may inhibit metabolic enzyme activity, delaying drug breakdown.
This may lead to excessive absorption of drug components, potentially enhancing both efficacy and side effects.

・CYP3A4 inhibitors/inducers
Ritonavir, Saquinavir, Darunavir

・Antihypertensive drugs
Since Epcaris SX Oral Jelly itself has blood pressure-lowering effects, concurrent use with antihypertensives may cause temporary symptoms like dizziness or postural instability due to hypotension.

・Store in a cool place away from direct sunlight and with low humidity.

・Keep out of reach of children.

・Do not transfer from the original container to prevent accidental ingestion or quality deterioration.

・If storing opened medicine for multiple doses, minimize air exposure and consume within 2 days.

・Do not use products past their labeled expiration date.

Ajanta Pharma