PULMOPRES Features
Pulmopres is an ED treatment medication designed to improve symptoms of erectile dysfunction (ED).

This medication contains the same active ingredient as the globally best-selling Cialis, with its signature feature being a yellow oval tablet.

PULMOPRES Effects
The main ingredient of Pulmopres, Tadalafil, inhibits PDE-5 (phosphodiesterase type 5), an enzyme that hinders erectile function.

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

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

Tadalafil effectively inhibits the PDE-5 enzyme, dilating blood vessels in the penis and relaxing the muscles of the corpus cavernosum.

Through vasodilation and muscle relaxation, it promotes more blood flow into the corpus cavernosum, thereby inducing an erection.

PULMOPRES Duration
Although the theoretical effect can last up to 36 hours, taking the medication does not force an erection; sexual stimulation or excitement is still required to trigger an erection response.

PULMOPRES Ingredient Content
This website offers a 20mg dosage.

First-time users are advised to use a pill cutter to split the tablet and start with a half-dose.

Other Information
As a generic version of Cialis, Pulmopres is highly favored for its excellent cost-effectiveness.

The original drug Cialis is renowned for its ultra-long duration of up to 36 hours, earning it the nickname "weekend pill," and in 2014, it surpassed Viagra to become the world's leading ED treatment in terms of market share.

Pulmopres Related Pages
Tadalafil Product Series
・Generic Cialis

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

After the first dose, if you need to take it again, please wait at least 24 hours.

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

If 10mg is not effective, you can increase to 20mg; please adjust the appropriate dose based on your own condition.

Note: Some users take 2-3 times the prescribed dose at once to seek stronger effects, but this will not enhance efficacy.

The maximum dose per sexual activity is 20mg.

Recommended Starting Dose
When taking a medication containing Tadalafil, the main ingredient of PULMOPRESS, for the first time, it is recommended to start with 10mg.

Dietary Effects
It is recommended to stay on an empty stomach for at least 2 hours before taking it.

The reason lies in the absorption process of Tadalafil, the main ingredient: this component needs to be absorbed through the intestines into the bloodstream.

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

Additionally, consuming high-fat foods before taking the medication may cause fat to adhere to the intestinal walls, hindering absorption of the drug components.

Poor absorption may prevent the drug from working or result in insufficient effects, so it is essential to follow the principle of taking it on an empty stomach.

Note: After 30 minutes of taking the medication, the drug components have been absorbed, after which you can eat freely.

Alcohol Effects
Although it can be taken with alcohol, the vasodilatory effect may accelerate intoxication, so excessive alcohol consumption should be avoided.

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

・Individuals with severe hepatic impairment.

・Individuals with hypotension, or hypertension not controlled by treatment.

・Individuals with a history of cerebral infarction, cerebral hemorrhage, or myocardial infarction within the past 6 months.

・Individuals with a history of allergy to Tadalafil.

※Before taking, please be sure to follow medical advice.

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

These symptoms are believed to be caused by the vasodilatory effect; when sexual desire increases, blood flow to the penis increases, and the side effects will alleviate accordingly.

Special Symptoms
Special visual abnormalities may occur, such as a sensation of wearing blue-tinted glasses or difficulty distinguishing between blue and green colors.

In most cases, this is a temporary phenomenon and not a cause for concern, but if there is a serious decline in vision, there may be a risk of Non-Arteritic Anterior Ischemic Optic Neuropathy (NAION).

If symptoms such as a sudden decline in vision or vision loss occur, please consult an ophthalmologist immediately.

If a painful erection persists for more than 4 hours, there may be a risk of Priapism (persistent erection of the penis).

If an erection lasts for more than 4 hours, seek medical treatment immediately.

※ What is Non-Arteritic Anterior Ischemic Optic Neuropathy (NAION)?
This condition is caused by interruption of blood supply to the optic nerve, leading to dysfunction or necrosis of optic nerve cells, clinically known as ischemic optic neuropathy.
Although the causal relationship has not been clearly established, research shows a weak correlation with users of ED treatment drugs.

※ What is Priapism (persistent erection of the penis)?
This condition, also known as abnormal erection of the penis, is characterized by a persistent erection that cannot return to normal or is extremely difficult to resolve.
Its pathogenesis is mainly related to dysfunction of the arterial system in the corpora cavernosa of the penis.
If the erection persists for more than 4 hours without subsiding, seek professional medical treatment immediately.

Contraindications
Drugs with contraindications refer to those that interact with PULMOPRESS and should not be taken simultaneously.

・Nitrates and NO Donors
(Nitroglycerin, Amyl Nitrite, Isosorbide Mononitrate)
Concomitant use may enhance the antihypertensive effect.

・sGC Stimulators
(Riociguat)
Concomitant use may cause abnormal blood pressure reduction.

Precautions for Combinations
Drugs that require caution when used in combination with PULMOPRESS refer to those that need careful consideration.

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

・CYP3A4 Inhibitors/Inducers
Ritonavir, Saquinavir, Darunavir

・Antihypertensive Drugs
PULMOPRESS itself has antihypertensive effects; concomitant use with antihypertensive drugs may cause temporary symptoms such as dizziness or vertigo due to hypotension.

・Store in a place away from direct sunlight, dry and cool.

・Keep out of reach of children.

・Do not change the original packaging container to prevent accidental ingestion or product deterioration.

・If you need to consume an opened package in multiple servings, store it as airtight as possible and consume within 2 days.

・Do not consume or use products beyond the expiration date.

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