Tadalafil 20 mg

After a certain age or due to certain medical conditions, erectile dysfunction (ED) may appear in a man’s life. While in the past, this was quite difficult to treat, modern medicine has made it possible for these conditions to be managed or cured. Tadalafil 20 mg is a medicine that can help with this condition in the event of sexual activity.


Tadalafil 20 mg (also sold as Cialis 20 mg) is likely the highest dose of erectile dysfunction medicine that an individual has taken. It is generally prescribed in circumstances where the patient has already been given Tadalafil 10 mg, tolerated it fairly well but did not get a sufficient response.

Generally speaking, patients with erectile dysfunction will begin their treatment with Tadalafil at a much smaller dose (Tadalafil 2.5 mg) and only increase the dosage if they see that it does not have any effect on their performance. 

This pill is to be taken prior to sexual activity, and its purpose is to improve the blood flow to your penis. This way, you should be able to get a hard and erect penis that will allow you to efficiently perform during intercourse. Depending on the individual, the effect might last up to 36 hours.

Purchasing Tadalafil 20 mg Online

By purchasing Tadalafil 20 mg online, you have the advantage of receiving your order at your doorstep instead of going to the drug store yourself. The competitive prices make us a very attractive choice—and thanks to the rapid delivery, you will never miss a dose.

As our client, there are certain advantages that you might benefit from:

  • Returning customers might get 10% on recurring orders
  • If your order goes over $200, you are entitled to get free shipping. This is a fairly good option if you live in an area where you pay a fair amount on shipping. Plus, if you tend to do your shopping in a bulk, this might actually save you some extra dollars.

The Mechanism of Action

Tadalafil 20 mg is a PDE5 inhibitor, and it works by limiting the activity of the enzyme—the one which is responsible for the weak blood flow in the penis. Therefore, Tadalafil will increase the blood flow to your penis and will also improve your erectile potency.

But what exactly is a PDE5 inhibitor? Well, simply put, when a man is aroused, the body will release nitric oxide in his penis—this stimulates the production of a chemical named cGMP (cyclic guanosine monophosphate).

cGMP is crucial when it comes to blood vessel dilation in the entire body—penis included. When there’s enough cGMP in the penis, the blood will flow, and the man will be able to get an erection. However, since PDE5 takes on the cGMP and manages to unbind it, the erection will not be possible to achieve. 

This is why Tadalafil is such a good choice when it comes to fixing your erectile dysfunction. It inhibits the PDE5, preventing it from damaging the cGMP, and as a result, you will be able to get healthy contraction and dilation of the blood vessels.

Taking and Storing

Ideally, Tadalafil 20 mg should be taken at least 15–30 minutes before engaging in sexual intercourse. It is one pill that you have to take orally – and you should not take it more often than once every 24 hours.

Before taking Tadalafil, you should inform your doctor if you have: 

  • Multiple myeloma (cancer in the bone marrow)
  • Sickle cell anemia (red blood cell abnormality)
  • Penis deformations
  • Leukemia (cancer in the blood cells)
  • Severe kidney or liver problems

In these cases, taking Tadalafil might not only be ineffective, but it could interfere with the effectiveness of other medicine you might be taking. It is also not recommended that you take Tadalafil 20 mg if you are already taking other medications for erectile dysfunction. Always respect the dosage given to you by your doctor.

Make sure to store Tadalafil 20 mg in places that your children cannot see or reach. Furthermore, Tadalafil 20 mg should be stored in spaces that are not humid, as it might affect their efficiency. To preserve the quality of the drug, you might want to keep it in its original package – and then place it in a dry, well-ventilated place. Make sure that the temperature does not exceed 30 degrees Celsius.

Moreover, you should be careful when disposing of Tadalafil 20 mg that you no longer use. For environmental purposes, you should not throw the medications down the sink or into the waste bin. Talk to your pharmacist about any methods they have of disposing of the drugs.

What Side Effects Should You Expect with Tadalafil 20 mg?

In some cases, Tadalafil 20 mg has been reported to have certain side effects—the most frequent one being headaches. However, if they happen, the expression tends to be less severe.

Some other common, but more infrequent side effects also include: 

  • Backaches
  • Flu-like symptoms (coughing, stuffy nose, throat irritation, acute infections of the throat, nose, or sinuses)
  • Diarrhea
  • Nausea
  • Gastroesophageal reflux
  • Indigestion and/or intense abdominal pain
  • Pain in the muscles, legs
  • Temporary flushing of the face or neck
  • Dizziness

Some very rare side effects might also appear – so, if you have taken the pill and you are experiencing these symptoms, you might want to contact your doctor immediately. 

  • Prolonged or painful erection that has been going on for more than a few hours
  • A sudden loss or decrease in your hearing ability
  • A sudden loss or decrease in your vision
  • Symptoms that are similar to that of a heart attack
  • Skin rashes
  • Seizure episodes

Each body experiences side effects differently. Thus, if you are experiencing anything out of the ordinary at a severe or uncomfortable level, you might want to contact your doctor immediately.

Possible Interactions

Tadalafil might interact with a series of medicines, which is why you should inform the pharmacist or doctor of any treatment that you might be undergoing. Among the common medications that Tadalafil 20 mg might interact with are:

  • Antibiotics or antifungal medicine.
  • Seizure medication
  • Drugs to treat ED or pulmonary arterial hypertension
  • Medicine for high blood pressure and prostate disorders
  • Antiviral medicine is used to treat sexually transmitted diseases.

Some vitamins, herbal products, and over-the-counter medications might also interact with Tadalafil 20 mg. There are no interactions with food (except for greasy ones that might postpone its release), but it does tend to be rendered ineffective by alcohol. So, you should try to avoid excessive alcohol consumption.

The Development of Tadalafil 20 mg

Erectile dysfunction is a condition that has affected many men over the course of the last few years, which is why it is beginning to get a lot of attention. In the years between 1998 and 2002, there were only two methods of treatment that you could get for this condition – one of them turning into a household name. Later on, a handful of medications began to appear. 

Released on the market by ICOS (which was later absorbed by Eli Lilly) in 2003, it became one of the first erectile dysfunction products that you could buy with a prescription from an online medium. It was also one of the first pills to have a prolonged action.

This is why Tadalafil 20 mg (or any other dosage) received the name of the “weekend pill.” Considering that it had the strongest dosage of the active ingredient, Tadalafil could be in effect for up to 36 hours – even if the person had severe erectile dysfunctions.

Tadalafil 20 mg also began being sold in the daily form so that it could provide round-the-clock coverage. This was the recommended choice for those who expected to have intercourse more than three times a week. 

In 2011, aside from the erectile dysfunction, the drug was also approved to treat an enlarged prostate (also referred to as BPE), as well as pulmonary arterial hypertension.

How, Where, and Who Should Take Tadalafil

Tadalafil 20mg should be taken before intercourse, no more than once every 24 hours. It is shown that 81% of the men that used Tadalafil 20 mg have managed to get an erection that is prominent enough to achieve vaginal penetration. Plus, in 71% of the cases, that erection was lasting enough to complete the intercourse. 

This is fairly good since the ones using the middle dose (10 mg) are successful in only 59% of the cases. However, please note that this depends on each individual. While some people might experience a mild reaction from a 10 mg dose, others might experience a very strong reaction from a 5 mg dose. 

This is why you have to talk to your doctor about how you should take Tadalafil 20 mg. Depending on your condition and your sexual activity level, you may have to take it every day. However, in most scenarios, the doctor will recommend that you take it 30 minutes before engaging in sexual intercourse.

Alternatives to Consider

There are some cases in which Tadalafil 20 mg is not well-tolerated by some men. In the event that lowering the dose does not help you, you might want to try to use the following alternatives:

  • Sildenafil (Generic Viagra 100 mg)
  • Avanafil (Generic Stendra)
  • Vardenafil (Generic Levitra)

Please bear in mind that none of these medications should be taken if you are already taking nitrates such as nitroglycerine.