Cialis Super Active is an advanced ED treatment with rapid onset (5-7 minutes) and extended duration (50-55 hours). Its gelatin capsule formulation ensures quick absorption without gastrointestinal irritation. The medication enhances sexual performance by improving blood flow, increasing testosterone levels, and boosting sexual response while maintaining natural erection patterns through stimulation.

Dosage Instructions

• Standard dose: 20 mg capsule
• Take 5-7 minutes before sexual activity
• Maximum frequency: Once per 24 hours
• Follow physician's recommendations for individual needs

Important Precautions

• May cause increased sensitivity to heat, alcohol, or physical exertion
• Not for concurrent use with other ED medications
• Requires careful monitoring in elderly patients
• Disclose medical history including:
  • Priapism episodes
  • Renal disorders
  • Hematological conditions (sickle cell anemia, blood cancers)
  • Active peptic ulcers

Absolute Contraindications

• Allergy to tadalafil or capsule components
• Severe hepatic impairment
• Retinitis pigmentosa
• Cardiovascular conditions:
  • Unstable angina
  • Recent myocardial infarction/stroke
  • Uncontrolled arrhythmias
  • Severe hypertension/hypotension
• Current nitrate therapy (including recreational poppers)
• Physician-restricted sexual activity

Potential Adverse Effects

Common reactions:

• Cardiovascular: Dizziness, hypotension, tachycardia
• Ocular: Visual disturbances
• General: Nasal congestion, dyspepsia, myalgia

Serious complications requiring immediate care:

• Priapism (>4 hour erection)
• Sudden vision/hearing changes
• Cardiovascular events

Critical Drug Interactions

Strictly avoid:

• All nitrate preparations
• Alpha-blockers (unless medically supervised)
• Strong CYP3A4 inhibitors:
  • Antifungals (ketoconazole, itraconazole)
  • HIV protease inhibitors
  • Macrolide antibiotics

Dose adjustments may be necessary with:

• Antihypertensives
• Other PDE5 inhibitors

Overdose Management

Seek emergency care for:

• Cardiac symptoms
• Persistent erection
• Severe hypotension
• Profound dizziness

Storage Requirements

• Maintain at 20-25°C (68-77°F)
• Protect from moisture and light
• Keep securely stored away from children and animals

Note: Sexual stimulation remains necessary for medication effectiveness. This treatment does not protect against STDs or function as contraception. Regular cardiovascular evaluation is recommended for patients with risk factors.