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Apcalis-SX oral jelly 7x20mg
  (90%, 4 ratings)

Apcalis-SX oral jelly 7x20mg

Generic Cialis (Tadalafil Citrate)
Price:24 €
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Product code:5
Category:Generic Cialis (Tadalafil Citrate)
Manufacturer:Ajanta Pharma Ltd.

Overview

Apcalis-sx Oral Jelly 20 sex gel is a popular and successful treatment for erectile dysfunction. It is simply a safer and more efficient alternative to the oils and pills that are available. Unlike hard-to-swallow tablets, Apcalis-sx Oral Jelly sachets can be squeezed out onto a spoon and swallowed with ease. Containing the same active ingredient (20mg of tadalafil) as Cialis, patients can benefit from an efficient treatment time of at least 36 hours. This allows couples to engage in intercourse at a natural time. Apcalis-sx Oral Jelly is manufactured clinically in clean room facilities by Ajanta Pharma and is supplied in a range of 7 fruity flavors.

Apcalis-sx Oral Jelly's active ingredient is tadalafil, and it belongs to the PDE-5 family of vasodilators. Tadalafil is a selective inhibitor of PDE5. PDE5 is found in the smooth muscle of the corpus cavernosum, prostate, bladder, vascular and visceral smooth muscle, skeletal muscle, urethra, platelets, kidney, lung, cerebellum, heart, liver, testis, seminal vesicle, and pancreas.

The inhibition of phosphodiesterase type 5 (PDE5) enhances erectile function by increasing the amount of cGMP. Because sexual stimulation is required to initiate the local release of nitric oxide, the inhibition of PDE5 by tadalafil has no effect in the absence of sexual stimulation. These drugs work by dilating the blood vessels in the body, particularly around the genital area. This, in turn, allows more robust blood flow to enable an erection to take place.

Apcalis-sx Oral Jelly is not an aphrodisiac, and stimulation will be required to develop an erection.

To learn more about the medicine's inner workings, read the contents of the How it works tab.

Benefits

Apcalis-sx Oral Jelly is one of the best tadalafil (Cialis) generics on the market that cures erectile dysfunction. The medicament is suitable for treating the first signs of impotence and can stop prostatitis and prostate adenoma.

Among the benefits of Apcalis-sx Oral Jelly are:

  • easy to swallow jelly
  • wide range of fruity flavors
  • long effective treatment time – up to 36 hours
  • increased stamina and performance
  • better price in comparison to the original brand (Cialis)
  • can be purchased online with no prescription needed

Pick your favorite package and buy cheap Apcalis-sx Oral Jelly pills online for the best price with a discount without a prescription.

Side effects

Along with its needed effects, Apcalis-sx Oral Jelly may cause some unwanted effects. Although not all of these side effects may occur, they may need medical attention if they do occur.

Most common side effects of Apcalis-sx Oral Jelly:

  • headache
  • dyspepsia
  • back pain
  • facial redness or flushing
  • blocked nose
  • mild nausea

For a comprehensive list of adverse effects, check the content of the tab Side effects.

How to take the medicine

To get the best from your treatment, please read the following carefully:

  • the recommended starting dose in most patients is 10 mg
  • safe indicated dose within a 24 hour is 20 mg (1 sachet)
  • effective treatment time is up 36 hours

Always take this medicine with a large glass of water. You should only take Apcalis-sx Oral Jelly 20 mg when you plan to have sex. More details are available under the Administration tab.

To get the most of the medicine, be sure to check out the contents of Tips and Warning tabs as well.

Related Articles

Cialis

Generic Cialis medication is available in the Kamagra online shop. These include Apcalis, Vikalis, Tadacip and Tadalis. These generic medications work just like Cialis. However, it is a more convenient and easily accessible version, for the substitution of the original Cialis medication.

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Administration

To get the best from your treatment, please read the following carefully:

The recommended starting dose of Apcalis-sx Oral Jelly 20 mg from Ajanta Pharma Ltd. for use as needed in most patients is 10 mg, taken prior to anticipated sexual activity. The dose may be increased to 20 mg or decreased to 5 mg, based on individual efficacy and tolerability.

The safe indicated dose of Apcalis-sx Oral Jelly 20 mg within a 24 hour period is 20 mg (1 tablet). This medicine will become effective within 60 minutes. Effective treatment time is up 36 hours. Always take this medicine with a large glass of water.

You should only take a Apcalis-sx Oral Jelly 20 mg when you plan to have sex – it is not intended as a regular medication.

Avoid large or fatty meals close to when you intend to take the medicine.

Alcohol will reduce the effectiveness of this Apcalis-sx Oral Jelly 20 mg.

Side effects

Along with its needed effects, Apcalis-sx Oral Jelly 20 mg may cause some unwanted effects.

Although not all of these side effects may occur, if they do occur they may need medical attention. See below for a comprehensive list of commonly reported side effects.

Most common side effects

  • headache
  • dyspepsia
  • back pain
  • facial redness or flushing
  • blocked nose
  • dryness in eyes
  • mild nausea

Uncommon side effects

The following side effects of Apcalis-sx Oral Jelly 20 mg may occur that usually do not need medical attention. These side effects are not dangerous and may normally diminish as your body adjusts to the medicine. Patients presenting with these side effects generally do not need to stop taking Apcalis-sx Oral Jelly 20 mg.

Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

  • myalgia
  • nasal congestion
  • facial flushing and flushing
  • pain in limb
  • upper respiratory tract infection
  • diarrhea
  • nasal congestion
  • urinary tract infection
  • light sensitivity
  • ringing in ears
  • slight blurred vision
  • slight blueness in vision

Serious side effects (uncommon)

Although serious side effects are rare, if you experience any the following serious side effects, stop taking Apcalis-sx Oral Jelly 20 mg and seek emergency medical care immediately.

  • chest pain
  • dizziness during sex
  • erection longer than 4 hours (Priapism)
  • severe decrease or loss of vision
  • severe decrease or loss of hearing

Warning

Apcalis-sx Oral Jelly 20 mg is not suitable for everyone.

Patients under treatment for the following conditions; or any ongoing managed condition, should consult their doctor prior to taking Apcalis-sx Oral Jelly 20 mg:

  • heart related & cardiovascular diseases including aortic stenosis, idiopathic hypertrophic subaortic stenosis and general ventricular outflow obstruction
  • stroke within the last 6 months
  • myocardial infarction (heart attack) within the last 90 day
  • uncontrolled arrhythmias
  • cardiac failure or coronary artery disease causing unstable angina
  • blood pressure related diseases including hypertension & hypotension and patients with severely impaired autonomic control of blood pressure
  • resting hypotension (low blood pressure) of (BP <90/50)
  • resting hypertension (high blood pressure) of (BP >170/110)
  • retinitis pigmentosa (genetic disease of the retina)
  • Sickle cell or other related anaemias
  • HIV (specifically on treatment with protease inhibitors)
  • organ donor recipients

Treatments for erectile dysfunction, including Apcalis-sx Oral Jelly 20 mg, should not be used in men for whom sexual activity is inadvisable as a result of their underlying cardiovascular status. Patients who experience symptoms upon initiation of sexual activity should be advised to refrain from further sexual activity and seek immediate medical attention.

As with other PDE5 inhibitors, tadalafil has mild systemic vasodilatory properties that may result in transient decreases in blood pressure. Patients with severely impaired autonomic control of blood pressure may be particularly sensitive to the actions of vasodilators, including PDE5 inhibitors.

There have been rare reports of prolonged erections greater than 4 hours and priapism (painful erections greater than 6 hours in duration) for this class of compounds. Priapism, if not treated promptly, can result in irreversible damage to the erectile tissue. Patients who have an erection lasting greater than 4 hours, whether painful or not, should seek emergency medical attention.

Contraindications

Patients taking the following medicine types should NOT take Apcalis-sx Oral Jelly 20 mg:

  • nitroglycerin medicines
  • nitroprusside medicines
  • amyl nitrate (recreationally known as poppers)
  • guanylate cyclase (GC) stimulators
  • alpha-blockers (caution is advised when PDE5 inhibitors are coadministered with alpha-blockers)
  • organ donor recipient medicines
  • azole antifungal medicines taken orally (topical creams for treatment of candida/ thrush are safe)
  • serious hypersensitivity to tadalafil
  • antihypertensives
  • antacids
  • alcohol

Both alcohol and tadalafil, act as mild vasodilators. When mild vasodilators are taken in combination, blood-pressure-lowering effects of each individual compound may be increased. Substantial consumption of alcohol in combination with Apcalis-sx Oral Jelly 20 mg can increase the potential for orthostatic signs and symptoms.

How it works

Apcalis-sx Oral Jelly 20 mg from Ajanta Pharma Ltd. contains tadalafil which acts on the erectile tissue of the penis.

Penile erection during sexual stimulation is caused by increased penile blood flow resulting from the relaxation of penile arteries and smooth muscle. This response is mediated by the release of nitric oxide (NO) from nerve terminals and endothelial cells, which stimulates the synthesis of cGMP in smooth muscle cells. Cyclic GMP causes smooth muscle relaxation and increased blood flow into the corpus cavernosum. The inhibition of phosphodiesterase type 5 (PDE5) enhances erectile function by increasing the amount of cGMP. tadalafil inhibits PDE5. Because sexual stimulation is required to initiate the local release of nitric oxide, the inhibition of PDE5 by tadalafil has no effect in the absence of sexual stimulation.

Tadalafil is a selective inhibitor of PDE5. PDE5 is found in the smooth muscle of the corpus cavernosum, prostate, and bladder as well as in vascular and visceral smooth muscle, skeletal muscle, urethra, platelets, kidney, lung, cerebellum, heart, liver, testis, seminal vesicle, and pancreas.

Apcalis-sx Oral Jelly 20 mg administered to healthy men produced no significant difference compared to placebo in supine systolic and diastolic blood pressure and in standing systolic and diastolic blood pressure. In addition, there was no significant effect on heart rate. Studies have shown that the effect of tadalafil is more potent on PDE5 than on other phosphodiesterases. These studies have shown that tadalafil is more potent for PDE5 than for PDE1, PDE2, PDE4, and PDE7 enzymes, which are found in the heart, brain, blood vessels, liver, leukocytes, skeletal muscle, and other organs.

Tips

Do not take more than one dose of Apcalis-sx Oral Jelly 20 mg per day.

Start with dose 10 mg as needed prior to sexual activity. Increase to 20 mg or decrease to 5 mg based upon efficacy/tolerability. Improves erectile function up to 36 hours post dose.

Always talk to your doctor before taking ANY medication for erectile dysfunction (ED). Some erectile dysfunction medications are not suitable for men with certain medical conditions, and your doctor can advise you on an alternative. Read contraindications.

Call your doctor immediately if you experience dizziness or feel nauseous during sexual activity, or develop pain, numbness, tingling in your chest, arms, neck, or jaw.

Seek emergency treatment if an erection lasts more than 4 hours.

Do not take Apcalis-sx Oral Jelly 20 mg if you are also taking a nitrate drug (such as nitroglycerin or isosorbide dinitrate/mononitrate) for chest pain or heart problems.

Do not take Apcalis-sx Oral Jelly 20 mg with recreational drugs such as "poppers". Taking these substances together can cause a sudden and dangerous drop in blood pressure.

Always buy your medications from a reputable supplier as there are a lot of counterfeit products on the market.

Certain lifestyle and psychological factors, such as smoking, drinking, and stress, can impact on erectile dysfunction. Eliminating these may also help improve the erection. For example:

  • staying more active
  • losing weight if you are overweight
  • reducing alcohol intake
  • stopping smoking and reducing stress

Never take other erectile dysfunction medications at the same time as taking Apcalis-sx Oral Jelly 20 mg.

Seek urgent medical advice if an allergic reaction, sudden vision loss or painful erections lasting more than four hours occur.

Drinking alcohol after taking Apcalis-sx Oral Jelly 20 mg may lower blood pressure and decrease sexual performance.