Description

Buy Cialis 20 mg Online USA – Cialis (tadalafil) relaxes muscles of the blood vessels and increases blood flow to particular areas of the body. To treat erectile dysfunction (impotence) and symptoms of benign prostatic hypertrophy (enlarged prostate). We at Hedwell Pharma provides the qualitative Cialis medicines, you can buy Cialis 20 mg Online USA.

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Cautions

To make sure this Cialis is safe for you, tell your doctor if you have ever had:

  • heart disease or heart rhythm problems;
  • a heart attack or stroke;
  • angina (chest pain), high or low blood pressure;
  • pulmonary hypertension (unless you are taking tadalafil for this);
  • a condition called pulmonary veno-occlusive disease (narrowing of the veins that carry blood from the lungs to the heart);
  • liver or kidney disease (or if you are on dialysis);
  • vision loss, or retinitis pigmentosa (an inherited condition of the eye);
  • a bleeding disorder;
  • a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;
  • a physical deformity of the penis (such as Peyronie’s disease), or an erection lasting longer than 4 hours;
  • a stomach ulcer; or
  • health problems that make sexual activity unsafe

How it works

When the penis fills with blood, Penile erection occurs. As the blood vessels that bring blood flow to the penis dilate, increasing the blood supply. The blood collects in the penis, the causes an erection.

The nitric oxide is the one that enables the production of cGMP, which is responsible to control the dilation and contraction of the blood vessels that carry blood to and from the penis. Nitric oxide is released into the penis when a man is sexually stimulated.

When this occurs, the blood vessels return to their normal size, and the erection ends. Tadalafil stops PDE5 from destroying cGMP. This causes the erection to last for longer.

In the walls of the lungs, the muscles of the arteries also contain PDE5, that is the reason the same drug can also help with pulmonary hypertension treatment

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