Cialis Super Active is a prescription-only drug containing tadalafil. Cialis Super Active comes in gelatin capsules which give tadalafil a longer and more potent effect. Each capsule contains 20mg of tadalafil. Cialis Super Active is used to treat erectile dysfunction and will enhance blood flow to the penis for 36 hours after usage. It will have no effect without sexual arousal. Cialis Super Active should be taken half an hour before sex with a glass of water. If you ate recently, take it an hour before sex instead. Taking multiple capsules will worsen the side effects but not increase the benefits.

Cialis Super Active has a protein binding rating of B. It has a 17.5 hour elimination half life and is metabolised by the liver. Its molecular formula is C22H19N3O4 and its molar mass is 389 grams per mol. It ranks B in the pregnancy category. It should be taken orally. Cialis Super Active is an annulated 2,5-diketopiperazine and a 1,2,3,4-tetrahydro-B-carboline. Cialis Super Active can be synthesized by starting with a (D)-tryptophan methyl ester and piperonal via a Pictet-Spengler reaction. Then simply condense with chloroacetyl chloride and methylamine to finish construction of the diketopiperazine ring.

Cialis Super Active was invented by biotech corporation ICOS and developed further by Lilly ICOS. Cialis Super Active was first approved by the FDA in 2003 as an erectile dysfunction drug. It was approved again in 2009 as a pulmonary arterial hypertension drug. It is currently under regulatory review in other regions for pulmonary arterial hypertension.

Cialis Super Active is known to come with a bevy of side effects. It has been used by approximately 15000 men in clinical trials and over eight million worldwide. The most common side effects include headache, stomach pain, stomach ache, indigestion, belching, acid reflux, muscle ache, flushing, stuffy nose, and runny nose. These side effects come from Cialis Super Active’s vasodilation and will generally disappear after several hours. Some of them may appear up to 24 hours after taking the drug.

Cialis Super Active is also associated with a handful of dangerous but rare side effects. It can cause vision impairment (non arteritic anterior ischemic optic neuropathy), particularly in patients with pre-existing anatomic or vascular risk factors including low cup to disk ratio, older than 50, hypertension, coronary artery disease, hyperlipidemia, and smoking. This side effect is extremely rare and occurs less than one time in a million. Cialis Super Active can occasionally cause temporary deafness. Never take more than 20mg of Cialis Super Active per twenty-four-hour cycle. Cialis Super Active should not be taken with alkyl nitrates (poppers), amyl nitrate (sexstasy), or organic nitrates (glyceryl trinitrate spray).

Cialis Super Active requires a prescription. Therefore, never trust any stores offering it for sale without one. They may be scams or sell you generic and potentially dangerous counterfeit capsules. Cialis Super Active typically costs around 5 dollars a dosage with significant discounts for buying in bulk. Remember, only buy from stores you trust completely.