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Apcalis SX (Tadalafil)
Apcalis SX is an effective drug for treatment of erectile dysfunction.

Common use
Apcalis SX is an effective drug for treatment of erectile dysfunction. It contains Tadalafil as an active substance which is a selective inhibitor of phosphodiesterase type 5 (PDE 5). When sexual stimulation causes local release of nitric oxide, inhibition of PDE 5 by Apcalis SX increases levels of cGMP in the cavernous body of penis. Thus arterial smooth muscles relax and blood flows to the tissues of the penis that causes erections. Apcalis SX improves erection and lets achieve a successful sexual intercourse. The drug has been clinically proven to work up to 36 hours.

Dosage and direction
This drug is sold without a prescription but you should not use it without consulting your doctor first. After Apcalis SX is taken, the effect can be reached within 30 minutes - 1 hour period and persists up tot 36 hours. Apcalis SX is available in 20 mg. The recommended dose is no more then one pill of 20 mg per day.

Precautions
Avoid drinking grapefruit juice, alcoholic beverages, use tobacco if you are taking Apcalis SX. Tobacco in combination with Apcalis SX may cause a condition called NAION (sudden optic nerve-related vision loss). Inform your doctor before to take Apcalis SX if you have abnormal penis, including curved penis and birth defects of the penis, had coronary artery disease, arrhythmia, angina, heart attack or heart failure, hypo- or hypertension, bleeding, stomach ulcers, diabetes, hyperlipidemia (excess of lipids in the blood), sickle-cell anemia, liver or kidney failure in history.

Contraindications
Apcalis SX is not allowed to use in patients who are using any form of organic nitrate, either regularly and/ or intermittently as it is able to potentiate hypotensive effect of nitrates.

Drug interaction
Co-administration with medications containing organic nitrates may cause severe hypotension which is dangerous in some cases. Avoid taking Calis with medications such as Erythrityl Tetranitrate, Isosorbide Dinitrate, Isosorbide Mononitrate, Nitroglycerin, Pentaerythritol Tetranitrate. Levels and toxicity of Cialis are increased by erythromycin, ketoconazole (Nizoral), itraconazole (Sporanox), indinavir (Crixivan) and ritonavir (Norvir). Inform your doctor if you are taking Atazanavir, Bunazosin, Clarithromycin, Doxazosin, Erythromycin, Indinavir, Itraconazole, Ketoconazole, Moxisylyte, Nefazodone, Nelfinavir, Phenoxybenzamine, Phentolamine, Prazosin, Saquinavir, Telithromycin, Terazosin, Trimazosin, Urapidil as your Cialis dose may require correction.     
     
Why is your Apcalis Sx so cheap?     
There is a number of reasons for that. We do not spend anything on marketing, there are no taxes to be paid as the product comes into the country unregistered, the manufacturer is located in an offshore zone and the production costs are way lower. No child labor is used.     
     
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