Buy Apcalis Oral Jelly 20mg for Better Lovemaking

Apcalis oral jelly, similar to the brand Cialis, contains Tadalafil as an active constituent which has its place in the pharmacological class of phosphodiesterase type 5 (PDE-5) inhibitors. It is the third member of this group and is pretty dissimilar from the preceding two members Sildenafil (Viagra) and Vardenafil (Levitra). One of the most noticeable characteristic of Tadalafil is that it has a larger duration of action and is more potent as compared to Viagra and Levitra. Also, restrictions like moderate intake of alcohol or high fat meals are not needed as this does not affect the action of Tadalafil which is not the case with other two PDE-5 inhibitors.

Mechanism of action of Apcalis jelly is that confines the action of the enzyme PDE-5 which is the leading cause behind ED in men. Restraint of this enzyme leads to increase the body levels of nitric oxide and guanylyl cyclase which is an enzyme that upsurges the biosynthesis of cyclic guanosine monophosphate (cGMP). This biochemical cGMP is a prevailing vasodilator which widens and expands the blood vessels providing the blood to the penis. Blood flow in the penis therefore, augments and this provides a temporary relief against ED and supports a man to get long lasting and strong penile erection for pleasing sexual activity. One must remember that Apcalis oral jelly is not a permanent solution for ED and provides temporary relief only.

• Usual dose of Apcalis oral jelly is 20mg to be taken once a day.
• Apcalis oral jelly can be taken without water
• These are to be swallowed as whole without crushing, chewing or breaking and allowed to dissolve slowly in the mouth.

For use as needed

• ED : Starting dose: 10mg as needed prior to sexual activity.
• Increase to 20mg or decrease to 5 mg based upon efficacy/tolerability.
• Improves erectile function compared to placebo up to 36 hours post dose.
• To be taken only once per day

For once daily use

• ED: 2.5mg taken once daily, without regard to timing of sexual activity. Dose may be increased to 5mg based upon efficacy and tolerability
• ED and Benign prostate hyperplasia: 5mg, taken at a fixed time every day
• Apcalis oral jelly 20mg can be consumed with or without food.

• DO NOT USE if sex is inadvisable due to cardiac disease
• Use with nitrates, alpha-blockers, antihypertensives or large amounts of alcohol (=5 units) may lead to low blood pressure
• USE WITH CAUTION in men taking alpha-blockers.
• Emergency treatment should be pursued if an erection lasts >4 hours and should be used with caution in patients susceptible to priapism
• Discontinue and seek medical care if sudden loss of vision occurs in one or both eyes which could direct towards having non-arteritic anterior ischemic optic neuropathy (NAION).
• To be used with caution in patients with a history of NAION.
• Discontinue Apcalis Oral Jelly and seek rapid medical care in case of abrupt and unpredicted reduction or loss of hearing

Common side effects may include:

• Headache
• Flushing
• Nausea
• Upset stomach
• Stuffy nose
• Muscle pain, back pain, pain in arms or legs

Stop using this medicine and seek instantaneous medical management in event of-

• Light-headedness
• Painful erection which lasts longer than 4 hours (prolonged erection can damage the penis)
• Vision changes or sudden vision loss
• Ringing in ears or sudden hearing loss
• Heart attack symptoms like chest pain or pressure, pain dispersion to jaw or shoulder, vomiting, sweating.

Which drugs cannot be taken with Apcalis Oral Jelly

• Apcalis can potentiate the hypotensive effects of nitrates, alpha-blockers, antihypertensives or alcohol
• Drugs like ketoconazole and ritonavir increases Apcalis levels in the blood requiring dose adjustment
• Drugs like rifampin decrease the levels of Apcalis in the blood and hence, this combination should be eluded.

What should be done in case of Overdose of Apcalis Oral Jelly?

• Seek emergency medical care in case of inadvertent or deliberate overdose

What if a dose of Apcalis Oral Jelly is missed? ?

• As Cialis is used as needed, there is less likelihood that the doctor will prescribe a dosing schedule.
• A gap of 30 hours is mandatory between two consecutive doses of Apcalis oral jelly 20mg
• In case if a scheduled dose is missed, one should take it as soon as he/ she recollects. Skip the missed dose if the time of the next dose is close
• Taking two dosage forms to make up for the missed dose can cause overdose and related adverse events