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MINIMUM ORDER QUANTITY

Minimum order quanity is the minimum number of units to be purchased for this product. This will help sellers ship low-priced items in a cost-effective manner.

Check Availability & Expiry

Expiry Date

Expected Delivery

INTRODUCTION

CIALIS 20MG TABLET contains Tadalafil which belongs to the group of medicines called Phosphodiesterase type 5 (PDE 5) inhibitors. It is used in adults to treat erectile dysfunction (in men) and pulmonary arterial hypertension (PAH).

Erectile dysfunction (also known as impotence) is a sexual condition where a man cannot sustain a hard erected penis that is required for a normal sexual activity. It happens due to decreased blood flow to the penis.

PAH can be defined as increased blood pressure in the blood vessels that supply the lungs. It can be caused due to narrowing of blood vessels (arteries) supplying the heart and the lungs. Symptoms of PAH might include shortness of breath, tiredness, weakness and feeling faint.

CIALIS 20MG TABLET is not an aphrodisiac (sex-stimulating agent). Therefore, it cannot be used to induce sexual thoughts or can improve sexual performance/pleasure in healthy men. It would help you to get an erection only if you are sexually stimulated. It is also not suitable for use in healthy men who do not have erectile dysfunction.

Avoid consuming alcohol or grapefruit juice while taking CIALIS 20MG TABLET, as it may lead to unwanted side effects. Before taking CIALIS 20MG TABLET, inform your doctor if you have any liver, kidney or heart problems. You must also inform your doctor if you have any deformity in your penis or have undergone surgical removal of the whole or a part of the prostate gland.

CIALIS 20MG TABLET is not recommended for use in patients with severely low or high blood pressure and in patients who recently had a stroke. It is also not suitable for use in pregnant or breastfeeding women unless considered necessary by the physician.

The most common side effects of taking CIALIS 20MG TABLET are flushing, headache, dizziness, blurred vision and muscle pain. Consult your doctor if any of these side effects troubles you. You must also inform your doctor if you experience any painful and prolong erection after taking CIALIS 20MG TABLET.

USES OF CIALIS 20MG TABLET

HOW CIALIS 20MG TABLET WORKS

It also relaxes the blood vessels supplying the lungs which enable the blood to flow more smoothly within them with less pressure, leading to reduction in the signs of pulmonary arterial hypertension.

DIRECTIONS FOR USE

Take CIALIS 20MG TABLET preferably before meals and at least 1 hour before sexual intercourse or as advised by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine.

Your doctor will decide the correct dose and duration of therapy for you depending on your age, body weight and disease condition.

SIDE EFFECTS OF CIALIS 20MG TABLET

COMMON

headache
back pain, muscle pain
pain in arms and legs
flushing of the face
nasal congestion
indigestion
swelling of the face
uterine bleeding
nausea, indigestion, stomach pain, acidity

UNCOMMON

dizziness
vomiting
blurred vision, eye pain
difficulty in breathing
blood in urine
palpitation (racing heartbeat)
changes in blood pressure (high/low)
nasal bleeds
tinnitus (ringing in ears)
tiredness

Stop taking CIALIS 20MG TABLET and contact your doctor immediately if you experience any of the following side effects:

severe allergic reaction (such as wheeziness, difficulty in breathing or dizziness, swelling of the face, lips, eyelids or throat)
prolonged or painful erection (priapism)
chest pain
sudden decline or loss of vision
decreased hearing or sudden hearing loss

HOW TO MANAGE SIDE EFFECTS

Take CIALIS 20MG TABLET with or just after meals. Stick to simple meals. Avoid eating oil-rich or spicy foods. Consult your doctor if your symptom worsens.

Rest and relax. Keep yourself hydrated by drinking plenty of fluids such as water or electrolytes. Applying a pain-relieving balm on your forehead can be beneficial. Do not consume excessive alcohol, as it could aggravate your headache. Consult your doctor if your headache worsens.

Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or machines completely while you are feeling dizzy. Do not consume excessive alcohol, as it could aggravate your dizziness. Consult your doctor if your dizziness worsens.

WARNING & PRECAUTIONS

PREGNANCY

CIALIS 20MG TABLET is not recommended for use in pregnant women unless considered necessary by the physician. Therefore, consult your doctor before taking it.

BREASTFEEDING

CIALIS 20MG TABLET is not recommended for use in breastfeeding women. Therefore, consult your doctor before taking it.

DRIVING AND USING MACHINES

Do not drive or operate any machines if you experience dizziness or blurred vision after taking CIALIS 20MG TABLET.

ALCOHOL

Avoid consumption of alcohol while taking CIALIS 20MG TABLET, as it could temporarily impair your ability to get an erection.

KIDNEY

CIALIS 20MG TABLET should be used with caution in patients with kidney problems. Therefore, consult your doctor before taking it.

LIVER

CIALIS 20MG TABLET should be used with caution in patients with liver problems. Therefore, consult your doctor before taking it.

ALLERGY

Do not take CIALIS 20MG TABLET if you are allergic to Tadalafil.

LUNGS

CIALIS 20MG TABLET should be used with caution in patients with pulmonary arterial hypertension. Therefore, consult your doctor before taking it.

HEART DISEASE

CIALIS 20MG TABLET is not recommended for use in patients with severe heart diseases (such as any recent heart attack). It should be used with caution in patients with other heart diseases. Therefore, consult your doctor before taking it.

OTHERS

CIALIS 20MG TABLET is not recommended for use if you:

recently had a stroke (within the last 3 months)
have severe low blood pressure
have uncontrollably high blood pressure
previously had vision loss due to non-arteritic anterior ischaemic optic neuropathy (nerve damage caused due to lack of blood and oxygen supply to the eye)

Before taking CIALIS 20MG TABLET inform your doctor if you:

have sickle cell anaemia (an inherited blood disorder characterised by low RBC count)
have cancers of the blood (leukaemia) or bone marrow (multiple myeloma)
have penile deformation
had any pelvis surgery in the past
had any surgical removal of all or part of the prostate gland (radical non-nerve-sparing prostatectomy)
have stomach ulcers or bleeding disorders such as haemophilia
have any type of rare inherited eye disease (such as retinitis pigmentosa)

CIALIS 20MG TABLET is not recommended for use in children and adolescents (aged below 18 years). Therefore, consult your doctor before taking it.

CIALIS 20MG TABLET should be used with caution in elderly patients. Therefore, consult your doctor before taking it.

INTERACTIONS

Before taking CIALIS 20MG TABLET, inform your doctor if you are taking any of the following medicines such as:

bosentan, riociguat (other medicines used to treat pulmonary arterial hypertension)
nitrates or amyl nitrites (used for relieving chest pain) Ex. nitroglycerin, isosorbide dinitrite
alpha-blockers (used to treat high blood pressure or benign prostatic hyperplasia) Ex. prazosin, terazosin, tamsulosin
other medicines used to treat high blood pressure (such as atenolol, propranolol, enalapril, lisinopril)
ketoconazole, itraconazole (used to treat fungal infection)
protease inhibitors (used to treat HIV infection) Ex. ritonavir, lopinavir
phenobarbital, phenytoin, carbamazepine (medicines used to treat fits)
rifampicin, erythromycin, clarithromycin (medicines used for bacterial infections)
other medicines used to treat erectile dysfunction (Ex. sildenafil)

Avoid consuming grapefruit juice while taking CIALIS 20MG TABLET, as it may increase the risk of side effects.

If you or anyone else accidentally took more CIALIS 20MG TABLET, consult your doctor or visit the nearby hospital.

SYNOPSIS

Drug	:	Tadalafil
Pharmacological Category	:	Phosphodiesterase-5 inhibitors
Therapeutic Indication	:	Erectile Dysfunction, Pulmonary Arterial Hypertension
Dosage Forms	:	Tablets, Oral disintegrating strips, Granules

MORE INFORMATION

FAQs ABOUT CIALIS 20MG TABLET

What are the uses of CIALIS 20MG TABLET?

CIALIS 20MG TABLET is used to treat pulmonary arterial hypertension (PAH). It can also be used to treat erectile dysfunction in men.

What does CIALIS 20MG TABLET do?

CIALIS 20MG TABLET works by blocking the effects of certain enzymes (PDE5) in the body that limits blood flow to the penis. This relaxes the blood vessels supplying the penis, improves blood flow to the penis and makes it stay erect throughout the process of sexual intercourse. It also relaxes the blood vessels supplying the lungs which enable the blood to flow more smoothly within them with less pressure, leading to reduction in the signs of pulmonary arterial hypertension.

How to take CIALIS 20MG TABLET?

CIALIS 20MG TABLET should be taken as advised by your physician. Swallow the medicine with a glass of water. Do not crush or chew.

Can elderly men take CIALIS 20MG TABLET?

Yes. CIALIS 20MG TABLET should be used with caution in elderly patients, especially if they have any pre-existing heart conditions and taking medicines for it. Consult your doctor before taking it.

Can CIALIS 20MG TABLET be used in women?

Yes. CIALIS 20MG TABLET can be used in women for treating pulmonary arterial hypertension. However, it should be used in pregnant or breastfeeding women only if considered necessary by the physician. Therefore, consult your doctor before taking it.

Can CIALIS 20MG TABLET treat erectile dysfunction?

Yes. CIALIS 20MG TABLET can also be used to treat erectile dysfunction in men in addition to pulmonary arterial hypertension. It improves blood flow to the penis and makes it stay erect throughout the process of sexual intercourse.

What are the side effects of CIALIS 20MG TABLET?

The most common side effects of CIALIS 20MG TABLET are headache, muscle pain or stiffness, dizziness, blurred vision, or flushing. Consult your doctor if any of the side effects troubles you.

Can CIALIS 20MG TABLET affect sexual performance?

CIALIS 20MG TABLET is not an aphrodisiac (sex-stimulating agent). It does not induce sexual thoughts or can improve sexual performance/pleasure in healthy men. It would help you to get an erection only if you are sexually stimulated.

Can CIALIS 20MG TABLET cause painful erections?

Yes. CIALIS 20MG TABLET may cause painful and prolonged erections. Inform your doctor if you experience any such effects.

What medicines should I avoid while taking CIALIS 20MG TABLET?

Before taking CIALIS 20MG TABLET, inform your doctor about all the medicines that you use to treat your current illnesses. Avoid concomitant use of similar medicines which can relax your blood pressure such as nitrates (Ex. nitroglycerin). It is also important to inform your doctor about the use of antibiotics (Ex. erythromycin, clarithromycin, telithromycin, rifampicin), antivirals (Ex. saquinavir and ritonavir) and antiepileptic drugs (Ex. carbamazepine, phenytoin) before undergoing treatment with CIALIS 20MG TABLET.

Can I take CIALIS 20MG TABLET daily?

CIALIS 20MG TABLET is generally prescribed as one dose per day. However, your doctor will decide the number of doses per day depending on your age, body weight and disease condition. Do not take CIALIS 20MG TABLET more than once a day without consulting your doctor.

How long does it take for CIALIS 20MG TABLET to start working?

It may take around 30 minutes to 1 hour for CIALIS 20MG TABLET to start working, therefore take this medicine at least one hour before planning to have sex. This time may vary from person to person depending upon their health condition.

Can the use of CIALIS 20MG TABLET delay the release of sperms?

No. CIALIS 20MG TABLET would only help to get an erection (hard penis) in patients with erectile dysfunction. It does not exert its effects on sperm release (ejaculation) and therefore cannot be used to prevent premature ejaculation (early release of sperm).

What do I do if I take too many tablets of CIALIS 20MG TABLET?

In case of over consumption of CIALIS 20MG TABLET contact your healthcare practitioner. Symptoms of overdosage may include chest pain, hearing problems or sudden decrease or loss of vision.

Will taking a higher dose of CIALIS 20MG TABLET be more effective?

No. Do not take a higher dose of CIALIS 20MG TABLET than prescribed by your doctor, as it could lead to toxicity. Always consume the dose prescribed by your doctor. If you feel that the prescribed dose is not working for you, consult your doctor for advice.

What should I do if I miss a dose of CIALIS 20MG TABLET?

If you miss a dose of CIALIS 20MG TABLET, take it as soon as possible. However, if it is time to take the next dose, skip the missed dose and take the next one at regular times. Do not take a double dose of CIALIS 20MG TABLET to compensate for the missed dose.

REFERENCES

KD. Tripathi. Androgens and Drugs for Erectile Dysfunction. Essentials of medical pharmacology. Seventh edition. 2013. Page – 304.

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This eLearning course explores emerging ICT trends, applications and experiences in WASH, and equips participants with a roadmap to design, develop and implement their own ICT-enabled solutions.

Target users

Target users are senior and middle managers and professional staff in water and sanitation utilities, in particular managing directors and the technical, commercial and ICT staff.

Also welcome are persons from national government entities, regulators, civil society and private sector organizations who seek to support utilities’ adoption of appropriate technologies to provide reliable and sustainable water and sanitation services.

Objectives and outcomes of the course

There is already a great deal of knowledge and experience in the application of ICTs for Development (ICT4D), but most of this exists outside of the WASH sector. Water Service Providers (WSPs) in particular have limited exposure to key ICT applications and experiences, and when they do, the focus is on the novelty of the innovations, rather than how they can be adopted to develop and improve institutional structures and meet objectives.

This e-Learning course will build the practical capacity of both the participants and the institutions they serve. Participants will critically evaluate and discuss emerging ICT trends, applications and experiences in WASH and other development sectors. Through analyzing and engaging in discourse around key successes and failures of other WSPs, as well as directly interacting with various ICTs (for example testing Android-based mobile data collection apps, and web-based geospatial apps and databases), participants will expand their own knowledge, be better equipped to overcome their own obstacles, and develop, implement and sustainably scale ICT solutions in their own utility.

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Pre-Requisites to join

Professional Background: Senior managers and professional staff in water and sanitation utilities, in particular Managing Directors and Technical, Commercial, and ICT Managers. Representatives from national government entities, regulators, civil society and private sector organizations with a vested interest in supporting the work of utilities.
Workload: Around 6 hours per week in order to complete the course successfully.
Technical Environment: Up-to-date browser, and a stable internet connection to access the multimedia course content and collaborate with other participants in live group webinars and online fora. Headphones are required for participation in the webinars.
Participants should also have access to an android-based smartphone to partake in practical exercises which use various android applications.
Language: This course is currently only offered in English, though in the future a French version might also be available. A B1-language level is required.

The preliminary table of contents (subject to changes) is available here:

ICT for the Water Sector – Table of Contents (updated 2017-23-03)

Brief information about the technical background of ICT and about common challenges in the water sector. For some of these challenges, the use of ICT can be helpful. This module gives also a short outlook on the economic side and on the implications, ICT may have on planing and administration of water infrastructure:

Lesson 1: ICT for the Water Sector;
[Introduces the term ICT and discussed the impacts mobile accessibility can have. ICT can bring enormous improvements for the Water Sector, but it is clearly not a miracle. One important part of this lesson is therefore to define what this course can do for you (and what it doesn’t)]
Lesson 2: Challenges & ICT;
[This lesson gives a brief overview on some of the challenges, water utilities have to face and how ICT can be of help to deal with these. Among others, problems like Non-Revenue Water, Asset-Management, preventing illegal consume and fraud are mentioned]
Lesson 3: Technical Background;
[The history of mobile phones is briefly introduced. How can mobile devices communicate with each other? A functioning ICT-system delivers a huge amount of data from the users to the service utility. To offer their users a sufficient service and to deliver the fundament for future decisions on the political level, the utility will have to interpret these data]
Lesson 4: Mobile Standards & Apps;
[The terms 3G, UMTS, LTE. are explained. What is the difference between WLAN, WiFi and a mobile network? What are «Apps» and why are they needed for mobile phones?]
Lesson 5: ICT Business Models;
[This lesson discusses briefly the opportunity to create new jobs both in the formal and in the informal employment sector. Depending on the grade of implementation, ICT maybe an additional cost-factor for the utilities. Does the benefit brought by the use of ICT compensate these additional costs?]
Lesson 6: ICT & Governance.
[The final lesson of module 1 discusses how data raised by ICT and interpreted by the water utility or the regulator can have certain implications on a society. The terms Transparency, Accountability and Participation are examined and brought into relation with practical examples of the use of ICT]

The lessons in this module give an overview on the devices with are needed on the side of the customers and on the side of a utility or an authority. It is not enough to collect data – they also have to be processed with the help of databases. The results have implications not only on the technical side but also on the political side of water services:

Lesson 1: Devices (Hardware);
[This lesson briefly introduces use and costs of devices such as Desktops, Laptops, Tablets, Phones and Remote sensors]
Lesson 2: Software;
[The lesson gives an overview on the software components which can be used an to capture, process, and to interpret data]
Lesson 3: Services;
[What are the ways and the communication channels in which customers and utilities get into contact? Some fields of ICT (e.g. Meter Reading, Emergency Alerts, Customer care, et.al.) and the ways how to get into contact (Website, e-mail, Social Media) are briefly mentioned and explained]
Lesson 4: Human Resources;
[What are the additional knowledges, the staff on the utilities side should have to handle incoming requests and to react properly? What are new functions and jobs that have to be created?]
Lesson 5: Databases, Reports & Evaluation.
[This lesson want to highlight the way to inform an administration/supervision body about the additional data raised with the help of their customers and by ICT. The most important elements, an official report should contain, is also given]

Module 3: «How to make good use of ICT»

The lessons in this module give short examples on how ICT can be applied. Not only the communication between utilities and their customers is highlighted – some examples are also given on how to improve the workflow within the utility itself with the help of ICT:

Lesson 1: The Utility Side;
[The most common fields in which customers might benefit when their service provider intensifies the use of ICT are repeated here once again: Meter reading, Supervision of Water Quality and Customer Care]
Lesson 2: The Customer Side;
[Also the utility benefits a lot when their customers interact and deliver service details. This lesson mentions among others Self-Metering, Alerts and Issue-Reporting and Online-Payment]
Lesson 3: Workflow-Improvement
[There are possible additional benefits for a utility which implements ICT. This lesson mentions the most important ones: Asset Management, NRW-Management, Project Management, etc.]

Module 4: «How to set up ICT in practice»

This module offers some examples for more or less complete systems. Based on a certain demand, the requirements on both the hard/software side as well as the implications for the utilities staff are listed. The module finishes with a list of criteria for a decision for or against certain hard- and software components:

Lesson 1: Meter reading & Billing system
Lesson 2: Asset management system
Lesson 3: Water quality – measurement & supervision
Lesson 4: Costumer care & Trouble-shooting systems
Lesson 5: ICT from planning to implementation
Lesson 6: Decision on Hard- & Software

Module 5: «Cases and practical experiences»

Some brief examples are introduced on how ICT was implemented for the water sector in the past. Scenarios does include examples from Africa and also from Asia and Europe:

Lesson 1: «Lessons Learnt» from other sectors
Lesson 2: Kenya – m-Pesa water payments
Lesson 3: India – NextDrop
Lesson 5: Nairobi – Maji Voice
Lesson 6: Maji Matone – a cautionary tale from Tanzania
Lesson 7: AkvoFlow
Lesson 8: Senegal/Mali/Niger/Bénin – mWater
Lesson 9: Case study from Germany

Module 6: «Capacity Building»

What are the demands for the utilities staff involved into the introduction of ICT-based management and service techniques? What do they need to know? The module finishes the course with an overview on how to identify possible knowledge gaps and how to implement a TNA (Training Needs Assessment) strategy. A brief overview on possible training formats is given:

Lesson 1: Stakeholder identification and integration
Lesson 2: Knowledge Needs Assessment
Lesson 3: Design & implementation of training manuals
Lesson 4: Training Visits & Study Tours
Lesson 5: Virtual «community in practice» for project continuity
Lesson 6: eLearning courses & modalities
Lesson 7: Importance of Awareness-Raising

How to apply for the course?

Please watch out for final dates, pre-requisites to join the course and the fees, which all will be published on this web-page. You can also send us an e-mail for further information.