Buying Viagra (Sildenafil) and Cialis (Tadalafil) in Vietnam

Tadalafil

Adult: As needed dosing: Initially, 10 mg as a single dose, taken at least 30 minutes before sexual activity; may be increased to 20 mg, or decreased to 5 mg depending on patient response and tolerability. Max dosing frequency: Once daily. In patients anticipating frequent use (e.g. at least twice weekly), a regular once-daily regimen with the lowest dose may be considered suitable. Regular daily dosing: 5 mg once daily, taken at the same time each day; may be decreased to 2.5 mg once daily depending on patient response and tolerability. Alternatively, start with 2.5 mg once daily, taken at the same time each day; may be increased to 5 mg once daily according to efficacy and tolerability. Periodically reassess the appropriateness of continued use of the daily regimen. Dosage recommendations may vary among individual products and between countries (refer to detailed product guideline).

Adult: 5 mg once daily, taken at the same time each day. For men being treated for both benign prostatic hyperplasia (BPH) and erectile dysfunction (ED): 5 mg once daily, taken at the same time each day; without regard to the timing of sexual activity.

Erectile dysfunction:
Patients taking potent CYP3A4 inhibitors (e.g. ketoconazole, ritonavir): For as-needed dosing: Max: 10 mg once every 72 hours. For regular daily dosing: Max: 2.5 mg once daily.

Patients taking α-blockers: Initiate at the lowest recommended dose. Patient must be stable on α-blocker therapy before starting treatment.

Benign prostatic hyperplasia (with or without concomitant erectile dysfunction):
Patients taking potent CYP3A4 inhibitors (e.g. ketoconazole, ritonavir): Max: 2.5 mg once daily.

Pulmonary arterial hypertension:
Patients taking ritonavir for at least 1 week: Initially, 20 mg once daily, increased to 40 mg once daily as tolerated.

For concurrent use of ritonavir in patients taking tadalafil: Avoid use during ritonavir initiation; stop tadalafil treatment at least 24 hours before starting ritonavir. After at least 1 week of starting ritonavir, resume tadalafil at 20 mg once daily, increased to 20 mg once daily as tolerated.

Erectile dysfunction:
Patient on haemodialysis: As needed dosing: Max: 5 mg once every 72 hours. Regular daily dosing: Not recommended.

CrCl (mL/min)	Dosage
	As needed dosing: Max: 5 mg once every 72 hours. Regular daily dosing: Not recommended.
30-50	As needed dosing: Initially, 5 mg once daily. Max: 10 mg once every 48 hours.

Benign prostatic hyperplasia:
Patient on haemodialysis: Not recommended.

CrCl (mL/min)	Dosage
	Not recommended.
30-50	For cases with or without concomitant erectile dysfunction: Initially, 2.5 mg once daily, may be increased up to Max 5 mg once daily if needed according to patient response.

Pulmonary arterial hypertension:
Patient on haemodialysis: Avoid.

CrCl (mL/min)	Dosage
	Avoid.
31-80	Initially, 20 mg once daily, may be increased to 40 mg once daily according to patient tolerability.

Erectile dysfunction:
Mild to moderate (Child-Pugh class A or B): As needed dosing: Max: 10 mg taken before sexual activity, once daily. Severe (Child-Pugh class C): Not recommended.

Benign prostatic hyperplasia:
Severe (Child-Pugh class C): Not recommended.

Pulmonary arterial hypertension:
Mild to moderate (Child-Pugh class A or B): Initially, 20 mg once daily. Severe (Child-Pugh class C): Not recommended.

MI within the last 90 days, hypotension (

Patient with pre-existing CV disease or risk factors, left ventricular outflow obstruction (e.g. aortic stenosis, hypertrophic obstructive cardiomyopathy); anatomical penis deformation (e.g. angulation, cavernosal fibrosis, Peyronie’s disease); conditions which may be predisposed to priapism (e.g. sickle cell anaemia, multiple myeloma, leukaemia); risk factors of NAION (e.g. history of NAION, low cup-to-disc ratio [“crowded disc”], coronary artery disease, diabetes, hypertension, hyperlipidaemia, smoking, >50 years); peptic ulcer disease, bleeding disorders. Not recommended in patients with hereditary degenerative retinal disorders, including retinitis pigmentosa. When used for pulmonary arterial hypertension (PAH): Not recommended in patients with pulmonary veno-occlusive disease (PVOD), significant aortic or mitral valve disease, life-threatening arrhythmias, restrictive or congestive cardiomyopathy, coronary artery disease, significant left ventricular dysfunction, and pericardial constriction. Not indicated for use in women (when used for ED and BPH). Therapy in patients with severe renal impairment (CrCl

Significant: Anginal chest pain, palpitations, tachycardia; impairment of colour discrimination (dose-related), hypotension; may worsen CV status of patients with PVOD. Rarely, sudden hearing loss (may be accompanied by dizziness and tinnitus), priapism or prolonged erections (>4 hours), sudden vision loss or NAION.
Eye disorders: Blurred vision.
General disorders and administration site conditions: Facial oedema.
Gastrointestinal disorders: Dyspepsia, nausea, vomiting, abdominal pain, GERD.
Immune system disorders: Hypersensitivity reactions.
Musculoskeletal and connective tissue disorders: Back pain, pain in extremity, myalgia.
Nervous system disorders: Headache, migraine, syncope.
Reproductive system and breast disorders: Increased uterine bleeding.
Respiratory, thoracic and mediastinal disorders: Nasal congestion, epistaxis, dyspnoea, nasopharyngitis, respiratory tract infection.
Skin and subcutaneous tissue disorders: Rash, exfoliative dermatitis, Stevens-Johnson syndrome.
Vascular disorders: Flushing.
Potentially Fatal: Serious CV events (e.g. MI, stroke, TIA, sudden cardiac death, ventricular arrhythmia, unstable angina pectoris).

Buying Viagra (Sildenafil) and Cialis (Tadalafil) in Vietnam

Somerset

Pharmacy: Nha Thuoc 24 Hang Non, 24 Duong Hang Non, Hanoi. Google Maps.

Pictures

Somerset

Pharmacy: Hieu Thuoc Quan Hoan Kiem, 119 Hang Gai, Hanoi. Google Maps.

Pictures

Somerset

Pharmacy: Nha Thuoc Duc, 91 Hang Ma, Hanoi. Google Maps.

Pictures

Somerset

Pharmacy: Nha Thuoc Duc, 91 Hang Ma, Hanoi. Google Maps.

Pictures

Somerset

Pharmacy: Nha Thuoc Duc, 91 Hang Ma, Hanoi. Google Maps.

Pictures

Somerset

Pictures

Fafouait

Logan

Thanks @Somerset for taking the time to try these different Sildenafil and Tadalafil tablets and giving a review of each one.

Somerset

Pharmacy: 464 Le Trong Tan, Tan Phu District, Ho Chi Minh

Pictures

Somerset

Pharmacy: Nha Thuoc Long Chau, 399 Hai Ba Trung, District 3, Ho Chi Minh. Google Maps.

Pictures

Solidsnake

dizihong

Pharmacy: I bought at local drugstore in District 4.

Pictures

Fafouait

Hi all. I’ve tested Casilas. It works well for me. I bought a reserve before returning to France .

Imagine the face of the pharmacist (pretty women around 30 years old) when I bought her stock.

joppe

CanadaDan

Pictures

CanadaDan

Pictures

tinker901

Casilas worked good for me as well. Bought mine at a pharmacy joined to a gas station.
Cialis generics are hard to get in thailand. Apcalis is what to look for. Chinese pharmacy in Bangkok near terminal 21 shopping center has them for 350 baht for 4 tablets. (About 4 dollars per tablet)
Good prices on sildenafil though sidegra is 180 baht for 4 tablets.

M0557

If you are in Thailand most pharmacies will have Kamagra, in tablet or jelly form.
I used to always stock up on tablets when I visited, really only used them when I was mongering night after night after night. left me with a headache (common side-effect). When I was there in September in Sukhumvit, the lady behind the counter told me to try the Kamagra Jelly. Wow, this stuff works as good as the tablets and I do not get much of a headache, most of the time no headache at all! Great stuff!
Anyone seen Kamagra Jelly in Vietnam?

Uses of Pycalis 20

Drug Pycalis 20mg belongs to the group of muscle relaxants and increases muscle tone. The drug is mainly used to treat erectile dysfunction. Let’s learn more about the uses and uses of the drug through the following article.

1. The effect of the drug Pycalis 20

Tadalafil is used to treat erectile dysfunction in men such as:
When the penis cannot get an erection during sex. Erectile time does not respond to intercourse. Increase sexual arousal and desire. The drug works by selectively inhibiting the enzyme phosphodiesterase type 5 (PDE5), helping to ensure that the effect of nitric oxide is maintained. This dilates blood vessels and increases blood flow to the penis which helps prolong erections during sex.
Effective after 30 – 60 minutes of using the drug, the effect of the drug on the body lasts up to 36 hours.
Pycalis 20 mg should not be used in the following cases:
Do not use tadalafil with any organic nitrate compounds. Do not use tadalafil in patients who are hypersensitive to tadalafil or any of its ingredients. Do not use the drug in women. Children under 18. Patients with severe heart disease Stroke Uncontrolled hypotension/hypertension.

2. Dosage of Pycalis 20 mg

Pycalis 20 mg should be taken at least 30 minutes before sexual intercourse.
The usual dose is 10 mg and taken before sexual activity. Dosage may be increased to 20 mg or decreased to 5 mg depending on individual tolerability and effectiveness. However, Tadalafil should not be used more than once within 24 hours. No dose adjustment of Tadalafil is required in the elderly. No dosage adjustment is required for patients with mild renal impairment. Patients with moderate renal impairment should be initiated at a dose of 5 mg, no more than once daily, and a maximum dose of no more than 10 mg once every 48 hours. In patients with severe renal impairment, the maximum dose is 5 mg once every 72 hours. In patients with mild and moderate hepatic impairment, the dose should not exceed 10 mg/day. In case of severe renal impairment, tadalafil should not be used. No dose adjustment is required for patients with diabetes. Patients taking strong inhibitors of cytochrome P450 CYP3A4: maximum dose of 10 mg once every 72 hours. In healthy subjects taking Pycalis as a single 500 mg dose, or multiple doses of 100 mg: the incidence of adverse events was similar to that of low doses. Note: The above dosage is for reference only. Patients should carefully read the instructions for use of the drug or follow the instructions from the pharmacist or doctor. The dose will be adjusted according to each person’s condition.
If the patient uses the drug, an overdose occurs, it is necessary to use measures to support the general condition. If the patient forgets a dose of Pycalis 20, take it as soon as possible. However, if it is close to the time for your next dose, skip the make up time and take your usual dose. Patients should not take a double dose for the purpose of making up for the dose.

3. Pycalis 20mg . drug interactions

The following are some of the drug interactions that have been reported:
Cytochrome P450 inhibitors (eg, ketoconazole, ritonavir, erythromycin, itraconazole) alter tadalafil concentrations. Inducers of cytochrome P450 (eg, rifampin, carbamazepine, phenytoin, phenobarbital) decrease tadalafil concentrations. Antacids such as magnesium hydroxide, aluminum hydroxide: Reduce the absorption of Tadalafil. Drugs and preparations containing nitrates will increase the antihypertensive effect, leading to a sudden drop in blood pressure. To ensure safety and effectiveness, patients must tell their doctor about all medications or supplements they are taking and any other illnesses they have.

4. Side effects when taking Pycalis

When using Pycalis, some unwanted side effects may occur such as:
Headache Digestive disorders Back pain Muscle pain Nasal congestion Flushing face Pain hands and feet Angina pectoris Low blood pressure Myocardial infarction Heart palpitations Palpitations Skin rash If the patient experiences an erection lasting more than 4 hours or unwanted side effects when using the drug, please inform your doctor immediately or go to the nearest medical facility for treatment. promptly diagnosed and treated.

5. Precautions when using Pycalis 20mg

Here are a few notes when deciding to use Pycalis 20mg:
Care should be taken when using for cardiovascular patients. People with congenital retinopathy, retinitis pigmentosa should not use tadalafil. Caution should be exercised when using Pycalis 20mg in combination with other drugs for the treatment of erectile dysfunction because safety and efficacy have not been reported. Keep out of reach of CHILDREN. The drug is only for men, so do not use Pycalis 20mg for pregnant and lactating women. Side effects can cause dizziness. Therefore, caution should be exercised when using the drug while driving and operating machinery. The above article is useful information that has been distilled and briefly presented about the Pycalis 20mg drug line. Read the instructions for use carefully and consult a medical professional before using the medicine.

Để đặt lịch khám tại viện, Quý khách vui lòng bấm số HOTLINE hoặc đặt lịch trực tiếp TẠI ĐÂY. Tải và đặt lịch khám tự động trên ứng dụng MyVinmec để được giảm ngay 15% phí khám khi đặt hẹn khám lần đầu trên toàn hệ thống Vinmec (áp dụng từ 17/10 – 31/12/2022). Quý khách cũng có thể quản lý, theo dõi lịch và đặt hẹn tư vấn từ xa qua video với các bác sĩ Vinmec mọi lúc mọi nơi ngay trên ứng dụng.

Uses of Pycalis 20

1. The effect of the drug Pycalis 20

2. Dosage of Pycalis 20 mg

3. Pycalis 20mg . drug interactions

4. Side effects when taking Pycalis

5. Precautions when using Pycalis 20mg

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and receive 15% off for consultation fee at the first appointment (applied from 17th October to 31th December, 2022). MyVinmec app is also available and convenient for your bookings management and Telehealth service with Vinmec doctors all in one.