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Cialis 20mg is a prescription medication containing the active ingredient Tadalafil . It belongs to a class of drugs called PDE5 inhibitors and is primarily used to treat erectile dysfunction (ED) in men . Tadalafil works by relaxing blood vessels and increasing blood flow to the penis, helping men achieve and maintain an erection during sexual stimulation . It is also used to treat benign prostatic hyperplasia (BPH) . The 20mg strength is the highest available dose and is intended for use prior to anticipated sexual activity, not for continuous daily use .

Key Benefits
Long-Lasting Effectiveness
Cialis is often called the “weekend pill” because a single dose remains effective for up to 36 hours . This provides significant flexibility and spontaneity compared to other ED medications .
Fast Onset of Action
Cialis typically starts working within 30 to 60 minutes after ingestion . It should be taken at least 30 minutes before sexual activity .
Dual Treatment for ED & BPH
Beyond treating ED, Cialis is also approved for treating benign prostatic hyperplasia (enlarged prostate), helping relieve urinary symptoms .
Now Legally Available in Pakistan
Following a landmark decision by the Drug Regulatory Authority of Pakistan (DRAP) in February 2025, Tadalafil (Cialis) is now legally manufactured and available in Pakistan . This ends decades of reliance on smuggled, unregulated products.
Quality Assured & DRAP-Approved
Local manufacturers like Genix Pharma and others have received DRAP approval, requiring rigorous audits, stability data, and pharmaceutical equivalence studies against the reference product . This ensures quality, safety, and accurate dosage .

How to Use
Dosage: Take exactly as prescribed by your doctor. For ED, the recommended starting dose is 10mg, which may be adjusted up to 20mg or down to 5mg based on individual response .
Timing: For 10mg and 20mg tablets, take at least 30 minutes before sexual activity . The effect can last up to 36 hours . Do not take more than once in a 24-hour period .
Food & Alcohol: Avoid taking with a high-fat meal or excessive alcohol, as this can reduce effectiveness and increase side effects.
Important Precautions:
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Do not take with nitrates: This combination can cause a dangerous drop in blood pressure .
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Prescription required: Always consult a doctor before use, especially if you have heart, liver, or kidney conditions .
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Common side effects: Headache, flushing, upset stomach, muscle pain, back pain, and nasal congestion may occur .

Key Features
| Feature | Description |
|---|---|
| Active Ingredient | Tadalafil 20mg |
| Brand | Cialis (and local generics) |
| Category | PDE5 Inhibitor for Erectile Dysfunction |
| Legal Status | DRAP-approved for local manufacturing in Pakistan |
| Onset of Action | 30-60 minutes |
| Duration of Effect | Up to 36 hours |
| Dosage Forms Available | 5mg, 10mg, 20mg |
| Available at | NewTelebazer.com |
Frequently Asked Questions (FAQ)
What is Cialis 20mg used for?
Cialis 20mg is prescribed to treat erectile dysfunction (ED) in adults.
What is the active ingredient?
The active ingredient is Tadalafil 20mg.
Do I need a prescription?
Yes. Cialis 20mg is a prescription medicine and should only be used under medical supervision.
How long does Cialis last?
The duration of effect varies by individual. Follow your healthcare provider’s guidance and the official prescribing information.
Can I take Cialis every day?
Only if your doctor prescribes a daily dosing regimen. Do not change your dosing schedule without medical advice.
Can I take Cialis with food?
Follow the instructions provided by your healthcare provider or the product information.
Who should not use Cialis?
People taking nitrate medicines or those with certain medical conditions should not use Cialis unless advised by a healthcare professional.
What should I do if I miss a dose?
Follow your doctor’s advice. Do not take a double dose to make up for a missed dose.
Is Cialis safe?
When prescribed and used correctly under medical supervision, Cialis has an established safety profile. However, like all medicines, it may cause side effects.







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