Cialis 36-Hour Tablets in Pakistan contain tadalafil, a phosphodiesterase type-5 (PDE5) inhibitor prescribed for erectile dysfunction in adult men. The commonly used as-needed strength is 10mg, which may be adjusted to 5mg or 20mg according to individual response and tolerability under medical guidance. Tadalafil has a relatively long duration of action, and official prescribing information states that as-needed Cialis can improve erectile function for up to 36 hours following a dose. It does not cause a continuous erection and requires sexual stimulation to work. Cialis is a prescription medicine and should be used only according to a qualified healthcare professional's advice. It must not be used with nitrates because the combination can cause a dangerous drop in blood pressure.
Tadalafil-based prescription medicine, PDE5 inhibitor, long-lasting action, oral tablet format, available in multiple strengths, designed for adult men with erectile dysfunction.
Cialis is indicated for adult men with erectile dysfunction when prescribed or recommended by a qualified healthcare professional. It is not intended for women or children. Tadalafil should not be used by people taking nitrate medicines.
Take Cialis exactly as directed by your healthcare professional. For as-needed ED treatment, the official starting dose is generally 10mg, with adjustment to 5mg or 20mg based on efficacy and tolerability.
When prescribed for as-needed use, Cialis is taken before anticipated sexual activity. Its effect can remain available for up to 36 hours, but sexual stimulation is still required for an erection.
For as-needed use, the maximum recommended frequency is generally once per day. Do not take additional doses simply because an erection does not occur immediately.
Cialis is contraindicated with organic nitrate medicines, including nitrate medicines used for chest pain, because the combination can cause a dangerous fall in blood pressure.
Do not combine Cialis with Viagra, sildenafil, other tadalafil products or other PDE5 inhibitors unless specifically directed by a healthcare professional.
Tell your doctor about any heart or blood-pressure problems before taking tadalafil.
Common side effects can include headache, indigestion, back pain, muscle aches, flushing and nasal congestion. Serious symptoms require prompt medical attention.
Seek emergency medical attention for an erection lasting more than 4 hours.
Cialis 36-Hour Tablets are tadalafil-based prescription tablets used to treat erectile dysfunction in adult men. Their “36-hour” description refers to the period during which improved erectile function may be possible after an as-needed dose.
Prices vary widely by strength, pack size and authenticity. Current Pakistani listings show examples ranging from around PKR 2,200 for some 20mg listings to PKR 11,950 for a 4-tablet original Cialis 20mg listing.
The active ingredient is tadalafil, a PDE5 inhibitor.
Cialis used as needed can improve erectile function for up to 36 hours after dosing. This does not mean that an erection lasts for 36 hours.
Cialis is available in several strengths. For as-needed ED treatment, the dose may be adjusted up to 20mg, but the correct strength should be determined by a healthcare professional.
No. Tadalafil improves the erectile response to sexual stimulation; it does not normally cause a continuous or automatic erection.
Yes. Official prescribing information states that Cialis can be taken without regard to food.
Daily Cialis uses a different dosing regimen, generally 2.5mg initially and potentially 5mg based on response. Do not use an as-needed 20mg tablet as a daily medicine unless specifically prescribed.
It should not be combined with Viagra or other PDE5 inhibitors unless specifically directed by a healthcare professional.
People taking organic nitrate medicines should not take Cialis. People with certain cardiovascular conditions or other medical problems should consult a healthcare professional before use.
Yes. Cialis and tadalafil products are currently listed by Pakistani pharmacies and medicine sellers. However, buyers should be particularly careful about authenticity: DRAP issued an October 2025 alert identifying specific falsified/spurious Cialis 20mg and Cialis 20mg Gold batches in the Pakistani market.
Purchase only from a legitimate, traceable pharmacy or authorized supply chain and check the packaging, batch number, manufacturer information and expiry date. Avoid products from unknown or informal sources, especially because falsified Cialis products have been identified in Pakistan.
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