{"id":17176,"date":"2025-08-18T08:31:09","date_gmt":"2025-08-18T08:31:09","guid":{"rendered":"https:\/\/kopenapotheek.com\/?post_type=product&#038;p=17176"},"modified":"2025-08-18T08:31:59","modified_gmt":"2025-08-18T08:31:59","slug":"cialis-40mg","status":"publish","type":"product","link":"https:\/\/kopenapotheek.com\/lv\/produit\/cialis-40mg\/","title":{"rendered":"Cialis 40mg"},"content":{"rendered":"<p class=\"ds-markdown-paragraph\"><strong>Akt\u012bv\u0101 sast\u0101vda\u013ca:<\/strong>\u00a0Tadalafil 40mg per tablet<\/p>\n<p class=\"ds-markdown-paragraph\"><strong>Therapeutic Class:<\/strong>\u00a0Phosphodiesterase type 5 (PDE5) inhibitor<\/p>\n<p class=\"ds-markdown-paragraph\"><strong>Description:<\/strong><br \/>\nCialis 40mg is a high-dose formulation of tadalafil, a potent and selective PDE5 inhibitor. This dosage is specifically designed for men requiring stronger treatment for erectile dysfunction (ED). The 40mg strength offers enhanced efficacy while maintaining tadalafil&#8217;s characteristic 36-hour duration of action.<\/p>\n<p class=\"ds-markdown-paragraph\"><strong>Indications:<\/strong><\/p>\n<ul>\n<li>\n<p class=\"ds-markdown-paragraph\">Treatment of erectile dysfunction in adult men<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Management of benign prostatic hyperplasia (BPH) symptoms<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Combined treatment of ED and BPH (when clinically indicated)<\/p>\n<\/li>\n<\/ul>\n<p class=\"ds-markdown-paragraph\"><strong>Devas un lieto\u0161ana:<\/strong><\/p>\n<ul>\n<li>\n<p class=\"ds-markdown-paragraph\">Recommended starting dose: 10mg or 20mg (40mg reserved for special cases)<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Maximum recommended frequency: Once daily<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Administration: Take orally with water, at least 30 minutes before anticipated sexual activity<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">May be taken with or without food (avoid high-fat meals)<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Not for use in women or pediatric populations<\/p>\n<\/li>\n<\/ul>\n<p class=\"ds-markdown-paragraph\"><strong>Pharmacokinetics:<\/strong><\/p>\n<ul>\n<li>\n<p class=\"ds-markdown-paragraph\">Time to peak plasma concentration: 2 hours (range 0.5-6 hours)<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Terminal half-life: 17.5 hours<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Duration of effect: Up to 36 hours<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Protein binding: Approximately 94%<\/p>\n<\/li>\n<\/ul>\n<p class=\"ds-markdown-paragraph\"><strong>Clinical Advantages:<\/strong><\/p>\n<ul>\n<li>\n<p class=\"ds-markdown-paragraph\">Extended therapeutic window allows for more spontaneous sexual activity<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Demonstrated efficacy in men with diabetes mellitus<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Effective in difficult-to-treat ED cases<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Maintains efficacy with alcohol consumption (within moderate limits)<\/p>\n<\/li>\n<\/ul>\n<p class=\"ds-markdown-paragraph\"><strong>Safety Information:<\/strong><br \/>\n[Black Box Warning]<br \/>\nCONTRAINDICATED WITH NITRATES &#8211; Concomitant use with organic nitrates in any form is strictly prohibited due to risk of life-threatening hypotension.<\/p>\n<p class=\"ds-markdown-paragraph\"><strong>Common Adverse Reactions (\u22652%):<\/strong><\/p>\n<ul>\n<li>\n<p class=\"ds-markdown-paragraph\">Headache (15%)<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Dyspepsia (10%)<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Back pain (6%)<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Myalgia (5%)<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Nasal congestion (4%)<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Flushing (3%)<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Limb pain (3%)<\/p>\n<\/li>\n<\/ul>\n<p class=\"ds-markdown-paragraph\"><strong>Serious Adverse Reactions:<\/strong><\/p>\n<ul>\n<li>\n<p class=\"ds-markdown-paragraph\">Priapism (prolonged erection &gt;4 hours)<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Sudden hearing loss<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Non-arteritic anterior ischemic optic neuropathy (NAION)<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Cardiovascular events in predisposed patients<\/p>\n<\/li>\n<\/ul>\n<p class=\"ds-markdown-paragraph\"><strong>Z\u0101\u013cu mijiedarb\u012bba:<\/strong><\/p>\n<ul>\n<li>\n<p class=\"ds-markdown-paragraph\">Absolute contraindication with nitrates<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Caution with alpha-blockers (risk of hypotension)<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Moderate CYP3A4 inhibitors may increase tadalafil exposure<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Rifampin significantly decreases tadalafil exposure<\/p>\n<\/li>\n<\/ul>\n<p class=\"ds-markdown-paragraph\"><strong>Special Populations:<\/strong><\/p>\n<ul>\n<li>\n<p class=\"ds-markdown-paragraph\">Renal impairment: Not recommended in severe cases (CrCl &lt;30 mL\/min)<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Hepatic impairment: Maximum 10mg dose in moderate-severe cases<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Elderly: Consider lower starting dose<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">CYP3A4 inducers: May require dose adjustment<\/p>\n<\/li>\n<\/ul>\n<p class=\"ds-markdown-paragraph\"><strong>Storage Conditions:<\/strong><\/p>\n<ul>\n<li>\n<p class=\"ds-markdown-paragraph\">Store below 30\u00b0C (86\u00b0F)<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Protect from moisture and light<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Keep in original packaging until use<\/p>\n<\/li>\n<\/ul>\n<p class=\"ds-markdown-paragraph\"><strong>Packaging Options:<\/strong><\/p>\n<ul>\n<li>\n<p class=\"ds-markdown-paragraph\">1 tablet blister pack (sample)<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">4 tablet treatment pack<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">8 tablet value pack<\/p>\n<\/li>\n<\/ul>\n<p class=\"ds-markdown-paragraph\"><strong>Juridiskais statuss:<\/strong><br \/>\nPrescription-only medication (Schedule H\/Schedule IV depending on country)<\/p>\n<p class=\"ds-markdown-paragraph\"><strong>Ra\u017eot\u0101js:<\/strong><br \/>\n[Insert Pharmaceutical Company Information]<\/p>\n<p class=\"ds-markdown-paragraph\"><strong>Prescribing Considerations:<\/strong><\/p>\n<ul>\n<li>\n<p class=\"ds-markdown-paragraph\">Complete cardiovascular assessment recommended prior to prescription<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Individualize dosage based on patient needs and tolerability<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Consider lower starting dose in elderly or patients with comorbidities<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Counsel patients on proper use and potential adverse effects<\/p>\n<\/li>\n<\/ul>\n<p class=\"ds-markdown-paragraph\"><strong>Patient Counseling Information:<\/strong><\/p>\n<ul>\n<li>\n<p class=\"ds-markdown-paragraph\">Explain proper dosing and administration<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Review contraindications and warnings<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Discuss what to do if adverse effects occur<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Emphasize that sexual stimulation is required for effect<\/p>\n<\/li>\n<li>\n<p class=\"ds-markdown-paragraph\">Advise to seek immediate medical attention for erections &gt;4 hours<\/p>\n<\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Active Ingredient:\u00a0Tadalafil 40mg per tablet Therapeutic Class:\u00a0Phosphodiesterase type 5 (PDE5) inhibitor Description: Cialis 40mg is a high-dose formulation of tadalafil,<\/p>","protected":false},"featured_media":17210,"template":"","meta":[],"product_brand":[],"product_cat":[6542],"product_tag":[6544],"class_list":{"0":"post-17176","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-cialis","7":"product_tag-cialis-40mg","9":"first","10":"instock","11":"shipping-taxable","12":"purchasable","13":"product-type-variable"},"_links":{"self":[{"href":"https:\/\/kopenapotheek.com\/lv\/wp-json\/wp\/v2\/product\/17176","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kopenapotheek.com\/lv\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/kopenapotheek.com\/lv\/wp-json\/wp\/v2\/types\/product"}],"version-history":[{"count":1,"href":"https:\/\/kopenapotheek.com\/lv\/wp-json\/wp\/v2\/product\/17176\/revisions"}],"predecessor-version":[{"id":17211,"href":"https:\/\/kopenapotheek.com\/lv\/wp-json\/wp\/v2\/product\/17176\/revisions\/17211"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kopenapotheek.com\/lv\/wp-json\/wp\/v2\/media\/17210"}],"wp:attachment":[{"href":"https:\/\/kopenapotheek.com\/lv\/wp-json\/wp\/v2\/media?parent=17176"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/kopenapotheek.com\/lv\/wp-json\/wp\/v2\/product_brand?post=17176"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/kopenapotheek.com\/lv\/wp-json\/wp\/v2\/product_cat?post=17176"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/kopenapotheek.com\/lv\/wp-json\/wp\/v2\/product_tag?post=17176"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}