Buy Extra Super Cialis Online Canada

Extra Super Cialis 100 mg

$2.93Per pill

Active Ingredient: Tadalafil Dapoxetine

One dose successfully not only copes with erection problems, but also increases the ejaculation time. This is a combined drug, eliminating the risk of sexual dysfunction. It consists of Tadalafil, a synthetic substance that is a part of the pharmacological group that solves problems of a corresponding nature. Is the lever of activation of the nervous reproductive system. The impulses arising through the action of a substance make it possible to maximally relax the cavernous endings of the penis, in parallel increasing the blood flow, thereby naturally filling them with blood. There is an erection. The adjuvant is dapoxetine. It is a sedative that allows you to relieve anxiety, improve mood, gives confidence for sexual intercourse, eliminating the failure. In the aggregate, the asset allows you to get an erection for quite a long time, to maintain control over ejaculation, thereby increasing the time of sexual activity. Reception for a long time, increases the level of testosterone, improves the quality of seminal fluid, is restorative. The effect of the drug is achieved with mandatory sexual arousal. Extra Super Cialis - considered the most popular today.

Add to cart

Extra Super Cialis: instructions for use tablets

Extra Super Cialis - a drug in pills to correct erectile dysfunction (ED). It has an effect in the genital area, providing better blood flow to the tissues of the male member. Indian generic is an improved version of Super Cialis due to the inclusion of an additional substance.

The drug is designed solely to increase the potency in adult men during sex.

The composition of the drug

The active ingredients of Cialis are tadalafil and dapoxetine, the contents of which are 20 and 60 mg per tablet, respectively.

As auxiliary substances: MCC, hypromellose, lactose (in the form of monohydrate), hyprolosis, sodium KMK, E 572 (grown.), Sodium lauryl sulfate, dyes.

The drug is in the form of yellow triangular pills with rounded corners. The tool is packaged in packs of 10 pieces. In a pack - 1, 2, 3 or 5 plates, instruction.

Medicinal properties

The action of Extra Super Cialis is provided by a combination of two main components: tadalafil plus dapoxetine. The drug is manufactured in India is a modified version of the drug Super Cialis.

Tadalafil

The substance has the ability to reversibly inhibit the specific enzyme FED-5 in the body, resulting in an increase in the level of guanosine monophosphate. As a result, smooth muscles of blood vessels and arteries in the penis relax, and the blood flow to the tissues increases, which ensures an erection.

The distribution of matter and the characteristics of physiological changes due to the suppression of FED have not yet been clarified. Also, the ability of tadalafil to influence spermatogenesis has not yet been discovered.

After oral administration, the active component is rapidly absorbed, its peak level in the blood is formed, on average, after two hours. Food does not affect the speed and volume of absorption, as well as the time of reception (morning or evening).

Tadalafil is transformed in the body with the help of the CYP3A4 enzyme into a more passive compound.

The substance and its derivatives are mainly excreted in faeces, the rest (one third of the dosage) is excreted in the urine.

Dapoxetine

It has the property to prevent premature ejaculation. The mechanism of the effect is believed to be the ability of the substance to inhibit the reuptake of serotonin, after which the effect of the neurotransmitter on specific nerve endings is enhanced.

The substance has a fast effect due to its high speed and volume of absorption (about 99%), as well as a wide distribution area in the body. Its peak concentration levels are formed 1-2 hours after ingestion. Food does not have any significant effect on the properties and speed of the effect.

Metabolic processes are not well understood. It is assumed that various enzymes of the liver and kidneys are involved in biotransformation.

Derivatives of dapoxetine are derived from the body mainly in the form of conjugates with urine. The body practically does not accumulate, as evidenced by low levels of content in the body. The term of the final half-life is about 19 hours.

Due to the cumulative effect of the two components, Extra Super Cialis eliminates ED and prevents early ejaculation.

Mode of application

The use of Super Cialis is indicated in the dosage prescribed by a doctor or specific instructions to the drug.

A remedy for potency is recommended to be taken by men over 18 years old once a day at any time without reference to food intake. It is advisable to take a pill shortly before sexual intercourse (15-20 min.). The drug manifests its effect after 60-90 minutes after administration.

Those who first resorted to an effective drug are advised not to drink the whole pill, but its third.

Indian remedy is an effective drug not only due to the speed of manifestation of the action, but also due to the fact that, like Super Viagra, it remains effective for 36 hours.

During pregnancy and breastfeeding

Medication is designed exclusively for men.

Contraindications and precautions

Use Extra Super Cialis is prohibited when:

• Supersensitivity to any of the components of the drug
• Medicines with organic nitrates
• Aged under 18 years old
• Blindness due to anterior ischemic neuropathy of the optic nerve of non-arterial origin
• CCC pathologies: MI for the last 90 days, unstable angina (may trigger MI), angina attacks during sex, CHF 2-4 cells, uncontrollable arrhythmias / hypertension, arterial hypotension, ischemic stroke during the last six months
• Doxazosin and / or drugs for the treatment of ED
• Chronic renal failure: frequent use (more than 2 times a week)
• Congenital deficiency in the body lactase, lactose immunity, syndrome malabsorption GG.

Special Notes

The effect of the drug in persons suffering from severe liver failure has not been studied. For this reason, you need to apply the tool after consulting a doctor.

Caution should be exercised when using the drug in men receiving therapy with alpha-blockers, as the combination of drugs may contribute to the development of arterial hypotension.

When prescribing erkectal dysfunction therapy, it is necessary to determine the causes of the disease and assign an appropriate treatment regimen.

Caution in taking the means to improve potency should be shown to men suffering from diseases that can provoke priapism, as well as people with anatomical pathologies of the penis.

The use of tablets for potency requires increased precautionary measures if you are given a simultaneous course of medication with a strong inhibitory effect on CYP3A4 isofrements, or taking antihypertensive drugs.

The ability to combine Dapoxetine and Cialis, their use together should be determined by a medical professional.

Cross-drug interactions

When using tablets, it is necessary to take into account that tadalafil is biotransformed with the participation of CYP3A4. Therefore, when taking other drugs with the same properties, you need to be careful and check the dosage.

The effect of tadalafil may be enhanced when combined with erythromycin, itraconazole, because these drugs inhibit CYP3A4.

The absorption of a substance may decrease under the influence of antacids.

Tadalafil potentiates the hypotensive properties of nitrates.

Side Effects and Overdose

A negative reaction of the body to the properties of the active substance usually manifests itself in low or medium intensity. Side effects do not require therapy, usually disappear on their own as you continue.

Most often, men experience headaches, dyspeptic conditions, pain in the muscles, back, flushing of the face, difficulty in nasal breathing.

In isolated cases, after Cialis may occur:

• SSS: heart palpitations, lowering or rising blood pressure, tachycardia, myocardial infarction.
• NA: headache, vertigo, loss of consciousness, migraine, TIA, impaired / increased sensitivity.
• Visual organs: visual impairment (impaired clarity, reduced visual fields), occlusion of retinal vessels.
• Respiratory: blood from the nose.
• Digestive organs: abdominal pain, for some men - heartburn.
• Dermis and p / c layers: urticaria, severe sweating, Stevens-Johnson syndrome.
• General disorders: swelling of the face, sudden cardiac arrest.
• Immunity: allergic reactions.
• Reproductive system: prolonged arousal of the penis, priapism.

If adverse reactions from the drug appear, it is better to abstain before consulting a doctor.

The consequence of taking large doses of Cialis Super Power are increased intensity of adverse reactions. Usually manifested by headache, dyspeptic symptoms, back pain, nasal congestion. If these conditions appear mild or moderate, then therapy is not required.

If an overdose caused severe deterioration in health, then you need to turn to the doctors.

Analogs

Super Viagra asset

Centurion (India)

Combined remedy based on sildenafil and dapoxetine to eliminate ED and early ejaculation. In addition, the drug contributes to the extension of the PA.

Designed for adults. The recommended regimen is 1 tab. per day, if you plan sexual activity.

Pros:

1. Helps in sex
2. Improves the quality of sex life.

Minuses:

• Price
• Does not treat the cause of ED.

Impotence in men - the first signs and treatment

The fact that such erectile dysfunction in men, everyone should know, because this disease causes a weakening of the penis and can cause complete impotence. This problem is very common among the representatives of the stronger sex, especially those who have already reached old age. Read about erectile dysfunction in men. Find out why this disease develops, what symptoms manifest and how it is treated.

What is erectile dysfunction?

So called sexual dysfunction. This problem is very common among men, both elderly and young. With erectile dysfunction, a strong representative cannot perform full sexual intercourse. The problem gives men the strongest psychological discomfort, causes self-doubt in their own abilities. The inability to have sex leads to many other health problems.

The concept of erectile dysfunction is applicable only to those men who in 25% of cases do not achieve a quality erection. Sexual intercourse and ejaculation are possible. However, it is very difficult to achieve and maintain an erection until the complete satisfaction of both partners. The older the man, the more likely that he will face this problem, but some start having problems with erectile function at 20 years of age.

Symptoms

It is necessary to list the main signs of dysfunction:

1. Violation of libido. The man has reduced attraction to the opposite sex, do not want sex as much as before.
2. Erectile dysfunction. It is weak and unstable, the penis is not firm enough, not fully enlarged. Lack of erection, both adequate and spontaneous (night, morning) is also included in this item.
3. Ejaculation disorder. Ejaculation occurs prematurely, immediately after the introduction of a member or even before. If ejaculation does not occur at all, this is also a very dangerous symptom.
4. Oiled orgasm or lack of it.

Types of disease

There are different types of erectile dysfunction in men, depending on the reasons that provoke it:

• Psychogenic. It occurs in men who often experience stress, neurosis, are depressed. The disease can occur due to difficulties in relations with a partner, problems at work.
• Vasculogenic. It occurs in men due to cavernous insufficiency, problems with the vessels, in which the inflow or outflow of blood in the penis is impaired. There is a gradual extinction of the sexual function until its complete disappearance.
• Neurogenic. Called in men, diseases of the brain, spinal cord or peripheral nerves.
• Hormonal. It manifests itself in men in violation of the degree of testosterone digestibility, which can occur with diabetes and many other diseases.
• Mixed Called in men, both psychological and organic causes.
• Medication. It occurs on the background of taking antipsychotic, antihypertensive, antihistamine drugs, antidepressants, antiandrogens, drugs. Characterized by a decrease in libido, gradually entailing other problems.
• Spinal. It occurs in men against the background of spinal injuries.

The reasons

There are a huge number of factors that determine what erectile function. There are such reasons for its extinction:

1. Endocrine. As a result of tumors, infectious and other diseases (thyroid problems, hypogonadism, obesity), the process of testosterone production is disturbed.
2. Drug. If a man takes drugs that affect the level of sex hormones, then he may experience worsening of libido. As a rule, to solve a problem, it is necessary to cancel the medication causing the problem.
3. Neurological diseases. Certain diseases, autoimmune, of the spinal cord or of the brain, lead to a loss of erectile function (multiple sclerosis, stroke, myelitis, pinching of the nerve by the vertebral disc).
4. Vascular problems (atherosclerosis, varicose veins, thrombosis, vasculitis). Especially characteristic of older men.
5. Alcohol abuse, smoking, poor diet, taking sports nutrition with hormonal supplements.
6. Diseases of the male genitalia. Cicatricial fibrosis, sexually transmitted infections, cavernitis, penis curvature, scrotal hernia, Peyronie's disease can cause this violation.

Psychological reasons

The erectile function of a man is highly dependent on the emotional state. Any stress, neurosis or depression can cause an erection disorder. Problems in the sexual sphere begin with psychological dissatisfaction with their partner. For example, a man may have problems with sex with his wife, while interacting with other girls does not have erectile dysfunction. Sometimes fear prevents sexual intercourse, for example, if this is the first contact with a new partner.

Penis injury

As a result of a number of injuries, the blood flow to the arteries of the penis is disturbed. Types of penis injuries:

• Injury. Closed damage that can happen when falling from a height, a fight. As a rule, the injury site is very sore, swollen, bruised.
• Fracture It can happen with a sharp bend of the penis, a heavy blow to it, rough sexual contact. Cavernous bodies are torn, as a result of which the man has this problem.
• Burn.

Circumcision

In this procedure, the man removes the foreskin, a skin fold that protects the head of the penis. If not, then the nerve receptors are subject to excessive irritation, even when rubbing against clothes. As a result, the head of the penis loses its sensitivity, without which there will not be a full erection. In addition, circumcision increases the risk of infection with infections that cause inflammation of the genital organs, which leads to impotence.

Plastic Bridle

So called the longitudinal skin fold between the foreskin and the head of the penis. The bridle is necessary so that the head of the penis opens when excited, does not move, the bend is regulated. If it is too short, then pain and bleeding during sex may appear, but the most unpleasant phenomenon is premature ejaculation. This leads to sustained erectile dysfunction, but is successfully solved by simple plastic surgery.

Diagnostics

If a man felt that he had problems in the sexual sphere, he should contact the specialists: andrologist, urologist, sexologist. They will conduct research for:

• confirmation of the presence of erectile dysfunction;
• establish the severity of the violation;
• finding out the cause of impotence;
• identify concomitant sexual dysfunctions.

The first stage of diagnosis is a detailed patient survey. It is necessary to determine the mental status and general health, to clarify the presence of diseases that can provoke erectile dysfunction in men. Be sure to get true information about the relationship with the sexual partner, and the ideal option would be to talk with her too.

The next step will be a clinical examination of the patient, which consists in assessing the state of the sexual, endocrine, cardiovascular and nervous systems. If pathologies are identified, then concomitant consultation with a specialist should be appointed. Another mandatory diagnostic measure is a physical examination: the study of the patient's secondary sexual characteristics, the external genital organs, the measurement of pressure and pulse.

To identify erectile dysfunction can be carried out such laboratory research methods:

1. Determination of testosterone levels. When suspected hypodynamic or age-related hormone deficiency.
2. Determination of glucose and lipids.

According to strict indications, instrumental diagnostics is performed, which is represented by such studies:

• Intracavernous test and Doppler echocardiography. A special preparation is introduced to stimulate an erection and to monitor the result at different stages.
• Testing the innervation of the penis.
• Selective penile arteriography.
• Cavernosography.

In rare cases, additional studies are prescribed:

1. Ultrasound of the thyroid gland.
2. Computed or magnetic resonance imaging.
3. Neuro-physiological tests.
4. Control of nighttime tumiscences with a special device. After the introduction of the intracavernous test, the study lost its relevance.

Treatment

The tactics of treatment is selected based on the cause of the disease and is aimed, among other things, at its elimination. Impotence treatment can be carried out with the participation of an endocrinologist, a neurologist, a psychologist and many other doctors. The main type of therapy for erectile dysfunction is medication, sometimes surgery is advisable. In addition, practiced treatment with special physical exercises and even traditional medicine (tincture inside, compresses). Each of the above methods should be discussed in more detail.

Medicamentous

There are many drugs that increase blood circulation in the penis: tablets and capsules, creams, sprays. Characteristics of several of the most popular drugs:

• Viagra (Sildenafil). Pills to improve erection, affecting the cavernous bodies of the penis. The drug relaxes them and resumes blood flow to the body. The medicine causes a persistent erection. Take it about an hour before sex.
• Levitra Synthetic fast-acting drug.
• Cialis Medication drug that acts the same as Viagra, but much longer. About a day the man will fully support the natural sexual needs.

Treatment with intracavernous injections is very effective. Before sexual intercourse, a preparation for vasodilation is injected into the penis with a syringe. This provides a lasting and lasting erection. Treatment by injection, as a rule, is prescribed, if the patient does not help drugs in pills. There are also suppositories to increase potency, which are introduced by a special device into the urethra.

Exercises

Physical activity is essential for men's health. To increase the potency, perform the following exercises:

1. Running on the spot. Socks do not come off the floor, only heels rise. Do the exercise several times a day. Start at one minute and gradually increase to five.
2. Straighten your back, bending your knees slightly. Tighten and relax the muscles of the buttocks. Alternate actions several times. Gradually increase periods of stress.
3. Tighten and relax alternately the muscles of the anus. Start from 10 times, gradually increase the load.

Folk remedies

For men who do not know how to treat erectile dysfunction, you can use the many prescriptions for alternative medicine:

• Take 5-8 drops of Rhodiola Rosea extract three times a day, half an hour before meals.
• Cut 200 g of ginger root 0.5 alcohol. Close tightly and leave for two weeks in the dark. Every evening, drink a solution of 10 drops of ginger tincture dissolved in half a glass of water.
• Mix honey and crushed walnuts in equal proportions. Take 1 tbsp. l the resulting mass three times a day. Drink half a glass of cow or goat milk.

Prevention

To reduce the risk of erectile dysfunction, follow these guidelines:

• Control your weight. Follow the diet, if necessary. Obesity should not be allowed.
• Stop smoking, stop drinking alcohol or reduce its amount to a minimum. Try to get rid of all bad habits.
• Control your cholesterol and watch your blood pressure.
• Exercise.
• Observe the mode of work and rest. Sleep at least 7-8 hours, try to go to bed at the same time.
• Periodically visit specialists in the field of men's health.