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1. Erectile Dysfunction (ED)
Erectile dysfunction means you struggle to get or keep an erection hard enough for satisfying intercourse. It can stem from stress, diabetes, hypertension, surgery, hormonal shifts or simply age-related circulation changes. A single Cialis 20 mg pill increases blood flow to penile tissue for up to 36 hours, letting sexual stimulation translate into a firm, dependable erection.
2. Benign Prostatic Hyperplasia (BPH)
An enlarged prostate can squeeze the urethra and trigger frequent nighttime urination, weak flow or a feeling that the bladder never empties. Tadalafil 20 mg relaxes smooth muscle inside the prostate and bladder neck, improving stream strength and cutting bathroom trips. Men who search “Cialis Pakistan” or “tadalafil in Pakistan” for urinary relief often find the 20 mg tablet doubly convenient—one medicine, two problems solved.
Sexual Stimulation Triggers Nitric Oxide
Erotic thoughts, touch or visual cues prompt nerves to release nitric oxide (NO) inside the penis.
Nitric Oxide Creates cGMP
Nitric Oxide tells smooth muscle to relax by producing cyclic guanosine monophosphate (cGMP). Relaxed muscles open arteries and trap blood in the spongy bodies of the penis.
Tadalafil Blocks PDE5
A naturally occurring enzyme called phosphodiesterase-5 (PDE5) breaks down cGMP. Tadalafil 20 mg inhibits PDE5, so cGMP survives longer, blood flow increases, and an erection lasts as long as sexual excitement continues.
Because tadalafil’s half-life is almost 18 hours, enough drug remains in your system the next day for continued responsiveness—hence the nickname “weekend pill.”
| Step | Detailed Advice |
|---|---|
| 1. Timing | Swallow one whole tablet with water at least 30 minutes before sexual activity. The earlier you take it, the more relaxed you’ll feel. |
| 2. Food & Drink | Light meals are fine. Very fatty food can delay onset. Avoid grapefruit juice—it raises tadalafil levels unpredictably. |
| 3. Alcohol & Stimulants | One or two drinks are usually safe; heavy drinking may blunt performance and raise dizziness risk. Skip recreational “poppers” (amyl nitrite). |
| 4. Daily Routine | If you also use Cialis 20 mg for BPH, take it around the same clock time each day for steady symptom control. |
| 5. One-a-Day Rule | Never exceed one tablet in any 24-hour period. Doubling up doesn’t double results—it merely boosts side-effect risk. |
| 6. Storage | Keep below 30 °C, in the original foil blister, away from moisture and direct heat. |
Most doctors start healthy adults on 10 mg, but if your clinician decides the smaller strength is inadequate—or you’ve already tried it—Cialis 20 mg becomes the go-to on-demand dose.
Standard ED plan: 20 mg taken on days you anticipate intimacy.
BPH plan: One 20 mg tablet daily (exact timing set with your urologist).
Combined ED + BPH: Same 20 mg daily covers both conditions.
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