Cialis© contains tadalafil, which works by inhibiting the enzyme phosphodiesterase type 5 (PDE5). This promotes the relaxation of blood vessels in the penis and improves blood flow during sexual stimulation, helping to achieve and maintain an erection. Cialis© does not cause spontaneous erections and requires sexual stimulation to be effective. Its unique feature is its long duration of action, remaining effective for up to 36 hours.

The most distinctive feature of Cialis© is its exceptionally long duration of action - up to 36 hours after taking a single dose. This extended timeframe has earned it the nickname "the weekend pill." During this period, the medication remains active in your system, allowing you to achieve erections in response to sexual stimulation. This does not mean a continuous erection, but rather the ability to respond naturally when aroused throughout the 36-hour window.

The most common side effects of Cialis© include headaches, indigestion, back pain, muscle aches, facial flushing, and nasal congestion. These effects are generally mild and temporary, often disappearing within a few hours. Back pain and muscle aches are slightly more common with Cialis© compared to other ED medications. If side effects persist or become bothersome, consult your doctor who may adjust your dosage.

No, Cialis© is not suitable for everyone. It is generally safe for men in good general health, but medical consultation is essential before use. It should not be taken by men using nitrate medications (for chest pain), those with severe heart or liver problems, recent stroke or heart attack, very low blood pressure, or certain eye conditions. Your doctor will assess your medical history and current medications to determine if Cialis© is safe and appropriate for you.

Moderate alcohol consumption is generally considered safe with Cialis©, but excessive drinking should be avoided. Alcohol can reduce the effectiveness of the medication and increase the risk of side effects such as dizziness, headaches, increased heart rate, or low blood pressure. Heavy alcohol consumption can also make it more difficult to achieve an erection. For best results, limit alcohol intake when taking Cialis©.

Cialis© can be taken in two ways: on-demand or daily. For on-demand use, take one tablet 30 minutes to 2 hours before sexual activity; the effect lasts up to 36 hours. For daily use, a lower dose (2.5mg or 5mg) is taken at the same time each day, providing continuous readiness. Always take Cialis© orally with water, with or without food. Read the patient information leaflet carefully and follow your doctor's instructions. Only a doctor can determine the appropriate dosage and regimen for your specific needs.

As a non-reimbursed medication by social security in France, the price of Cialis© is freely set and can vary from one pharmacy to another. In France, a box of 4 tablets of Cialis© 10mg or 20mg can cost between €20 and €60 approximately, depending on the pharmacy and dosage. As the original brand medication, Cialis© is typically more expensive than generic tadalafil versions, but both contain the same active ingredient and have equivalent efficacy. Generic options can offer significant cost savings.

No, in France, Cialis© can only be purchased at a pharmacy with a valid medical prescription. French legislation strictly prohibits the online sale of prescription medications, including Cialis©. Beware of websites claiming to sell Cialis© without a prescription - these are illegal and potentially dangerous, as they may sell counterfeit or unsafe products. Always consult a qualified doctor to obtain a legitimate prescription.

For on-demand use, you should take Cialis© approximately 30 minutes to 2 hours before you intend to have sexual intercourse. However, one of the key advantages of Cialis© is its flexibility - since it remains effective for up to 36 hours, you don't need to time it as precisely as with shorter-acting ED medications. This allows for greater spontaneity in intimate moments. If taking the daily low-dose version, timing before intercourse is not necessary.

The main difference between Cialis© and generic tadalafil is the brand and price. Cialis© is the original brand medication manufactured by Eli Lilly, while generic tadalafil is produced by various pharmaceutical companies after the patent expired. Both contain the same active ingredient (tadalafil) at the same doses and have identical efficacy, safety profiles, and duration of action (up to 36 hours). The primary advantage of generic tadalafil is its lower cost, often 50-70% less expensive than brand-name Cialis©.

French legislation strictly prohibits the online sale of prescription medications. Cialis© is only available with a medical prescription in France and must be obtained from a licensed pharmacy. Be extremely cautious of websites offering to sell Cialis© or generic tadalafil online without a prescription - these sites are illegal and may sell counterfeit, contaminated, or dangerous products. Always consult with a licensed healthcare provider and obtain your medication from legitimate sources.

No, Cialis© is not reimbursed by Health Insurance in France. Medications for erectile dysfunction are not covered by the French social security system, meaning patients must pay the full cost out of pocket. However, some complementary health insurance plans (mutuelles) may offer partial reimbursement. Check with your insurance provider to see if your plan offers any coverage for ED medications.