Important medical information about Apcalis SX Oral Jelly

Apcalis*-sx Oral Jelly consists of the Cialis active principle Tadalafil citrate in its highest concentration of 20mg. Apcalis*-sx Oral Jelly is the liquid version of the Cialis tablet. Very discreet to take, who would possibly suspect that there could be a sexual enhancer in that little sachet?

It starts to take effect after just 15 minutes (thanks to the liquid penetrating the body is ready to receive the active principle through the mouth-mucous) and lasts for between 24 and 36 hours. During this period of time, erection is guaranteed if there is a sexual stimulation. Multiple erections are no rare occurrence, but a permanent erection does not occur.

Sex using Apcalis*-sx Oral Jelly will become firmer, longer lasting and more satisfying than ever. Satisfaction is at the highest level.


Each one-week pack of Apcalis* -sx Oral Jelly contains 7 sachets in different fruit flavours.

Important:
Because of its long-lasting effect, Apcalis*-sx Oral cannot be taken daily, but there is no contraindication to the enhancer being taken two or three times a week.

How does the component work?

Tadalafil is used as an effective treatment for impotence, known as erectile dysfunction. (ED) in medical circles.

Impotence can have different causes. Whereas after the age of 50 physical illnesses often cause a fall in the ability to achieve an erection, there are also numerous cases where the mind plays an important role. It may be assumed that in about 20% of all cases mental stress is the trigger for ED. This is often the case particularly in the age group up to 35. In order to help those afflicted, all factors coming under consideration are included during diagnosis and subsequent treatment.


Erection of the penis can only occur if a rapid flow of blood to the penis is possible. However, this can only occur if the arteries expand so that the surrounding muscles can relax.

The messenger substance nitrogen monoxide (NO) is released by sexual stimulation. This, in its turn, activates a second messenger substance, cGMP. It is only through these two messenger substances that the muscle cells in the corpus cavernosum can relax and blood flow into the penis. Erection occurs. At the end of the erection the cGMP is slowly reduced with the aid of the enzyme phosphodiesterase 5, also known as (PDE-5).

The active principle Tadalafil is a PDE 5 inhibitor which blocks the enzyme phosphodiesterase 5 so that more cGMP can remain in circulation. The erection is improved by the relaxation of the muscles which is achieved.

When is the medication not suitable for you?

• in the case of simultaneous treatment with other sexual enhancers
• in the case of low blood pressure (hypotony)
• in the case of serious heart complaints
• in the case of serious liver or kidney disease

In which cases should the medication not be taken?

• keep away from children and teenagers under 18
• in the case of continuous erections (priapism) – seek a doctor immediately in order to avoid damage to tissue or loss of sexual performance

Pregnancy and lactation period

Not indicated for women.

Side-effects

The following includes a list of only the most important known side-effects. They can occur, but not necessarily, because each organism reacts differently to the medication.

If there are signs of an allergic reaction in your case, consult your doctor or your pharmacist immediately.

• Reddening of the skin and flushes
• Headache
• Irritability of the stomach (pressure on the stomach, a sensation of being full up , nausea, heartburn, premature feeling of being full up, vomiting (occasionally) and pains in the upper stomach)
• Blocked nose
• Backache
• Inflammations of the eyes (occasionally)
• Muscular pain
• Dizziness

Interactions

The effect of medication containing nitrates or NO-donors (medication for cardiovascular complaints) can sharply increase. This can cause a drop in blood pressure and collapse. If you take this medication you should not use this sexual enhancer.

Certain drugs against bacterial, fungal or viral infections may increase the side-effects of Tadalafil. The same applies to taking it together with grapefruit juice and therefore you should avoid it.

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