タダラフィル（持続力が特徴・36時間）-Auvavita（オーラヴィータ）オンライン診療

Tadalafil – Last Longer (36 hours)

Name: Tadalafil – Last Longer (36 hours)
Brand: Kanda Nishiguchi clinic
Price: 3000.0 JPY
Availability: InStock

¥3,000

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Consultation coupon, no extra fees (all included)

Super long-lasting! Built for endurance.

Tadalafil is a generic version of Cialis, one of the three major ED treatments. This medicine stands out for its long-lasting effects and is less affected by food and alcohol compared to other medications.

Supports erectile function in response to sexual stimulation.

Take it with water about an hour before sex. You’ll start feeling the effects in around 60 minutes, and Tadalafil can last for up to 36 hours.

Dosage: 10mg

10mg 20mg

Tablets per month: 3 Tablets

3 Tablets 5 Tablets

Delivery Frequency: Every month

Every month Every 3 months Every 6 months

Product variants

Benefits of the Subscription Plan

No need for consultations every time.

Helps prevent missed doses.

Pause anytime for convenience.

Usage Instructions

Take it about an hour before sex: It’s generally recommended to take it around 60 minutes before sexual activity.
Swallow with water: Take the tablet whole with a full glass of water.
With or without food: Taking it immediately after a meal may reduce its effectiveness, so it's best to take it on an empty stomach or wait at least two hours after eating.

Effects & Benefits

Tadalafil helps with erections by blocking an enzyme called PDE5 (phosphodiesterase 5).

Here’s how it works step by step:

Sexual Stimulation – When you’re sexually aroused, your body releases nitric oxide (NO) in the penis.
cGMP Production – NO triggers the production of cGMP, a chemical that helps control blood flow.
Blood Vessel Relaxation – cGMP relaxes the smooth muscles in the blood vessels of the penis, making them wider.
Increased Blood Flow – As the blood vessels expand, more blood flows into the penis, leading to an erection.
How Tadalafil Helps – Normally, an enzyme called PDE5 breaks down cGMP, which can make the erection go away. Tadalafil blocks PDE5, keeping cGMP levels higher for longer, which helps maintain the erection.

It only works when there’s sexual stimulation—it doesn’t cause an erection on its own.

Side Effects & Precautions

Tadalafil (such as Cialis) is an effective medication for treating erectile dysfunction, but there are some important things to keep in mind when taking it. To use it safely, be aware of the following:

[Common Side Effects]

Due to blood vessel dilation: You may experience headaches, facial flushing, or a stuffy nose.
Digestive issues: Some people may have indigestion, bloating, or stomach pain.
Vision changes: Blurred vision, a blue-tinted view, or increased sensitivity to light may occur.
Other effects: Dizziness, heart palpitations, or muscle pain may also happen.

[Precautions]

Only once per day: Do not take more than one dose within 24 hours.
If it doesn’t work: If you don’t notice an effect, do not increase the dose on your own—consult your doctor first.
Possible side effects: Headaches, facial flushing, indigestion, and other side effects may occur.
Do not mix with nitrates: Taking it with nitrate medications (like nitroglycerin) can cause a dangerous drop in blood pressure.
Be cautious with alpha-blockers: Combining it with alpha-blockers may also lower blood pressure.
Limit alcohol intake: Alcohol can worsen side effects.
Avoid grapefruit juice: It can increase the level of tadalafil in your blood, leading to stronger effects and potential side effects.