Description
Same active ingredient (tadalafil) as Cialis®, the US brand. Tadarise Pro 20 mg is an Indian brand, made and licensed in India.
About Tadarise Pro 20 mg
Tadarise Pro 20 mg is a prescription tablet containing 20 mg of tadalafil, made by Sunrise Remedies, used to treat erectile dysfunction when a lower dose has not been effective. “Pro” is part of the brand name; the active ingredient and dosing rules are the same as for any 20 mg tadalafil tablet. Tadarise Pro is an Indian product, made in India.
What does “Pro” mean?
Manufacturers use labels like “Pro” or “Professional” to set one presentation apart from another, and some such products are designed to dissolve in the mouth rather than be swallowed. Check the carton and leaflet: if they say to place the tablet under the tongue or let it dissolve, follow that; otherwise swallow it whole with water. Whatever the presentation, the dose is still 20 mg of tadalafil, the same limits and warnings apply, and you should not expect a faster or stronger effect.
How does tadalafil work?
Tadalafil blocks PDE5 in the penis, keeping cGMP available for longer after sexual arousal. Blood vessels in the erectile tissue stay relaxed, more blood enters and an erection is easier to maintain. Because tadalafil leaves the body slowly, one dose can help for up to 36 hours, though it only works when you are aroused.
How to take Tadarise Pro 20 mg
- Take one tablet 30 minutes to 2 hours before sexual activity, with or without food.
- One dose per 24 hours is the maximum, and 20 mg is the highest labeled on-demand dose; products sold at 40 mg or more go beyond it.
- Do not start on this strength unless your doctor advises it; most men begin with 10 mg.
- Do not take it on the same day as any other tadalafil, sildenafil, vardenafil or avanafil product, including jellies and films.
When a lower dose is required
| Situation | Usual on-demand limit |
|---|---|
| Moderate kidney impairment | Start at 5 mg; no more than 10 mg once in 48 hours |
| Severe kidney impairment or dialysis | 5 mg, no more than once in 72 hours |
| Mild to moderate liver impairment | No more than 10 mg a day |
| Strong CYP3A4 inhibitors (for example ketoconazole, ritonavir) | No more than 10 mg once in 72 hours |
In each of these situations, the 20 mg strength is not appropriate, and tadalafil is not recommended at all in severe liver disease.
Who should not take it?
Never combine tadalafil with nitrates, including nitroglycerin (glyceryl trinitrate) sprays and tablets, isosorbide mononitrate and amyl nitrite “poppers”, or with riociguat, because blood pressure can fall to dangerous levels. It is not advised for men with serious heart disease, a recent stroke or uncontrolled blood pressure. Take care with alpha-blockers and other blood pressure medicines, and keep alcohol light.
What are the side effects?
At 20 mg, headache, indigestion, back pain, muscle aches, flushing and a congested nose are more likely than at lower doses. Get emergency medical help for an erection lasting more than 4 hours, sudden vision loss in one or both eyes, a sudden drop in hearing, or chest pain.
Pack sizes and storage
Strips of 10 tablets, sold in packs of 90, 120, 150 or 300, from $86. Store below 86°F (30°C), away from moisture, and keep each tablet in the strip until you need it.
Frequently asked questions
Is Tadarise Pro stronger than Tadarise 20 mg?
Not in dose: both contain 20 mg of tadalafil. Tadarise 20 mg is the standard version.
What if I need a lower dose?
Tadarise 10 mg is the usual starting strength.
Where can I see other brands?
Visit our tadalafil category.
General information, not medical advice. Tadarise Pro 20 mg is a prescription medicine; speak to a doctor or pharmacist before use.
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