Buy Cialis Professional
Cialis Professional

2.06
A sublingual version of tadalafil providing rapid absorption and a long duration of action for treating erectile dysfunction.


Ingredient
Availability
In Stock
Delivery
Airmail (14-21 days) | EMS trackable (5-9 days)
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Product Sheet

Alternative/Local Brand
Cialis
Active Ingredient(s)
Tadalafil
Primary Category
Erectile Dysfunction
Therapeutic Class
Genito-urinary system, Drugs used in erectile dysfunction, Phosphodiesterase type 5 (PDE5) inhibitors
Pharmacological Class
PDE5 Inhibitor
Indications
Male impotence, Erectile dysfunction
Contraindications
Nitrate medications, Severe heart or kidney disease, Low blood pressure, Loss of vision due to NAION
Minor Side Effects
Headache, Dyspepsia (indigestion), Back pain
Moderate Side Effects
Myalgia (muscle pain), Flushing, Stuffy nose
Serious Side Effects
Allergic reactions, Seizures, Heart attack symptoms, Priapism
Dosage Forms
Sublingual tablets
Administration Route
Sublingual
Mechanism of Action
Placed under the tongue, the drug enters the bloodstream quickly, bypassing the digestive system. It relaxes smooth muscles in the penis to allow blood flow, facilitating an erection during sexual stimulation.
Prescription Status
Rx
Patient Summary
A sublingual version of tadalafil providing rapid absorption and a long duration of action for treating erectile dysfunction.
Onset Time
15-20 minutes
Duration
36-48 hours
Storage Instructions
Store in a cool, dry place away from light.
Drug Interactions
Nitrates, Protease inhibitors, Antihypertensives, Grapefruit
Age Restrictions
Adults 18 years and over
Pregnancy Use
Not for use in women.
Alternative Drugs
Tadalafil, Levitra, Viagra

What is Cialis Professional?

Cialis Professional is a prescription medication marketed for the treatment of erectile dysfunction (ED). It contains the active ingredient tadalafil, a phosphodiesterase-type 5 (PDE5) inhibitor. The product is supplied as a pill in strengths of 20 mg and 40 mg. In Hong Kong, Cialis Professional is regulated by the Hong Kong Department of Health and is available only with a medical prescription.

How Cialis Professional Works in the Body

Tadalafil belongs to the PDE5 inhibitor class. By blocking the enzyme phosphodiesterase-type 5, it prevents the breakdown of cyclic guanosine monophosphate (cG gMP) in the smooth muscle lining of blood vessels supplying the penis. Elevated cG gMP leads to relaxation of this smooth muscle, allowing increased blood flow during sexual stimulation. The onset of action typically occurs within 30 minutes, with a peak effect around 2 hours, and the pharmacologic effect can last up to 36 hours, which is why tadalafil is often called “the weekend pill.”

Treating Erectile Dysfunction with Cialis Professional

Cialis Professional is approved in Hong Kong for the treatment of erectile dysfunction in adult men. ED is defined as the persistent inability to achieve or maintain an erection sufficient for satisfactory sexual performance. Clinical trials have demonstrated that tadalafil improves erectile function scores compared with placebo, and it is effective across a wide range of ages and comorbid conditions such as diabetes and hypertension. The medication is intended for use on an as-needed basis, meaning it is taken only when sexual activity is anticipated.

Evidence-Based Off-Label Uses

Tadalafil is also approved in other formulations for benign prostatic hyperplasia (BPH) and pulmonary arterial hypertension (PAH). While Cialis Professional (20 mg and 40 mg tablets) is not specifically labeled for these indications, limited clinical data suggest potential benefit in BPH symptoms when used daily at lower doses. Off-label use requires medical supervision and an individualized risk assessment. Patients should discuss any non-ED applications with a qualified healthcare provider.

Who Should (Not) Use Cialis Professional?

Absolute Contraindications

  • Known hypersensitivity to tadalafil or any tablet excipients
  • Concurrent use of nitrates (e.g., nitroglycerin, isosorbide dinitrate) in any form
  • Severe uncontrolled hypertension (systolic > 180 mm Hg or diastolic > 120 mm Hg)

Relative Contraindications

  • History of stable cardiovascular disease (e.g., chronic angina) - requires physician evaluation
  • Recent (within 6 weeks) stroke or myocardial infarction
  • Severe liver impairment (Child-Pugh C) or end-stage renal disease (dialysis)
  • Retinitis pigmentosa or other inherited retinal disorders

Special Populations

  • Pregnancy & lactation: Not applicable (men only), but men planning to father a child should discuss any concerns.
  • Elderly: Dose may need adjustment based on renal or hepatic function.
  • Patients on alpha-blockers: May experience additive blood-pressure lowering; start with the lowest tadalafil dose and monitor.

Safety Profile: Side Effects and Interactions

Common Side Effects

  • Headache
  • Dyspepsia (indigestion)
  • Back pain
  • Muscle aches
  • Nasal congestion
  • Flushing

These effects are usually mild, transient, and resolve without medical intervention.

Serious Adverse Events

  • Sudden vision loss (non-arteritic anterior ischemic optic neuropathy)
  • Sudden hearing loss or impairment
  • Priapism (erection lasting > 4 hours) - requires emergency care
  • Severe hypotension, especially when combined with nitrates

Drug Interactions

  • Major: Nitrates (risk of profound hypotension)
  • Moderate: Alpha-blockers, antihypertensives, certain antifungals (ketoconazole, itraconazole) and antibiotics (erythromycin, clarithromycin) that inhibit CYP3A4, potentially increasing tadalafil levels.
  • CYP3A4 inducers (e.g., rifampin, carbamazepine) may reduce efficacy.

Food and Lifestyle Interactions

  • High-fat meals may delay onset of action but do not affect overall effectiveness.
  • Moderate alcohol consumption is generally safe; excessive intake can increase the risk of hypotension and dizziness.
  • No specific restrictions on driving, but patients experiencing dizziness should avoid operating machinery.

If a patient is taking additional medicines, supplements, or herbal products, they should inform their healthcare provider before starting Cialis Professional.

How to Take Cialis Professional

  • Standard dosing: The usual starting dose for most men is 20 mg taken once before anticipated sexual activity. If the response is inadequate and the medication is well tolerated, the dose may be increased to 40 mg. The maximum recommended frequency is once per day.
  • Administration: Swallow the tablet whole with a glass of water. It may be taken with or without food.
  • Missed dose: Because the medication is taken only when needed, a missed dose does not require any action. Do not take an extra tablet to “make up” for a missed dose.
  • Overdose: Symptoms may include severe headache, flushing, low blood pressure, and fainting. Seek immediate medical attention; there is no specific antidote.
  • Discontinuation: Cialis Professional does not require tapering. If therapy is stopped, patients may experience a return of erectile dysfunction symptoms.

Dosing must be individualized by a healthcare professional based on medical history, concomitant medications, and overall health status.

Monitoring and Follow-Up

Routine laboratory monitoring is not required for most patients using on-demand tadalafil. However, clinicians may consider:

  • Blood pressure checks before initiating therapy, especially in patients with known hypertension.
  • Periodic assessment of cardiovascular status in men with existing heart disease.
  • Evaluation of any persistent or severe side effects.

Patients should contact their provider promptly if they experience chest pain, severe dizziness, or prolonged erection.

Storage and Handling

  • Store at room temperature (15 °C-30 °C) away from excess moisture and heat.
  • Keep the bottle tightly closed and out of reach of children.
  • Do not use tablets that are discolored, cracked, or past the expiration date printed on the label.
  • Dispose of unused medication according to local pharmacy take-back programs or household waste guidelines.

Medication-Specific Glossary

Phosphodiesterase-type 5 (PDE5) inhibitor
A class of drugs that block the PDE5 enzyme, enhancing cG gMP levels and promoting vasodilation in penile tissue.
Priapism
A prolonged, often painful erection lasting more than four hours, which can cause permanent tissue damage if not treated emergently.
cG gMP (cyclic guanosine monophosphate)
A cellular messenger that induces smooth-muscle relaxation, facilitating increased blood flow to the penis during sexual stimulation.

Medical Disclaimer

This article provides educational information about Cialis Professional and is not a substitute for professional medical advice. Treatment decisions, including use for unapproved indications, must be made under the guidance of a qualified healthcare provider. The content is intended for informational purposes and does not constitute medical recommendations. Always consult a physician before starting, stopping, or changing any medication regimen.

Cialis Professional FAQ

Can I take Cialis Professional with alcohol?

Moderate alcohol consumption generally does not interfere with tadalafil’s effectiveness, but excessive drinking can increase the risk of low blood pressure, dizziness, or fainting. If you plan to drink heavily, discuss safety with your healthcare provider.

How long does the effect of a 20 mg tablet last?

A single 20 mg dose can provide erectile assistance for up to 36 hours, which is why tadalafil is sometimes referred to as the “weekend pill.” The duration varies among individuals based on metabolism and health status.

Is a prescription required for Cialis Professional in Hong Kong?

Yes. Tadalafil is classified as a prescription-only medication by the Hong Kong Department of Health, meaning it must be obtained through a licensed medical professional.

What should I do if I experience a painful erection lasting more than four hours?

Seek emergency medical care immediately. Priapism is a medical emergency that can lead to permanent erectile dysfunction if not treated promptly.

Will taking Cialis Professional affect my ability to drive?

Most men do not experience significant impairment. However, if you feel dizzy, light-headed, or unusually fatigued after taking the medication, avoid driving or operating heavy machinery until symptoms resolve.

Can I take Cialis Professional daily instead of as needed?

The 20 mg and 40 mg tablets are intended for on-demand use. A daily low-dose regimen (typically 5 mg) is available under different brand names for men who prefer continuous therapy. Discuss dosing options with your doctor.

Are there any foods that should be avoided while taking tadalafil?

A high-fat meal may delay the onset of action, but it does not reduce overall effectiveness. No specific foods are prohibited, but maintaining a balanced diet supports overall cardiovascular health.

What are the differences between Cialis Professional and other ED pills like Viagra?

Both contain PDE5 inhibitors, but tadalafil has a longer half-life, offering a therapeutic window of up to 36 hours compared with 4-6 hours for sildenafil (Viagra). Their dosing schedules, onset times, and side-effect profiles differ modestly.

Can I use Cialis Professional if I have hypertension?

Tadalafil can be used in men with well-controlled hypertension, but it should be prescribed after a thorough cardiovascular assessment. Uncontrolled high blood pressure is a contraindication.

Is there a generic version of Cialis Professional available in Hong Kong?

Yes. Tadalafil is available as a generic tablet in the same strengths (20 mg, 40 mg). Generic products contain the same active ingredient and must meet the same regulatory standards.

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