Brand Apcalis SX Oral Jelly

Apcalis SX Oral Jelly helps to achieve good erection during sexual intercourse. Apcalis SX Oral Jelly works improving blood flow in the penis relaxing arterial smooth muscles. It works only when sexual stimulation is present.

Apcalis SX Oral Jelly is a variation of Generic Cialis. The main component of Apcalis is Tadalafil.
Brand Apcalis SX Oral Jelly  is an effective, reversible, selective inhibitor of phosphodiesterase type 5 (PDE 5) specific to cyclic guanosine monophosphate (cGMP). When sexual stimulation causes local release of nitric oxide, inhibition of PDE 5 by Cialis leads to increase of cGMP levels in the cavernous body of penis. It results in relaxation of arterial smooth muscles and blood flow to the tissues of the penis that causes erections. Cialis has no effect when sexual stimulation is absent. Brand Apcalis SX Oral Jelly improves erection and lets achieve a successful sexual intercourse. The drug acts during 36 hours. If sexual arousal is present the effect appears even after 16 minutes after the medication was taken.

Dosage and direction:
The recommended dose of Apcalis is 20 mg it should be taken at least 16 minutes before the sexual activity. The effect persists during 36 hours. Take Apcalis once daily and do not exceed the recommended dose.

Precautions:
It is preferable not to use Brand Apcalis SX Oral Jelly with grapefruit juice, alcoholic beverages, tobacco. If you smoke tobacco and take Apcalis concomitantly this may lead to a condition called NAION (sudden optic nerve-related vision loss). Inform your doctor before to take Apcalis if you have abnormal penis, including curved penis and birth defects of the penis, had coronary artery disease, arrhythmia, angina, heart attack or heart failure, hypo- or hypertension, bleeding, stomach ulcers, diabetes, hyperlipidemia (excess of lipids in the blood), sickle-cell anemia, liver or kidney failure in history.

Contraindications:
Brand Apcalis SX Oral Jelly is contraindicated in patients who are using any form of organic nitrate, either regularly and/ or intermittently as it is able to potentiate hypotensive effect of nitrates.

Side effects:
Most usual side effects of Apcalis are facial flushing (reddening), headaches, stomach upset, diarrhea, flu-like symptoms and nausea. In more rare cases low blood pressure, blurred vision and changes in color vision, and abnormal ejaculation may occur. Prolonged erections or priapism (painful erections lasting more than 6 hours) are also possible. If your erection is longer than 4 hours, seek for immediate medical help as it may permanently damage your penis. Aggravation of heart problems in patients with pre-existing heart disease using Apcalis was reported.