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Cialis 20mg contains Tadalafil, formulated by Eli Lilly to support men’s reproductive health and performance. Each pack includes 4 imported, film-coated tablets designed for long-lasting efficacy.
Active Ingredient: Tadalafil 20mg
Pack Size: 4 Film-coated tablets
Manufacturer: Eli Lilly
Usage Take only as prescribed by a licensed healthcare professional.
Delivery and return
Delivery and return
| Delivery Method | Coverage Area | Estimated Delivery Time | Handling & Details |
| Same-Day Lahore Express | Lahore City Only | Same Day | Orders placed before 2:00 PM are delivered the same day. Requires signature upon receipt. |
| Express Delivery | Nationwide | 1 – 2 Working Days | Expedited shipping for urgent orders across standard parcels. |
| Standard Delivery | Nationwide | 3 – 5 Working Days | Reliable nationwide delivery. Requires signature upon arrival for order security. |
Shipping Information
Shipping Information
Free Shipping
Zenith Nutrient offers free standard shipping on all orders delivered within Lahore. Orders are processed and delivered Monday through Saturday (excluding national holidays). For nationwide orders outside Lahore, standard shipping rates apply.
Direct Fulfillment & Stock Availability
Zenith Nutrient partners directly with authorized UK healthcare distributors to ensure 100% genuine supplements. While we maintain local stock for immediate dispatch, multi-brand orders may occasionally be fulfilled in separate packages. Because product availability depends on verified batch imports, certain items may temporarily go out of stock. Please contact our support team via WhatsApp or our Contact Form for real-time stock inquiries before placing your order.
Express & Local Shipping
Standard parcel items ship via trusted local courier services such as Leopards, TCS, or CallCourier. Orders within Lahore placed before 2:00 PM qualify for same-day delivery, while nationwide shipments usually arrive within 1–3 business days depending on the destination city. If there is an unexpected delivery delay, you will be notified via SMS or email. A signature or phone verification is required upon delivery for all supplement packages to guarantee secure handover
Composition and care
Composition and care
Zenith Nutrient products are imported directly from certified UK manufacturers, ensuring 100% original, pharmaceutical-grade health supplements. Each formulation—including our Pregnacare range—contains carefully balanced vitamins, essential minerals (such as Folic Acid 400µg, Iron, Calcium, and Vitamin D), and pure Omega-3 DHA marine oils. All products are free from artificial preservatives, gluten, lactose, and synthetic dyes.
Product Care & Storage Instructions
To preserve the potency, active ingredients, and freshness of your supplements:
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Temperature: Store in a cool, dry place below 25°C. Keep away from direct sunlight, radiators, and excess moisture.
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Packaging: Keep tablets and capsules in their original blister packaging until the exact moment of consumption. Do not transfer contents into unsealed containers.
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Handling: Always consume with cold water or a meal as directed. Keep out of reach and sight of children.
Description
Uses of Cialis 20 mg Tablets
Erectile Dysfunction (ED): Cialis 20 mg increases blood flow to penile tissue for up to 36 hours, helping achieve and maintain a firm erection during sexual stimulation.
Benign Prostatic Hyperplasia (BPH): It relaxes smooth muscles in the prostate and bladder neck, easing urinary symptoms like weak flow and frequent nighttime urination.
Dual Action: Serves as a 2-in-1 solution for men experiencing both ED and BPH simultaneously.
How Cialis 20 mg Works
Nitric Oxide Release: Sexual stimulation triggers the release of nitric oxide (NO) in penile tissues.
cGMP Production: Nitric oxide stimulates cyclic guanosine monophosphate (cGMP) production, which relaxes smooth muscle walls and increases blood flow.
PDE5 Inhibition: Tadalafil blocks the PDE5 enzyme from breaking down cGMP. This keeps cGMP active longer, sustaining the erection.
Extended Window: With a ~18-hour half-life, its effects can extend up to 36 hours (“the weekend pill”).
How to Take Cialis 20 mg
Timing: Swallow 1 tablet whole with water at least 30 minutes before intended activity.
Food & Drink: Light meals are fine. Avoid fatty foods (may delay action) and grapefruit juice (raises drug levels unpredictably).
Alcohol: Limit alcohol intake to avoid dizziness and reduced efficacy. Never combine with recreational “poppers” (amyl nitrite).
Daily Routine (BPH): Take at the same time every day for consistent urinary symptom relief.
Maximum Limit: Never take more than 1 tablet in a 24-hour period.
Storage: Store below 30 °C in original foil packaging away from heat and moisture.
Recommended Dosage
On-Demand ED: 20 mg taken prior to anticipated intimacy (often used if a 10 mg starting dose is insufficient).
Daily BPH / Combined ED + BPH: One 20 mg tablet daily, as directed by a urologist.
Key Takeaway: Do not self-escalate dosage beyond 20 mg. Always follow your doctor’s exact prescription.
Warnings & Contraindications
Do NOT take Cialis 20 mg if you:
Are allergic to Tadalafil or any formulation ingredients.
Take nitrates (e.g., nitroglycerin, isosorbide mononitrate) or amyl nitrite “poppers”—combining these can cause a life-threatening drop in blood pressure.
Have severe medical conditions: uncontrolled blood pressure, recent heart attack or stroke (within 6 months), severe liver/kidney impairment, NAION (eye condition), or Peyronie’s disease.
Precautions & Interactions:
Priapism: An erection lasting over 4 hours is a medical emergency; seek immediate urgent care.
Vision/Hearing: Discontinue immediately if you experience sudden vision loss or hearing drops.
Drug Interactions: Consult your doctor if taking alpha-blockers (e.g., tamsulosin), antifungals (ketoconazole), antibiotics (erythromycin), or HIV protease inhibitors.
Restrictions: Not intended for women, children, or males under 18 years of age.
Possible Side Effects
| Frequency | Symptoms |
| Very Common (>10%) | Headache |
| Common (1–10%) | Flushing, nasal stuffiness, indigestion |
| Uncommon (<1%) | Back/muscle ache, mild vision tint, slight dizziness |
| Rare & Serious | Chest pain, sudden hearing loss, priapism, severe allergic swelling |
Safety & Storage Instructions
Medical Consultation: Always consult a healthcare professional before use, especially if you have heart conditions, high/low blood pressure, or liver/kidney issues.
Contraindications: Do NOT use if you are taking nitrates or nitrogen oxide donors (often prescribed for chest pain).
Storage: Keep in a dry place below 30°C, away from direct sunlight and moisture. Keep out of reach of children.
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