Ciatuff 20mg Tablet
Rx- FDA Approved
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- Discreet Packaging
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Prescription Required
Overview
Ciatuff 20mg Tablet contains tadalafil, a phosphodiesterase type 5 (PDE5) inhibitor used to treat erectile dysfunction in men and to relieve the urinary symptoms of benign prostatic hyperplasia (BPH, an enlarged prostate).
Tadalafil works by blocking the PDE5 enzyme, which allows a molecule called cyclic GMP to build up in the smooth muscle of the penis. This relaxes blood vessels and increases blood flow, helping achieve and maintain an erection with sexual stimulation; a similar relaxing effect on smooth muscle in the prostate and bladder helps ease BPH urinary symptoms.
How it Works
Tadalafil inhibits the PDE5 enzyme, which normally breaks down cyclic GMP. With less breakdown, cyclic GMP levels rise, causing smooth muscle in blood vessel walls to relax; this increases blood flow to erectile tissue with sexual stimulation and can also relax smooth muscle in the prostate and bladder neck, improving urine flow.
Directions for Use
Take the tablet with or without food; for on-demand use, take it at least 30 minutes before anticipated sexual activity. Sexual stimulation is still needed for the medicine to work.
Dosage
For erectile dysfunction, the usual dose is taken as needed before anticipated sexual activity; the exact dose and whether an on-demand or daily regimen is more suitable is determined by the treating doctor.
Shelf Life
Refer to the expiry date printed on the packaging.
Storage Instructions
Store below 30°C in a dry place, away from direct sunlight and out of reach of children.
Side Effects
- Headache
- Muscle aches
- Flushing (warmth or redness in the face, neck, or chest)
- Upset stomach or indigestion
- Back pain
- Stuffy or runny nose
- Dizziness
Contraindications
- Known hypersensitivity to tadalafil or any ingredient in the tablet
- Use of any nitrate medicine (such as glyceryl trinitrate for chest pain), as the combination can cause a dangerous drop in blood pressure
- Recent stroke, heart attack, or unstable heart disease, unless specifically cleared by a doctor
- Severe liver or kidney impairment, unless dose-adjusted by a doctor
Drug / Food Interactions
- Nitrates must never be combined with tadalafil due to a serious risk of dangerously low blood pressure.
- Alpha-blockers used for blood pressure or prostate symptoms can also cause a significant blood pressure drop when combined with tadalafil, requiring careful dose timing under medical supervision.
- Strong CYP3A4 inhibitors can raise tadalafil levels and may require dose adjustment.
- Inform your doctor of all medicines you are taking, especially heart medicines.
Quick Tips
- Never combine this medicine with nitrate medicines – seek emergency care if you have taken both and feel dizzy or unwell.
- Seek immediate medical attention for an erection lasting longer than 4 hours, as this can cause permanent damage if untreated.
- Tell your doctor about any heart conditions before starting this medicine, as sexual activity itself carries a cardiac risk in some patients.
- Report any sudden vision or hearing loss to a doctor immediately, as these have rarely been associated with PDE5 inhibitors.
Frequently Asked Questions
What is Ciatuff 20mg used for?
It is used to treat erectile dysfunction and to relieve urinary symptoms caused by an enlarged prostate (BPH).
How does tadalafil work?
It blocks an enzyme (PDE5) that normally limits blood flow, allowing more blood flow to erectile tissue with sexual stimulation.
Can I take this with nitrate medicines?
No, never combine tadalafil with nitrates, as this combination can cause a dangerous drop in blood pressure.
How long before sexual activity should I take this medicine?
For on-demand use, take it at least 30 minutes beforehand; your doctor will advise on the specific timing for your prescribed regimen.
Will this medicine work without sexual stimulation?
No, sexual stimulation is still needed for the medicine to produce an erection.
What should I do if I get an erection lasting more than 4 hours?
Seek immediate medical attention, as a prolonged erection (priapism) can cause permanent damage if not treated promptly.
Can I take this if I have heart problems?
Tell your doctor about any heart conditions before starting, as sexual activity carries some cardiac risk and certain heart medicines interact with tadalafil.
Can I buy Ciatuff 20mg Tablet from DoctorOnCall?
Yes, Ciatuff 20mg Tablet is available through DoctorOnCall, a licensed online pharmacy serving our Malaysian and Singaporean customers. As this is a prescription medicine, you will need to complete an online consultation so a doctor can assess your suitability and issue a valid prescription before the order is processed. This ensures the medicine is appropriate for your condition and used under proper medical supervision, whether you are ordering from Malaysia or Singapore.
Is the medication provided by DoctorOnCall genuine and safe to use?
DoctorOnCall sources its medicines through appropriate licensed pharmacy supply channels for our Malaysian and Singaporean customers. All orders are dispensed and checked by a registered pharmacist before delivery. Always use Ciatuff 20mg Tablet according to your doctor’s instructions and the information provided with the product.
What payment methods does DoctorOnCall accept?
We accept payment via Online Banking, Credit Card, and e-Wallets (Boost, GrabPay) for our Malaysian and Singaporean customers, so you can choose whichever method is most convenient for you at checkout.
Does DoctorOnCall provide an installment payment plan for Ciatuff 20mg Tablet?
DoctorOnCall provides an installment payment plan for eligible Malaysian and Singaporean customers, where applicable. Available plans, eligibility, and terms can vary by market, so please contact DoctorOnCall Customer Service for the latest information on installment options for your order.
Is delivery free, and how much does shipping for Ciatuff 20mg Tablet cost?
Delivery charges may vary for our Malaysian and Singaporean customers depending on your delivery location and the applicable order terms at the time of purchase. For the most accurate and up-to-date delivery fee information, please contact DoctorOnCall Customer Service before placing your order.
How long does delivery take for Ciatuff 20mg Tablet?
Our Malaysian customers can generally expect delivery within 3-5 working days, while our Singaporean customers generally receive their orders within 5-7 working days. These are expected timeframes rather than guarantees, and actual delivery time may vary depending on your delivery location, order processing time, courier operations, and whether the order falls on a weekend or public holiday.
What is DoctorOnCall’s shipping, return, or cancellation policy for Ciatuff 20mg Tablet?
Shipping, return, and cancellation terms may vary for our Malaysian and Singaporean customers depending on the product and your order details. Please refer to DoctorOnCall’s Shipping & Delivery Policy and Return, Refund & Exchange Policy, or contact Customer Service, for the specific terms that apply to your order.
Ingredients / Active Ingredients
- Tadalafil 20mg
Related Health Conditions
Safety Advice
Pregnancy
Use during pregnancy is generally not recommended unless absolutely necessary.
Breastfeeding
Generally not recommended while breastfeeding.
Kidney
Use cautiously. Dose adjustment or monitoring may be required.
Liver
Use cautiously. Liver function monitoring may be required.
Alcohol
Caution is advised when consuming alcohol with this medicine.
Driving
It is not advisable to drive if you experience side effects from this medicine.
Medical Review
Reviewed by:
Doctor of Medicine (MD), University of Mansoura - Manchester


