May cause dose-related impairment of color discrimination;

Aspect Description Typical Dimensions Shape
Pill Shape Usually oval or round 8-12 mm diameter Oval / Round
Size Small, easily swallowable 8-10 mm N/A
Appearance Shape Slightly beveled edges N/A Oval / Round

use caution in patients with retinitis pigmentosa.

  • Original Cialis has a distinctive bright orange, oval shape.
  • They feature a logo or dose number on one side.
  • The pills are coated with a smooth, shiny finish.
  • Size usually around 8-14 mm in length.
  • The shape is elongated oval for ease of intake.
  • Markings help differentiate strength levels.
  • Capsule forms are not typical; mostly solid tablets.

Evaluate underlying causes of erectile dysfunction or

5.7 Renal Impairment

Keep a list of all your medications with you, and share the list with your doctor and pharmacist. Check with your physician if you have health questions or concerns. Do not take Adcirca or Cialis if you are allergic to tadalafil or any ingredients contained in this drug. In case of overdose, get medical help or contact a Poison Control Center immediately. Hypersensitivity, including Stevens-Johnson syndrome and exfoliative dermatitis Soluble guanylate cyclase (sGC) stimulators (e.g., riociguat); concomitant use can cause hypotension Coadministration with nitrates (either regularly and/or intermittently) and nitric oxide donors Consistent with the effects of PDE5 inhibition on the nitric oxide/cyclic guanosine monophosphate pathway, PDE5 inhibitors may potentiate the hypotensive effects of nitrates A suitable time interval following PDE5 dosing for the safe administration of nitrates or nitric oxide donors has not been determined See "What Are Side Effects Associated with Using Tadalafil?" See "What Are Side Effects Associated with Using Tadalafil?" Use caution in patients with anatomic deformation of penis, cardiovascular disease, left ventricular outflow obstruction, myocardial infarction in preceding 90 days, unstable angina, angina occurring during sexual intercourse, NYHA class 2 or greater heart failure in preceding 6 months, uncontrolled arrhythmias, hypotension, uncontrolled hypertension, cerebrovascular accident in preceding 6 months, bleeding disorders, active peptic ulcer disease, liver disease, renal impairment, conditions predisposing to priapism, concomitant use of CYP3A4 inhibitors. benign prostatic hyperplasia (BPH) before initiating therapy.

Marking Type Description Symbols or Text Placement
Numeric Imprint Numbers indicating strength e.g., "20" Center of the pill
Logo or Logo-like Brand logo or symbol Cialis logo One side
Combination Marks Mix of numbers and symbols e.g., "C20" Engraved on surface

May increase risk of sudden

Product Dosage Quantity + Bonus Price
Cialis Soft Tabs20mg20 + 2 Pills66.98€ 63.79€
Cialis Black80mg10 Pills43.27€ 41.21€
Cialis Original20mg14 + 2 Pills95.75€ 91.19€
Cialis Generic10mg20 Pills48.23€ 45.93€
Cialis Generic5mg360 + 10 Pills268.08€ 255.31€
Cialis Generic2.5mg360 + 10 Pills260.03€ 247.65€
Cialis Professional40mg180 + 4 Pills618.23€ 588.79€
Cialis Generic60mg30 + 2 Pills85.33€ 81.27€
Cialis Generic60mg180 + 10 Pills313.11€ 298.20€
Cialis Generic2.5mg120 + 6 Pills128.93€ 122.79€

vision loss attributed to non-arteritic

17.10 Recommended Administration

You should not take Cialis if you’ve had a stroke within the past 6 months. Vision loss or retinitis pigmentosa: Cialis may cause vision problems, including vision loss. If you have a history of vision loss or retinitis pigmentosa, you may have an increased risk of this side effect. Tell your doctor if you’ve had any vision problems before starting Cialis. They’ll help you decide whether this medication is right for you.

Can you split Cialis?

Bleeding problems: It’s possible that Cialis may increase your risk of bleeding. If you already have bleeding problems, such as hemophilia or stomach ulcers, Cialis may worsen your condition. Let your doctor know if you have any bleeding problems before starting Cialis. They’ll let you know whether this drug is safe for you to take. Both Cialis and alcohol can lower your blood pressure.

Product Code 0002-4464

So consuming alcohol while taking this drug may increase your risk of having very low blood pressure. Having five or more drinks* per day while taking this medication could cause a sudden drop in blood pressure when you stand. (One drink is considered one glass of wine, one beer, or one shot or cocktail.) Symptoms can include: Due to this risk, it’s recommended that you limit the amount of alcohol you drink while taking Cialis. If you drink, talk with your doctor about how much, if any, is safe to consume with this drug. Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up to date. ischemic optic neuropathy; if vision

  • The iconic Cialis pill is bright orange and oval-shaped.
  • It features a clear imprint, like "C 20".
  • The pill’s smooth surface is shiny and clean.
  • The size makes it easy to swallow.
  • Shape is gently curved with rounded ends.
  • Marking clarity helps prevent counterfeits.
  • They are not commonly capsule-shaped but solid.

problems arise, discontinue, and contact physician.

7.3 Potential for CIALIS to Affect Other Drugs

However, this article should not be used as a substitute for the canadian pharmacy cialis 40mg knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses. Tadalafil is available under the following different brand names: Adcirca, and Cialis.

What Are the Side Effects of Cialis and Tadalafil?

Dosage Considerations – Should be Given as Follows: As needed use: 10 mg orally initially before sexual activity, with or without food; may be increased to 20 mg or reduced to 5 mg on basis of efficacy and tolerability; in most patients, maximum dosing frequency is once daily Once-daily use: 2.5 mg/day orally in single daily dose, without regard to timing of sexual activity, with or without food; may be increased to 5 mg/day on basis of efficacy and tolerability As needed use: Decrease dose with concomitant use of potent CYP3A4 inhibitor (e.g., ritonavir, ketoconazole, itraconazole); not to exceed 10 mg/72 hours Once-daily use: Decrease dose with concomitant use of potent CYP3A4 inhibitor (e.g., ritonavir, ketoconazole, itraconazole); not to exceed 2.5 mg/day Treatment of signs and symptoms of benign prostatic hyperplasia (BPH); daily use also indicated for treatment of patients with both BPH and erectile dysfunction BPH with erectile dysfunction: 5 mg orally once daily, taken at approximately same time each day without regard to timing of sexual activity With finasteride for BPH: tadalafil 5 mg plus finasteride 5 mg orally once daily for up to 26 weeks 40 mg orally once daily; dividing dose for more frequent dosing is not recommended Patients also taking ritonavir: 20 mg orally once daily initially for 1 week or more; may be increased to 40 mg/day on basis of tolerability If possible, avoid coadministration with CYP3A4 inhibitors; if coadministration is essential, long-term therapy is indicated, or strong CYP3A4 inhibitors are required, modify or hold dose Patients already taking strong CYP3A4 inhibitor who require tadalafil: 20 mg orally once daily; may be increased to 40 mg/day on basis of tolerability Patients already taking tadalafil who require strong CYP3A4 inhibitor: Avoid using tadalafil while starting strong CYP3A4 inhibitor; stop tadalafil 24 hours or more before starting strong CYP3A4 inhibitor; after 1 week, resume tadalafil at 20 mg orally once daily; may be increased to 40 mg/day on basis of tolerability Cialis: No dosage adjustment is warranted solely on basis of age; however, greater sensitivity to medications in some older individuals should be considered Adcirca: Lower dose or reduced dosing frequency may be required in elderly because of decreased renal or hepatic clearance Mild (CrCl 51 mL/min or more): No dosage adjustment needed Moderate (CrCl 30-50 mL/min): Not to exceed 5 mg orally once daily initially; maximum dosage, 10 mg orally every 48 hours Severe (CrCl less than 30 mL/min and on hemodialysis): Not to exceed 5 mg orally every 72 hours CrCl 30 mL/min or more: No dosage adjustment needed CrCl less than 30 mL/min: Not recommended Mild-to-moderate (CrCl 31-80 mL/min): 20 mg orally once daily initially; may be increased to 40 mg once daily on basis of tolerability Severe (CrCl less than 30 mL/min and on hemodialysis): Avoid use Mild-to-moderate (Child-Pugh class A or B): Not to exceed 10 mg orally once daily Severe (Child-Pugh class C): Not recommended Mild-to-moderate (Child-Pugh class A or B): Data limited; caution advised Severe (Child-Pugh class C): Not recommended Mild-to-moderate (Child-Pugh class A or B): Consider starting dosage of 20 mg orally once daily Severe (Child-Pugh class C): Avoid use Common side effects or health problems may include: Flushing (redness or warmth of the face, neck, or chest) Flu-like symptoms (such as stuffy nose, sneezing, or sore throat) Less common side effects of tadalafil include: Postmarketing side effects of tadalafil reported include: This is not a complete list of side effects and other serious side effects or health problems may occur as a result of the use of this drug. Call your doctor for medical advice about serious side effects or adverse reactions. You may report side effects or health problems to FDA at 1-800-FDA-1088. If your doctor has directed you to use this medication, your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of this medicine or any drug before seeking medical advice from your doctor, healthcare provider or pharmacist first.

Serious side effects of tadalafil

To do so may result in serious consequences or side effects. Tadalafil has serious interactions with at least 21 different drugs. Tadalafil has moderate interactions with at least 152different drugs. This document does not contain all possible interactions from the use of this medication. Therefore, before using this drug, tell your doctor or pharmacist of all the drugs you use.

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Dr. med. Fabienne Gretener

Werdegang

Januar 2024 bis heute
Oberärztin SenoMed AG
Schwerpunktsweiterbildung gynäkologische Senology

März 2023 – Dezember 2023
Oberärztin, SenoMed AG Bern 20%

Januar 2023 – November 2023
Assistenzärztin Psychiatrie, Klinik Meissenberg Zug

Januar 2021 – November 2022
Assistenzärztin Gynecology und Geburtshilfe, Bürgerspital Solothurn

November 2019 – Oktober 2020
Assistenzärztin Gynecology und Geburtshilfe, Kantonsspital Aarau

Januar 2017 – Juli 2019
Assistenzärztin Gynecology und Geburtshilfe, Kantonsspital Olten

Paul Laszlo Bernhard

Werdegang

Jan 2024 bis heute
Facharzt SenoMed AG – Brustzentrum Bern Biel

Aug 2019 – Dez 2023
Oberarzt Frauenklinik und Brustzentrum Bürgerspital, Solothurn, Schwerpunktweiterbildung operative Gynecology und Geburtshilfe sowie Senology

Mai 2019 Facharzttitel Gynecology & Geburtshilfe

Apr 2016 – Jul 2019
Arzt in Weiterbildung, Inselspital Bern, Universitätsklinik für Frauenheilkunde

Dez 2014 – Apr 2016
Arzt in Weiterbildung, Kantonsspital Baden

Sep 2012 – Sep 2014
Arzt in Weiterbildung, Universitätsklinikum Carl Gustav Carus, Dresden

Feb 2012 – Sep 2012
Arzt in Weiterbildung, Universitätsfrauenklinik Leipzig

Nov 2011 Approbation zum Arzt

2005 – 2011
Studium der Humanmedizin an der Charité, Universitätsmedizin Berlin

Dr. med. Patrizia Sager

Werdegang

Okt 2023 bis heute
Leiterin Weiterbildungsstätte gynäkologische Senology

Feb 2018 – bis heute
Leiterin Brustzentrum Bern Biel
Practiceinhaberin SenoMed AG

Nov 2017 – bis heute
Belegärztin Salem-Spital Bern

Jan 2013 – Okt 2017
Leitung Senology Brustzentrum Frauenklinik Universitätsspital Insel, Bern

Jan 2012 – Dez 2012
Oberärztin Gynecology / Geburtshilfe, Frauenklinik Universitätsspital Insel, Bern

Nov 2010 – Dez 2011
Leitende Ärztin Gynecology und Geburtshilfe, Frauenklinik Rheinfelden (DE)

Nov 2009 – Okt 2010
Oberärztin Gynecology und Geburtshilfe, Kantonsspital Liestal

Jan 2009 – Okt 2009
Oberärztin i.V. Gynecology und Geburtshilfe, Regionalspital Interlaken

Jun 2008 – Dez 2008
Assistenzärztin Gynecology und Geburtshilfe, Regionalspital Interlaken

Aug 2007 – Mai 2008
Assistenzärztin Gynecology und Geburtshilfe, Universitätsspital Zürich

Feb 2007 – Jun 2007
Oberärztin Gynecology und Geburtshilfe, Universitätsspital Groote Schuur, Kapstadt, Südafrika

Jan 2004 – Dez 2006
Assistenzärztin Gynecology und Geburtshilfe, Regionalspital Thun

Jan 2003 – Dez 2003
Assistenzärztin Chirurgie und Orthopädie, Regionalspital Thun

Schulen, Studium & Diplome

2023
Schwerpunkt gynäkologische Senology

2014
Diplom Senology SGGG

2013
Diplom Senology: European Academy of Senology

2010
FMH Gynecology und Geburtshilfe inkl. Schwerpunkt operative Gynecology

2003
Promotion

2002
Staatsexamen in Humanmedizin

1996 – 2002
Humanmedizinstudium Universitätsspital Basel

Mitglied- und Partnerschaften

  • Schweizerische Gesellschaft für Gynecology und Geburtshilfe SGGG
  • Schweizerische Gesellschaft für Senology SGS
  • Mitglieder Arbeitsgemeinschaft Gynäkologische Onkologie AGO, Schweiz
  • European Academy of Senology EAoS
  • SAKK Project-Group breast cancer
  • Schweizerische Gesellschaft für Ultraschall in der Medizin SGUM
  • Verbindung der Schweizer Ärzte und Ärztinnen FMH
  • Society of women in senology SWIS
  • Vorstandsmitglied Ärztenetzwerk Bern