Cialis 20mg Tablets (Tadalafil)
₨4,000.00
Cialis 20mg tablets contain tadalafil — a clinically proven, DRAP-registered treatment for erectile dysfunction (ED) and benign prostatic hyperplasia (BPH, enlarged prostate) in adult men. Manufactured by Lilly ICOS, Cialis is uniquely effective for up to 36 hours, far longer than other ED medicines, which is why it is commonly known as “the weekend pill.” At Online Pharmacy, we stock original, authentic Lilly Cialis with same-day delivery in Karachi and discreet nationwide delivery.
Product Description
Brand: Cialis 20mg
Form: Tablets
Packet Size: 4’s Tablets
Active ingredient: Tadalafil
Manufacturer: Lilly ICOS
Treatment: Men over 18 with impotence/erectile dysfunction
Same Product in Different Strength: Cialis 5mg Tablet (Tadalafil)
✓ Medically reviewed by
Dr. Irfan Zia
Pharm.D · DRAP Reg. No. 1921245 · Reviewed March 2026
This product has been reviewed and approved by our DRAP-registered pharmacist for clinical accuracy. All medicines on onlinepharmacy.pk are authentic and sourced from licensed suppliers.
Additional Details Of Cialis 20mg Tablets
Cialis 20mg Tablets Uses & Benefits
The uses of the Cialis 20mg Tablets are including for ED, BPH. To more information read it below.
Erectile dysfunction (ED): This is when a man has trouble getting or keeping an erection.
Benign prostatic hyperplasia (BPH): This is a condition where the prostate gland enlarges. Symptoms of BPH include starting urination, where Cialis relaxes the muscles in the prostate and bladder.
Cialis 20mg Tablet Uses in Urdu
Does Cialis Tablet Interact With Foods or Drinks?
Cialis (tadalafil) generally doesn’t have significant interactions with most foods or drinks. However, there are a few things to keep in mind:
Fatty Meals: While Cialis can be taken with or without food, a large or fatty meal may delay how quickly the medication starts to work. It doesn’t necessarily reduce its effectiveness, but it may take longer for the effects to kick in.
Alcohol: Drinking excessive alcohol can reduce the effectiveness of Cialis and increase the risk of side effects, such as dizziness, headaches, or low blood pressure. It’s best to limit alcohol intake when using Cialis.
How Does Cialis Tablet Work?
Sexual Stimulation: When a man is sexually stimulated this body releases a chemical called nitric oxide. Nitric oxide relaxes the muscles and flow blood in the penis.
Blood Flow Increase: Cialis works by inhibiting the breakdown of nitric oxide. This helps to keep the muscles in the penis relaxed and allows more blood to flow into the penis.
Erection: The increased blood flow to the penis can cause an erection.
How Should You Take Cialis 20mg Tablet?
You should swallow the tablet with a whole glass of water and take one tablet at least 30 minutes before sexual activity.
| Topic | What To Do |
|---|---|
| Purpose | 20 mg is usually an on-demand dose for erectile dysfunction (ED). It’s not the standard daily dose. |
| When to take | Take about 30 minutes before sexual activity. The effect can last up to 36 hours. |
| How to take | Swallow whole with water, with or without food (heavy meals may slow the start). Avoid grapefruit juice. |
| How often | No more than once per day. Don’t take extra doses to “boost” the effect. |
| Alcohol | Keep it light, too much alcohol can cause dizziness/low blood pressure and reduce performance. |
| Do NOT combine | Nitrates (for chest pain) or riociguat (for lung blood pressure). Dangerous blood-pressure drop risk. |
| Caution with | Alpha-blockers or strong blood-pressure meds (may lower BP further). Ask your doctor. |
How Long Does Cialis Last?
Cialis can last up to 36 hours in your system, which is why it’s often referred to as the weekend pill.
Cialis 20mg vs Cialis 5mg — which is right for you?
The two standard doses of Cialis serve different purposes. Cialis 20mg is taken as needed before sexual activity and provides a 36-hour window of effectiveness. Cialis 5mg is taken daily and provides continuous, lower-level tadalafil for men who prefer spontaneity or are treating BPH. Your doctor will advise which dose is appropriate based on your age, health, and frequency of sexual activity.
Cialis vs Viagra — the key difference
The main clinical difference between Cialis (tadalafil) and Viagra (sildenafil) is duration of action. Viagra typically works for 4 to 6 hours. Cialis works for up to 36 hours, giving significantly more flexibility. Additionally, Cialis is not significantly affected by fatty meals, while Viagra absorption is slowed by high-fat food. Both have similar efficacy rates for erectile dysfunction.
Why buy Cialis 20mg from Online Pharmacy?
- 100% original Cialis 20mg — sourced directly from licensed distributors
- DRAP-registered pharmacy — legally licensed to dispense prescription medicines
- Pharmacist prescription verification before every order
- Same-day delivery in Karachi — order before 12 PM on business days
- Discreet plain packaging — no pharmacy name or product details on outer box
- Free pharmacist consultation — WhatsApp or phone before or after purchase
Medical disclaimer: This information is for educational purposes only and does not replace the advice of your registered physician or pharmacist. Always consult a healthcare professional before starting any new medication. For emergencies call 1122.
Recommended Dosage of Cialis 20mg Tablets
The recommended dosage of Cialis is one 20mg tablet per day. For more about information, be sure to visit Online Pharmacy for Cialis 20mg price in Pakistan
Warnings and Precautions of Cialis 20mg Tablets
Do Not Take Cialis If You:
Have an allergy to tadalafil (the active ingredient in Cialis)
Make sure you don’t take Cialis if you are using nitrates (medications for chest pain or heart problems) such as nitroglycerin, isosorbide dinitrate, or isosorbide mononitrate, or recreational drugs like amyl nitrate or nitrate “poppers”. Taking these tablets together will give a drop in blood pressure.
Have certain medical conditions, including:
- Severe heart disease
- Uncontrolled high blood pressure or low blood pressure
- Recent heart attack, stroke, or life-threatening irregular heartbeat
- Severe liver or kidney problems
- Loss of vision in one eye due to non-arteritic anterior ischemic optic neuropathy (NAION)
Warnings And Precautions:
Sexual activity can put a strain on your heart, especially for those with heart problems. Discuss this risk with your doctor before taking Cialis.
Priapism: This is a prolonged and potentially painful erection lasting more than 4 hours. If you experience this, seek immediate medical attention to avoid permanent damage.
Vision changes: Sudden vision loss, blurred vision, or distorted vision have been reported in rare cases.
Dizziness: Cialis can give you dizziness, especially when you combine it with alcohol or marijuana.
Possible Side Effects of Cialis 20mg Tablets
Common Side Effects
These are generally mild and may go away on their own with continued use. it’s very important to talk with your doctor for Cialis 20mg dose guidance.
- Headache
- Flushing
- Heartburn
- Nausea
- Back pain
- Runny nose
- Dizziness
Serious Side Effects:
If you are suffering with serious side effects then its very important to talk with your doctor for guidance.
- Sudden vision loss in one or both eyes.
- Hearing changes, like ringing in the ears or sudden hearing loss.
- Chest pain, pain radiating to the jaw or arm, nausea, or sweating (signs of a potential heart attack).
- dizziness or faint.
- priapism
- Trouble breathing, and swelling of the face, lips, tongue, or throat.
Cialis 20mg Tablet Side Effects in Urdu
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عام: سر درد، چہرہ سرخ/گرم، بدہضمی، ناک بند، کمر/پٹھوں میں درد، ہلکا چکر۔
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کم عام: متلی، دست، جسم درد، نظر میں ہلکی نیلاہٹ۔
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خطرناک (فوراً ڈاکٹر): 4 گھنٹے سے زیادہ دردناک تناؤ، اچانک نظر/سننے میں کمی، سینے میں درد، شدید الرجی (منہ/گلا سوجنا)۔
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نوٹ: تشویش ہو تو ڈاکٹر سے رجوع کریں۔
Common and Uncommon Side Effects of Cialis 20mg Tablets
| Very Common (>1 in 10) | Common (1–10%) | Uncommon (<1%) | Rare but Serious |
|---|---|---|---|
| Headache | Flushing, nasal stuffiness, indigestion | Back or muscle ache, mild vision tint, slight dizziness | Chest pain, sudden hearing drop, priapism, severe allergic swelling |
Yashir Khan –
Satisfied with the product.
Kamran Hussain –
Tried Viagra before but prefer Cialis because of the longer duration. No need to plan exactly when to take it. Received original Lilly packaging with full batch details. Delivery was fast.
Tariq Nawaz –
Ordered twice now. Both times received original Lilly Cialis with intact hologram seal. Packaging was discreet. The pharmacist consultation before first order gave me confidence in the platform.
Imran Baig –
Product quality is good and authentic. Delivery to Multan took 4 days which could be faster but the packaging was secure and product was genuine. Would order again.
Adeel Qureshi –
Doctor prescribed Cialis 20mg as an alternative. Ordered from Online Pharmacy and was satisfied — genuine product, properly sealed, and helpful pharmacist who answered my dosage questions on WhatsApp.
Waqas Rehman –
Uploaded my prescription photo at checkout and received confirmation from the pharmacist within 2 hours. Appreciate the proper process. Product arrived sealed and authentic.