What is a minor ailment cialis 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 the 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. Cialis improves erection and let’s achieve a successful sexual intercourse. The drug acts for 36 hours. If sexual arousal is present the effect appears even after 16 minutes after the medication was taken. Take Dapoxetine by mouth with a glass of water, with or without food. Avoid cutting, crushing or chewing this medicine. Do not take the medicine more often than it is prescribed. Do not give up taking it except on the advice of your doctor. It may need time for the medicine to help. Consult your doctor concerning the proper dose for you. Do not take this medication without doctor advice if you have chronic malabsorption syndrome or gallbladder problems. Do not use Orlistat if your medical history includes kidney stones, have anorexia or bulimia, have diabetes, take cyclosporine, or take any other weight-loss medicine. Weight loss begins within two weeks and continues for years. The effect of using Orlistat for more than 2 years is still unknown. If you have diabetes, weight-loss is likely to reduce your blood sugar levels. Consult to your doctor about the dosage of Orlistat if you’re taking oral diabetes medication or insulin. Orlistat should not be used during pregnancy, becoming pregnancy or lactating. Do not use before breast-feeding without doctor’s permission.