Balkan Esculap 20 tablets


Manufacturer: Balkan Pharmaceuticals, Moldova.

Substance: Tadalafil.

Package: 20 tabs (20 mg/tab).


Esculap is an oral drug that is used for treating impotence (erectile dysfunction, ED). It is in a class of drugs called phosphodiesterase inhibitors. The most common side effects of Esculap are facial flushing (reddening), headaches, stomach upset, diarrhea, flu-like symptoms, and nausea. Esculap also may cause low blood pressure, blurred vision and changes in color vision, abnormal ejaculation, and priapism.

The recommended dose of Esculap is 5-20 mg per day taken before sexual activity. The breakdown and elimination of Esculap from the body may be decreased by erythromycin, ketoconazole (Nizoral), itraconazole (Sporanox), indinavir (Crixivan) and ritonavir (Norvir). Therefore, these drugs may increase the levels of Esculap in the blood. Esculap exaggerates the increases in heart rate and lowering of blood pressure caused by nitrates (for example, nitroglycerin, isosorbide dinitrate (Isordil), isosorbide mononitrate (Imdur). Esculap is not approved for use in women and has not been evaluated in women who are breastfeeding.

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