Nightmax 20 Tablet

Nightmax 20 Tablet is a prescription tablet that contains tadalafil 20 mg in each tablet. It belongs to a class of medicines called phosphodiesterase type 5 (PDE5) inhibitors and is used to treat erectile dysfunction (ED) in men. By improving blood flow to the penis when sexually stimulated, Nightmax 20 Tablet can help support an erection that is firm enough for sexual activity. This is the higher-strength Nightmax tablet, so it is generally used only when a clinician has decided that a 20 mg dose is appropriate.

How it works: Tadalafil in Nightmax 20 Tablet relaxes the smooth muscle and widens blood vessels in the penis, which helps increase blood flow during sexual arousal. As a tablet, it is swallowed and absorbed through the digestive system before it starts working.

Nightmax 20 Tablet is stronger than Nightmax 10 Tablet, so it is not the usual starting option for everyone. A doctor may choose this strength for men who need a higher tadalafil dose after assessing response, tolerability, and medical history. Because it is a higher-strength tablet, side effects such as headache, flushing, or low blood pressure symptoms may be more noticeable in some people.

• Treatment of erectile dysfunction (ED)
• Improving the ability to get and keep an erection
• Men's health use prescribed by a clinician for sexual performance concerns

• Swallow Nightmax 20 Tablet whole with water; do not crush, split, or chew unless your prescriber says otherwise.
• Take it only as directed before sexual activity; it is not meant to be taken more than once in a 24-hour period.
• Sexual stimulation is still needed for it to work.
• You may take it with or without food; a very heavy meal may make onset feel slower for some people.
• Avoid taking extra tablets if the effect is not immediate, since tadalafil can remain active for many hours.

Nightmax 20 Tablet provides tadalafil 20 mg per tablet, which is the higher-strength tablet in this brand line. For erectile dysfunction, tadalafil is generally taken as needed, and the doctor decides whether 20 mg is appropriate based on your response and health status. Do not take more than one Nightmax 20 Tablet in 24 hours unless your clinician specifically instructs you otherwise.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Tadalafil may include:

• Headache, which may be more noticeable with this 20 mg strength
• Flushing or warmth in the face
• Indigestion or stomach upset
• Back pain
• Muscle aches
• Nasal congestion or a stuffy nose
• Dizziness or lightheadedness

• Do not use Nightmax 20 Tablet with nitrates such as nitroglycerin or isosorbide, because this can cause a dangerous drop in blood pressure.
• Use extra caution if you have heart disease, a recent heart attack or stroke, low blood pressure, or uncontrolled high blood pressure.
• Alcohol can worsen dizziness, flushing, and blood pressure drops, especially with a higher-strength tablet like Nightmax 20 Tablet.
• Tell your clinician if you have kidney disease, liver disease, or are older and sensitive to blood-pressure effects.
• Do not combine it with other erectile dysfunction medicines or recreational drugs called "poppers" that contain nitrates.
• If you get chest pain during sex, stop activity and seek urgent medical help.
• Do not drive or operate machinery if you feel dizzy or unwell after taking it.

• Nitrates for chest pain or heart disease
• Alpha-blockers used for prostate problems or high blood pressure
• Other PDE5 inhibitors or erectile dysfunction treatments
• Riociguat
• Certain medicines that strongly affect tadalafil levels, such as some antifungals, antibiotics, or HIV protease inhibitors

Store Nightmax 20 Tablet in its original strip or box at room temperature, away from moisture, heat, and direct light.