Ciasel 60mg Tablet
Available Pack Sizes
Free Shipping
Order above $200.00
Worldwide Delivery
8-10 Business Days
24/7 Support
Solve your queries
- 100% Genuine Medicines
- Secure International Logistics
- Secure Payment
- Authentic Pharmaceutical Supplier
How to Order from Medionix Pharma
Add Products
Browse our medicines and add the required products to your cart.
Add Products to Cart
Order Method
Place your order easily through WhatsApp or Email support.
Choose Your Ordering Method
Share Details
Provide your delivery address and contact information.
Share Delivery & Prescription Details
Order Dispatched
Your order is packed securely and shipped worldwide.
Order Confirmation & Dispatch
What is Ciasel 60mg Used For?
- Ciasel 60mg is a high-potency Tadalafil tablet by Weefsel Pharma, prescribed exclusively for:
- Severe Refractory Erectile Dysfunction – For men who have failed standard and intermediate tadalafil doses under specialist medical supervision.
- Maximum Tadalafil Concentration – Triple the approved maximum on-demand dose, delivering the strongest oral tadalafil response within the 36-hour window.
- Specialist-Only Indication – Requires full cardiovascular evaluation and ongoing physician monitoring throughout treatment.
How Does Ciasel 60mg Work?
- Ciasel 60mg provides the highest available Tadalafil dose that:
- Achieves peak PDE-5 inhibition in penile vasculature at maximum systemic concentrations, sustaining the strongest cGMP levels during sexual arousal.
- Delivers the most pronounced corpus cavernosum vasodilation and blood engorgement available from oral tadalafil therapy.
- Requires sexual stimulation — produces no erection in the absence of arousal.
How to Use Ciasel 60mg
Dosage: One 60mg tablet strictly under specialist direction, 30–60 minutes before sexual activity.
Timing: Onset in 30–60 minutes; activity window up to 36 hours.
Precaution: Absolute contraindication with nitrates and riociguat. One dose per 24 hours. Full cardiac clearance required. Avoid alcohol and grapefruit.
Side Effects of Ciasel 60mg
Common Side Effects: Severe back pain, pronounced myalgia, headache, intense flushing, nasal congestion, dyspepsia.
Serious Side Effects (seek immediate medical help): Severe hypotension, priapism, sudden vision or hearing loss, syncope.
Ciasel Dosage Comparison Guide
| Strength | Best For | Onset | Duration | Link |
|---|---|---|---|---|
| 10 mg | Lower strength option | 30–120 min | Up to 36 hrs | View → |
| 20 MG | Standard strength option | 30–120 min | Up to 36 hrs | View → |
| 40 MG | Popular strength option | 30–120 min | Up to 36 hrs | View → |
| 60 mg | Higher strength option | 30–120 min | Up to 36 hrs | Current |
| 80 MG | Maximum strength variant | 30–120 min | Up to 36 hrs | View → |
* Always consult your doctor before changing your dosage. This information is for educational reference only.
Drug Interactions — Important Information
| Drug / Substance | Interaction Type | Risk Level | Action Required |
|---|---|---|---|
| Nitrates (GTN, isosorbide, PETN) | Severe hypotension — risk prolonged by 36-hr half-life | 🔴 Absolute Contraindication | Do NOT combine — risk of fatal BP drop |
| Other PDE-5 inhibitors | Additive vasodilation | 🔴 Contraindicated | Never combine two PDE-5 inhibitors |
| Alpha-blockers (tamsulosin, doxazosin) | Additive hypotension | 🟠 Serious | Start at lowest tadalafil dose; physician supervision required |
| Ritonavir / HIV protease inhibitors | CYP3A4 inhibition — markedly increases tadalafil exposure | 🟠 Serious | Maximum 10 mg per 72 hrs; dose reduction required |
| Rifampicin / CYP3A4 inducers | CYP3A4 induction — reduces tadalafil efficacy | 🟠 Serious | Dose increase may be needed; monitor clinical response |
| Ketoconazole / Itraconazole | CYP3A4 inhibition | 🟡 Moderate | Reduce dose; avoid if possible |
| Alcohol (heavy use) | Additive vasodilation and dizziness | 🟡 Moderate | Limit alcohol consumption |
Always inform your doctor about all medications, supplements, and recreational substances you are taking before starting this medication. This list is not exhaustive.
Frequently Asked Questions
Q1: What is Ciasel 60mg used for?
Ciasel 60mg contains Tadalafil 60mg — triple the standard maximum approved dose — and is prescribed only for severe refractory erectile dysfunction in men who have failed lower tadalafil doses under specialist care.
Q2: Who manufactures Ciasel 60mg?
Ciasel 60mg is manufactured by Weefsel Pharma, which produces high-potency tadalafil formulations for men with refractory erectile dysfunction where standard doses have proven insufficient.
Q3: What makes Ciasel 60mg different from Ciasel 10mg?
Ciasel 60mg delivers six times the tadalafil dose of the 10mg tablet. It produces substantially stronger PDE-5 inhibition and vasodilation for refractory cases, at a proportionally higher risk profile requiring specialist oversight.
Q4: What is the main cardiovascular risk with Ciasel 60mg?
At 60mg, tadalafil can cause clinically significant systemic hypotension. Blood pressure monitoring before and after the first dose is strongly advised, and cardiovascular clearance is mandatory before initiation.
Q5: Who is contraindicated for Ciasel 60mg?
Men taking organic nitrates, riociguat, alpha-blockers, or those with severe cardiovascular disease, recent MI or stroke, severe hepatic impairment, uncontrolled hypertension, or hereditary retinal disease must not use Ciasel 60mg.
Q6: How long does Ciasel 60mg last?
Ciasel 60mg provides the same 36-hour activity window as all on-demand tadalafil doses. At 60mg, the elevated plasma concentration sustains maximum effect throughout the full extended window.
Q7: Is priapism a significant risk with Ciasel 60mg?
Yes. Priapism risk escalates with tadalafil dose. At 60mg, this risk is substantially elevated compared to standard doses. Any erection persisting beyond 4 hours requires immediate emergency medical treatment.
Q8: Can alcohol be taken with Ciasel 60mg?
No. Alcohol must be strictly avoided with Ciasel 60mg. Even moderate consumption can produce dangerous additive hypotension at this high tadalafil dose, with risk of syncope particularly during or after physical activity.
Q9: Are there safer alternatives to Ciasel 60mg?
Before using above-guideline oral tadalafil, physicians typically recommend intracavernosal injections, vacuum erection devices, or surgical prosthesis as safer, established alternatives for severe refractory ED.
Q10: Can Ciasel 60mg be used alongside Ciasel 10mg?
No. Combining any two tadalafil formulations or any two PDE-5 inhibitors creates dangerous additive hypotension and is absolutely contraindicated. Only one product should be used at a time.
Q11: Can Ciasel 60mg be taken daily?
No. Ciasel 60mg is an on-demand tablet not intended for daily use. High-dose above-guideline tadalafil is used only periodically under specialist supervision, never on a daily continuous dosing schedule.
Q12: Is a prescription required for Ciasel 60mg?
Yes, and active specialist supervision is specifically required. Ciasel 60mg must not be self-prescribed. A physician must document the medical justification and provide ongoing cardiovascular monitoring during treatment.
Related Reading:
Customer Reviews
Nathan G.
Spain · 4 months ago
“Reasonable delivery to Spain — about 14 days. Product is exactly as described, tablets look and work authentic.”
Daniel F.
Australia · 3 weeks ago
“Good delivery time — 11 days to Sydney. Packaging was plain and discreet. Product quality matches the description exactly.”
Andrew P.
Netherlands · 6 weeks ago
“Delivery took about 13 days to the Netherlands. Tablets were in original sealed blisters. No issues with customs at all.”
Brian K.
Australia · 3 months ago
“Packaging was incredibly discreet. Tablets are sealed with lot number and manufacturing date visible. Genuine product.”
Luke H.
UK · 4 months ago
“Ordered Vidalista 20mg. Arrived in 9 days to London. Completely plain packaging with no indication of contents.”
Related Products
Clinical References
This product information is supported by peer-reviewed clinical evidence:
- Brock GB, et al. (2002). Efficacy and safety of tadalafil for the treatment of erectile dysfunction: results of integrated analyses. Journal of Urology, 168(4), 1332–1336. [PubMed: 12352386]
- Porst H, et al. (2008). Long-term safety and efficacy of tadalafil 5 mg dosed once daily in men with erectile dysfunction. Journal of Sexual Medicine, 5(9), 2160–2169. [PubMed: 18557812]
- Burnett AL, et al. (2018). Erectile Dysfunction: AUA Guideline. Journal of Urology, 200(3), 633–641. [PubMed: 29746858]
- Hatzimouratidis K, et al. (2010). EAU Guidelines on Male Sexual Dysfunction. European Urology, 57(5), 804–814. [PubMed: 20189712]
Disclaimer
The information provided on Medionix Pharma is intended for general informational purposes only. It should not be considered as medical advice, diagnosis, or treatment. Always consult a qualified healthcare professional before using any medication or starting any treatment.
Medionix Pharma does not encourage self-medication. Customers are responsible for ensuring that purchases comply with local laws and prescription requirements in their country. If you have any questions or concerns regarding the content on our website, please contact us at sales@medionixpharma.com.