This drug is sold without a prescription but you should not use it without consulting your doctor first. After Apcalis SX is taken, the effect can be reached within 30 minutes - 1 hour period and persists up tot 36 hours. Apcalis SX is available in 20 mg. The recommended dose is no more then one pill of 20 mg per day. Avoid drinking grapefruit juice, alcoholic beverages, use tobacco if you are taking Apcalis SX.
Tobacco in combination with Apcalis SX may cause a condition called NAION (sudden optic nerve-related vision loss). Inform your doctor before to take Apcalis SX 20 mg tablets if you have abnormal penis, including curved penis and birth defects of the penis, had coronary artery disease, arrhythmia, angina, heart attack or heart failure, hypo- or hypertension, bleeding, stomach ulcers, diabetes, hyperlipidemia (excess of lipids in the blood), sickle-cell anemia, liver or kidney failure in history.