Cialis (tadalafil) cov hmoov nplej hmoov: 171596-29-5

↵

Cialis (Tadalafil) yog ib qho tshuaj siv los kho erectile kawg (ED) thiab benign prostatic hyperplasia (BPH) hauv cov txiv neej. Nws belongs rau chav kawm ntawm phosphodiesterase type 5 (PDE5) inhibitors. Tadalafil, raws li nws cov active ingredient, yog ib tug nquag siv tshuaj nyob rau hauv kev kho mob xyaum nrog ib tug ntev lub sij hawm ntawm kev ua. Nws feem ntau hu ua "cov ntsiav tshuaj hnub so" vim tias nws cov nyhuv tuaj yeem nyob ntev li 48 teev, ntev dua li lwm cov tshuaj zoo sib xws (xws li Viagra, sildenafil).

### 1. ** Lub cev thiab tshuaj lom neeg **

- **} [{{{}}} h-} h-pyrrolo [3, 4- b] quinazolin -1- yl) {}}}}}}} {} {16} {16} -4- yl] meth] (6, 7-}}} {19} h-} h-} h-}}} {23}}

- ** Molecular cov mis **: C22H19N3O4

- ** Molecular hnyav **: 389.41 G / Mol

- ** Pom zoo **: Tadalafil feem ntau tshwm nyob rau hauv daim ntawv ntawm crystalline hmoov. Raws li ib qho hmoov nplej nyoos, nws yog ib qho dawb lossis tawv-dawb crystalline hmoov.

- ** Solubility **: Tadalafil muaj solubility qis hauv dej, tab sis yog ntau soluble hauv cawv cov kuab tshuaj (xws li ethanol).

### 2. **Pharmacological mechanism**

Tadalafil nce kev so ntawm cov leeg ua du thiab txhawb kom cov ntshav ntws los ntawm kev cuam tshuam PDE5 (phosphodiester type 5), yog li txhim kho erectile muaj nuj nqi. PDE5 feem ntau degrades cyclic adenosine monophosate (CGMP), uas yog lub luag haujlwm tseem ceeb hauv txiv neej erection txheej txheem. Tadalafil inhibits cov kev ua si ntawm PDE5, yog li txhim kho cov nyhuv ntawm CGMP, txhawb vasodation, thiab ua tiav cov txiaj ntsig ntawm kev tswj hwm erection.

### 3. **Kev siv thiab siv**

Tadalafil feem ntau yog noj hauv qhov ncauj, thiab qhov ntau npaum li cas yog:

- ** Kev kho ntawm erectile kawg **:

- Cov koob tshuaj thawj zaug feem ntau yog 10 mg ib zaug ib hnub, uas tuaj yeem hloov kho raws li cov txiaj ntsig thiab kev zam, nrog qhov siab tshaj plaws ntawm 20 mg.

- Vim yog qhov ua haujlwm ntev ntawm Tadalafil, nws kuj tuaj yeem noj raws li qhov xav tau, thiab cov neeg mob tuaj yeem noj nws li 30 feeb mus rau 1 teev ua ntej kev npaj kev sib deev.

- Rau cov neeg mob noj nws txhua hnub, koob tshuaj qis dua (2.5 mg lossis 5 mg) feem ntau yog cov koob tshuaj pom zoo.

- **Benign prostatic hyperplasia (BPH)**:

- Cov koob tshuaj pom zoo yog 5 mg ib zaug txhua hnub, feem ntau yog rau kev kho tas li.

- ** Lwm yam kev siv **: Tadalafil kuj tseem siv tau rau kev kho mob ntshav siab (tshwj xeeb yog tus kws kho mob txiav txim siab).

### 4. ** Ib nrab-lub neej thiab pharmacokinetics **

- **Half-life**: Tadalafil muaj ib nrab-lub neej ntev li ntawm 17.5 teev (piv rau lwm PDE5 inhibitors, xws li sildenafil, uas muaj ib nrab-lub neej ntawm 4-5 teev), yog li nws kuj muaj. lub sijhawm ntev ntawm kev ua haujlwm hauv lub cev.

- ** Lub Sij Hawm Ua Haujlwm **: Tadalafil cov teebmeem tuaj yeem kav ntev txog 48 teev, yog li nws feem ntau hu ua "cov ntsiav tshuaj hnub so."

- **Qhov pib ntawm kev nqis tes ua**: Feem ntau nws yuav siv sij hawm 30 feeb mus rau 1 teev tom qab noj nws, tab sis qee zaus nws yuav siv sij hawm ntev dua kom siv tau.

- ** Qhov ncauj nqus **: Tadalafil tau nqus los ntawm cov hnyuv tom qab kev tswj hwm qhov ncauj thiab metabolized los ntawm lub siab, feem ntau yog los ntawm CYP3A4 enzyme system, yog li kev sib cuam tshuam ntawm cov tshuaj yuav tshwm sim nrog qee yam tshuaj (xws li qee cov tshuaj tua kab mob, tshuaj tua kab mob, thiab lwm yam). .

### 5. ** Lub voj voog thiab cov kev siv kev siv tswv yim **

- ** EIB THINCATE **: Tadalafil cov teebmeem tuaj yeem nyob ntev li 48 teev, yog li nws tsis tas yuav tsum tau ua ntau. Rau kev kho mob ntev (xws li bph), feem ntau yog ib feem ntau ntawm kev siv lub voj voog ruaj khov, thiab nws tau coj mus ntev nyob rau hauv tus kws kho mob.

- **Drug Tolerance**: Tadalafil feem ntau zam tau zoo thiab muaj kev phiv tsawg. Nws raug pom zoo kom kho thiab siv raws li tus kws kho mob cov lus qhia.

### 6. **Side Effects**

Tadalafil cov kev mob tshwm sim feem ntau me me, tab sis kuj yuav suav nrog:

- ** Cov Kev Phem Feem Ntau **: Mob taub hau, lub ntsej muag tawm, plab zom mov, mob nraub qaum, mob leeg, qhov ntswg congestion, thiab lwm yam.

- ** Kev mob tshwm sim loj heev ** Yog tias koj muaj kev hnov ​​tsis taus, ua pa, ua pa tawm hauv siab dua 4 teev), koj yuav tsum nrhiav kev kho mob sai sai.

### 7. **Kev Sib Tham Txog Tshuaj**

Tadalafil yuav cuam tshuam nrog qee cov tshuaj, tshwj xeeb tshaj yog thaum siv cov tshuaj hypotension (xws li cov tshuaj tsis zoo (xws li cov tshuaj tiv thaiv ntshav, tshuaj siv los kho ntshav siab, thiab lwm yam). Ib qho ntxiv, Tadalafil kuj tseem sib tham nrog qee cov tshuaj tiv thaiv kab mob, tshuaj tua kab mob, lossis tshuaj tua kab mob.

### 8. **Siv Tadalafil Raws Powder**

Raws li cov hmoov nyoos, Tadalafil hmoov feem ntau yog siv los ntawm cov tuam txhab tshuaj lossis cov chaw soj nstuam rau kev tsim tshuaj lossis kev tshawb fawb. Thaum yuav cov hmoov nyoos, kev saib xyuas tshwj xeeb yuav tsum tau them rau ntau npaum li cas thiab kev tswj kom zoo. Tadalafil hauv daim ntawv hmoov feem ntau tsis siv ncaj qha rau kev kho mob lossis tsis yog chaw kho mob, tab sis yog siv hauv kev tsim tshuaj tom qab tau tsim thiab ua qauv nrog cov tshuaj tsim nyog.

### cov ntsiab lus

Tadalafil (Cialis) yog ib qho tshuaj siv los kho cov txiv neej erectile kawg thiab benign prostatic hyperplasia. Nws yog dav lub npe hu ua "lub lis piam ntsiav tshuaj" vim nws lub sijhawm ntev ntawm kev ua. Nws cov tshuaj pharmacological yog los txhim kho qhov kev txiav txim ntawm cGMP los ntawm inhibiting PDE5 enzyme, txhawb cov ntshav ntws mus rau qhov chaw mos, yog li pab cov neeg mob txhim kho erectile muaj nuj nqi. Txawm hais tias Tadalafil muaj cov kev mob tshwm sim tsawg dua thiab tau txais txiaj ntsig zoo los ntawm cov neeg mob feem ntau, nws tseem yuav tsum ua raws li tus kws kho mob cov tshuaj noj thiab cov lus qhia siv kom tsis txhob muaj kev phiv tsis tsim nyog thiab kev cuam tshuam tshuaj.

Cialis (Tadalafil) Cov khoom siv raw hmoov nyoos, ua haujlwm cov hauv paus ntsiab lus, siv thiab ntau npaum li cas:

### 1. Cov pej xeem siv

1. ** Cov neeg mob nrog erectile kawg (ed) **:

- ** Cialis ** (Tadalafil) yog siv los kho txiv neej erectile kawg (ED), tseem hu ua impotence. Ed hais txog cov txiv neej tsis muaj peev xwm kom tau los yog tswj kom muaj kev sib daj sib deev rau kev sib deev ib txwm muaj.

2. ** Cov neeg mob nrog benign prostatic hyperplasia (bpph) **:

- Cialis tseem siv los kho benign prostatic hyperplasia (bpph), uas yog cov tsos mob xws li cov zis tsis zoo los ntawm cov qog loj.

3. ** Kev kho ua ke**:

- Qee qhov kev sim tshuaj tau pom tias Tadalafil tuaj yeem kho cov txiv neej nrog ED thiab BPH tib lub sijhawm, yog li txhim kho cov tsos mob ntawm urethral thiab erectile muaj nuj nqi.

4. **Cov neeg mob pulmonary arterial hypertension (PAH):

- Tadalafil kuj tseem tuaj yeem siv los kho cov hlab ntsws ntshav siab (PAH), txhim kho pulmonary vascular siab, txo cov tsos mob, thiab txhim kho kev tawm dag zog.

### 2. Lub hauv paus ntsiab lus ua haujlwm

Tus txheej txheem ua hauj lwm ntawm tadalafil (cialis) feem ntau yog nce cov ntshav ntws mus rau tus nooviting ** phosphodiesters hom 5 (PDE5) ** thiab txhim kho cov nyhuv ntawm ** nitric oxide (tsis yog) **. Cov txheej txheem tshwj xeeb yog raws li hauv qab no:

1. ** Nitric oxide tso tawm **: Thaum lub sij hawm kev sib deev stimulation, paj hlwb nyob rau hauv noov tso nitric oxide.

2. ** Kev cuam tshuam PDE5 enzyme **: Tadalafil inhibits cov kev ua ntawm PDE5 enzyme, uas feem ntau tawg cia ** cyclic adenosine monophosphate (CGMP) **. Nyob rau hauv qhov kev txiav txim ntawm nitric oxide, CGMP txhawb nqa cov leeg nqaij kom huv, thiab ua kom cov ntshav ntws mus rau lub coris, yog li ua tiav cov txiaj ntsig erection.

3. ** Kev nqis sij hawm rau lwm tus **: piv nrog lwm PDE5 Inhibitors (xws li Viagra), Tadalafil muaj lub sijhawm ntev dua. Nws lub sijhawm tuaj yeem nce txog li 36 teev, yog li nws hu ua "Ntse Ntsiav tshuaj" hnub so ". Qhov no txhais tau tias tom qab noj tshuaj, erectile muaj nuj nqi tuaj yeem ntev, thiab nws tsis tas yuav teem sijhawm rau cov tshuaj kho kom meej raws li kev sib deev.

### 3. Kev siv thiab ntau npaum li cas

**Kev siv thiab ntau npaum li cas ntawm Cialis** (Tadalafil) feem ntau yog nyob ntawm lub hom phiaj kho mob tshwj xeeb thiab qhov xwm txheej ntawm tus neeg mob.

1. **Rau erectile kawg (ED)**:

- ** XOOM TXUJ CI TXHUA YAM *: Feem ntau ** 2.5mg lossis 5mg **, cov neeg mob yuav tsum tau noj ib hnub twg, tsis txwv los ntawm kev sib deev.

- **Kev siv raws li qhov xav tau**: Yog tias siv raws li qhov xav tau, koob tshuaj feem ntau yog ** 10mg lossis 20mg **, noj li 30 feeb mus rau 1 teev ua ntej teem sijhawm sib deev. Nyob ntawm tus neeg mob cov lus teb thiab kev ua siab ntev, koob tshuaj tuaj yeem hloov kho rau ** 5mg, 10mg lossis 20mg **.

2. ** Rau benign prostatic hyperplasia (bpph) **:

- ** Ib qho koob tshuaj **: Cov koob tshuaj uas ib txwm muaj ** 5mg ** ib zaug ib hnub, feem ntau yog siv los txhim kho cov kev tiv thaiv tso zis.

3. ** Rau cov kab mob pulmonary bypertion (pah) **:

- ** Koob tshuaj pom zoo ** ** Daim ntawv tshuaj uas ib txwm muaj los kho cov mob ntshav siab tawv yog **, muab faib ua ob zaug (20mg thaum sawv ntxov thiab 20mg thaum yav tsaus ntuj).

4. **Kev ceev faj rau kev siv**:

- Txoj kev txhaj tshuaj yuav tsum tau hloov kho raws li kws kho mob cov lus qhia, tshwj xeeb tshaj yog tias muaj kev mob siab thiab mob raum tsis, thiab lwm yam tshuaj siv.

- Yog tias muaj lub siab dhia dej thiab lub raum tsis sib xws los yog cov koob tshuaj plawv, cov koob tshuaj lossis cov koob tshuaj yuav tsum zam.

- Nws yog ib qho tsim nyog yuav tau xyuam xim rau kev sib cuam tshuam nrog qee cov tshuaj, xws li ** nitroglycerin ** tshuaj, -receptor antagonists, thiab lwm yam.

### 4. Kev ceev faj thiab phiv

1. ** Kev phiv zoo ** **:

- Mob taub hau, plab zom mov, mob nraub qaum, mob leeg, mob lub ntsej muag, qhov ntswg congestion, thiab lwm yam.

2. ** Kev mob tshwm sim hnyav **:

- Erection kav ntev tshaj li 4 teev (qhov txawv txav ntawm noov erection, hu ua "persistent penile erection"), koj yuav tsum tau mus nrhiav kev kho mob tam sim ntawd.

- Yog tias koj muaj cov tsos mob xws li qhov muag plooj thiab tsis hnov ​​lus, koj yuav tsum tsis txhob siv nws thiab nrhiav kev kho mob hauv lub sijhawm.

3. ** Tej yam me me **:

- Cov neeg uas ua xua rau tadalafil lossis lwm yam pde5 inibitors.

- Cov neeg mob uas siv cov tshuaj nitrate (xws li nitroglycerin) tib lub sijhawm, raws li lawv yuav raug kev txom nyem los ntawm cov hypotension loj.

### 5. Ntsiab Lus

Cialis (Tadalafil) nce ntshav ntws los ntawm inhibiting qhov kev ua ntawm PDE5 enzyme, yog li kho erectile kawg (ED), benign prostatic hyperplasia (BPH), thiab pulmonary hypertension. Qhov ntau npaum thiab txoj kev tswj hwm nws txawv nyob ntawm tus kab mob thiab tus neeg mob lub cev. Thaum siv, ua raws li tus kws kho mob cov lus qhia thiab tsis txhob siv tshuaj ntau dhau lossis ua ke nrog cov tshuaj tsis tsim nyog.

Cialis (Tadalafil) yog cov tshuaj siv dav rau kev kho mob ntawm erectile kawg (ED) thiab benign prostatic hyperplasia (bpph). Nws yog rau chav kawm tshuaj hu ua ** Phosphodiesterase 5 Inhibitors ** (PDE5 inhibitors), feem ntau yog hu ua coialis. Tadalafil yog nws cov khoom siv nquag, uas ua haujlwm los ntawm kev so cov leeg du cov ntshav, yog li txhim kho cov ntshav kom meej xws li tus qau, prostate, thiab thaj chaw zais pa. Cialis feem ntau yog noj hauv cov ntsiav tshuaj daim ntawv, tab sis nws tseem tuaj yeem ua rau hauv lwm cov ntaub ntawv ntau npaum li cov hmoov nplej. Nov yog qee cov txiaj ntsig tseem ceeb ntawm tadalafil (cialis) hmoov nplej:

### 1. ** Kev kho mob ntawm erectile kawg (ed) **

Ib qho kev paub zoo tshaj plaws ntawm Tadalafil yog kev kho mob erectile kawg (ED). Nws ua haujlwm los ntawm inhibiting PDE5 enzyme thiab txhim kho cov teebmeem ntawm nitric oxide (NO), uas txhawb nqa vasodilation thiab txhim kho cov ntshav ntws mus rau qhov chaw mos, yog li txhim kho kev muaj peev xwm erectile. Cov teebmeem ntawm Tadalafil tuaj yeem kav ntev txog 36 teev, uas ua rau nws muaj txiaj ntsig zoo hauv lub sijhawm piv rau lwm yam PDE5 inhibitors xws li Viagra.

- ** THAWJ-ntev-ntev **: Tadalafil cov teebmeem feem ntau nyob ntev li ntawm 36 teev, yog li cov neeg mob kom muaj kev ywj pheej ntau dua hnub uas tsis tas yuav coj nws txhua hnub.

- ** pib nrawm **: Cov teebmeem feem ntau hnov ​​​​hauv 30 feeb mus rau 2 teev tom qab noj tshuaj.

### 2. ** Kev kho mob ntawm benign prostatic hyperplasia (bpph) **

Benign prostatic hyperplasia (bppplasia (bpph) yog ib qho tshwm sim rau tus mob prostate thiab cov txiv neej nruab nrab, ua rau muaj kev mob siab xws li tso zis ntau zaus, kev kub ntxhov. Tadalafil tuaj yeem txhim kho cov zis kom ntws thiab cov tsos mob hauv BPH cov neeg mob los ntawm kev txav cov leeg ntawm lub zais zis thiab prostate, relieving urethal compression.

- **Symptom nyem**: Los ntawm kev so cov nqaij mos ntawm prostate, Tadalafil pab txhim kho cov zis thiab txo cov tsos mob ntawm kev ceev, zaus, thiab tso zis nyuaj.

- ** Txhim kho lub neej zoo **: txhim kho cov zis tso zis thiab cov neeg mob txhim kho cov neeg mob zoo.

### 3. ** Kev ua tau zoo dua "

Ib qho txiaj ntsig tsawg dua ntawm Tadalafil yog nws qhov cuam tshuam rau kev ua kis las. Qee cov kev tshawb fawb tau pom tias Tadalafil tuaj yeem txhim kho kev ua siab ntev los ntawm kev ua kom cov pa oxygen rau cov leeg thiab txo cov leeg nqaij.

- ** Txhim kho cov ntshav khiav **: Los ntawm dilating cov hlab ntsha, Tadalafil tuaj yeem pab txhim kho cov ntshav mus rau cov leeg thaum lub sijhawm ua haujlwm, ua kom cov pa oxygen thiab cov khoom xa tuaj.

- ** Txo cov lactic acid tsub kom **: Cov ntshav ntws zoo dua tuaj yeem txo cov lactic acid tsub zuj zuj, yog li ncua cov leeg nqaij.

### 4. **Txhim kho pulmonary hypertension**

Tadalafil kuj tau siv los kho cov kab mob ntshav siab (PAH), muaj kev cuam tshuam nrog cov tsos mob ntawm kev ua tsis taus pa thiab qaug zog. Raws li PDE5 Inhibitor, Tadalafil tuaj yeem pab txo cov hlab ntshav hauv lub ntsws, txhim kho cov neeg mob cov tsos mob.

- ** Txo cov hlab ntshav siab**: Los ntawm dilating pulmonary artery hlab ntsha, Tadalafil pab txhim kho cov ntshav ncig thiab cardiopulmonary muaj nuj nqi, txo qhov ua tsis taus pa.

- ** Kev ntsuas kev tawm dag zog ntxiv **: Txhim kho cov ntshav thiab cov roj oxygen tuaj yeem pab cov neeg mob nce siab thiab ua kom muaj zog.

### 5. ** Txhim kho kev sib deev thiab kev sib deev noj qab haus huv**

Tadalafil tsis tsuas yog kho Ed, tab sis kuj muaj qee qhov muaj txiaj ntsig zoo rau kev noj qab haus huv. Qee qhov kev tshawb fawb tau qhia hais tias Tadalafil tuaj yeem txhim kho kev sib deev txaus siab los ntawm kev hloov kho cov lus teb rau kev sib deev.

- ** Txhim Kho Erection Hardness **: Tadalafil tuaj yeem txhim kho cov ntshav ntws, txhawb nqa lub zog thiab ntev dua-erection.

- ** Txhim kho kev sib deev txaus siab **: Qee tus txiv neej tshaj tawm nce kev sib deev zoo thiab muaj kev sib deev zoo zuag ntsis tom qab noj tadalafil.

### 6. ** Txhim Kho Kev Noj Qab Haus Huv Vamas **

Raws li PDE5 inhibitor, Tadalafil muaj qee qhov cuam tshuam ntawm kev noj qab haus huv vascular kev noj qab haus huv ntxiv rau nws cov nyhuv ntawm cov ntshav ntshav ntws. Los ntawm kev so cov leeg thiab ua rau cov ntshav tawm, Tadalafil yuav pab txo cov kev pheej hmoo ntawm cov kab mob plawv xws li ntshav siab.

- **Cov nyhuv antihypertensive**: Tadalafil tuaj yeem pab txo qis cov ntshav siab los ntawm kev so cov hlab ntsha, tshwj xeeb tshaj yog rau cov neeg mob ntshav siab.

- ** Txhim kho vascular elasticity **: Qee cov kev tshawb fawb tau pom tias Tadalafil tuaj yeem pab txhim kho vascular elasticity thiab txo qhov kev pheej hmoo ntawm cov hlab ntsha.

### 7. **Txhim kho kev puas hlwb**

Zoo li txhua yam tshuaj uas cuam tshuam txog kev sib deev, Tadalafil kuj tseem tuaj yeem ua lub luag haujlwm hauv kev txhim kho kev puas siab puas ntsws. Erectile kawg feem ntau cuam tshuam nrog cov teeb meem xws li kev nyuaj siab, kev ntxhov siab, thiab kev hwm tus kheej, thiab Tadalafil tuaj yeem pab daws cov teeb meem puas siab ntsws los ntawm kev txhim kho kev sib deev.

- ** Txhim Kho Kev Ntseeg Tus Kheej **: Los ntawm kev kho ED, cov neeg mob tuaj yeem rov muaj kev ntseeg siab thiab txo qis kev puas siab puas ntsws.

- ** Txo kev ntxhov siab txog kev sib deev**: Cov txiaj ntsig ntawm Tadalafil tso cai rau cov neeg mob txaus siab rau kev sib deev ntau dua thiab ib txwm muaj, yog li txo qis kev ntxhov siab txog kev sib deev.

### 8. **Tshuaj mob thiab kev nyab xeeb**

Txawm hais tias Tadalafil muaj ntau yam txiaj ntsig, nws kuj muaj qee qhov kev mob tshwm sim, tshwj xeeb tshaj yog thaum noj tshuaj ntau. Cov kev mob tshwm sim feem ntau muaj xws li mob taub hau, lub ntsej muag dej, lub plab tsis xis nyob, mob nraub qaum, thiab mob nqaij. Thaum siv mus ntev, ua tib zoo saib xyuas cov hlab plawv thiab siv raws li kev qhia ntawm tus kws kho mob.

- ** Kev phiv zoo **: Mob taub hau, kem plab, rov qab mob nraub qaum, lub qab ntxoog, yaug, thiab lwm yam.

- ** ** CEEB TOOM ** UA HAUJ LWM OB: Muaj kev sib xyaw ua ke nrog cov tshuaj nitrate tuaj yeem ua rau mob siab, thiab yuav tsum siv raws li kws kho mob cov lus qhia.

### Xaus

Tadalafil (Cialis) yog ib qho tshuaj zoo uas tsis yog tsuas yog muaj txiaj ntsig zoo hauv kev kho mob erectile kawg thiab benign prostatic hyperplasia, tab sis kuj tseem muaj txiaj ntsig zoo rau kev txhim kho kev ua kis las, kev noj qab haus huv ntawm lub plawv, pulmonary hypertension, thiab kev sib deev tag nrho. Txawm li cas los xij, nws yog ib qho tsim nyog yuav tsum ua raws li tus kws kho mob cov lus qhia thaum siv los ua kom muaj kev nyab xeeb thiab ua tau zoo ntawm cov tshuaj thiab tsis txhob muaj kev phiv. Thaum yuav cov hmoov nyoos, koj yuav tsum tau ceev faj tshwj xeeb kom ntseeg tau tias qhov chaw muaj kev ntseeg siab kom tsis txhob siv cov khoom tsis zoo lossis tsis ua raws li cov khoom siv.

WhatsApp / Telegram: +852 6749 2648

Gmail:lucasraws207@gmail.com

Skype: Nyob: .cid.8F21DC7FC6621BA7

Cim npe nrov: cialis (tadalafil) raws hmoov cas:171596-29-5, Tuam Tshoj cialis (tadalafil) raws hmoov cas:171596-29-5 manufacturers, lwm tus neeg, Hoobkas