WebFDA is alerting consumers and health care professionals that counterfeit versions of Cialis 20 mg tablets were found in the mail on its way to a U.S. consumer. While this shipment .It works for up to 36 hours. You can take it in a small dose daily or in a larger dose as needed. Sexual activity may put extra strain on your heart, especially if you have heart problems. Often, these are prescribed for chest pain called angina. A very serious allergic reaction to this drug is rare. Counterfeit versions of Cialis can be identified by the following differences on the label of the bottle when compared to the authentic product. To date, FDA is not aware of consumer adverse events related to the use of these counterfeit versions of Cialis.WebThe Cialis 20mg tablets contain the undeclared substance sildenafil. Consumers and medical professionals should be particularly aware of this as genuine products contain . WebOn this page We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission Here’s our process. How we vet . WebFDA is alerting consumers and health care professionals that counterfeit versions of Cialis 20 mg tablets were found in the mail on its way to a U.S. consumer. While this shipment .A very serious allergic reaction to this drug is rare. Vardenafil usually works for 4 to 5 hours. FDA also recommends consumers talk to their health care professional about their condition and options for treatment if they received a counterfeit product. You can take this medicine with or without food 30 minutes before sex, depending on the dose. These medicines all work well for ED.