Ciales puerto rico: Things to Do in Ciales

Things to Do in Ciales

From the Central Mountains to El Yunque National Forest, Puerto Rico has many waterfalls to explore.

Coffee farms, waterfalls, and caverns are part of the magic of Ciales.

Ciales is a picturesque and peaceful coffee town located in Puerto Rico’s Central Mountain Range and surrounded by thick vegetation. Here are a few of the things you should do when you visit.

Las Delicias Falls, in the beautiful Tres Picachos State Forest. 

Waterfalls and Forests

If you like to be in touch with nature, take a walk through town to reach Las Delicias Falls, in the photogenic Tres Picachos State Forest, which looks like it was plucked from a tropical fairytale. The road to the waterfalls is long and has many curves but, once there, the effort will be justified.

When you arrive, park at the edge of the road and walk towards the first waterfall and its natural pool. Continue over some rocky terrain and you will reach Las Delicias.

There is also the famous Chorro de Doña Juana, which is on the border between Ciales and Orocovis. The waterfall can be seen from the road and is a wonderful backdrop photos. Many people will also enjoy a swim in the natural pool, although there are no changing areas or bathrooms, so be prepared in advance.

Exploring Caves

Ciales also has cave systems where you can book guided tours for rappelling, canyoneering and other adventures. The Yuyú Cave is known for its stalagmites, stalactites, corridors, and subterranean waterfalls.

Museo del Café is a museum and a coffee bar!

Museo del Café

This charming location belongs to a family that has grown coffee in Puerto Rico for more than 80 years. The museum is located near the town plaza, on the Paseo Aroma de Café, and in addition to being a museum, it is also a coffee bar that serves fresh brews, pastries, and features a shop with coffee-centric products.

The owner offers guided tours of the property where he explains the origin of the objects used in the coffee production process, and you can taste fresh Don Pello coffee grown in Ciales. Even if you want to buy coffee to go, they will roast beans just for you. During the weekends they offer barista courses and talks on topics related to the product. The Coffee Museum is open from Tuesday to Sunday from 8 a.m. to 3 p.m. and the entrance is free.

A gorgeous tree-lined path at Paseo Lineal Juan Antonia Corretjer in Ciales.

Paseo Lineal Juan Antonio Corretjer

The paseo lineal is a space to walk, take photos, appreciate the views of nature, and enjoy a delicious coffee or refreshing frappe before continuing your adventure. From the promenade, you can see the Río Grande de Manatí, as well as the majestic mountains of the Cordillera Central. On weekends, there are kiosk selling fritters and other goods.

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Ciales, Puerto Rico

(see-AH-les)

Ciales is known as “Los Valerosos” (valiants town) or
“La Ciudad De La Cohoba”,
Ciales was founded on June 24, 1820 by Isidro Rodríguez.

Tres Picachos State Forest is located on the border between Jayuya and Ciales and north of
Toro Negro State Forest. The Tres Picachos State Forest is also part of the Cordillera Central.
The forest is home of Tres Picachos Peak, the 7th highest peak in Puerto Rico, with an elevation
of 3,953 feet (1,205 meters) above sea level. The mountain has three joint peaks from which the
name is derived. It is believed that Taino Indians thought the mountain to be sacred.
Within the forest you will find many streams and waterfalls, among them: Cascada Las Delicias (Las Delicias Falls),
a lovely crystal clear waterfall, and
El Chorro de Doña Juana (Mrs. Juana Falls), a three-level waterfall and one of the largest
waterfalls in the island.
Forest facilities include a ranger station, forest trails, picnic tables, camping facilities, and
barbeque pits. Open Tue-Sun, (787) 724-3647.

Ciales
Photo: Manuel Santiago

Ciales is also known for its many caves. Ciales part of Rio Encantado cave system
(along Florida and Manati) that extends for 16.9 kilometers. Guided tours are available
for rappelling and canyoneering. Popular caves include La Virgen, Las Archillas,
La Golondrina, and Yuyú, known for its stalagmites, stalactites, corridors, and
subterranean waterfalls.

The Museo del Café (Museum of Coffee) owned and
operated by Pedro Maldonado, whose family has been growing coffee since 1933, with
their brand Café Cialito. The museum is located near the town plaza and has
as main purpose to preserve and promote the history of coffee in Puerto Rico. The
three exhibits feature a collection of documents and equipment, some dating back
to the early 1800s. There is also a coffee shop serving delicious coffee drinks and specialty coffee beans.

The Museo Juan Antonio Corretjer is dedicated to the life and
works of the Puerto Rican poet Juan Antonio Corretjer. The museum’s collection
includes some of his books, letters and original works, among others of his
belongings. Appointment are required. Admission is free. Located at 3 Betances St., (787) 871-3500.

Geography

Ciales is located on the Central Mountain Range,
northwest of Orocovis; south of Florida and Manatí;
east of Utuado and Jayuya; and west of Morovis.

Its rivers are: Toro Negro, Yunes, Grande de Manatí and Cialitos.

Ciales is made up of 9 barrios (wards/districts):

• Cialito
• Cordillera
• Frontón
• Hato Viejo
• Jaguas
• Pezas
• Pozas
• Pueblo
• Toro Negro

Climate

Ciales annual precipitation is 75 inches, and its average temperature is 76°F.
The driest month is February.
July is the warmest month and January is the coldest month of the year.

10 Day Forecast

Notable People

There are many well-known “cialeños”, among them:
poet Juan Antonio Corretjer.

Restaurants

• La Estancia (Puerto Rican), (787) 871-0518
• La Parada Choferil (Puerto Rican), (787) 871-6458
• Restaurant Brisas de Caliche (Puerto Rican), (787) 871-5005
• Restaurante Chino Michyn (Chinese), (787) 871-4824

Festivals and Events

• Cantata Corretjer – March
• Festival de Agua Dulce – July
• Festival del Fronton – July
• Festival de San Elias – July
• Fiestas Patronales de Nuestra Senora del Rosario y San Jose – October
  Every year, Ciales celebrates a patron saint festival. The festivities include dances, food, parades and religious processions.
  (787) 871-3500

Symbols

Demographics *

Population
16,984

Puerto Rico: 3,285,874

Land Area: 66.53 sq mi

Density: 243.3 per sq mi

Median Age: 42.9

Sex: 51% female

Economics **

Per capita income
$9,730

Puerto Rico: $21,058

Median household income: $17,783
Puerto Rico: $21,058

Persons below poverty line: 54.8%

Housing, families and educational attainment *

Number of households
5,813
Housing units density:
116.3 (2013)

Persons per household: 2.78

High school grad or higher: 68.9%

Marital status: 44% married

* U.S. Census Bureau 2020 data, unless otherwise noted – Source: Quick Facts Puerto Rico.

** U.S. Census Bureau 2016-2020

Map References

Coordinates: 18.3361° N, 66.4689° W

Zip Code: 638

Driving Distance from San Juan: 44. 2 miles

Driving Time: 1 hour, 14 minutes

instructions for use, home delivery

Characteristics

Active ingredients

Tadalafil

Release form

Tablets0076

Active substance: tadalafil. Excipients: lactose monohydrate – 109.65 mg; lactose monohydrate (spray dried) – 17.5 mg; giprolose – 1.22 mg; hyprolose extra thin – 2.8 mg; sodium lauryl sulfate – 0.49 mg; MCC – 26.25 mg; croscarmellose sodium – 11.2 mg; magnesium stearate (vegetable) – 0.88 mg. Film shell: Opadry yellow (Y-30-12863-A) (lactose monohydrate – 3.72 mg, hypromellose – 2.59 mg, titanium dioxide – 1.54 mg, triacetin – 0.74 mg, iron dye yellow oxide – 0.16 mg) – 8.75 m

Pharmacological effect

Improving erectile function

Pharmacokinetics

The pharmacokinetics of tadalafil in patients with erectile dysfunction is similar to the pharmacokinetics of the drug in individuals without erectile dysfunction. Absorption Tadalafil is rapidly absorbed after oral administration. Average Cmax in plasma is achieved on average 2 hours after ingestion. The rate and degree of absorption of tadalafil do not depend on food intake, so Cialis can be used regardless of food intake. The time of administration (morning or evening) did not have a clinically significant effect on the rate and extent of absorption. The pharmacokinetics of tadalafil in healthy individuals is linear with respect to time and dose. In the dose range from 2.5 to 20 mg AUC increases in proportion to the dose. The distribution of Css in plasma is achieved within 5 days when taking the drug 1 time / day. The average Vd is about 63 liters, which indicates that tadalafil is distributed in body tissues. Plasma protein binding of tadalafil at therapeutic concentrations is 94%. In healthy individuals, less than 0.0005% of the administered dose was found in semen. Metabolism Tadalafil is mainly metabolized with the participation of the CYP3A4 isoenzyme. The main circulating metabolite is methylcatecholglucuronide. This metabolite is at least 13,000 times less active against PDE5 than tadalafil. Therefore, the concentration of this metabolite is not clinically significant. Withdrawal In healthy individuals, the average clearance of tadalafil when taken orally is 2. 5 l / h, and the average T1 / 2 is 17.5 hours. Tadalafil is excreted mainly in the form of inactive metabolites, mainly with feces (about 61% of the dose) and, to a lesser extent, with urine (about 36% of the dose). Pharmacokinetics in special clinical situations Protein binding does not change with impaired renal function. Healthy elderly patients (65 years and over) had a lower oral clearance of tadalafil, which was expressed in a 25% increase in AUC compared with healthy individuals aged 19 and over.up to 45 years old. This difference is not clinically significant and does not require dose adjustment. In patients with mild to moderate renal insufficiency, dose adjustment is not required. Due to the increased exposure of tadalafil (AUC), patients with severe renal insufficiency are not recommended to use Cialis. The pharmacokinetics of tadalafil in patients with mild to moderate hepatic insufficiency is comparable to that in healthy individuals. No data are available for patients with severe hepatic impairment (Child-Pugh class C). When prescribing Cialis to patients with severe hepatic insufficiency, it is necessary to first assess the risks and benefits of using the drug. In diabetic patients on the background of the use of tadalafil, AUC was less by about 19% than in healthy individuals. This difference does not require dose adjustment.

Indications

Erectile dysfunction

Contraindications

Simultaneous administration of drugs containing any organic nitrates; children and adolescents up to 18 years of age; hypersensitivity to tadalafil

Use during pregnancy and lactation

The drug is not used in women

Dosage and administration

Int. The use of Cialis for erectile dysfunction (ED). For patients with frequent sexual activity (more than 2 times a week): the recommended frequency of administration is daily, 1 time per day, 5 mg, at the same time, regardless of food intake. The daily dose may be reduced to 2. 5 mg, depending on individual sensitivity. For patients with infrequent sexual activity (less than 2 times a week): it is recommended to prescribe Cialis at a dose of 20 mg, immediately before sexual activity, according to the instructions for the medical use of the drug. The maximum daily dose of Cialis is 20 mg. Use of Cialis for BPH or ED/BPH. The recommended dose of Cialis when used once a day is 5 mg; the drug should be taken at approximately the same time of day, regardless of the time of sexual activity. The duration of treatment is determined by the doctor individually. In patients with mild renal insufficiency (Cl creatinine from 51 to 80 ml / min) and moderate (Cl creatinine from 31 to 50 ml / min), dose adjustment is not required. In patients with severe renal insufficiency (Cl creatinine <30 ml / min and on hemodialysis): the use of Cialis is contraindicated

Side effects

Most common: headache, dyspepsia. Possible: back pain, myalgia, nasal congestion, flushing of the face. Rarely: eyelid edema, eye pain, conjunctival hyperemia, dizziness

Overdose

Symptoms: with a single administration of tadalafil to healthy individuals at a dose of up to 500 mg and to patients with erectile dysfunction – repeatedly up to 100 mg / day, undesirable effects were as follows same as when using the drug at lower doses. Treatment: in case of overdose, standard symptomatic treatment should be carried out. With hemodialysis, tadalafil is practically not excreted.

Interaction with other drugs

Tadalafil is mainly metabolized by the CYP3A4 enzyme. The selective CYP3A4 inhibitor ketoconazole increases AUC by 107%, while rifampicin reduces it by 88%. Although specific interactions have not been studied, it can be assumed that protease inhibitors such as ritonavir and saquinavir, as well as CYP3A4 inhibitors such as erythromycin and itraconazole, increase the activity of tadalafil. While taking an antacid (magnesium hydroxide / aluminum hydroxide) and tadalafil, the rate of absorption of the latter decreases without changing its AUC. Tadalafil enhances the hypotensive effect of nitrates. This occurs as a result of the additive action of nitrates and tadalafil on nitric oxide and cGMP metabolism. Therefore, the use of tadalafil in patients receiving nitrates is contraindicated

Special instructions

With extreme caution and only in case of emergency, it is possible to use tadalafil in patients with severe renal insufficiency (CC≤30 ml / min) and severe liver failure. During treatment with tadalafil, patients with moderate renal insufficiency (CC from 31 to 50 ml / min) were more likely to experience back pain compared with patients with mild renal insufficiency (CC from 51 to 80 ml / min) or healthy volunteers . In patients with CC≤50 ml/min, tadalafil should be used with caution. Therefore, the treatment of erectile dysfunction, incl. with the use of tadalafil should not be performed in men with heart conditions in which sexual activity is not recommended. The potential risk of developing complications during sexual activity in patients with diseases of the cardiovascular system should be taken into account: myocardial infarction during the last 90 days; unstable angina or angina that occurs during intercourse; chronic heart failure (functional class II and above according to the NYHA classification) that has developed within the last 6 months; uncontrolled heart rhythm disturbances; arterial hypotension (BP less than 90/50 mm Hg) or uncontrolled arterial hypertension; stroke within the last 6 months. Tadalafil should be used with caution in patients with a predisposition to priapism (for example, with sickle cell anemia, multiple myeloma or leukemia) or in patients with anatomical deformity of the penis (for example, with angulation, cavernous fibrosis or Peyronie’s disease). The patient should be informed of the need for immediate medical attention in the event of an erection lasting 4 hours or more. Untimely treatment of priapism leads to damage to the tissues of the penis, as a result of which a long-term loss of potency may occur. Against the background of the use of tadalafil, no cases of priapism were reported. It is not recommended to use tadalafil in combination with other treatments for erectile dysfunction

Prescription

Yes

Cialis instructions for use: indications, contraindications, side effects – description Cialis tab., cover. film-coated, 5 mg: 14 or 28 pcs. (30057)