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TADALAFIL
(Cialis®) is used to treat erectile dysfunction
(ED) in men. Tadalafil does not cure ED or increase
a man's sexual desire. Tadalafil is only for men
with ED and is not for women or children. Tadalafil
should only be used under a healthcare provider's
care. Generic tadalafil is not yet available.
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Cialis®
What are tadalafil tablets?
TADALAFIL (Cialis®) is used to treat erectile
dysfunction (ED) in men. Tadalafil does not
cure ED or increase a man's sexual desire. Tadalafil
is only for men with ED and is not for women
or children. Tadalafil should only be used under
a healthcare provider's care. Generic tadalafil
is not yet available.
What should my health care professional know
before I receive Tadalafil?
They need to know if you have any of these conditions:
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anatomical deformity of the
penis, Peyronie's disease, or ever had an
erection that lasted more than 4 hours
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bleeding disorder
-
diabetes
-
frequent heartburn or gastroesophageal
reflux disease (GERD)
-
heart disease, angina, a
history of heart attack, irregular heart beats,
or other heart problems
-
high or low blood pressure
-
high cholesterol
-
HIV infection
-
kidney disease or require
dialysis
-
liver disease
-
sickle cell disease
-
stroke
-
stomach or intestinal ulcers
-
eye or vision problems or
a rare genetic eye disease called retinitis
pigmentosa
-
an unusual or allergic reaction
to tadalafil, other medicines, foods, dyes,
or preservatives
-
pregnant or trying to get
pregnant
-
breast-feeding
How should this medicine be used?
Take tadalafil tablets by mouth. Follow the
directions on the prescription label. The dose
is usually taken 30 minutes to 1 hour before
sexual activity. You should not take this dose
more than once per day. Swallow the tablets
with a drink of water. You may take tadalafil
with or without meals. Do not take double or
extra doses. Do not change your dose without
talking to your prescriber. Your prescriber
may lower or raise your dose, depending on how
your body reacts to tadalafil. If you have kidney
or liver problems or are taking certain medications,
your prescriber may limit your dose of tadalafil.
Contact your pediatrician or health care professional
regarding the use of this medicine in children.
Special care may be needed. At this time, this
medicine is not for use in children.
What if I miss a dose?
This does not apply.
What drug(s) may interact with Tadalafil?
Do not take tadalafil if you are taking the
following medications:
-
alpha blockers, such as
alfuzosin (UroXatral®), doxazosin (Cardura®),
prazosin (Minipress®), or terazosin (Hytrin®),
used to treat high blood pressure or an enlarged
prostate. Flomax® (tamsulosin) 0.4 mg daily
may be taken with tadalafil.
-
nitroglycerin-type drugs
for the heart or chest pain such as amyl nitrite,
isosorbide dinitrate, isosorbide mononitrate,
nitroglycerin, even if these are only taken
occasionally
Tadalafil may also interact with the following
medications:
-
bosentan
-
certain drugs used for seizures
such as carbamazepine, phenytoin, and phenobarbital
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cimetidine
-
cisapride
-
clarithromycin
-
diltiazem
-
erythromycin
-
fluconazole
-
grapefruit juice
-
itraconazole
-
ketoconazole
-
mibefradil
-
niacin
-
certain medicines for the
treatment of HIV infection or AIDS
-
omeprazole
-
quinidine
-
quinine
-
rifabutin
-
rifampin
-
some drugs for treating
depression, anxiety or other mood problems
(examples: fluoxetine, fluvoxamine, nefazodone)
-
verapamil
Tell your prescriber or health care professional
about all other medicines you are taking, including
non-prescription medicines, nutritional supplements,
or herbal products. Also tell your prescriber
or health care professional if you are a frequent
user of drinks with caffeine or alcohol, if
you smoke, or if you use illegal drugs. These
may affect the way your medicine works. Check
with your health care professional before stopping
or starting any of your medicines.
What side effects may I notice from receiving
Tadalafil?
Side effects that you should report to your
prescriber or health care professional as soon
as possible:
-
changes in vision
-
chest pain or palpitations
-
difficulty breathing, shortness
of breath
-
dizziness
-
eyelid swelling
-
prolonged erection (lasting
longer than 4 hours)
-
skin rash, itching
Side effects that usually do not require
medical attention (report to your prescriber
or health care professional if they continue
or are bothersome):
-
back pain
-
flushing
-
headache
-
indigestion
-
muscle aches
-
stuffy or runny nose
What should I watch for while taking Tadalafil?
Contact your physician immediately if the erection
lasts longer than 4 hours or if it becomes painful.
This may be a sign of priapism and must be treated
immediately to prevent permanent damage.
If you experience symptoms of nausea, dizziness,
chest pain or arm pain upon initiation of sexual
activity after tadalafil use, you should refrain
from further activity and should discuss the
episode with your prescriber or health care
professional as soon as possible.
Do not drink alcohol to excess (examples, 5
glasses of wine or 5 shots of whiskey) when
taking tadalafil. When taken in excess, alcohol
can increase your chances of getting a headache
or getting dizzy, increasing your heart rate
or lowering your blood pressure.
If you notice any changes in your vision while
taking this drug, notify your prescriber or
health care professional as soon as possible.
Do not change the dose of your medication. Please
call your prescriber or health care professional
to determine if your dose needs to be reevaluated.
Using tadalafil does not protect you or your
partner against HIV infection (the virus that
causes AIDS) or other sexually transmitted diseases.
Where can I keep my medicine?
Keep out of the reach of children in a container
that small children cannot open.
Store at room temperature between 15 and 30
degrees C (59 and 86 degrees F). Throw away
any unused medicine after the expiration date.
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