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Tadalafil relaxes muscles and increases blood flow to particular areas of the body.
Tadalafil is used to treat erectile dysfunction (impotence).
Tadalafil may also be used for purposes other than those listed in this medication guide.
Cialis Information
Cialis is a popular medicine that is also widely known under the generic name of Tadalafil. This medicine belongs to a wide class of drugs called muscle relaxants. This drug especially concentrates on the muscles in the patient’s penis. .
Cialis Indications
Cialis is a medicine that is regularly prescribed to patients who are in need of an effective treatment of impotence and / or erectile dysfunction. This drug achieves its goal by relaxing the patient’s penile muscles, thus causing a higher amount of blood to flow into the penis. In this way, a treatment with Cialis is able to facilitate and maintain an erection. However, this medicine might also be used for other purposes that have not been listed here. Ask your personal physician for further information.
Cialis Warnings
Due to the effect of this medicine (Cialis), the erection can sometimes becomes incontrollable (in some cases it lasts for a couple of long hours). If you have had an erection that has lasted more than 4 hours, you should alert your personal physician as soon as possible, because such an erection could damage the penis.
If you are experiencing fainting, dizziness or chest pains you must not continue your regular sexual activity, as these symptoms are probably due to a dangerously low blood pressure (that could lead to stroke or to heart attack). Cialis should not be used by women, as it can do no good to a female patient.
Before you start to follow a treatment with Cialis, you should alert your personal doctor if you are suffering from any of the following medical disorders:
Have had a heart attack
Heart disorders such as heart malfunctions, angina, arrhythmias
Had a stroke
Have an abnormally high or low blood pressure that cannot be properly controlled
Blood clotting disorder
Kidney disorders
Liver problems
Cell problems (for example leukemia, Sickle cell anemia)
Has retina pigmentation
Stomach ulcers
If you are suffering from any of the medical disorders that have been listed here, you might not be allowed to start using this product, or you might have to be prescribed (administered) a lower dose of Cialis. You healthcare provider might also want to closely monitor your treatment with this medicine to see if this drug is adversely affecting your disorder in any harmful way.
Elderly patients (who are over 65) are usually more prone to experiencing the medicine’s regular side effects. Grapefruit can sometimes be harmful if it is combined with Cialis. You should alert your personal physician before starting a treatment with this medicine if you are currently following a diet that contains grapefruit or any other grapefruit-based products (such as grapefruit juice, grapefruit cakes, etc). In some cases, the interaction between this product and grapefruit has had lethal effects.
Cialis Intake Guidelines
Ask your doctor how and when it is best for you to take Cialis (Tadalafil). You must not disobey any of his or her instructions. If you fail to understand some of them, you should ask a pharmacist, a doctor or a nurse for further information.
It is best that you accompany each dose of Cialis that you take with a full glass of water. You must not stop your treatment with this drug without your doctor’s consent, even if you start to feel better after only a few days of treatment. You should store this drug away from the children’s reach and away from heat and moisture.
Because Cialis is seen as an effective solution to impotence and other erectile dysfunctions, this medicine should be taken before starting a sexual activity. This medicine’s effects can sometimes last for 3 days (36 hours). This drug may be taken in either on a full or an empty stomach as it is not known to cause stomach upset.
You should avoid mixing Cialis with any alcohol based products, because this combination can sometimes lead to dizziness, headaches, low blood pressure and increase in heart rate. If you develop angina, dizziness or nausea while performing a sexual activity you must discontinue it at once. Stop using this medicine and alert your personal physician as soon as possible.
Cialis Dosage
Ask your personal doctor to tell you the dose of Cialis that suits you best. You must not change this dose in any way. You can also rely on the instructions that are written on the medicine’s label.
Cialis Overdose
If you suspect that you might be suffering from an overdose with this medicine, you should seek immediate medical care. Alert your personal physician as soon as possible. The average Cialis overdose symptoms have not been clearly determined.
Cialis Missed Dose
Because Cialis is regularly taken only when it is needed (before a sexual activity), a missed dose of this medicine is highly unlikely to occur.
Cialis Side Effects
Cialis can trigger some of the following side effects:
Arrhythmia
Irregular heart beating
Chest pains
Angina
Dizziness
Shortness of breath
Edema or the swelling of legs and ankle
Headache
Painful and prolonged erection
Runny nose
Indigestion
Flushing and redness
Back pains
Blue tint in vision
If you experience any of the symptoms listed here, or any other unusual or bothersome effects during your treatment with Tadalafil, you must alert your doctor immediately.
Cialis Drug Reactions
You must not combine Cialis with any of the following drugs:
Alpha blockers (for example doxazosin)
Nitroglycerin drugs
Nitrates
Viagra, Yocon, Vardenafil.
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What should I discuss with my doctor before taking tadalafil?
Do not take tadalafil if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking tadalafil with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack.
A small number of patients have had a sudden loss of eyesight after taking tadalafil. This type of vision loss is caused by decreased blood flow to the optic nerve of the eye. It is not clear whether tadalafil is the actual cause of such vision loss. Sudden vision loss with tadalafil use has occurred most often in people with heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old.
Before taking tadalafil, tell your doctor if you have:
heart disease or heart rhythm problems;
a recent history a heart attack (within the past 90 days);
a recent history of stroke or congestive heart failure (within the past 6 months);
angina (chest pain);
high or low blood pressure;
liver disease;
kidney disease (or if you are on dialysis);
a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;
a bleeding disorder such as hemophilia;
a stomach ulcer;
retinitis pigmentosa (an inherited condition of the eye);
a physical deformity of the penis (such as Peyronie's disease); or
if you have been told you should not have sexual intercourse for health reasons.
If you have any of these conditions, you may not be able to use tadalafil or you may need a dosage adjustment or special tests during treatment.
FDA pregnancy category B: Although tadalafil is not for use in women, this medication is not expected to be harmful to an unborn baby. Do not use tadalafil without telling your doctor if you are pregnant or plan to become pregnant during treatment.
Although tadalafil is not for use in women, it is not known if tadalafil passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
You may need a lower dose of this medication if you are older than 65. Follow your doctor's instructions.
How should I take tadalafil?
Take each dose with a full glass of water.
Avoid taking High-fat food before taking Viagra as it may cause the medicine to take more time to start working.
Tadalafil is usually taken only when needed, 30 - 60 minutes before sexual activity. The medication can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill.
Do not take tadalafil more than once a day. Allow 24 hours to pass between doses.
Store this medication at room temperature away from moisture and heat.
What happens if I miss a dose?
Since tadalafil is used as needed, you are not likely to be on a dosing schedule.
What happens if I overdose?
Seek emergency medical attention if you think you have used too much of this medicine.
Symptoms of a tadalafil overdose may include chest pain, nausea, irregular heartbeat, and feeling light-headed or fainting.
What should I avoid while taking tadalafil?
Avoid drinking alcohol, which can increase some of the side effects of tadalafil.
Grapefruit and grapefruit juice may interact with tadalafil. Discuss the use of grapefruit products with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.
Do not use any other drug to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others), unless your doctor tells you to.
What are the possible side effects of tadalafil?
If you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity, stop and call your doctor right away. You could be having a serious side effect of tadalafil.
Stop using tadalafil and get emergency medical help if you have sudden vision loss.
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Stop using tadalafil and call your doctor at once if you have any of these serious side effects:
chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;
irregular heartbeat;
swelling in your hands, ankles, or feet;
shortness of breath;
vision changes;
feeling light-headed, fainting; or
penis erection that is painful or lasts 4 hours or longer.
Continue taking tadalafil and talk with your doctor if you have any of these less serious side effects:
warmth or redness in your face, neck, or chest;
stuffy nose;
headache;
upset stomach; or
back pain.
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What drug(s) may interact with tadalafil?
Do not take tadalafil if you are taking the following medications:
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:
alpha blockers, such as alfuzosin (UroXatral®), doxazosin (Cardura®), prazosin (Minipress®), or terazosin (Hytrin®), used to treat high blood pressure or an enlarged prostate.
bosentan
certain antibiotics such as clarithromycin, erythromycin, troleandomycin
certain drugs used for seizures such as carbamazepine, phenytoin, and phenobarbital
cimetidine
cisapride
diltiazem
grapefruit juice
medicines for fungal infections (fluconazole, itraconazole, ketoconazole, voriconazole)
mibefradil
nicardipine
certain medicines for the treatment of HIV infection or AIDS
quinidine
rifabutin, rifampin or rifapentine
some drugs for treating depression, anxiety or other mood problems (examples: fluoxetine, fluvoxamine, nefazodone)
verapamil
Other Useful Information:
What is the difference between a Generic and Brand Drug?
A Brand drug is marketed under a specific trade name by a pharmaceutical manufacturer. In most cases, Brand drugs are still under patent protection, meaning the manufacturer is the sole source for the product but in many countries around the world this is not the case and a generic alternative is readily available . A generic medicine is made with the same active ingredients in the same dosage form as a brandname drug. The generic drug is therapeutically equivalent to the brand name drug but is sold under its chemical or "generic" name.
