Tadalafil/Cialis relaxes muscles and increases blood flow to particular areas of the body.
Tadalafil/Cialis may also be used for purposes other than those listed in this medication guide.
WHAT HAPPENS IF I OVERDOSE?
Seek emergency medical attention if you think you have used too much of this medicine.
Symptoms of a
tadalafil/Cialis overdose may include chest pain, nausea, irregular heartbeat, and feeling light-headed or fainting.
WHAT SHOULD I DISCUSS WITH MY DOCTOR BEFORE TAKING Cialis/Tadalafil?
Although
tadalafil/Cialis is not for use in women, it is not known if
tadalafil/Cialis 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.
A small number of patients have had a sudden loss of eyesight after taking
tadalafil/Cialis . This type of vision loss is caused by decreased blood flow to the optic nerve of the eye. It is not clear whether
tadalafil/Cialis is the actual cause of such vision loss. Sudden vision loss with
tadalafil/Cialis 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.
FDA pregnancy category B: Although
tadalafil/Cialis is not for use in women, this medication is not expected to be harmful to an unborn baby. Do not use
tadalafil/Cialis without telling your doctor if you are pregnant or plan to become pregnant during treatment.
If you have any of these conditions, you may not be able to use
tadalafil/Cialis or you may need a dosage adjustment or special tests during treatment.
Before taking
tadalafil/Cialis , tell your doctor if you have:
high or low blood pressure;
angina (chest pain);
a recent history of stroke or congestive heart failure (within the past 6 months);
retinitis pigmentosa (an inherited condition of the eye);
a bleeding disorder such as hemophilia;
if you have been told you should not have sexual intercourse for health reasons.
a recent history a heart attack (within the past 90 days);
a physical deformity of the penis (such as Peyronie's disease); or
a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;
heart disease or heart rhythm problems;
kidney disease (or if you are on dialysis);
liver disease;
a stomach ulcer;
You may need a lower dose of this medication if you are older than 65. Follow your doctor's instructions.
Do not take
tadalafil/Cialis 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/Cialis with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack.
WHAT SHOULD I AVOID WHILE TAKING Cialis/Tadalafil?
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.
Avoid drinking alcohol, which can increase some of the side effects of
tadalafil/Cialis .
Grapefruit and grapefruit juice may interact with
tadalafil/Cialis . 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.
WHAT ARE THE POSSIBLE SIDE EFFECTS OF Cialis/Tadalafil?
Continue taking
tadalafil/Cialis and talk with your doctor if you have any of these less serious side effects:
upset stomach; or
stuffy nose;
headache;
warmth or redness in your face, neck, or chest;
back pain.
Stop using
tadalafil/Cialis 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;
shortness of breath;
swelling in your hands, ankles, or feet;
penis erection that is painful or lasts 4 hours or longer.
irregular heartbeat;
feeling light-headed, fainting; or
vision changes;
Stop using
tadalafil/Cialis and get emergency medical help if you have sudden vision loss.
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/Cialis .
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.
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 HAPPENS IF I MISS A DOSE?
Since
tadalafil/Cialis is used as needed, you are not likely to be on a dosing schedule.
HOW SHOULD I TAKE Cialis/Tadalafil?
Do not take
tadalafil/Cialis more than once a day. Allow 24 hours to pass between doses.
Avoid taking High-fat food before taking
Viagra as it may cause the medicine to take more time to start working.
Take each dose with a full glass of water.
Tadalafil/Cialis 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.
Store this medication at room temperature away from moisture and heat.
WHAT DRUG(S) MAY INTERACT WITH Cialis/Tadalafil?
Do not take
tadalafil/Cialis if you are taking the following medications:
The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.
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