Cialis

For the treatment of erectile dysfunction:

On-demand dosing:

The usual recommended dose is 20 mg taken as needed, at least 30 minutes before sexual activity. Cialis (Tadalafil) has been shown to be effective within 30 minutes of taking the tablet, and last up to 36 hours later. As the amount of time Cialis (Tadalafil) takes to work varies from person to person, starting sexual activity at different times after taking the tablet will determine the optimal time for sexual activity. The maximum recommended amount of medication to take is one tablet a day.

Once-a-day use:

The usual recommended dose is 5 mg per day, taken at about the same time each day and regardless of when sexual activity is planned. The daily dose may be lowered by your doctor if necessary.

Cialis (Tadalafil) may be taken with or without food.

For the treatment of benign prostatic hyperplasia (BPH) or erectile dysfunction with BPH:

The usual recommended dose is 5 mg once daily, at about the same time each day. It may be taken with or without food.

Many things can affect the dose of a medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.

It is important that Cialis (Tadalafil) be taken exactly as prescribed by your doctor. Do not take higher doses of Cialis (Tadalafil) than prescribed by your doctor. Contact your doctor if you take a greater dose of Cialis (Tadalafil) than prescribed.

Store Cialis (Tadalafil) at room temperature (between 15°C and 30°C) and keep it out of the reach and sight of children.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

In addition to its desired action, this medication may cause some adverse effects, notably: it may cause headaches; it may cause nasal irritation or stuffiness; it may cause indigestion; it may cause dizziness - use caution when getting up from a lying or sitting position and use caution if driving; it may cause redness of the face; it may cause muscle pain. Each person may react differently to a treatment. If you think this medication may be causing adverse effects (including those described here, or others), talk to your health care professional. He or she can help you to determine whether or not the medication is the source of the problem.

2.5 mg (for once-a-day use) Each yellow-orange, almond-shaped, film-coated tablet, marked on one side with "C2½", contains 2.5 mg of Cialis (Tadalafil). Nonmedicinal ingredients: croscarmellose sodium, hydroxypropyl cellulose, hydroxypropyl methylcellulose, iron oxide, lactose monohydrate, magnesium stearate, microcrystalline cellulose, sodium lauryl sulfate, talc, titanium dioxide, and triacetin.

5 mg (for once-a-day use) Each yellow, almond-shaped, film-coated tablet, marked on one side with "C5", contains 5 mg of Cialis (Tadalafil). Nonmedicinal ingredients: croscarmellose sodium, hydroxypropyl cellulose, hydroxypropyl methylcellulose, iron oxide, lactose monohydrate, magnesium stearate, microcrystalline cellulose, sodium lauryl sulfate, talc, titanium dioxide, and triacetin.

10 mg (for "on-demand" dosing) Each yellow, almond-shaped, film-coated tablet, marked on one side with "C10", contains 10 mg of Cialis (Tadalafil). Nonmedicinal ingredients: croscarmellose sodium, hydroxypropyl cellulose, hydroxypropyl methylcellulose, iron oxide, lactose monohydrate, magnesium stearate, microcrystalline cellulose, sodium lauryl sulfate, talc, titanium dioxide, and triacetin.

20 mg (for "on-demand" dosing) Each yellow, almond-shaped, film-coated tablet, marked on one side with "C20", contains 20 mg of Cialis (Tadalafil). Nonmedicinal ingredients: croscarmellose sodium, hydroxypropyl cellulose, hydroxypropyl methylcellulose, iron oxide, lactose monohydrate, magnesium stearate, microcrystalline cellulose, sodium lauryl sulfate, talc, titanium dioxide, and triacetin.

Do not take Cialis (Tadalafil) if you:

• are allergic to Cialis (Tadalafil) or any ingredients of Cialis (Tadalafil)
• have had vision loss caused by an eye condition called nonarteritic anterior ischemic optic Neuropathy (NAION)
• are taking the medication Riociguat or other similar medications
• are taking (or have taken in the past 48 hours) any type of nitrate medication in any form (oral, sublingual [under the tongue], skin patch, or spray). Nitrate medications include Nitroglycerin and related medicines that are used for the relief of chest pain or Angina. They also include amyl nitrite "poppers." Use of these medications with Cialis (Tadalafil) could cause a sudden severe drop in blood pressure that could lead to dizziness, fainting, Heart Attack, or Stroke.

Nitrates are found in medications that are used to treat angina (chest pain). If you are not sure if you are taking nitrates, ask your doctor or pharmacist. Nitrates must NOT be taken by anyone who is using Cialis (Tadalafil) because they can cause your blood pressure to drop very low. This may cause dizziness, fainting, heart attack, or stroke.

There may be an interaction between Cialis (Tadalafil) and any of the following:

• Abiraterone
• alcohol
• alpha-blockers (e.g., Alfuzosin, doxazosin, Terazosin)
• Alprostadil
• alpha agonists (e.g., Clonidine, methyldopa)
• Amiodarone
• angiotensin-converting enzyme inhibitors (ACEIs; Captopril, Enalapril, Ramipril)
• angiotensin receptor blockers (ARBs; e.g., candasartan, Irbesartan, Losartan)
• antacids (magnesium hydroxide, aluminum hydroxide)
• Aprepitant
• "azole" antifungals (e.g., itraconazole, ketoconazole, Voriconazole)
• beta-adrenergic blockers (e.g., Atenolol, Propranolol, Sotalol)
• Bicalutamide
• Bosentan
• calcium channel blockers (e.g., Amlodipine, Diltiazem, Nifedipine, Verapamil)
• Carbamazepine
• clonidine
• Cobicistat
• conivaptan
• Crizotinib
• Cyclosporine
• Dasatinib
• Desipramine
• diuretics (water pills; e.g., Furosemide, Hydrochlorothiazide, triamterene)
• Dronedarone
• Enzalutamide
• grapefruit juice
• HIV non-nucleoside reverse transcriptase inhibitors (NNRTIs; e.g., delavirdine, efavirenz, etravirine, nevirapine)
• HIV protease inhibitors (e.g., atazanavir, indinavir, ritonavir, saquinavir)
• Hydralazine
• imatinib
• Ivacaftor
• macrolide antibiotics (e.g., clarithromycin, erythromycin)
• mifepristone
• Mitotane
• nefazodone
• nitrates (e.g., nitroglycerin, isosorbide mononitrate, isosorbide dinitrate, or amyl nitrite "poppers")
• Norfloxacin
• other medications for erectile dysfunction (e.g., Sildenafil, Vardenafil)
• Oxcarbazepine
• Phenobarbital
• Phenytoin
• primidone
• rifabutin
• rifampin
• riociguat
• simeprevir
• Stiripentol
• Tamsulosin
• telaprevir

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

• stop taking one of the medications,
• change one of the medications to another,
• change how you are taking one or both of the medications, or
• leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with Cialis (Tadalafil). Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications that you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the Nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.

Before you begin using a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use Cialis (Tadalafil).

Alcohol: Consumption of alcohol may decrease the ability to achieve an erection and may also temporarily decrease blood pressure, causing dizziness and fainting.

Blood pressure: Tell your doctor if you are taking medications to treat high blood pressure. The combination of these medications with Cialis (Tadalafil) may add to the blood-pressure-lowering effect of these medications. This may lead to dizziness or fainting.

Grapefruit juice: Grapefruit juice can increase the amount of Cialis (Tadalafil) in your blood. Do not drink grapefruit juice when taking Cialis (Tadalafil).

Hearing problems: Rarely, people taking Cialis (Tadalafil) have experienced a sudden decrease or loss of hearing. If this occurs, you should seek medical attention immediately.

Heart conditions: Speak to your doctor before taking any medication for erectile dysfunction if you:

• have or have had heart disease
• have had a heart attack
• have had a stroke
• have angina (chest pain as a result of poor blood flow to the heart muscle)
• have experienced chest pain during sexual activity
• have uncontrolled irregular heart rhythm
• have very Low Blood Pressure
• have uncontrolled high blood pressure

If you experience chest pains, dizziness, or nausea during sex, stop the exertion, and inform your doctor as soon as you can.

Kidney function: Kidney Disease or reduced kidney function may cause Cialis (Tadalafil) to build up in the body, causing side effects. Lower doses of Cialis (Tadalafil) should be used if you have impaired kidney function. Daily use of "on-demand" medication is not recommended. It should not be used more than 3 times per week. Once-a-day use with 5 mg dosing or less may be considered for some people with mild-to-moderate kidney problems.

Liver function: Liver disease or reduced liver function may cause Cialis (Tadalafil) to build up in the body, causing side effects. Men with poor liver function may need lower doses of Cialis (Tadalafil). Daily use of Cialis (Tadalafil) is not recommended. It should not be used more frequently than 3 times per week. Once-a-day use with 5 mg dosing or less may be considered for some patients with liver problems.

Nitrate-containing medications: Cialis (Tadalafil) should never be taken with any medications that contain nitrates. Blood pressure may drop to life-threatening levels if Cialis (Tadalafil) is taken with any nitrate-containing medication (e.g., nitroglycerin tablets, spray, or patches) or any other nitrates (e.g., isosorbide dinitrate or amyl nitrite "poppers"). Dizziness, fainting spells, heart attack, or stroke may be experienced.

If use of a nitrate-containing medication is considered medically necessary, 48 hours must pass after the last dose of Cialis (Tadalafil) before taking a nitrate, and only under close medical supervision.

Penis deformation: As with other medications for erectile dysfunction, men with an anatomical deformation of the penis such as angulation, cavernosal fibrosis, or Peyronie's disease should be closely monitored by their doctors if they take Cialis (Tadalafil). If you have any of these conditions, discuss with your doctor how Cialis (Tadalafil) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Cialis (Tadalafil), and whether any special monitoring is needed.

Prolonged erection (priapism): If an erection lasts longer than 4 hours (a rare occurrence), seek immediate medical assistance. If this condition is not treated quickly, tissue damage and permanent loss of the ability to have an erection could result.

Tell your doctor if you have any of the following conditions, as they may increase your risk of a prolonged erection: sickle cell Anemia, Multiple Myeloma, or Leukemia.

Prostate problems: If you are taking other medications to treat BPH called alpha blockers (e.g., Doxazosin), let your doctor know. The combination of alpha blockers with Cialis (Tadalafil) is not recommended for treatment of BPH. People who are taking Cialis (Tadalafil) for erectile dysfunction may be able to continue taking alpha blockers. Talk to your doctor for more information.

Vision problems: If you experience a sudden loss of vision in one or both eyes, or other vision-related problems, contact your doctor immediately. Vision loss may be partial or complete. While in some cases the condition may improve over time, it can be permanent in other cases. This is a rare condition that more likely to occur if you have heart disease, high blood pressure, High Cholesterol, Diabetes, or eye problems, if you are more than 50 years old, or if you smoke.

Pregnancy and breast-feeding: Cialis (Tadalafil) is not intended for use by women.

Children and adolescents: Cialis (Tadalafil) is not intended for use by children or adolescents under 18 years old.

Certain heart medication (nitrates) must be avoided while taking this product. If in doubt, consult your pharmacist. Generally, this medication is used only as needed. Important: Follow the instructions on the label. Do not use more of this product, or more often, than prescribed. This medication does not produce erections by itself. It simply facilitates erections with sexual arousal. This medication may be taken with or without food. Consuming alcohol with this product may cause adverse effects such as dizziness or headaches. Moreover, alcohol consumption may decrease the ability to get an erection. Limit alcohol consumption during treatment. Avoid grapefruit and grapefruit juice during your treatment. Grapefruit can seriously affect how this medication works.