* Generic Name: tadalafil
* Brand Name: Cialis
* What is tadalafil (Adcirca, Cialis)?
* What are the possible side effects of tadalafil (Adcirca,
Cialis)?
* What is the most important information I should know about
tadalafil (Adcirca, Cialis)?
* What should I discuss with my healthcare provider before taking
tadalafil (Adcirca, Cialis)?
* How should I take tadalafil (Adcirca, Cialis)?
* What happens if I miss a dose (Adcirca, Cialis)?
* What happens if I overdose (Adcirca, Cialis)?
* What should I avoid while taking tadalafil (Adcirca, Cialis)?
* What other drugs will affect tadalafil (Adcirca, Cialis)?
* Where can I get more information (Adcirca, Cialis)?
What is tadalafil (Adcirca, Cialis)?
Tadalafil relaxes muscles of the blood vessels and increases blood
flow to particular areas of the body.
Tadalafil under the name of Cialis is used to treat erectile
dysfunction (impotence) and symptoms of benign prostatic
hypertrophy (enlarged prostate). Another brand of tadalafil is
Adcirca, which is used to treat pulmonary arterial hypertension and
improve exercise capacity in men and women.
Do not take Cialis while also taking Adcirca.
Tadalafil may also be used for purposes not listed in this medication
guide.
What are the possible side effects of tadalafil (Adcirca, Cialis)?
Get emergency medical help if you have signs of an allergic reaction:
hives; difficulty breathing; swelling of your face, lips, tongue, or
throat.
Stop and get medical help at once if you have nausea, chest pain, or
dizziness during sex. You could be having a life-threatening side
effect.
Stop using tadalafil and call your doctor at once if you have:
* a light-headed feeling, like you might pass out;
* an erection is painful or lasts longer than 4 hours (prolonged
erection can damage the penis);
* vision changes or sudden vision loss;
* ringing in your ears or sudden hearing loss; or
* heart attack symptoms--chest pain or pressure, pain spreading to
your jaw or shoulder, nausea, sweating.
Common side effects may include:
* headache;
* flushing (warmth, redness, or tingly feeling);
* nausea, upset stomach;
* stuffy nose; or
* muscle pain, back pain, pain in your arms or legs.
This is not a complete list of side effects and others may occur. Call
your doctor for medical advice about side effects. You may report side
effects to FDA at 1-800-FDA-1088.
What is the most important information I should know about tadalafil
(Adcirca, Cialis)?
Taking tadalafil with certain other medicines can cause a sudden and
serious decrease in blood pressure.
Do not take tadalafil if you also use riociguat, or a nitrate drug such
as nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, or
recreational drugs such as "poppers."
Get medical help at once if you have nausea, chest pain, or dizziness
during sex.
Cialis Patient Information including How Should I Take
RxList
Take the Impotence (ED) Quiz
Erectile Dysfunction (ED) Causes and Treatment
Impotence (ED) Slideshow Pictures
Sexual Health: Men - Tips to Unzip Your Sex Life and Make it Great
Unzip Your Sex Life
What should I discuss with my healthcare provider before taking tadalafil
(Adcirca, Cialis)?
You should not take tadalafil if you are allergic to it.
Taking tadalafil with certain other medicines can cause a sudden and
serious decrease in blood pressure. Do not take tadalafil if you also
use:
* riociguat (to treat pulmonary arterial hypertension); or
* a nitrate drug (for chest pain or heart problems) such as
nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, or
recreational drugs such as amyl nitrate or nitrite "poppers".
Some tadalafil can remain in your bloodstream for 2 or more days after
each dose you take (longer if you have liver or kidney disease). Avoid
nitrate use during this time.
To make sure tadalafil is safe for you, tell your doctor if you have
ever had:
* heart disease or heart rhythm problems;
* a heart attack or stroke;
* angina (chest pain), high or low blood pressure;
* pulmonary hypertension (unless you are taking tadalafil for
this);
* a condition called pulmonary veno-occlusive disease (narrowing of
the veins that carry blood from the lungs to the heart);
* liver or kidney disease (or if you are on dialysis);
* vision loss, or retinitis pigmentosa (an inherited condition of
the eye);
* a bleeding disorder;
* a blood cell disorder such as sickle cell anemia, multiple
myeloma, or leukemia;
* a physical deformity of the penis (such as Peyronie's disease),
or an erection lasting longer than 4 hours;
* a stomach ulcer; or
* health problems that make sexual activity unsafe.
Sudden vision loss has occurred in a small number of people taking
medicines like tadalafil (Viagra or others). Most of these people
already had certain eye problems or risk factors for blood vessel
disorders (heart disease, diabetes, high blood pressure, high
cholesterol, coronary artery disease, smoking, or being
over 50 years old). It is not clear whether the medicine was the actual
cause of vision loss.
Tadalafil is not expected to harm an unborn baby. Tell your doctor if
you are pregnant or plan to become pregnant.
It is not known whether tadalafil passes into breast milk or if it
could affect the nursing baby. Tell your doctor if you are
breast-feeding.
Tadalafil is not approved for use by anyone younger than 18 years old.
How should I take tadalafil (Adcirca, Cialis)?
Tadalafil is usually taken only once per day. Follow all directions on
your prescription label. Do not take this medicine in larger or smaller
amounts or for longer than recommended.
Tadalafil can be taken with or without food.
Do not break or split a Cialis tablet. Swallow it whole.
For erectile dysfunction, take Cialis just before sexual activity but
not more than once per day.
Cialis can help achieve an erection when sexual stimulation occurs. An
erection will not occur just by taking a pill. Follow your doctor's
instructions.
Do not take Cialis for erectile dysfunction if you are taking Adcirca
for pulmonary arterial hypertension.
Store at room temperature away from moisture and heat.
Cialis Patient Information including If I Miss a Dose
RxList
Take the Impotence (ED) Quiz
Erectile Dysfunction (ED) Causes and Treatment
Impotence (ED) Slideshow Pictures
Sexual Health: Men - Tips to Unzip Your Sex Life and Make it Great
Unzip Your Sex Life
What happens if I miss a dose (Adcirca, Cialis)?
If tadalafil is used as needed, you are not likely to be on a dosing
schedule.
If you take tadalafil every day and you miss a dose, take the missed
dose as soon as you remember. Skip the missed dose if it is almost time
for your next scheduled dose. Do not take extra medicine to make up the
missed dose.
What happens if I overdose (Adcirca, Cialis)?
Seek emergency medical attention or call the Poison Help line at
1-800-222-1222.
What should I avoid while taking tadalafil (Adcirca, Cialis)?
Drinking alcohol with this medicine can cause side effects.
Grapefruit and grapefruit juice may interact with tadalafil and
lead to unwanted side effects. Avoid the use of grapefruit products
while taking this medicine.
What other drugs will affect tadalafil (Adcirca, Cialis)?
Tell your doctor about all your current medicines and any you start or
stop using, especially:
* medicines to treat erectile dysfunction or pulmonary arterial
hypertension;
* an antibiotic or antifungal medicine;
* antiviral medicine to treat hepatitis C or
HIV/AIDS;
* drugs to treat high blood pressure or a prostate disorder; or
* seizure medicine.
This list is not complete. Other drugs may interact with tadalafil,
including prescription and over-the-counter medicines, vitamins, and
herbal products. Not all possible interactions are listed in this
medication guide.
Where can I get more information (Adcirca, Cialis)?
Your pharmacist can provide more information about tadalafil.
__________________________________________________________________
Remember, keep this and all other medicines out of the reach of
children, never share your medicines with others, and use this
medication only for the indication prescribed.
Every effort has been made to ensure that the information provided by
Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete,
but no guarantee is made to that effect. Drug information contained
herein may be time sensitive. Multum information has been compiled for
use by healthcare practitioners and consumers in the United States and
therefore Multum does not warrant that uses outside of the United
States are appropriate, unless specifically indicated otherwise.
Multum's drug information does not endorse drugs, diagnose patients or
recommend therapy. Multum's drug information is an informational
resource designed to assist licensed healthcare practitioners in caring
for their patients and/or to serve consumers viewing this service as a
supplement to, and not a substitute for, the expertise, skill,
knowledge and judgment of healthcare practitioners. The absence of a
warning for a given drug or drug combination in no way should be
construed to indicate that the drug or drug combination is safe,
effective or appropriate for any given patient. Multum does not assume
any responsibility for any aspect of healthcare administered with the
aid of information Multum provides. The information contained herein is
not intended to cover all possible uses, directions, precautions,
warnings, drug interactions, allergic reactions, or adverse effects. If
you have questions about the drugs you are taking, check with your
doctor, nurse or pharmacist.
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