Cialis (tadalafil) relaxes muscles and increases blood flow to particular areas of the body.
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.
Cialis may also be used for purposes not listed in this medication guide.
Before taking this medicine
You should not take Cialis if you are allergic to tadalafil.
Do not take Cialis if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate. Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking Cialis with a nitrate medicine can cause a sudden and serious decrease in blood pressure.
To make sure Cialis is safe for you, tell your doctor if you have any of these other conditions:
heart disease or heart rhythm problems, coronary artery disease;
a recent heart attack (within the past 90 days);
a recent history (in the past 6 months) of a stroke, or congestive heart failure;
angina (chest pain), high or low blood pressure
liver or 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.
Cialis can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking Cialis, most of whom also had 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. Stop using Cialis and get emergency medical help if you have sudden vision loss.
What happens if I miss a dose?
If Cialis is used as needed, you are not likely to be on a dosing schedule.
If you take Cialis 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 should I avoid?
Grapefruit and grapefruit juice may interact with Cialis and lead to unwanted side effects. Avoid the use of grapefruit products while taking this medicine.
Avoid using any other medicines to treat impotence, such as alprostadil or yohimbine, without first talking to your doctor.
Cialis side effects :
Get emergency medical help if you have any of these signs of an allergic reaction to Cialis: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.
Stop using Cialis and call your doctor at once if you have:
- vision changes or sudden vision loss.
- ringing in your ears, or sudden hearing loss.
- chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling.
- swelling in your hands, ankles, or feet.
- shortness of breath.
- Common Cialis side effects may include.
- headache.
- redness or warmth in your face, neck, or chest.
- muscle pain, back pain, pain in your arms or legs.
Cialis dosing information :
Usual Adult Dose for Erectile Dysfunction:
Erectile dysfunction:10 mg orally taken prior to anticipated sexual activity. The maximum recommended dosing frequency is once per day in most patients.
Alternatively, 2.5 mg orally once daily, without regard to timing of sexual activity. May increase to 5 mg orally once daily based on efficacy and tolerability.
Erectile dysfunction and benign prostatic hyperplasia together:
5 mg orally taken at approximately the same time every day.
Usual Adult Dose for Benign Prostatic Hyperplasia:
Benign prostatic hyperplasia and benign prostatic hyperplasia with erectile dysfunction:
5 mg orally taken at approximately the same time every day.
Tell your doctor about all medicines you use, and those you start or stop using during your treatment with Cialis.
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