Brief instructions for Cialis
Active substance: Tadalafil
Dosage (mg): 10mg, 20mg, 40mg, 60mg, 80mg
Cialis (Tadalafil) is used to treat male sexual function problems (impotence or erectile dysfunction-ED). When combined with sexual stimulation, tadalafil works by increasing blood flow to the penis to help a man get and maintain an erection. Cialis is also used to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). It helps relieve symptoms of BPH, such as difficulty starting the flow of urine, weak stream, and the need to urinate frequently or quickly (including during the middle of the night). Cialis is thought to work by relaxing the smooth muscle in the prostate and bladder. Cialis does not protect against sexually transmitted diseases (such as HIV, hepatitis B, gonorrhea, syphilis). Practice "safe sex" such as using latex condoms.
Take Cialis by mouth, with or without food, as directed by your doctor. Do not take tadalafil more often than once daily.
The dose is based on your medical condition, response to treatment and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, over-the-counter drugs, and herbal products).
To treat erectile dysfunction-ED, there are two ways that tadalafil can be prescribed. Your doctor will decide which is the best way for you to take tadalafil. Follow your doctor's instructions exactly because your dose depends on how you take it. The first way is to take it as needed, usually at least 30 minutes before sexual activity. Tadalafil's effect on sexual ability can last up to 36 hours. The other way to treat ED is to take tadalafil regularly, once a day every day. If you take it this way, you can attempt sexual activity at any time between your doses.
Headache, stomach upset, back pain, muscle pain, stuffy nose, flushing or dizziness may occur. If any of these effects persist or worsen, contact your doctor or pharmacist immediately. To reduce the risk of dizziness and lightheadedness, stand up slowly when rising from a sitting or lying position.
Remember that this medicine has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people who use this drug have no serious side effects. Sexual activity can have an extra impact on your heart, especially if you have heart problems. If you have heart problems and experience any of these serious side effects while having sex, stop and see a doctor immediately: severe dizziness, fainting, chest/jaw/left arm, nausea.
Before using Cialis, tell your doctor or pharmacist your medical history, especially of: heart problems (such as heart attack or life-threatening irregular heartbeat in the past 6 months, chest pain/angina, heart failure), stroke in the past 6 months, kidney disease , liver disease, high or low blood pressure, dehydration, penile conditions (such as angulation, fibrosis/scarring, Peyronie's disease), history of painful/prolonged erections (priapism), conditions that may increase the risk of priapism (such as sickle cell anemia, leukemia, multiple myeloma), eye problems (such as retinitis pigmentosa, sudden vision loss, NAION), bleeding disorders, active peptic ulcers.
This medicine may make you dizzy. Alcohol or marijuana (cannabis) can make you dizzy. Do not drive, use machinery or do anything that requires alertness until you can do so safely. Limit alcoholic beverages. Talk to your doctor if you use marijuana (cannabis).
Drug interactions can change how your medicines work or increase the risk of serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/over-the-counter medicines and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dose of any medication without your doctor's approval. A product that may interact with this drug is: riociguat.
Tadalafil can cause a severe drop in blood pressure when used with nitrates, which can lead to dizziness, fainting, and rarely heart attack or stroke. Do not use any of the following with tadalafil or within 48 hours of your last dose of tadalafil: certain medicines used to treat chest pain/angina (nitrates such as nitroglycerin, isosorbide), recreational drugs called 'poppers' that contain amyl or butyl nitrite.
If you are also taking an alpha blocker (eg doxazosin, tamsulosin) to treat an enlarged prostate/BPH or high blood pressure, your blood pressure may become too low which may lead to dizziness or fainting. Your doctor may start treatment with a lower dose of tadalafil or adjust your alpha blocker to minimize the risk of low blood pressure.
Do not share this medicine with others. If you take this medicine regularly and you miss a dose, take it as soon as you remember. If it is almost time for the next dose, skip the missed dose. Take your next dose at the usual time. Do not double the dose to catch up.
Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medicines away from children and pets.
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