| Tadalafil is used for the treatment of erectile | | | | herbal products. Also tell your prescriber or health care |
| dysfunction (impotence). | | | | professional if you are a frequent user of drinks with |
| How should this medicine be used ? | | | | caffeine or alcohol, if you smoke, or if you use illegal |
| Take Tadalafil tablets by mouth. Follow the directions | | | | drugs. These may affect the way your medicine |
| on the prescription label. The dose is usually taken 30 | | | | works. Check with your health care professional |
| minutes to 1 hour before sexual activity. You should not | | | | before stopping or starting any of your medicines. |
| take this dose more than once per day. Swallow the | | | | What side effects may I notice from receiving |
| tablets with a drink of water. You may take Tadalafil | | | | Tadalafil ? |
| with or without meals. Do not take double or extra | | | | Side effects that you should report to your prescriber |
| doses. Do not change your dose without talking to | | | | or health care professional as soon as possible: |
| your prescriber. Your prescriber may lower or raise | | | | •changes in vision |
| your dose, depending on how your body reacts to | | | | •chest pain or palpitations |
| Tadalafil. If you have kidney or liver problems or are | | | | •difficulty breathing, shortness of |
| taking certain medications, your prescriber may limit | | | | breath |
| your dose of Tadalafil. | | | | •dizziness |
| Contact your pediatrician or health care professional | | | | •eyelid swelling |
| regarding the use of this medicine in children. Special | | | | •prolonged erection (lasting longer |
| care may be needed. At this time, this medicine is not | | | | than 4 hours) |
| for use in children. | | | | •skin rash, itching |
| What if I miss a dose ? | | | | Side effects that usually do not require medical |
| This does not apply. However, do not take double or | | | | attention (report to your prescriber or health care |
| extra doses. | | | | professional if they continue or are bothersome): |
| What drug(s) may interact with Tadalafil? | | | | •back pain |
| Do not take Tadalafil if you are taking the following | | | | •flushing |
| medications: | | | | •headache |
| •alpha blockers, such as alfuzosin | | | | •indigestion |
| (UroXatralÂ(R)), doxazosin (CarduraÂ(R)), | | | | •muscle aches |
| prazosin (MinipressÂ(R)), or terazosin | | | | •stuffy or runny nose |
| (HytrinÂ(R)), used to treat high blood pressure or | | | | What should I watch for while taking Tadalafil ? |
| an enlarged prostate. FlomaxÂ(R) (tamsulosin) | | | | Contact your physician immediately if the erection lasts |
| 0.4 mg daily may be taken with Cialis. | | | | longer than 4 hours or if it becomes painful. This may |
| •nitroglycerin-type drugs for the | | | | be a sign of priapism and must be treated immediately |
| heart or chest pain such as amyl nitrite, isosorbide | | | | to prevent permanent damage. |
| dinitrate, isosorbide mononitrate, nitroglycerin, even if | | | | If you experience symptoms of nausea, dizziness, |
| these are only taken occasionally | | | | chest pain or arm pain upon initiation of sexual activity |
| Tadalafil may also interact with the following | | | | after Cialis use, you should refrain from further activity |
| medications: | | | | and should discuss the episode with your prescriber or |
| •bosentan | | | | health care professional as soon as possible. |
| •certain antibiotics such as | | | | Do not drink alcohol to excess (examples, 5 glasses of |
| clarithromycin, erythromycin, troleandomycin | | | | wine or 5 shots of whiskey) when taking Cialis. When |
| •certain drugs used for seizures | | | | taken in excess, alcohol can increase your chances of |
| such as carbamazepine, phenytoin, and phenobarbital | | | | getting a headache or getting dizzy, increasing your |
| •cimetidine | | | | heart rate or lowering your blood pressure. |
| •cisapride | | | | If you notice any changes in your vision while taking |
| •diltiazem | | | | this drug, notify your prescriber or health care |
| •grapefruit juice | | | | professional as soon as possible. |
| •medicines for fungal infections | | | | Do not change the dose of your medication. Please |
| (fluconazole, itraconazole, ketoconazole, voriconazole) | | | | call your prescriber or health care professional to |
| •mibefradil | | | | determine if your dose needs to be reevaluated. |
| •nicardipine | | | | Using Cialis does not protect you or your partner |
| •certain medicines for the treatment | | | | against HIV infection (the virus that causes AIDS) or |
| of HIV infection or AIDS | | | | other sexually transmitted diseases. |
| •quinidine | | | | Where can I keep my medicine ? |
| •rifabutin, rifampin or rifapentine | | | | Keep out of reach of children in a container that small |
| •some drugs for treating depression, | | | | children cannot open. |
| anxiety or other mood problems (examples: fluoxetine, | | | | Store at room temperature between 15 and 30 |
| fluvoxamine, nefazodone) | | | | degrees C (59 and 86 degrees F). Throw away any |
| •verapamil | | | | unused medicine after the expiration date. |
| Tell your prescriber or health care professional about | | | | If you want to purchase Cialis then do it with us.With |
| all other medicines you are taking, including | | | | our help buying drugs online is safe and secure. |
| non-prescription medicines, nutritional supplements, or | | | | |