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