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Cialis
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In clinical trials, CIALIS was shown to improve, up
to 36 hours after dosing, the ability of men with ED to
have a single successful intercourse attempt. CIALIS has
not been studied for multiple sexual attempts per dose.
Medication Information
Cialis is used to treat
erectile dysfunction (impotence; inability to get or
keep an erection) in men. Cialis is in a class of
medications called phosphodiesterase (PDE) inhibitors.
It works by increasing blood flow to the penis during
sexual stimulation. This increased blood flow can cause
an erection. Cialis does not cure erectile dysfunction
or increase sexual desire. Cialis does not prevent
pregnancy or the spread of sexually transmitted diseases
such as human immunodeficiency virus (HIV).
How should this medicine be used?
Cialis comes
as a tablet to take by mouth. It is usually taken with
or without food before sexual activity. Your doctor will
help you decide the best time for you to take Cialis
before sexual activity. Cialis should not be taken more
often than once every 24 hours. If you have certain
health conditions or are taking certain medications,
your doctor may tell you to take Cialis less often.
Follow the directions on your prescription label
carefully, and ask your doctor or pharmacist to explain
any part you do not understand. Take Cialis exactly as
directed. Do not take more or less of it or take it more
often than prescribed by your doctor.
Your doctor will probably start you on an average
dose of Cialis and increase or decrease your dose
depending on your response to the medication. Tell your
doctor if Cialis is not working well or if you are
experiencing side effects.
Other uses for this medicine
This medication may
be prescribed for other uses; ask your doctor or
pharmacist for more information.
What special precautions should I follow?
Before
taking Cialis,
tell your doctor and pharmacist if you are allergic
to Cialis or any other medications. do not take Cialis
if you are taking alpha blockers such as alfuzosin
(Uroxatral), doxazosin (Cardura), prazosin (Minipress),
and terazosin (Hytrin). However, you may take Cialis if
you are taking an alpha blocker called tamsulosin
(Flomax) at a dose of 0.4 mg daily. Also do not take
Cialis if you are taking or have recently taken nitrates
such as isosorbide dinitrate (Isordril, Sorbitrate),
isosorbide mononitrate (Imdur, ISMO), and nitroglycerin
(Nitro-BID, Nitro-Dur, Nitroquick, Nitrostat, others).
Nitrates come as tablets, sublingual (under the tongue)
tablets, sprays, patches, pastes, and ointments. Ask
your doctor if you are not sure if any of your
medications contain nitrates.
tell your doctor and
pharmacist what other prescription and nonprescription
medications, vitamins, nutritional supplements, and
herbal products you are taking. Be sure to mention any
of the following: antifungals such as fluconazole
(Diflucan), itraconazole (Sporanox), ketoconazole
(Nizoral); carbamazepine (Tegretol); cimetidine
(Tagamet); clarithromycin (Biaxin); cyclosporine
(Neoral, Sandimmune); danazol (Danocrine); delavirdine
(Rescriptor); dexamethasone (Decadron); diltiazem
(Cardizem, Dilacor, Tiazac); erythromycin (E.E.S.,
E-Mycin, Erythrocin); ethosuximide (Zarontin);
fluoxetine (Prozac, Sarafem); fluvoxamine (Luvox); HIV
protease inhibitors such as indinavir (Crixivan),
nelfinavir (Viracept), and ritonavir (Norvir); isoniazid
(INH, Nydrazid); medications for high blood pressure;
metronidazole (Flagyl); nefazodone (Serzone);other
medications or treatments for erectile dysfunction;
phenobarbital (Luminal, Solfoton); phenytoin (Dilantin);
rifabutin (Mycobutin); rifampin (Rifadin, Rimactane);
troleandomycin (TAO), verapamil (Calan, Covera, Isoptin,
Verelan), and zafirlukast (Accolate). Your doctor may
need to change the doses of your medications or monitor
you carefully for side effects.
tell your doctor if
you have or have ever had an erection that lasted more
than 4 hours; a condition that affects the shape of the
penis such as angulation, cavernosal fibrosis, or
Peyronie's disease; high or low blood pressure;
irregular heartbeat; a heart attack; angina (chest
pain); a stroke; ulcers in the stomach or intestine; a
bleeding disorder; blood cell problems such as sickle
cell anemia (a disease of the red blood cells), multiple
myeloma (cancer of the plasma cells), or leukemia
(cancer of the white blood cells); and liver, kidney, or
heart disease. Also tell your doctor if you or any of
your family members have or have ever had an eye disease
such as retinitis pigmentosa. Tell your doctor if you
have ever been advised by a health care professional to
avoid sexual activity for medical reasons or if you have
ever experienced chest pain during sexual activity. you
should know that tadalafil is only for use in males.
Women should not take tadalafil, especially if they are
or could become pregnant or are breast-feeding. If a
pregnant woman takes tadalafil, she should call her
doctor. if you are having surgery, including dental
surgery, tell the doctor or dentist that you are taking
tadalafil. ask your doctor about the safe use of
alcoholic beverages while you are taking tadalafil.
Alcohol can make the side effects from tadalafil worse.
Your doctor will tell you how much alcohol you may drink
while you are taking this medication.
you should
know that sexual activity may be a strain on your heart,
especially if you have heart disease. If you have chest
pain during sexual activity, call your doctor
immediately and avoid sexual activity until your doctor
tells you otherwise.
tell all your health care
providers that you are taking tadalafil. If you ever
need emergency medical treatment for a heart problem,
the health care providers who treat you will need to
know when you last took tadalafil.
What special dietary instructions should I
follow?
Talk to your doctor about drinking
grapefruit juice while taking this medicine.
What side effects can this medication
cause?
Cialis may cause side effects. Tell your
doctor if any of these symptoms are severe or do not go
away:
headache indigestion or heartburn
flushing
pain in the back, muscles, or any limb
stuffy or
runny nose
Some side effects can be serious. The
following symptoms are uncommon, but if you experience
any of them, call your doctor immediately.
erection that lasts longer than 4 hours changes in
vision (seeing a blue tinge on objects or having
difficulty telling the difference between blue and
green)
chest pain
Cialis may cause other side
effects. Call your doctor if you have any unusual
problems while taking this medication.
What storage conditions are needed for this
medicine?
Keep this medication in the container it
came in, tightly closed, and out of reach of children.
Store it at room temperature and away from excess heat
and moisture (not in the bathroom). Throw away any
medication that is outdated or no longer needed. Talk to
your pharmacist about the proper disposal of your
medication.
In case of emergency/overdose
In case of
overdose, call your local poison control center at
1-800-222-1222. If the victim has collapsed or is not
breathing, call local emergency services at 911.
Symptoms of overdose may include:
headache
indigestion or heartburn
flushing
pain in
the back, muscles, or any limb
stuffy or runny nose
erection that lasts longer than 4 hours
What other information should I know?
Keep all
appointments with your doctor .
Do not let anyone else take your medication. Ask your
pharmacist any questions you have about refilling your
prescription.
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