Cialis

Generic Name: tadalafil
Brand Names: Cialis

What is tadalafil?

Tadalafil relaxes muscles and increases blood flow to particular regions of the body.

Tadalafil is used to treat erectile dysfunction (impotence).

Tadalafil can also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about tadalafil?

Do not take tadalafil if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), isosorbide mononitrate (Imdur, ISMO, Monoket), amyl nitrate or nitrite ( "poppers" ). Taking tadalafil with a nitrate can cause low blood pressure to dangerous levels, causing them to faint, have a stroke or heart attack. If during the activity of sex, you experience dizziness, nausea, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop doing the activity and call your doctor. It may be occurring serious side effects that cause tadalafil. Do not take tadalafil more than once a day. Allow 24 hours to pass before using another dose .. Contact your doctor or seek emergency medical attention if your choice is painful or lasts 4 hours. The choice long (priapism) can hurt the penis.

Tadalafil can decrease blood flow to the optic nerve of the eye, causing vision loss sudden form. This has happened in a small number of people taking tadalafil, and most also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and people who smoke or are over 50 years. Not clearly understood whether tadalafil is the cause of vision loss.

Stop using tadalafil and seek emergency medical attention if you have lost sight suddenly.

What should I discuss with my healthcare provider before taking tadalafil?

Do not take tadalafil if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, nitrite, nitrite, Transderm-Nitro), isosorbide dinitrate (Dilatrate - SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket), or recreational drugs such as amyl nitrate or nitrite ( "poppers"). Taking tadalafil with a nitrate can cause low blood pressure to dangerous levels, causing them to faint, have a stroke or heart attack.

If you suffer from certain conditions, you may need dosage adjustments or special tests to safely use this medication. Before taking tadalafil, tell your doctor if you are allergic to any drugs, or if you have:

• heart disease or heart rhythm problems;

• recent history of heart attack (in the last 90 days);

• recent history of stroke or congestive heart failure (last 6 months);

• angina (chest pain), high or low blood pressure;

• liver disease;

• kidney disease (or if you are on dialysis);

• problems of red blood cell, such as sickle cell anemia, multiple myeloma, or leukemia;

• bleeding disorder such as hemophilia;

• stomach ulcer;

• retinitis pigmentosa (an inherited condition of the eye);

• a physical deformity of the penis (Peyronie's disease), or

• if you were told you should not have sex for health reasons.

Tadalafil can decrease blood flow to the optic nerve of the eye, causing vision loss suddenly. This has happened in a small number of people taking tadalafil, and most also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and people who smoke or are over 50 years.

Not clearly understood whether tadalafil is the cause of loss of visión.Deje using tadalafil and seek emergency medical attention if you have sudden vision loss. Pregnancy Category B by the FDA. It is anticipated that this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment .. Although tadalafil is not used in women is not known if tadalafil passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take tadalafil?

Take tadalafil exactly as prescribed. Do not take it in larger amounts or for longer than recommended by your doctor. Follow the instructions on the label of the medicine.

Tadalafil can be taken with or without food.

Tadalafil is usually taken only when needed just before sexual activity. However, tadalafil may also be taken daily (low dose) regardless of when they have sex. Follow your doctor's instructions.

The medicine may help get an erection when sexual stimulation occurs. An erection will not happen because it takes the pill. Follow your doctor's instructions.

Do not take tadalafil more than once a day. Allow 24 hours to pass before using the next dose. If you take the medicine daily, take it at the same time each day. Contact your doctor or seek emergency medical attention if your erection is painful or lasts 4 hours. A prolonged erection (priapism) can cause harm to the penis. Store this medication at room temperature away from moisture and heat.

What if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for your next dose, wait and take the next dose at the normal time. Do not take extra medicine to make up the missed dose.

Since tadalafil is used as needed, so you will not have a dosing schedule ..

What happens if I overdose?

Seek emergency medical attention if you think you have used too much medicine.

Symptoms of overdose may include chest pain, nausea, irregular heartbeat, and feeling light-headed or fainting.

What should I avoid while taking tadalafil?

Avoid drinking alcohol, which can increase some of the side effects of tadalafil.

Grapefruit and grapefruit juice may interact with tadalafil. Talk to your doctor about using products of grapefruit. Not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.

Avoid using other medicines to treat impotence such as alprostadil (Caverject, Muse, Edex) or yohimbine (fluconazole supplements you use) without first talking to your doctor.

What are the possible side effects of tadalafil?

Seek emergency medical attention if you have any of these signs of an allergic reaction: hives, difficulty breathing, swelling of your face, lips, tongue, or throat. If during the activity of sex, you experience dizziness, nausea, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop doing the activity and call your doctor. It may be occurring serious side effects that cause tadalafil.

Stop using tadalafil and call your doctor if you have any of these serious side effects:

• sudden loss of vision;

• ringing in your ears, or sudden loss of hearing;

• chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;

• irregular heartbeat;

• swelling of your hands, ankles, or feet;

• shortness of breath;

• seizures;

• changes in vision;

• feeling faint, fainting, or

• penis erection that is painful or lasts 4 hours or more.

The less serious side effects may include:

• redness or heat in your face, neck, or chest;

• stuffy nose, sore throat;

• headache;

• forgetfulness;

• diarrhea, upset stomach, or

• muscle pain, back pain.

This not a complete list of side effects and others may occur. Call your doctor for medical advice related to side effects. You may report side effects to the FDA by calling 1-800 - FDA-1088. You may report side effects to the FDA by calling 1-800 - FDA-1088.

What other drugs will affect tadalafil?

Before taking tadalafil, tell your doctor about all medications you use for erectile dysfunction, or if you are using any of the following medications:

• conivaptan (Vaprisol);

• diclofenac (Arthrotec, Cataflam, Voltaren, Flector Patch, Solareze);

• doxazosin (Cardura), prazosin (Minipress), terazosin (Hytrin);

• imatinib (Gleevec);

• isoniazid (for treating tuberculosis);

• rifampin (Rifadin, Rimactane);

• an antibiotic such as clarithromycin (Biaxin), clotrimazole (Mycelex Troche), dalfopristin / quinupristin (Synercid), erythromycin (EES, EryPed, Ery-Tab, Erythrocin), itraconazole (Sporanox), ketoconazole (Nizoral), telithromycin (Ketek), or voriconazole (Vfend);

• an antidepressant such as nefazodone;

• medicine for the heart or blood pressure;

• medicines against HIV / AIDS such as amprenavir (Agenerase), atazanavir (Reyataz), delavirdine (Rescriptor), fosamprenavir (Lexiva), indinavir (Crixivan), nelfinavir (Viracept), saquinavir (Invirase, Fortovase), ritonavir (Norvir), and others; or

• seizure medication such as carbamazepine (Tegretol), phenobarbital (Luminal), or phenytoin (Dilantin).

This list is not all drugs that can interact with tadalafil, and there may be other drugs. Tell your doctor about all medications you use, whether prescribed or not. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

• Your pharmacist has information about tadalafil.

• Keep in mind, keep this and all other medicines out of reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
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