CIALIS DRUG INFO
Why is Cialis (Tadalafil) prescribed?
Tadalafil is used to treat erectile dysfunction
(impotence; inability to get or keep an erection) in men. Tadalafil
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. Tadalafil does
not cure erectile dysfunction or increase sexual desire. Tadalafil
does not prevent pregnancy or the spread of sexually transmitted
diseases such as human immunodeficiency virus (HIV).
How should Cialis be used?
Tadalafil 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
tadalafil before sexual activity. Tadalafil 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 tadalafil 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 tadalafil 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 tadalafil and increase or decrease your dose depending
on your response to the medication. Tell your doctor if tadalafil
is not working well or if you are experiencing side effects.
Other uses for Cialis
Cialis (Tadalafil) may be prescribed for other
uses; ask your doctor or pharmacist for more information.
What special precautions should I follow?
Before taking tadalafil,
- tell your doctor and pharmacist if you are allergic to tadalafil
or any other medications.
- do not take tadalafil if you are taking alpha blockers such
as alfuzosin (Uroxatral), doxazosin (Cardura), prazosin (Minipress),
and terazosin (Hytrin). However, you may take tadalafil if you
are taking an alpha blocker called tamsulosin (Flomax) at a dose
of 0.4 mg daily. Also do not take tadalafil 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 Cialis (Tadalafil).
- 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 Cialis.
What side effects can Cialis (Tadalafil) cause?
Tadalafil 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
Tadalafil may cause other side effects. Call
your doctor if you have any unusual problems while taking Cialis
(Tadalafil).
What storage conditions are needed for Cialis?
Keep Cialis (Tadalafil) 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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