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Cialis (tadalafil) is a prescription medication used to treat ED (erectile dysfunction, the inability to attain or maintain a penile erection). You will not get an erection just by taking this medicine. Do not take Cialis more than one time each day. This product is not for use in women or children.
Drug Name: Cialis 20MG
Generic Name: tadalafil
COMMON USES: This medicine is a phosphodiesterase-5 (PDE5) inhibitor used for treating erectile dysfunction (ED). It may also be used for other conditions as determined by your doctor.
BEFORE USING THIS MEDICINE: Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine you are taking. DO NOT TAKE THIS MEDICINE IF you are taking nitrates (e.g., isosorbide nitroglycerin) in any form (e.g., tablet, capsule, patch, ointment); nitroprusside; certain recreational drugs called "poppers" (e.g., amyl nitrate or nitrite, butyl nitrate or nitrite); other PDE5 inhibitors (e.g., sildenafil, vardenafil); or other medicines that contain tadalafil. DO NOT TAKE THIS MEDICINE if you will be using it to treat BPH and you are also taking an alpha-blocker (e.g., doxazosin). DO NOT USE OTHER MEDICINES OR TREATMENTS for ED while you are taking this medicine without first checking with your doctor. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking azole antifungals (e.g., itraconazole, ketoconazole); macrolide antibiotics (e.g., clarithromycin, erythromycin); telithromycin; medicine for high blood pressure; alpha-blockers (e.g., doxazosin), rifampin; protease inhibitors (e.g., boceprevir, ritonavir); barbiturates (e.g., phenobarbital); carbamazepine; or phenytoin. DO NOT START OR STOP any medicine without doctor or pharmacist approval. Inform your doctor of any other medical conditions, including a deformed penis (e.g., Peyronie disease, cavernosal fibrosis), blood cell problems (e.g., sickle cell anemia, leukemia, multiple myeloma), other conditions that increase the risk of a prolonged erection. (e.g., priapism), allergies, pregnancy or breast-feeding. Tell your doctor if you have a history of certain eye problems (e.g., retinitis pigmentosa, sudden vision loss, optic neuropathy, macular degeneration); hearing problems (e.g., ringing in the ears, decreased hearing, hearing loss); prolonged (more than 4 hours) or painful erection (priapism) ; liver or kidney problems; lung problems (e.g., pulmonary veno-occlusive disease); high or low blood pressure; ulcers; bleeding problems; blood vessel problems, heart problems (e.g., heart failure, irregular heartbeat, angina, aortic stenosis). Tell your doctor if you have a history of heart attack, stroke or irregular heartbeat. Tell your doctor if you are on dialysis. USE OF THIS MEDICINE IS NOT RECOMMENDED if you have severe liver problems, certain hereditary degenerative eye problems (e.g., retinitis pigmentosa). Low blood pressure, uncontrolled high blood pressure, uncontrolled irregular heartbeat, or certain other heart problems (e.g., unstable angina, angina during sexual intercourse, severe heart failure). Use of this medicine is not recommended if you have had a heart attack within the past 90 days, stroke within the past 6 months, or if you have ED and you have been told by your healthcare provider to avoid sexual activity because of heart or other health problems. DAILY USE OF THIS MEDICINE IS NOT RECOMMENDED if you have severe kidney problems or are on dialysis. This medicine is not recommended for use in CHILDREN; safety and effectiveness have not been confirmed. Contact your doctor or pharmacist if you have any questions or concerns about using this medicine.
HOW TO USE THIS MEDICINE: Follow the directions for taking this medicine provided by your doctor. An additional patient leaflet is available with this medicine. Read it carefully. Ask your doctor, nurse or pharmacist any question that you may have about this medicine. This medicine may be taken on an empty stomach or with food. CHECK WITH YOUR DOCTOR before you eat grapefruit or drink grapefruit juice while you are taking this medicine. SWALLOW WHOLE. Do not break, crush or chew before swallowing. DO NOT EXCEED THE RECOMMENDED DOSE or take this medicine more often than prescribed without checking with your doctor. FOR USE AS NEEDED. Take this medicine at least 30 minutes before sexual activity, as directed by your doctor. This medicine may work up to 36 hours after you take it. FOR DAILY USE: Take this medicine regularly at about the same time each day. Talk with your doctor if you have questions about how you should take this medicine. DO NOT TAKE THIS MEDICINE more often than once daily. If you are taking certain other medicines, you may only be able to take this medicine one time every two or three days. Contact your doctor or pharmacist for more information. STORE THIS MEDICINE at room temperature between 59 and 86 degrees F (15 and 30 degrees C), away from heat, moisture and light. KEEP THIS MEDICINE out of the reach of children and away from pets. FOR USE AS NEEDED: If you miss a dose of this medicine and you still intend to engage in sexual activity, take it as soon as you remember. Continue to take it as directed by your doctor. FOR DAILY USE: IF you miss a dose of this medicine, take it as soon as possible. If it almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. DO NOT take 2 doses within the same day.
CAUTIONS: DO NOT USE THIS MEDICINE IF you are allergic to any ingredient in this medicine. KEEP ALL DOCTOR AND LABORATORY APPOINTMENTS while you are taking this medicine. THIS MEDICINE MAY CAUSE DIZZINESS, DROWSINESS, LIGHTHEADEDNESS, FAINTING OR BLURRED VISION; alcohol, hot weather, exercise or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects. Use this medicine with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it. DO NOT DRINK large amounts of alcohol while you take this medicine. Doing so may increase your risk of dizziness, headache, fast heartbeat, and low blood pressure. Check with your doctor before you drink alcohol while you are taking this medicine. PATIENTS WITH HEART PROBLEMS who take this medicine may be at increased risk for heart-related side effects, including heart attack or stroke. Symptoms of a heart attack may include chest, shoulder, neck or jaw pain; numbness of an arm or leg; severe dizziness, headache, nausea, stomach pain or vomiting; fainting; or vision changes. Symptoms of a stroke may include confusion, vision or speech changes, one-sided weakness, or fainting. Contact your doctor or seek medical attention right away if you experience these symptoms. THIS MEDICINE MAY UNCOMMONLY CAUSE mild, temporary vision changes (e.g., blurred vision, sensitivity to light, blue/green color tint to vision). RARELY, an eye problem called non-arteritic anterior ischemic optic neuropathy (NAION) has been recorded in patients who took this medicine. This may lead to decreased vision or permanent loss of vision in some cases. If you notice a sudden decrease in vision or loss of vision in one or both eyes, contact your doctor right away. SUDDEN DECREASES IN HEARING AND LOSS OF HEARING have been reported in some patients who have taken this medicine. Sometimes they also notice ringing in the ears or dizziness. If you notice a sudden decrease or loss of hearing, contact your doctor right away. THIS MEDICINE DOES NOT STOP THE SPREAD OF HIV or other sexually transmitted diseases (STDs) to others through sexual contact. Use barrier methods of birth control if you have HIV infection or an STD. THIS MEDICINE WILL NOT PREVENT PREGNANCY. If your partner may become pregnant and you wish to avoid pregnancy, be sure to use an effective form of birth control. BEFORE YOU BEGIN TAKING ANY NEW MEDICINES, either prescription or over-the-counter, check with your doctor or pharmacist. Use this medicine with caution in the ELDERLY; they may be more sensitive to the effects. FOR WOMEN: THIS MEDICINE IS NOT APPROVED FOR USE IN WOMEN. IF YOU BECOME PREGNANT, contact your doctor. You will need to discuss the benefits and risks of using this medicine while you are pregnant. IT IS NOT KNOWN IF THIS MEDICINE IS FOUND in breast milk. IF YOU ARE OR WILL BE BREAST-FEEDING while you use this medicine, check with your doctor. Discuss any possible risks to your baby. POSSIBLE SIDE EFFECTS: SIDE EFFECTS that may occur while taking this medicine include cough; dizziness; flushing; headache; heartburn; mild back or muscle pain; stomach upset; stuffy or runny nose. If these continue or are bothersome, check with your doctor. THIS MEDICINE MAY RARELY CAUSE a prolonged painful erection. If this is not treated right away, it could lead to permanent sexual problems such as impotence. Contact your doctor right away if this happens. CONTACT YOUR DOCTOR IMMEDIATELY if you experience burning, numbness or tingling; chest pain; confusion; decreased urination; fainting; fast or irregular heartbeat; memory loss; numbness of an arm or leg; one-sided weakness; red, swollen, blistered, or peeling skin; ringing in the ears; seizures; severe or persistent back or muscle pain; severe or persistent dizziness or headache; slurred speech; sudden decrease or loss of hearing; or vision changes (e.g., sudden decrease or loss of vision in one or both eyes). AN ALLERGIC REACTION to this medicine is unlikely but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash; hives; itching; difficulty breathing; tightness in the chest; or swelling of the mouth, face, lips or tongue. This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include chest pain; fainting; prolonged erections; severe dizziness; severe or persistent back or muscle pain; or severe or persistent vision changes .
ADDITIONAL INFORMATION: DO NOT SHARE THIS MEDICINE with other for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. IF YOU WILL BE USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, be sure to obtain necessary refills before your supply runs out.
This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warning, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your health care provider for complete information about the risks and benefits of using this medicine.