ADVERSE REACTIONS

A reduction in sperm was seen in some men. These effects are unlikely to lead to a lack of fertility. Some men taking CIALIS in clinical studies have reported dizziness.

5.1 Cardiovascular

Katzung BG, Chatterjee K. Vasodilator & the Treatment of Angina Pectoris. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 197.

Professional resources

You may need to read it again. If you have any further questions, ask your doctor or pharmacist. This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.

Some side effects can be serious. If you experience any of these symptoms, call your doctor immediately or get emergency medical treatment:

If you get any side effects talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. What you need to know before you take CIALIS 3. Possible side effects 5 How to store CIALIS 6. Contents of the pack and other information CIALIS is a treatment for adult men with erectile dysfunction. Check carefully how you react to the tablets before driving or using machines.

If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.

What alternatives can I use for erectile dysfunction?

medicines such as ketoconazole tablets (to treat fungal infections) and protease inhibitors for treatment of AIDS or HIV infection. Information on the effect of alcohol is in section 3. Grapefruit juice may affect how well CIALIS will work and should be taken with caution. Talk to your doctor for further information. When dogs were treated there was reduced sperm development in the testes. This medicine contains less than 1 mmol sodium (23 mg) per tablet, that is to say essentially ‘sodium-free’. Always take this medicine exactly as your doctor has told you.

• The drug's development involved extensive clinical trials with thousands of participants.
• Phase III trials demonstrated significant improvement over placebo.
• The long half-life was a key differentiating factor from competitors.
• Marketing emphasized the "36-hour" window for spontaneity.
• Direct-to-consumer advertising has increased awareness of ED treatments.
• This has also helped reduce the stigma associated with seeking help.
• The 10mg strength is often featured in sample packs provided by doctors.
• This allows patients to test their response before committing to a full prescription.
• Adherence to treatment is generally high due to the obvious benefits.
• The global increase in life expectancy has expanded the potential market.
• Research into female sexual arousal disorder using Tadalafil is inconclusive.
• It is not approved for use in women for any indication.

Check with your doctor or pharmacist if you are not sure.

CIALIS tablets are for oral use in men only. Swallow the tablet whole with some water.

• Cialis 10mg can be taken with or without food.
• It is a popular choice among ED medications worldwide.
• The medication is digital and easily available online.
• Always check for legitimate pharmacies when purchasing.
• Understand that efficacy can vary between individuals.
• Don’t attempt to increase dosage on your own.
• Cialis is not intended for recreational use.
• Seek medical advice if you have persistent erectile issues.

The tablets can be taken with or without food. The recommended starting dose is one 10 mg tablet before sexual activity.

Dosing & Uses

have low blood pressure or uncontrolled high blood pressure. ever had canadian pharmacy cialis 20mg loss of vision because of non-arteritic anterior ischemic optic neuropathy (NAION), a condition described as “stroke of the eye”. This drug is used to treat pulmonary arterial hypertension (i.e., high blood pressure in the lungs) and chronic thromboembolic pulmonary hypertension (i.e., high blood pressure in the lungs secondary to blood clots). PDE5 inhibitors, such as CIALIS, have been shown to increase the hypotensive effects of this medicine. If you are taking riociguat or are unsure tell your doctor.

Does tadalafil interact with foods or drinks?

Talk to your doctor before taking CIALIS. Be aware that sexual activity carries a possible risk to patients with heart disease because it puts an extra strain on your heart. If you have a heart problem you should tell your doctor. Before taking the tablets, tell your doctor if you have: sickle cell anaemia (an abnormality of red blood cells). multiple myeloma (cancer of the bone marrow).

Daily dosing

It is not known if CIALIS is effective in patients who have had: removal of all or part of the prostate gland in which nerves of the prostate are cut (radical non-nerve-sparing prostatectomy). If you experience sudden decrease or loss of vision or your vision is distorted, dimmed while you are taking CIALIS, stop taking CIALIS and contact your doctor immediately. Decreased or sudden hearing loss has been noted in some patients taking tadalafil. Although it is not known if the event is directly related to tadalafil, if you experience decreased or sudden hearing loss, stop taking CIALIS and contact your doctor immediately. CIALIS is not intended for use by women. If the effect of this dose is too weak your doctor may increase the dose to 20 mg. CIALIS tablets are generic cialis soft 20mg for oral use. You may take a CIALIS tablet at least 30 minutes before sexual activity. CIALIS may still be effective up to 36 hours after taking the tablet. Do not take CIALIS more than once a day. CIALIS 10 mg and 20 mg is intended for use prior to anticipated sexual activity and is not recommended for continuous daily use. Drinking alcohol may affect your ability to get an erection and may temporarily lower your blood pressure. If you have taken or are planning to take CIALIS, avoid excessive drinking (blood alcohol level of 0.08 % or greater), since this may increase the risk of dizziness when standing up. You may experience side effects described in section 4.

2.7 Concomitant Medications

CIALIS is not intended for use by children and adolescents under the age of 18. Tell your doctor if you are taking, have recently taken or might take any other medicines Do not take CIALIS if you are already taking nitrates. Some medicines may be affected by CIALIS or they may affect how well CIALIS will work. Tell your doctor or pharmacist if you are already taking: an alpha blocker (used to treat high blood pressure or urinary symptoms associated with benign prostatic hyperplasia). other medicines to treat high blood pressure. If you have any further questions on the use of this medicine, ask your doctor or pharmacist. Like all medicines, this medicine can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature.

• Cialis 10mg is more selective than earlier ED medications.
• It is available by prescription only from a healthcare provider.
• Cialis has been shown to improve erectile function significantly.
• The medication may also be used for benign prostatic hyperplasia.
• It is important to discuss medical history before prescribing.
• Cialis 10mg does not cure ED but manages symptoms.
• Avoid taking Cialis with fatty meals to enhance absorption.
• Keep out of reach of children and store properly.

chest pain - do not use nitrates but seek immediate medical assistance (frequency uncommon). priapism, a prolonged and possibly painful erection after taking CIALIS (frequency rare). If you have such an erection, which lasts continuously for more than 4 hours you should contact a doctor immediately.

• The medication is available in most countries around the world.
• Brand names may vary by region (e.g., Tadalis in some areas).
• Importing prescription medication for personal use is subject to customs laws.
• Traveling to countries where it is available over-the-counter is not advised without consultation.
• A sudden change in efficacy could indicate a new health problem.
• This should prompt a visit to a doctor for reevaluation.
• It is not addictive, and there are no withdrawal symptoms upon cessation.
• The medication only works when taken; effects are not cumulative.
• There is no benefit to taking it if sexual activity is not anticipated.
• Wasting tablets by taking them unnecessarily should be avoided.
• Keeping a record of usage and effects can be helpful for doctor consultations.
• The ultimate measure of success is the patient's satisfaction with their sexual function.

sudden loss of vision (frequency rare), distorted, dimmed, blurred central vision or sudden decrease of vision (frequency not known). Common (seen in 1 to 10 in every 100 patients) headache, back pain, muscle aches, pain in arms and legs, facial flushing, nasal congestion and indigestion. Uncommon (seen in 1 to 10 in every 1,000 patients) dizziness, stomach ache, feeling sick, being sick (vomiting), reflux, blurred vision, eye pain, difficulty in breathing, presence of blood in urine, prolonged erection, pounding heartbeat sensation, a fast heart rate, high blood pressure, low blood pressure, nose bleeds, ringing in the ears, swelling of the hands, feet or ankles and feeling tired. Rare (seen in 1 to 10 in every 10,000 patients) fainting, seizures and passing memory loss, swelling of the eyelids, red eyes, sudden decrease or loss of hearing, hives (itchy red welts on the surface of the skin), penile bleeding, presence of blood in semen and increased sweating. Heart attack and stroke have also been reported rarely in men taking CIALIS. Most of these men had known heart problems before taking this medicine. Partial, temporary, or permanent decrease or loss of vision in one or both eyes has been rarely reported.

16.2 Storage

This is when a man cannot get, or keep a hard, erect penis suitable for sexual activity. CIALIS has been shown to significantly improve the ability of obtaining a hard erect penis suitable for sexual activity. CIALIS contains the active substance tadalafil which belongs to a group of medicines called phosphodiesterase type 5 inhibitors. Following sexual stimulation CIALIS works by helping the blood vessels in your penis to relax, allowing the flow of blood into your penis. The result of this is improved erectile function.

Mechanism of Action

CIALIS will not help you if you do not have erectile dysfunction. It is important to note that CIALIS does not work if there is no sexual stimulation. You and your partner will need to engage in foreplay, just as you would if you were not taking a medicine for erectile dysfunction. are allergic to tadalafil or any of the other ingredients of this medicine (listed in section 6). are taking any form of organic nitrate or nitric oxide donors such as amyl nitrite.

Are you currently using Tadalafil (Cialis, Adcirca, and others)?

This is a group of medicines (“nitrates”) used in the treatment of angina pectoris (“chest pain”). CIALIS has been shown to increase the effects of these medicines. If you are taking any form of nitrate or are unsure tell your doctor. have serious heart disease or recently had a heart attack within the last 90 days. recently had a stroke within the last 6 months. Some additional rare side effects have been reported in men taking CIALIS that were not seen in clinical trials. migraine, swelling of the face, serious allergic reaction which causes swelling of the face or throat, serious skin rashes, some disorders affecting blood flow to the eyes, irregular heartbeats, angina and sudden cardiac death.

Benefits of Tadalafil

Flushing (sense of warmth in the face, ears, neck and trunk) Cialis 10mg Tablet is not indicated for use in women. Cialis 10mg Tablet is not indicated for use in women. Use of Cialis 10mg Tablet is not recommended in patients with severe liver disease. It is best to take it an hour before sexual intercourse. But, you can take it anytime between 30 minutes and 4 hours before sexual activity.

What should I know about tadalafil before using it?

Do not take it more than once a day. Do not use Cialis 10mg Tablet if you have recently taken nitrates (medicines used in angina or chest pain). It may cause dizziness or blurred vision. Do not drive or do anything requiring concentration until you know how it affects you. Avoid drinking alcohol as it can reduce your ability to get an erection and can make dizziness worse.

Warnings for people with certain health conditions

Seek medical attention if the erection persists for more than 4 hours after sexual intercourse. Do not use Cialis 10mg Tablet if you have recently taken nitrates (medicines used in angina or chest pain), if you have had a heart attack in the past 3 months, or stroke or heart failure in the past 6 months. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. New York, New York: McGraw-Hill Medical; 2011. pp. distorted, dimmed, blurred central vision or sudden decrease of vision (frequency not known). The side effect dizziness has been reported more frequently in men over 75 years of age taking CIALIS. Diarrhoea has been reported more frequently in men over 65 years of age taking CIALIS. If you get any side effects, talk to your doctor or pharmacist. You can also report side effects directly via the Yellow Card Scheme; Website: or search for MHRA Yellow Card in the Google Play or Apple App Store.