Cialis (tadalafil) relaxes muscles and increases blood flow to particular areas of the body. Cialis is used to treat erectile dysfunction (impotence) in men. Cialis is also used to treat the signs and symptoms of benign prostatic hyperplasia (BPH), a condition in which the prostate gland becomes enlarged. Adcirca, another brand of tadalafil, is used to treat pulmonary arterial hypertension and improve exercise capacity in men and women. Cialis may also be used for purposes other than those listed in this medication guide.
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Do not take Cialis if you are allergic to tadalafil, or if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin(Nitro Dur, Nitrolingual, Nitrostat, Transderm Nitro, and others), isosorbide dinitrate (Dilatrate, Isordil, Isochron), isosorbide mononitrate (Imdur, ISMO, Monoket), or recreational drugs such as amyl nitrate or nitrite (“poppers”). During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, it means you need emergency medical attention as soon as possible.You could be suffering from a serious side effect of this medicine.
Do not take Cialis more than once a day.Allow 24 hours to pass between doses. Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. Penis can be damaged due to an unusually long erection (priapism). Cialis can decrease blood flow to the optic nerve of the eye, causing sudden vision loss.These events have been observed in a very less group of people who have been on cialis and the majority of those people are more than 50 years in age, they smoke or have high blood pressure, heart problems, high cholesterol, pre-existing eye problems or diabetes. It is not clear whether Cialis is the actual cause of vision loss. Stop using Cialis and get emergency medical help if you have sudden vision loss.
Prior to having Cialis
Taking Cialis with a nitrate medicine for chest pain or heart problems can cause a sudden and serious decrease in blood pressure. If you have a recent history (in the past 6 months) of a stroke, or congestive heart failure; angina (chest pain), high or low blood pressure; liver disease;heart disease or heart rhythm problems; a recent heart attack (within the past 90 days); a bleeding disorder such as hemophilia; kidney disease (or if you are on dialysis); a physical deformity of the penis (such as Peyronie’s disease); a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia; recent advise by doctor to avoid sexual intercourse or stomach ulcer, you might need some specific tests and readjustment of dose of cialis.
FDA pregnancy category B.An unborn baby is not expected to be harmed with the use of cialis. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether tadalafil passes into breast milk or if it could harm a nursing baby. If you breast feeding a baby, you should tell this to your doctor before you use this medication.
How should I take Cialis
Cialis should be taken exactly according to the prescription given by the doctor. The quantity should neither be increased nor decreased and it should also not be taken for longer than advise by the doctor. Follow the directions on your prescription label. You can take cialis before as well as after eating food. Do not break or split a Cialis tablet. It should be swallowed in one peice. You should take cialis only once in a day. Follow your doctor’s instructions. The medicine should be taken once a day and just before sexual activity to get help in erectile dysfunction. For further information, you can probably have a glimpse into Cialis Online.
With the help of cialis, an erection can be achieved during a sexual stimulation. An erection will not occur just by taking a pill. Follow your doctor’s instructions. If you are taking Adcirca for pulmonary arterial hypertension,you should not take cialis for erectile dysfunction. If you take the medication daily, take it at the same time each dayThe medicine should be taken at the same time, if taken daily. Moisture and heat can damage cialis and therfore should be kept away and cialis should be stored at room temperature.
What exactly will take place if I do not take a dose
No dosing schedule is required as cialis is taken based on requirement. If you have been taking tadalafil on a daily basis and have missed a dose, the best thing is to take that missed dose immediately. Skip the missed dose if it is almost time for your next scheduled doseHowever, if it is already time for next dose, you should skip the missed dose. Do not take extra medicine to make up the missed doseYou should not take any extra dose for making up for the dose you have missed.
Assuming I have taken an over dose, what else should I do
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Nausea, Irregular heart beat, feeling light headed, chest pain and fainting are some of the symptoms of overdose.
Things to refrain from using when having cialis
Drinking alcohol can increase certain side effects of Cialis. Grapefruit and grapefruit juice may interact with Cialis and lead to potentially dangerous effects.Discuss the use of grapefruit products with your doctor. Avoid using other medicines to treat erectile dysfunction, such as sildenafil (Viagra) or vardenafil (Levitra) while you are taking Cialis.
Cialis side effects
Allergic reactions such as swelling of lips, throat, tongue or face, hives or breathing difficulty are a signal to seek emergency medical attention. You should call your doctor immediately if you feel nauseated or dizzy during the sexual act, tingling in your chest, arms, neck, or jaw, numbness, pain. The side effects of cialis on you could be serious. Symptoms such as ringing in your ears, or sudden hearing loss; irregular heartbeat; changes in vision or sudden vision loss; chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling; penis erection that is painful or lasts 4 hours or longer; seizure (convulsions); shortness of breath, swelling in your hands or feet or feeling light-headed, fainting, can be serious and you should stop the medication and call your doctor right away.
Cialis also has certain milder side effects such as headache; redness or warmth in your face, neck, or chest; memory problems; muscle pain, back pain; cold symptoms such as stuffy nose, sneezing, or sore throat and upset stomach, diarrhea. There can be more side effects than what have been mentioned here.Call your doctor for medical advice about side effects. FDA can be called at 1-800-FDA-1088 to report side effects.
Advise about dosage of Cialis
The regular cialis dosage for adults with erectile dysfunction: 10 mg should be taken orally before the sexual activity is expected. The maximum recommended dosing frequency is once per day in most patients. Alternatively, 2.5 mg orally once daily, without regard to timing of sexual activity. May increase to 5 mg orally once daily based on efficacy and tolerability.
Exactly what other medication might have an effect on Cialis
Before taking Cialis, tell your doctor about all other medicines you use, especially: rifabutin (Mycobutin), rifampin (Rifadin, Rimactane, Rifater, Rifamate), or rifapentine (Priftin); an antibiotic such as clarithromycin (Biaxin), erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin, Pediazole), or telithromycin (Ketek); antifungal medication such as itraconazole (Sporanox), ketoconazole (Nizoral), miconazole (Oravig), or voriconazole (Vfend); an antidepressant such as nefazodone; a barbiturate such as phenobarbital (Solfoton); drugs to treat high blood pressure or a prostate disorder, such as alfuzosin (Uroxatral), doxazosin (Cardura), prazosin (Minipress), terazosin (Hytrin), tamsulosin (Flomax); heart or blood pressure medication such as diltiazem (Cardizem, Dilacor, Tiazac), nicardipine (Cardene), quinidine (Quin-G), or verapamil (Calan, Covera, Isoptin, Verelan); HIV or AIDS medications such as darunavir (Prezista), efavirenz (Sustiva), etravirine (Intelence), nevirapine (Viramune), fosamprenavir (Lexiva), indinavir (Crixivan), ritonavir (Norvir, Kaletra), and others; or seizure medications such as carbamazepine (Carbatrol, Equetro, Tegretol), phenytoin (Dilantin), and others.
This list is not complete and other drugs may interact with Cialis. Tell your doctor about all medications you use. Over-the-counter, prescription, herbal products and vitamins are also included in this list. No new medication should be started without informing the doctor.
Exactly where may I get a hold of more info
Your pharmacist can provide more information about Cialis.