Brand Names: Adcirca, Cialis
What is Cialis?
Cialis (tadalafil) relaxes muscle tissues and increases blood stream to explicit areas of the body.
Cialis is used to deal with erectile dysfunction (impotence) in men. Adcirca, another brand of tadalafil, is used to deal with pulmonary arterial hypertension and improve train capacity in males and women.
Cialis may additionally be used for functions apart from those listed on this medication guide.
Vital details about Cialis
Don't take Cialis in case you are allergic to tadalafil, or in case you are additionally utilizing a nitrate drug for chest pain or coronary heart issues, including nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Minitran, Deponit, Transderm-Nitro), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket), or leisure drugs reminiscent of amyl nitrate or nitrite ("poppers"). Taking Cialis with a nitrate drugs could cause a sudden and serious decrease in blood pressure.
In the event you develop into dizzy or nauseated during sexual exercise, or when you have pain, numbness, or tingling in your chest, arms, neck, or jaw, cease and name your physician proper away. You would be suffering from a serious facet effect of this medicine.
Don't take Cialis more than as soon as a day. Permit 24 hours to go between doses. Contact your physician or search emergency medical consideration in case your erection is painful or lasts longer than 4 hours. A protracted erection (priapism) can injury the penis.
Cialis can lower blood move to the optic nerve of the attention, causing sudden vision loss. This has occurred in a small variety of folks taking Cialis, most of whom additionally had coronary heart illness, diabetes, high blood pressure, high cholesterol, or sure pre-current eye problems, and in those that smoke or are over 50 years old. It isn't clear whether or not Cialis is the precise explanation for vision loss.
Stop using Cialis and get emergency medical assist when you have sudden vision loss.
Before taking Cialis
Don't take Cialis in case you are allergic to tadalafil, or in case you are also utilizing a nitrate drug for chest pain or heart problems, together with nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Minitran, Deponit, Transderm-Nitro), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket), or leisure medicine akin to amyl nitrate or nitrite ("poppers"). Taking Cialis with a nitrate may cause a serious lower in blood strain, leading to fainting, stroke, or heart attack.
In case you have any of these different situations, you may need a Cialis dose adjustment or particular assessments:
- coronary heart disease or heart rhythm issues;
- a current coronary heart attack (inside the past 90 days);
- a latest historical past (prior to now 6 months) of a stroke, or congestive heart failure;
- angina (chest ache), excessive or low blood pressure;
- liver disease;
- kidney disease (or if you're on dialysis);
- a blood cell disorder corresponding to sickle cell anemia, a number of myeloma, or leukemia;
- a bleeding dysfunction equivalent to hemophilia;
- a abdomen ulcer;
- retinitis pigmentosa (an inherited situation of the eye);
- a bodily deformity of the penis (akin to Peyronie's illness); or
- when you've got been advised you should not have sexual intercourse for well being reasons.
Cialis can decrease blood move to the optic nerve of the eye, inflicting sudden vision loss. This has occurred in a small number of people taking Cialis, most of whom also had heart illness, diabetes, hypertension, high ldl cholesterol, or sure pre-current eye issues, and in those that smoke or are over 50 years old.
It's not clear whether or not Cialis is the precise reason behind vision loss. Cease using Cialis and get emergency medical assist when you have sudden imaginative and prescient loss.
FDA being pregnant class B. Cialis just isn't expected to harm an unborn baby. Inform your physician if you're pregnant or plan to develop into pregnant during treatment. It's not identified whether tadalafil passes into breast milk or if it could harm a nursing baby. Don't use this medicine with out telling your physician in case you are breast-feeding a baby.
How should I take Cialis?
Take Cialis precisely as prescribed by your doctor. Don't absorb bigger or smaller amounts or for longer than recommended. Comply with the instructions on your prescription label.
Cialis will be taken with or without food.
Cialis is normally taken solely when needed, just earlier than sexual activity. However, Cialis may be taken day by day (at a lower dose), no matter when sexual activity is planned. Comply with your physician's instructions.
Cialis can help obtain an erection when sexual stimulation occurs. An erection is not going to occur simply by taking a pill. Comply with your doctor's instructions.
Do not take Cialis for erectile dysfunction if you are taking Adcirca for pulmonary arterial hypertension.
Don't take Cialis more than as soon as a day. Enable 24 hours to cross between doses. In the event you take the remedy every day, take it on the identical time every day. Contact your doctor or search emergency medical attention in case your erection is painful or lasts longer than four hours. A protracted erection (priapism) can injury the penis.
Retailer Cialis at room temperature away from moisture and heat.
What happens if I miss a dose?
Since Cialis is used as needed, you are not more likely to be on a dosing schedule.
In case you take tadalafil day-after-day and you miss a dose, take the missed dose as soon as you remember. Skip the missed dose if it is virtually time to your subsequent scheduled dose. Do not take extra drugs to make up the missed dose.
What occurs if I overdose?
Seek emergency medical consideration or name the Poison Help line at 1-800-222-1222.
Overdose symptoms might embrace chest ache, nausea, irregular heartbeat, and feeling light-headed or fainting.
What should I keep away from whereas taking Cialis?
Drinking alcohol can increase sure side effects of Cialis.
Grapefruit and grapefruit juice could interact with Cialis and result in doubtlessly harmful effects. Discuss the usage of grapefruit products with your doctor.
Avoid using other medicines to treat erectile dysfunction, such as sildenafil (Viagra) or vardenafil (Levitra) if you are taking Cialis.
Cialis negative effects
Get emergency medical help if in case you have any of these signs of an allergic response to Cialis: hives; difficulty respiration; swelling of your face, lips, tongue, or throat. If you happen to grow to be dizzy or nauseated throughout sexual activity, or if in case you have ache, numbness, or tingling in your chest, arms, neck, or jaw, cease and call your doctor proper away. You possibly can be having a severe facet effect of Cialis. Cease using this medicine and name your physician without delay if in case you have any of these serious unwanted effects:
- changes in imaginative and prescient or sudden vision loss;
- ringing in your ears, or sudden hearing loss;
- chest pain or heavy feeling, ache spreading to the arm or shoulder, nausea, sweating, common sick feeling;
- irregular heartbeat;
- shortness of breath, swelling in your arms, ankles, or toes;
- seizure (convulsions);
- feeling gentle-headed, fainting; or
- penis erection that is painful or lasts 4 hours or longer.
Less serious Cialis unwanted effects might include:
- redness or heat in your face, neck, or chest;
- cold symptoms similar to stuffy nose, sneezing, or sore throat;
- headache;
- memory issues;
- diarrhea, upset abdomen; or
- muscle pain, back pain.
This isn't a complete record of uncomfortable side effects and others might occur. Call your doctor for medical recommendation about aspect effects. Chances are you'll report unintended effects to FDA at 1-800-FDA-1088.
Cialis Dosing Information
Normal Grownup Dose of Cialis for Erectile Dysfunction:
- 10 mg orally taken previous to anticipated sexual activity. The maximum advisable dosing frequency is once per day in most patients.
- Alternatively, 2.5 mg orally as soon as every day, without regard to timing of sexual activity. Could enhance to 5 mg orally as soon as daily based mostly on efficacy and tolerability.
What different medication will affect Cialis?
Earlier than taking Cialis, tell your doctor about all other drugs you utilize for erectile dysfunction, or if you're using any of the next medicines:
- rifabutin (Mycobutin), rifampin (Rifadin, Rimactane, Rifater, Rifamate), or rifapentine (Priftin);
- an antibiotic corresponding to clarithromycin (Biaxin), dalfopristin/quinupristin (Synercid), erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin, Pediazole), or telithromycin (Ketek);
- antifungal medicine resembling itraconazole (Sporanox), ketoconazole (Nizoral), miconazole (Oravig), or voriconazole (Vfend);
- an antidepressant similar to nefazodone;
- a barbiturate resembling phenobarbital (Solfoton);
- medication to deal with high blood pressure or a prostate dysfunction, equivalent to alfuzosin (Uroxatral), doxazosin (Cardura), prazosin (Minipress), terazosin (Hytrin), tamsulosin (Flomax);
- heart or blood strain treatment similar to diltiazem (Cardizem, Dilacor, Tiazac), nicardipine (Cardene), quinidine (Quin-G), or verapamil (Calan, Covera, Isoptin, Verelan);
- HIV or AIDS drugs comparable to darunavir (Prezista), efavirenz (Sustiva), etravirine (Intelence), nevirapine (Viramune), fosamprenavir (Lexiva), indinavir (Crixivan), ritonavir (Norvir, Kaletra), and others; or
- seizure drugs such as carbamazepine (Tegretol), phenytoin (Dilantin), and others.
This checklist just isn't complete and other medicine may work together with Cialis. Tell your doctor about all drugs you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a brand new treatment without telling your doctor.
The place where I can get more data?
Your pharmacist can provide more information about Cialis.
Every effort has been made to make sure that the data supplied is accurate, up-to-date, and full, however no assure is made to that effect. Drug information contained herein could also be time sensitive. Multum's drug data is an informational resource designed to assist licensed well beingcare practitioners in caring for their sufferers and/or to serve customers viewing this service as a supplement to, and never an alternative to, the expertise, ability, data and judgment of well beingcare practitioners. The absence of a warning for a given drug or drug mixture on no account should be construed to indicate that the drug or drug combination is protected, efficient or acceptable for any given patient. The data contained herein is not supposed to cover all attainable uses, directions, precautions, warnings, drug interactions, allergic reactions, or opposed effects
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