Indication:
Cialis® (tadalafil) relaxes muscles of the blood vessels and increases blood flow to particular areas of the body.Cialis® is used to treat erectile dysfunction (impotence) and symptoms of benign prostatic hypertrophy (enlarged prostate).
Contraindications:
Nitrates
Administration of Cialis® to patients who are using any form of organic nitrate, either regularly and/or intermittently, is contraindicated. In clinical pharmacology studies, Cialis® was shown to potentiate the hypotensive effect of nitrates.
Hypersensitivity Reactions
Cialis® is contraindicated in patients with a known serious hypersensitivity to tadalafil. Hypersensitivity reactions have been reported, including Stevens-Johnson syndrome and exfoliative dermatitis.
Concomitant Guanylate Cyclase (GC) Stimulators
Do not use Cialis® in patients who are using a GC stimulator, such as riociguat. PDE5 inhibitors, including Cialis®, may potentiate the hypotensive effects of GC stimulators.
Administration:
- The recommended starting dose of Cialis® for use as needed in most patients is 10 mg, taken prior to anticipated sexual activity.
- The dose may be increased to 20 mg or decreased to 5 mg, based on individual efficacy and tolerability. The maximum recommended dosing frequency is once per day in most patients.
- Cialis® for use as needed was shown to improve erectile function compared to placebo up to 36 hours following dosing. Therefore, when advising patients on optimal use of Cialis®, this should be taken into consideration.
Precautions:
Before taking tadalafil, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
Side effects:
Get emergency medical help if you have signs of an allergic reaction to Cialis®: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Stop and get medical help at once if you have nausea, chest pain, or dizziness during sex. You could be having a life-threatening side effect.
Stop using this medicine and call your doctor at once if you have:
- a light-headed feeling, like you might pass out;
- an erection is painful or lasts longer than 4 hours (prolonged erection can damage the penis);
- vision changes or sudden vision loss;
- ringing in your ears or sudden hearing loss;
- heart attack symptoms - chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating.
Common Cialis® side effects may include:
- headache;
- flushing (warmth, redness, or tingly feeling);
- nausea, upset stomach;
- stuffy nose;
- muscle pain, back pain, pain in your arms or legs.
This is not a complete list of side effects and others may occur.
Overdosage:
In case, an overdose with Cialis happened seek emergency help.