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WARNING: Take
Cialis - Tadalafil And All Prescriptions Medications Only As Directed By Your
Doctor. If You have any questions about possible Cialis side effects be sure to
ask your doctor or pharmacist!
Why is this medication prescribed?
Tadalafil is used to treat erectile dysfunction (impotence;
inability to get or keep an erection) in men. Tadalafil is in a class of
medications called phosphodiesterase (PDE) inhibitors. It works by increasing
blood flow to the penis during sexual stimulation. This increased blood flow can
cause an erection. Tadalafil does not cure erectile dysfunction or increase
sexual desire. Tadalafil does not prevent pregnancy or the spread of sexually
transmitted diseases such as human immunodeficiency virus (HIV).
How should this medicine be used?
Tadalafil comes as a tablet to take by mouth. It is usually
taken with or without food before sexual activity. Your doctor will help you
decide the best time for you to take tadalafil before sexual activity. Tadalafil
should not be taken more often than once every 24 hours. If you have certain
health conditions or are taking certain medications, your doctor may tell you to
take tadalafil less often. Follow the directions on your prescription label
carefully, and ask your doctor or pharmacist to explain any part you do not
understand. Take tadalafil exactly as directed. Do not take more or less of it
or take it more often than prescribed by your doctor.
Your doctor will probably start you on an average dose of
tadalafil and increase or decrease your dose depending on your response to the
medication. Tell your doctor if tadalafil is not working well or if you are
experiencing side effects.
Other uses for this medicine
This medication may be prescribed for other uses; ask your
doctor or pharmacist for more information.
What special precautions should I follow?
Before taking tadalafil,
- tell your doctor and pharmacist if you are allergic to tadalafil or any
other medications.
- do not take tadalafil if you are taking or have recently taken nitrates
such as isosorbide dinitrate (Isordil), isosorbide mononitrate (Imdur, ISMO),
and nitroglycerin (Nitro-BID, Nitro-Dur, Nitroquick, Nitrostat, others).
Nitrates come as tablets, sublingual (under the tongue) tablets, sprays,
patches, pastes, and ointments. Ask your doctor if you are not sure whether
any of your medications contain nitrates.
- do not take street drugs containing nitrates such as amyl nitrate and
butyl nitrate ('poppers') while taking sildenafil.
- tell your doctor and pharmacist what other prescription and
nonprescription medications, vitamins, and nutritional supplements you are
taking or plan to take. Be sure to mention any of the following: alpha
blockers such as alfuzosin (Uroxatral), doxazosin (Cardura), prazosin
(Minipress), tamsulosin (Flomax), and terazosin (Hytrin); amiodarone
(Cordarone, Pacerone); certain antifungals such as fluconazole (Diflucan),
griseofulvin (Fulvicin, Grifulvin, Gris-PEG), itraconazole (Sporanox),
ketoconazole (Nizoral), voriconazole (Vfend); aprepitant
(Emend);carbamazepine (Tegretol); cimetidine (Tagamet); clarithromycin
(Biaxin); cyclosporine (Neoral, Sandimmune); danazol (Danocrine);
delavirdine (Rescriptor); dexamethasone (Decadron); diltiazem (Cardizem,
Dilacor, Tiazac); efavirenz (Sustiva);erythromycin (E.E.S., E-Mycin,
Erythrocin); ethosuximide (Zarontin); fluoxetine (Prozac, Sarafem);
fluvoxamine (Luvox); HIV protease inhibitors including atazanavir (Reyataz),
indinavir (Crixivan), lopinavir (in Kaletra),nelfinavir (Viracept),
ritonavir (Norvir, in Kaletra), and saquinavir (Fortovase, Invirase);
isoniazid (INH, Nydrazid); lovastatin (Altocor, Mevacor); medications for
high blood pressure; metronidazole (Flagyl); nefazodone (Serzone);
nevirapine (Viramune); other medications or treatments for erectile
dysfunction; phenobarbital; phenytoin (Dilantin); rifabutin (Mycobutin);
rifampin (Rifadin, Rimactane); sertraline (Zoloft); troleandomycin (TAO);
verapamil (Calan, Covera, Isoptin, Verelan); and zafirlukast (Accolate).
Your doctor may need to change the doses of your medications or monitor you
carefully for side effects.
- tell your doctor what herbal products you are taking, especially St.
John's wort..
- tell your doctor if you smoke and if you have ever had an erection that
lasted more than 4 hours. Also tell your doctor if you have or have ever had
a condition that affects the shape of the penis, such as angulation,
cavernosal fibrosis, or Peyronie's disease; diabetes; high cholesterol; high
or low blood pressure; irregular heartbeat; a heart attack; angina (chest
pain); a stroke; ulcers in the stomach or intestine; a bleeding disorder;
blood cell problems such as sickle cell anemia (a disease of the red blood
cells), multiple myeloma (cancer of the plasma cells), or leukemia (cancer
of the white blood cells); and liver, kidney, or heart disease. Also tell
your doctor if you or any of your family members have or have ever had an
eye disease such as retinitis pigmentosa or if you have ever had severe
vision loss, especially if you were told that the vision loss was caused by
a blockage of blood flow to the nerves that help you see. Tell your doctor
if you have ever been advised by a health care professional to avoid sexual
activity for medical reasons or if you have ever experienced chest pain
during sexual activity.
- you should know that tadalafil is only for use in males. Women should
not take tadalafil, especially if they are or could become pregnant or are
breast-feeding. If a pregnant woman takes tadalafil, she should call her
doctor.
- if you are having surgery, including dental surgery, tell the doctor or
dentist that you are taking tadalafil.
- ask your doctor about the safe use of alcoholic beverages while you are
taking tadalafil. Alcohol can make the side effects from tadalafil worse.
Your doctor will tell you how much alcohol you may drink while you are
taking this medication.
- you should know that sexual activity may be a strain on your heart,
especially if you have heart disease. If you have chest pain during sexual
activity, call your doctor immediately and avoid sexual activity until your
doctor tells you otherwise.
- tell all your health care providers that you are taking tadalafil. If
you ever need emergency medical treatment for a heart problem, the health
care providers who treat you will need to know when you last took tadalafil.
What special dietary instructions should I follow?
Talk to your doctor about drinking grapefruit juice while
taking this medicine.
What side effects can this medication cause?
Tadalafil may cause side effects. Tell your doctor if any of
these symptoms are severe or do not go away:
- headache
- indigestion or heartburn
- flushing
- pain in the back, muscles, or any limb
- stuffy or runny nose
If you experience any of the following symptoms , call your
doctor immediately:
- sudden severe loss of vision (see below for more information)
- blurred vision
- changes in color vision (seeing a blue tinge on objects or having
difficulty telling the difference between blue and green)
- erection that lasts longer than 4 hours
- chest pain
- hives
- rash
Tadalafil may cause other side effects. Call your doctor if
you have any unusual problems while taking this medication.
Some patients experienced a sudden loss of some or all of
their vision after they took tadalafil or other medications that are similar to
tadalafil. The vision loss was permanent in some cases. It is not known if the
vision loss was caused by the medication. If you experience a sudden loss of
vision while you are taking tadalafil, call your doctor immediately. Do not take
any more doses of tadalafil or similar medications such as sildenafil (Viagra)
or vardenafil (Levitra) until you talk to your doctor.
If you experience a serious side effect, you or your doctor
may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse
Event Reporting program online [at
http://www.fda.gov/MedWatch/report.htm] or by phone [1-800-332-1088].
What storage conditions are needed for this medicine?
Keep this medication in the container it came in, tightly
closed, and out of reach of children. Store it at room temperature and away from
excess heat and moisture (not in the bathroom). Throw away any medication that
is outdated or no longer needed. Talk to your pharmacist about the proper
disposal of your medication.
In case of emergency/overdose
In case of overdose, call your local poison control center
at 1-800-222-1222. If the victim has collapsed or is not breathing, call local
emergency services at 911.
Symptoms of overdose may include:
- headache
- indigestion or heartburn
- flushing
- pain in the back, muscles, or any limb
- stuffy or runny nose
- erection that lasts longer than 4 hours
What other information should I know?
Keep all appointments with your doctor.
Do not let anyone else take your medication. Ask your
pharmacist any questions you have about refilling your prescription.
My International Rx.com.com is an online resource to obtain medical services and
treatment safely and efficiently. We do not prescribe or dispense medications.
All prescribing and dispensing will be at the sole discretion of the contracted
physician and pharmacy. As a convenience to you, we will collect all physician
fees and prescription costs on behalf of the physician and pharmacy to simplify
payment for our customers.
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