1 INDICATIONS AND USAGE
A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: itching/swelling (especially of the face/tongue/throat) This is not a complete list of possible side effects.
| Country | Legal Status | Prescription Required | Notes |
|---|---|---|---|
| USA | Prescription-only | Yes | Approved for ED and BPH |
| UK | Prescription-only | Yes | Controlled medication |
| Canada | Prescription-only | Yes | Available via pharmacy |
| Australia | Prescription-only | Yes | Schedule 4 drug |
| India | Prescription required | Yes | Widely available |
If you notice other effects not listed above, contact your doctor or pharmacist. You may report side effects to FDA at 1-800-FDA-1088 or at In Canada - Call your doctor for medical advice about side effects.
17.3 Cardiovascular Considerations
To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Sexual activity may put extra strain on your heart, especially if you have heart problems. If you have heart problems and experience any of these serious side effects while having sex, stop and get medical help right away: Rarely, sudden decreased vision, including permanent blindness, in one or both eyes (NAION) may occur.
Who should not use tadalafil?
If this buy tadalafil serious problem occurs, stop taking tadalafil and get medical help right away. You have a slightly greater chance of developing NAION if you have heart disease, diabetes, high cholesterol, certain other eye problems ("crowded disk"), high blood pressure, if you are over 50, or if you smoke. Rarely, a sudden decrease or loss of hearing, sometimes with ringing in the ears and dizziness, may occur. Stop taking tadalafil and get medical help right away if these effects occur. In the rare event you have a painful or prolonged erection lasting 4 or more hours, stop using this drug and get medical help right away, or permanent problems could occur. You may report side effects to Health Canada at 1-866-234-2345.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Cialis Generic | 20mg | 90 + 6 Pills | 154.71€ 147.34€ | |
| Cialis Generic | 40mg | 270 + 10 Pills | 382.19€ 363.99€ | |
| Cialis Generic | 20mg | 120 + 8 Pills | 188.15€ 179.19€ | |
| Cialis Generic | 60mg | 360 + 10 Pills | 570.52€ 543.35€ | |
| Cialis Generic | 2.5mg | 270 + 10 Pills | 199.64€ 190.13€ | |
| Cialis Generic | 20mg | 360 + 10 Pills | 427.34€ 406.99€ | |
| Cialis Generic | 20mg | 60 + 6 Pills | 117.76€ 112.15€ | |
| Cialis Generic | 2.5mg | 20 Pills | 40.73€ 38.79€ | |
| Cialis Generic | 20mg | 20 Pills | 54.72€ 52.11€ | |
| Cialis Generic | 2.5mg | 10 Pills | 28.51€ 27.15€ | |
| Cialis Generic | 60mg | 30 + 2 Pills | 85.33€ 81.27€ | |
| Cialis Generic | 5mg | 360 + 10 Pills | 268.08€ 255.31€ | |
| Tadalista Super Active | 20mg | 30 + 6 Pills | 128.09€ 121.99€ | |
| Cialis Generic | 10mg | 60 + 6 Pills | 105.81€ 100.77€ |
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.
Treatment Options When Cialis Does Not Work Well
Some pharmacies offer labels with large print, braille, or a code you scan with a smartphone to convert text to speech. If your local pharmacy doesn’t have these options, your doctor or pharmacist might be able to recommend a pharmacy that does. If you’re having trouble opening medication bottles, ask your pharmacist about putting tadalafil tablets in an easy-open container. They also may recommend tools that can make it easier to open bottles. It’s important that you do not take more tadalafil than your doctor prescribes.
What could be improved
For some medications, taking more than the recommended amount may lead to harmful effects or overdose. Call your doctor right away if you believe you’ve taken too much tadalafil. Another option is to call America’s Poison Centers at 800-222-1222 or use its online tool. If you have severe symptoms, immediately call 911 or your local emergency number, or go to the nearest emergency room. To learn about some of the conditions tadalafil is approved to treat, see this list of ED articles. Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart problems (such as heart attack or life-threatening irregular heartbeat in the past 6 months, chest pain/angina, heart failure) penis conditions (such as angulation, fibrosis/scarring, Peyronie's disease) conditions that may increase the risk of priapism (such as sickle cell anemia, leukemia, multiple myeloma) eye problems (such as retinitis pigmentosa, sudden decreased vision, NAION) Alcohol or marijuana (cannabis) can make you more dizzy.
LinkOut - more resources
Tadalafil's effect on sexual ability may last up to 36 hours. The second way to treat ED is to take tadalafil regularly, once a day every day. If you take it this way, you may attempt sexual activity at any time between your doses. If you are taking tadalafil to treat both ED and BPH, take it as directed by your doctor, usually once a day. You may attempt sexual activity at any time between your doses.
Timing and duration for tadalafil
If you are taking tadalafil once daily for BPH, or for ED, or for both, take it regularly to get the most benefit from it. To help you remember, take it at the same time each day. Tell your doctor if your condition does not get better or if it gets worse. Headache, stomach upset, back pain, muscle pain, stuffy nose, flushing, or dizziness may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly. Do not drive, use machinery, or do anything that needs alertness until you can do it safely.
16.1 How Supplied
However, many similar drugs (immediate-release tablets) can be split/crushed. Follow your doctor's directions on how to take this medication. The dosage is based on your medical condition, response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). To treat the symptoms of BPH, take this medication as directed by your doctor, usually once a day.
What went well
If you are also taking finasteride with this medication to treat symptoms of BPH, talk with your doctor about how long you should keep taking this medication. To treat erectile dysfunction-ED, there are 2 ways that tadalafil may be prescribed. Your doctor will determine which is the best way for you to take tadalafil. Follow your doctor's directions exactly since your dosage depends on how you are taking it. The first way is to take it as needed, usually at least 30 minutes before sexual activity. Talk to your doctor if you are using marijuana (cannabis).
What should I know about storage and disposal of this medication?
Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.
How does tadalafil work?
Tadalafil is used to treat male sexual function problems (impotence or erectile dysfunction-ED). In combination with sexual stimulation, tadalafil works by increasing blood flow to the penis to help a man get and keep an erection. Tadalafil is also used to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). It helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate often or urgently (including during the middle of the night). Tadalafil is thought to work by relaxing the smooth muscle in the prostate and bladder. Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). This brand of the drug is not usually used in women.
- Not a cure for erectile dysfunction; treats symptoms.
- Psychological factors can contribute to ED; therapy may help.
- Can be used in combination with lifestyle changes (diet, exercise).
- Quitting smoking can improve overall vascular health and ED.
- Managing stress and anxiety can enhance treatment effectiveness.
- Open communication with your partner is encouraged.
During pregnancy, tadalafil should be used only when clearly needed.
- Tadalafil 10 mg is useful for sporadic or daily erectile issues.
- Keep a medication diary to track effectiveness and side effects.
- The pill should be stored away from moisture and heat.
- Discuss with your doctor any other health conditions before use.
- Tadalafil may cause back pain in some users.
- Do not use if you are allergic to tadalafil or its ingredients.
- The drug is approved by regulatory authorities in many countries.
- An erection should only occur with sexual arousal.
- Discuss potential interactions with your healthcare provider.
- Discontinue use and seek medical attention if adverse effects occur.
Discuss the risks and benefits with your doctor. It is unknown if this medication passes into breast milk. Drug interactions may change how your medications work or increase your risk for serious side effects.
- Tadalafil is a PDE5 inhibitor, similar to sildenafil (Viagra).
- Longer half-life than sildenafil, allowing for less frequent dosing.
- Can be used for both "as-needed" and daily dosing regimens.
- Not intended for use by women or children.
- Safety and efficacy in men under 18 have not been established.
- A lower 5 mg daily dose is often used for maintenance.
This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist.
13.2 Animal Toxicology and/or Pharmacology
This drug does not protect against sexually transmitted diseases (such as HIV, hepatitis B, gonorrhea, syphilis). Using an effective barrier method (latex or polyurethane condom/dental dams) during sexual activity will help to decrease your risk of infection. This section contains uses of this drug that are not listed in the approved professional labeling for the drug but that may be prescribed by your health care professional. Use this drug for a condition that is listed in this section only if it has been so prescribed by your tadalafil 5mg health care professional. Tadalafil is also available in another brand for high blood pressure in the lungs (pulmonary hypertension).
Patient resources
Read the Patient Information Leaflet if available from your pharmacist before you start taking tadalafil and each time you get a refill. If you have any questions, ask your doctor or pharmacist. Take this medication by mouth, with or without food, as directed by your doctor. Do not take tadalafil more often than once daily. The manufacturer directs to swallow this medication whole. Do not start, stop, or change the dosage of any medicines without your doctor's approval. Some products that may interact with this drug are: Tadalafil can cause a serious drop in your blood pressure when used with nitrates, which can lead to dizziness, fainting, and rarely heart attack or stroke. Do not use any of the following with tadalafil or within 48 hours of your last dose of tadalafil: certain drugs used to treat chest pain/angina (nitrates such as nitroglycerin, isosorbide) recreational drugs called "poppers" containing amyl or butyl nitrite If you are also taking an alpha blocker medication (such as doxazosin, tamsulosin) to treat an enlarged prostate/BPH or high blood pressure, your blood pressure may get too low which can lead to dizziness or fainting. Your doctor may start treatment with a lower dose of tadalafil or adjust your alpha blocker medication to minimize your risk of low blood pressure. Other medications can affect the removal of tadalafil from your body, which may affect how tadalafil works.
| Aspect | Details | Notes |
|---|---|---|
| Standard Dose | 10 mg | Typically prescribed for ED |
| Onset of Action | 30-60 minutes | Effects may vary individually |
| Duration of Effect | Up to 36 hours | Longer than many PDE5 inhibitors |
| Administration Timing | 30 minutes before activity | Can be taken with or without food |
Examples include azole antifungals (such as itraconazole, ketoconazole), macrolide antibiotics (such as clarithromycin, erythromycin), HIV protease inhibitors (such as fosamprenavir), rifampin, ritonavir, among others.
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