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All about Cialis pills
Tadalafil is used to treat erectile dysfunction (impotence).
How you must use this medicine?
Take Cialis tablets by mouth. Follow the instructions on the label. The dose is usually taken 30 minutes to 1 hour before sexual activity. You should not take this dose more than once per day. Swallow the tablets with a glass of water. You may take tadalafil with or without food. Do not take extra doses or double. Do not change your dose without talking to your prescriber. Your prescriber may lower or raise your dose, depending on how your body reacts to Tadalafil. If you have kidney or liver problems or are taking certain medications, your prescriber may limit your dose of Tadalafil.
Contact your pediatrician about using this medicine in children. Special care may be needed. At this point, this medicine is not for use in children.
What if I miss a dose?
This does not apply. However, do not take double or extra doses.
What drug (s) may interact with Tadalafil?
Do not take Cialis if you are taking the following medications:
• alpha blockers, as alfuzosin (Uroxatral ®), doxazosin (Cardura ®), prazosin (Minipress ®), terazosin (Hytrin ®), used to treat high blood pressure or an enlarged prostate. Flomax ® (tamsulosin) 0.4 mg daily can be taken with Cialis.
• Medicinal nitroglycerin for the heart or chest pain such as amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin, even if taken only occasionally
Cialis may also interact with the following medications:
• bosentan
• certain antibiotics such as clarithromycin, erythromycin, troleandomycin
• Medications for seizures such as carbamazepine, phenytoin and phenobarbital
• cimetidine
• cisapride
• diltiazem
• grapefruit juice
• medicines for fungal infections (fluconazole, itraconazole, ketoconazole, voriconazole)
• mibefradil
• nicardipine
• certain medicines for the treatment of HIV infection or AIDS
quinidine •
• rifabutin, rifampin or rifapentine
• some medicines for treating depression, anxiety or other mood problems (eg fluoxetine, fluvoxamine, nefazodone)
• verapamil
Tell your doctor or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements or herbal products. Also tell your doctor or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke or use illegal drugs. These may affect the way your medicine works. Ask your health care professional before stopping or starting any of your medicines.
What side effects I can notice from receiving Tadalafil?
Side effects that you should tell your doctor or healthcare professional as soon as possible:
• changes in vision
• chest pain or palpitations
• difficulty breathing, shortness of breath
• dizziness
• eyelid swelling
• prolonged erection (lasting more than 4 hours)
• rash, itching
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
• back pain
• redness
• headache
• indigestion
• muscle aches
• stuffy or runny nose
What should I watch for while taking tadalafil?
Contact your doctor immediately if the erection lasts longer than 4 hours or if it becomes tender. This may be a sign of priapism and must be treated immediately to prevent permanent damage.
If you experience symptoms of nausea, dizziness, chest pain or pain in the arm at the onset of sexual activity after tadalafil use, you should refrain from further activity and should discuss the episode with your doctor or health care professional as soon as possible.
Do not drink alcohol to excess (examples, 5 glasses of wine or 5 shots of whiskey) when taking Cialis. When taken in excess, alcohol can increase your chances of getting a headache or dizziness, increased heart rate or lowering your blood pressure.
If you notice any changes in your vision while taking this medication, tell your prescriber or health care professional care as soon as possible.
Do not change the dose of your medication. Please call your doctor or health care professional to determine if your dose needs to be reevaluated.
Using tadalafil does not protect you or your partner against infection HIV (the virus that causes AIDS) or other sexually transmitted diseases.
Where I can keep my medicine?
Keep out of reach of children in a container that small children can not open.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.
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