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Cialis

  • Helps with erectile dysfunction
  • Temporary improves the ability to get an erection
  • Effective after about 30 minutes
  • Lasts for up to 36 hours
  • Not to be used in combination with certain medicines

About Cialis

CIALIS is used to treat adult men with erectile dysfunction (ED). This is when a man cannot get, or keep a hard, erect penis suitable for sexual activity.
CIALIS belongs to a group of medicines known as phosphodiesterase type 5 inhibitors. CIALIS causes the blood vessels in the penis to relax, allowing more blood to enter the penis when you are sexually aroused. This will improve your ability to get an erection. CIALIS will not help if you do not have erectile dysfunction.
It is important to note that CIALIS does not work if there is no sexual stimulation. You and your partner will need to engage in foreplay, just as you would if you were not taking a medicine for

erectile dysfunction.

How to use Cialis

The usual dose is one 10-mg tablet taken before engaging in sexual activity. Your doctor may adjust the dose to 20 mg based on your response to CIALIS.

CIALIS tablets are for oral use. The tablets should be swallowed whole with some water. CIALIS can be taken either with or without food.

CIALIS tablets should be taken at least 30 minutes before sexual activity. The effect of CIALIS can last up to 36 hours. You need to be sexually aroused for CIALIS to work.

Drinking alcohol may affect your ability to get an erection. Drinking alcohol may temporarily lower your blood pressure. If you have taken or are planning to take CIALIS, avoid excessive drinking (blood alcohol level of 0.08% or greater), since this may increase the risk of dizziness when standing up.

You should NOT take CIALIS more than once a day. CIALIS 10 mg and 20 mg is intended for use prior to anticipated sexual activity and is not recommended for continuous daily use. Use CIALIS as directed by your doctor. If in doubt, contact your doctor or pharmacist.

When not to use Cialis

CIALIS should not be used if:

  • You are allergic to tadalafil or any other ingredient in this medicine.
  • You are taking any form of organic nitrate or nitric oxide donors such as amyl nitrite. This is a group of medicines (nitrates) used in the treatment of angina pectoris (chronic chest pain). CIALIS has been shown to increase the effects of these medicines. If you are taking any form of nitrate or are unsure, tell your doctor.
  • You have serious heart disease or have had a recent heart attack.
  • You have had a recent stroke.
  • You have low blood pressure or uncontrolled high blood pressure.
  • You have ever had loss of vision because of non-arteritic anterior ischemic optic neuropathy (NAION), a condition sometimes described as 'stroke of the eye'.

When should this medicine be used with caution?

Be aware that sexual activity carries a possible risk to patients with heart disease because it puts extra strain on your heart. If you have a heart problem, you should tell your doctor.

The following are reasons why CIALIS may also not be suitable for you. If any of them apply to you, talk to your doctor before you take the medicine:

  • You have sickle cell anaemia (an abnormality of red blood cells), multiple myeloma (cancer of the bone marrow), leukaemia (cancer of the blood cells) or any deformation of your penis.
  • You have a serious liver problem.
  • You have a serious kidney problem.

It is not known if CIALIS is effective in patients who have undergone pelvic surgery or radical non-nerve-sparing prostatectomy.

If you experience sudden decrease or loss of vision, stop taking CIALIS and contact your doctor
immediately.

CIALIS is not to be used in women and adolescents under 18 years of age.

Other medicines and CIALIS

Please tell your doctor if you are taking or have recently taken any other medicines, including medicines obtained without a prescription, because they might interact. This is particularly important if you are treated with nitrates as you should not take CIALIS if you are taking these medicines.

A type of medicine called an alpha blocker is sometimes used to treat high blood pressure and enlarged prostate. Tell your doctor if you are being treated for either of these conditions or if you take other medicines to treat high blood pressure.

If you are taking medicines that can inhibit an enzyme called CYP3A4 (for example ketoconazole or protease inhibitors for treatment of HIV) the frequency of side effects might increase.

Do not take CIALIS with other medicines if your doctor tells you that you may not.

You should not use CIALIS together with any other treatments for erectile dysfunction.

Side effects

Like all medicines CIALIS can cause side effects, although not everyone gets them. These effects are normally mild to moderate in nature. The most common side effects are:

  • Headache.
  • Back pain.
  • Muscle ache.
  • Facial flushing.
  • Nasal congestion.
  • Dizziness.
  • Stomach or intestinal problems.

Other reported side effects of CIALIS include:

  • Skin rash.
  • Blurred vision.
  • Eye pain.
  • Increased sweating.
  • Faster than normal heartbeat (tachycardia), palpitations.
  • High/low blood pressure.
  • Chest pain.

See the package leaflet for a complete list of side effects. Consult a doctor if the side effects are severe or if you experience side effects that are not listed on the package leaflet.

What CIALIS contains

The active substance is tadalafil. Each tablet contains 10 mg or 20 mg of tadalafil.

The other ingredients are:

  • Tablet core: lactose monohydrate, croscarmellose sodium, hydroxypropylcellulose, microcrystalline cellulose, sodium laurilsulfate, magnesium stearate.
  • Film coating: lactose monohydrate, hypromellose, triacetin, titanium dioxide (E171), iron oxide yellow (E172), talc.

The manufacturer of CIALIS is:

Lilly S.A., Avda. de la Industria 30, 28108 Alcobendas, Madrid, Spain.

Package leaflet

Read package leaflet closely before using CIALIS. You can download the official package leaflet here:

Medication information

Affiliated doctors

You know perfectly well what's good and what isn't good for you. Nevertheless, making the right choice can be difficult. We are Dokteronline. We believe in self-management when it comes to your health.

Dr. E. Tanase

MD General practitioner

Dr. H.K. Benkert

MD General practitioner

Dr. P. Mester

MD General practitioner
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