Cialis tadalafil 20mg

Cialis tadalafil 20mg.
You can return the product within 14 days of purchase.
You can return the product within 14 days of purchase.
Cialis 20 mg ( Tadalafil ) 2 film-coated tablets.
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).
Another brand of tadalafil is Adcirca, which is used to treat pulmonary arterial hypertension and improve exercise capacity in men and women. Do not take Cialis while also taking Adcirca, unless your doctor tells you to.
Important information Do not take Cialis if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs such as “poppers”. Taking tadalafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure.
Some medicines can cause unwanted or dangerous effects when used with Cialis. Tell your doctor about all your current medicines, especially riociguat (Adempas).
Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.
Get medical help at once if you have nausea, chest pain, or dizziness during sex.
Stop using Cialis and get emergency medical help if you have sudden vision loss.
Before taking this medicine You should not take Cialis if you are allergic to tadalafil.
Taking Cialis with certain other medicines can cause a sudden and serious decrease in blood pressure. Do not take this medicine if you also use:
riociguat (to treat pulmonary arterial hypertension); or.
a nitrate drug (for chest pain or heart problems) such as nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, or recreational drugs such as amyl nitrate or nitrite “poppers”.
Some tadalafil can remain in your bloodstream for 2 or more days after each dose you take (longer if you have liver or kidney disease). Avoid nitrate use during this time.
To make sure this Cialis is safe for you, tell your doctor if you have ever had:
heart disease or heart rhythm problems;
angina (chest pain), high or low blood pressure;
pulmonary hypertension (unless you are taking tadalafil for this);
a condition called pulmonary veno-occlusive disease (narrowing of the veins that carry blood from the lungs to the heart);
liver or kidney disease (or if you are on dialysis);
vision loss, or retinitis pigmentosa (an inherited condition of the eye);
a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;
a physical deformity of the penis (such as Peyronie’s disease), or an erection lasting longer than 4 hours;
health problems that make sexual activity unsafe.
Sudden vision loss has occurred in a small number of people taking medicines like tadalafil (Viagra or others). Most of these people already had certain eye problems or had high cholesterol, diabetes, coronary artery disease, a history of smoking, or were over 50 years old). It is not clear whether the medicine was the actual cause of vision loss.
Cialis is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.
It is not known whether tadalafil passes into breast milk or if it could affect the nursing baby. Tell your doctor if you are breast-feeding.
Cialis is not approved for use by anyone younger than 18 years old.
How should I take Cialis? Cialis is usually taken only once per day. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.
Cialis can be taken with or without food.
Do not break or split a tablet. Swallow it whole.
For erectile dysfunction, take Cialis just before sexual activity but not more than once per day.
Cialis can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill. Follow your doctor’s instructions.
Do not take Cialis for erectile dysfunction if you are taking Adcirca for pulmonary arterial hypertension.
Store at room temperature away from moisture and heat.
What happens if I miss a dose? As Cialis is used as needed, you are not likely to be on a dosing schedule.
What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
What should I avoid while taking Cialis? Drinking alcohol with this medicine can cause side effects.
Grapefruit and grapefruit juice may interact with tadalafil and lead to unwanted side effects. Avoid the use of grapefruit products while taking this medicine.
Cialis 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);
ringing in your ears or sudden hearing loss; or.
heart attack symptoms – chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating.
Common Cialis side effects may include:
flushing (warmth, redness, or tingly feeling);
muscle pain, back pain, pain in your arms or legs.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
See also: Cialis side effects (in more detail)
What other drugs will affect Cialis? Tell your doctor about all your current medicines and any you start or stop using, especially:
medicines to treat erectile dysfunction or pulmonary arterial hypertension;
antiviral medicine to treat hepatitis C or HIV/AIDS;
drugs to treat high blood pressure or a prostate disorder; or.
This list is not complete. Other drugs may interact with tadalafil, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.
See also: Cialis drug interactions (in more detail)
Further information Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Cialis only for the indication prescribed.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Copyright 1996-2020 Cerner Multum, Inc. Version: 11.01.
In Summary Common side effects of Cialis include: dyspepsia and headache. Other side effects include: upper respiratory tract infection, back pain, myalgia, cough, and nasal congestion. See below for a comprehensive list of adverse effects.
For the Consumer Applies to tadalafil: oral tablet.
Along with its needed effects, tadalafil (the active ingredient contained in Cialis) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur while taking tadalafil:
Arm, back, or jaw pain blurred vision chest pain or discomfort chest tightness or heaviness chills cold sweats confusion dizziness fainting faintness or lightheadedness when getting up suddenly from a lying or sitting position fast or irregular heartbeat headache hearing loss increased erection nausea nervousness pain or discomfort in the arms, jaw, back, or neck pounding in the ears slow or fast heartbeat spontaneous penile erection sweating unusual tiredness or weakness vomiting.
Painful or prolonged erection of the penis Incidence not known.
Blindness blistering, peeling, or loosening of the skin cough cracks in the skin decrease or change in vision diarrhea difficulty with speaking double vision fast, irregular, pounding, or racing heartbeat or pulse headache, severe and throbbing hives or welts, itching, skin rash inability to move the arms, legs, or facial muscles inability to speak joint or muscle pain loss of heat from the body numbness or tingling of the face, hands, or feet red skin lesions, often with a purple center red, irritated eyes red, swollen skin redness of the skin redness or soreness of the eyes scaly skin slow speech sores, ulcers, or white spots in the mouth or on the lips stomach pain sudden cardiac death swelling of the feet or lower legs Some side effects of tadalafil may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
Belching heartburn indigestion stomach discomfort, upset, or pain Less common.
Bloody nose body aches or pain burning, crawling, itching, numbness, prickling, “pins and needles”, or tingling feelings burning, dry, or itching eyes burning feeling in the chest or stomach congestion difficulty with moving difficulty with swallowing dry mouth dryness or soreness of the throat excessive eye discharge eye pain feeling of constant movement of self or surroundings feeling of warmth, redness of the face, neck, arms and occasionally, upper chest fever hoarseness lack or loss of strength loose stools muscle aching or cramping muscle stiffness nasal congestion neck pain pain pain in the arms or legs pain or burning in the throat redness, pain, swelling of the eye, eyelid, or inner lining of the eyelid reduced sensitivity to touch runny nose sensation of spinning sleepiness or unusual drowsiness stomach upset swelling of the eyelids swelling or puffiness of the eyes or face swollen joints tearing tender, swollen glands in the neck tenderness in the stomach area trouble with sleeping upper abdominal or stomach pain voice changes watering of the eyes.
Do not split CIALIS tablets; entire dose should be taken.
CIALIS for Use as Needed for Erectile Dysfunction 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. CIALIS for Once Daily Use for Erectile Dysfunction The recommended starting dose of CIALIS for once daily use is 2.5 mg, taken at approximately the same time every day, without regard to timing of sexual activity. The CIALIS dose for once daily use may be increased to 5 mg, based on individual efficacy and tolerability. CIALIS for Once Daily Use for Benign Prostatic Hyperplasia The recommended dose of CIALIS for once daily use is 5 mg, taken at approximately the same time every day. When therapy for BPH is initiated with CIALIS and finasteride, the recommended dose of CIALIS for once daily use is 5 mg, taken at approximately the same time every day for up to 26 weeks. CIALIS for Once Daily Use for Erectile Dysfunction and Benign Prostatic Hyperplasia The recommended dose of CIALIS for once daily use is 5 mg, taken at approximately the same time every day, without regard to timing of sexual activity.
Use with Food CIALIS may be taken without regard to food.
Use in Specific Populations Renal Impairment.
Creatinine clearance 30 to 50 mL/min: A starting dose of 5 mg not more than once per day is recommended, and the maximum dose is 10 mg not more than once in every 48 hours. Creatinine clearance less than 30 mL/min or on hemodialysis: The maximum dose is 5 mg not more than once in every 72 hours [see Warnings and Precautions (5.7) and Use in Specific Populations (8.7)]. CIALIS for Once Daily Use.
Creatinine clearance less than 30 mL/min or on hemodialysis: CIALIS for once daily use is not recommended [see Warnings and Precautions (5.7) and Use in Specific Populations (8.7)].
Benign Prostatic Hyperplasia and Erectile Dysfunction/Benign Prostatic Hyperplasia.
Creatinine clearance 30 to 50 mL/min: A starting dose of 2.5 mg is recommended. An increase to 5 mg may be considered based on individual response. Creatinine clearance less than 30 mL/min or on hemodialysis: CIALIS for once daily use is not recommended [see Warnings and Precautions (5.7) and Use in Specific Populations (8.7)]. Hepatic Impairment.
Mild or moderate (Child Pugh Class A or B): The dose should not exceed 10 mg once per day. The use of CIALIS once per day has not been extensively evaluated in patients with hepatic impairment and therefore, caution is advised. Severe (Child Pugh Class C): The use of CIALIS is not recommended [see Warnings and Precautions (5.8) and Use in Specific Populations (8.6)]. CIALIS for Once Daily Use.
Mild or moderate (Child Pugh Class A or B): CIALIS for once daily use has not been extensively evaluated in patients with hepatic impairment. Therefore, caution is advised if CIALIS for once daily use is prescribed to these patients. Severe (Child Pugh Class C): The use of CIALIS is not recommended [see Warnings and Precautions (5.8) and Use in Specific Populations (8.6)]. Concomitant Medications Nitrates.
Concomitant use of nitrates in any form is contraindicated [see Contraindications (4.1)].
ED — When CIALIS is coadministered with an alpha-blocker in patients being treated for ED, patients should be stable on alpha-blocker therapy prior to initiating treatment, and CIALIS should be initiated at the lowest recommended dose [see Warnings and Precautions (5.6), Drug Interactions (7.1), and Clinical Pharmacology (12.2)].
BPH — CIALIS is not recommended for use in combination with alpha-blockers for the treatment of BPH [see Warnings and Precautions (5.6), Drug Interactions (7.1), and Clinical Pharmacology (12.2)].
CIALIS for Use as Needed — For patients taking concomitant potent inhibitors of CYP3A4, such as ketoconazole or ritonavir, the maximum recommended dose of CIALIS is 10 mg, not to exceed once every 72 hours.
A total of 248 drugs are known to interact with Cialis (tadalafil).
9 major drug interactions 141 moderate drug interactions 98 minor drug interactions Show all medications in the database that may interact with Cialis (tadalafil).
Drug name Enter a drug name Most frequently checked interactions View interaction reports for Cialis (tadalafil) and the medicines listed below.
Adderall (amphetamine / dextroamphetamine) alfuzosin amlodipine amlodipine amoxicillin aspirin Aspirin Low Strength (aspirin) atorvastatin atorvastatin caffeine Crestor (rosuvastatin) Eliquis (apixaban) finasteride Fish Oil (omega-3 polyunsaturated fatty acids) Flomax (tamsulosin) gabapentin grapefruit L-Arginine (arginine) Lipitor (atorvastatin) lisinopril lisinopril losartan losartan metformin omeprazole oxycodone prednisone simvastatin tamsulosin testosterone tramadol trazodone Viagra (sildenafil) Vitamin B12 (cyanocobalamin) Vitamin D3 (cholecalciferol) Xarelto (rivaroxaban) Zoloft (sertraline)
Cialis (tadalafil) alcohol/food interactions There is 1 alcohol/food interaction with Cialis (tadalafil)
Cialis (tadalafil) disease interactions There are 9 disease interactions with Cialis (tadalafil) which include:
cardiovascular disease renal dysfunction pulmonary disease priapism alcoholism hearing loss liver disease retinitis pigmentosa seizure disorders.
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