Tadalafil (Cialis)

Urapidil Voriconazole Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Doxazosin Silodosin Other Interactions Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur.

Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Using this medicine with any of the following is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.

Grapefruit Juice Using this medicine with any of the following may cause an increased risk of certain side effects but may be unavoidable in some cases. Ethanol Other Medical Problems The presence of other medical problems may affect the use of this medicine. May increase risk of unwanted side effects eg, prolonged erection of the penis.

Age greater than 50 years or Coronary artery disease or Hyperlipidemia high lipids or fats in the blood or Hypertension high blood pressure or Low cup to disc ratio eye condition also called «crowded disc» or Smoking—Use with caution. Angina severe chest pain or Arrhythmia irregular heartbeatuncontrolled or Heart attack within the last 3 months or Heart failure within the last 6 months or Hypertension high blood pressureuncontrolled or Hypotension low blood pressure or Retinal disorders eye problem or Retinitis pigmentosa an inherited eye disorder or Stroke, recent history of—Should not be used in patients with these conditions.

Bleeding disorders or Stomach ulcers—Use must be determined by your doctor. May increase your risk of bleeding. May make this condition worse. Kidney disease, mild or moderate or Liver disease, mild or moderate—Use with caution. The effects may be increased because of slower removal of the medicine from the body. Non—arteritic anterior ischemic optic neuropathy Comprar cialis online, serious eye condition in one or both eyes, history of—Use with caution.

Proper Use Use tadalafil exactly as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered.

Also, do not stop taking this medicine without checking first with your doctor. This medicine comes with a patient information leaflet.

Read and follow these instructions carefully. Read it again each time you refill your prescription in case there is new information. Ask your doctor if you have any questions. You may take this medicine with or without food. Swallow the tablet whole. Do not split, break, chew, or crush it.

When using this medicine for erectile dysfunction, the ability to have sexual activity may be improved for up to 36 hours after taking the tablet. Use only the brand of this medicine that your doctor prescribed. Different brands may not work the same way.

Dosing The dose of this medicine will be different for different patients. Follow your doctor’s orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

For oral dosage form tablets : For treatment of benign prostatic hyperplasia daily use : Adults—5 milligrams mg as a single dose, no more than once a day, taken at the same time each day. Children—Use is not recommended. For treatment of erectile dysfunction as needed : Adults—10 milligrams mg as a single dose, no more than once a day, taken 30 minutes before you think sexual activity may occur. Your doctor may adjust your dose as needed.

For treatment of erectile dysfunction daily use : Adults—2. For treatment of erectile dysfunction and benign prostatic hyperplasia daily use : Adults—5 milligrams mg once a day, taken at the same time each day, without regard for the timing of sexual activity. For treatment of pulmonary arterial hypertension: Adults—40 milligrams mg two 20 mg tablets taken once a day. Take both tablets at the same time each day.

Do not divide the 40 mg dose. Children—Use and dose must be determined by your doctor. Missed Dose If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses. Storage Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing. Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed. Ask your healthcare professional how you should dispose of any medicine you do not use. Precautions It is important that you tell all of your doctors that you take tadalafil. If you need emergency medical care for a heart problem, it is important that your doctor knows when you last took tadalafil.

If you will be taking this medicine for pulmonary arterial hypertension, it is very important that your doctor check your progress at regular visits. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to take it.

Blood and urine tests may be needed to check for unwanted effects. If you take too much tadalafil or take it together with these medicines, the chance for side effects will be higher. If you experience a prolonged erection for more than 4 hours or a painful erection for more than 6 hours, contact your doctor immediately.

This condition may require prompt medical treatment to prevent serious and permanent damage to your penis. Use protective measures and ask your doctor if you have any questions about this. It is important to tell your doctor about any heart problems you have now or may have had in the past. This medicine can cause serious side effects in patients with heart problems. Do not use this medicine if you are also using riociguat or a nitrate medicine, often used to treat angina chest pain.

Some illegal «street» drugs called «poppers» such as amyl nitrate, butyl nitrate, or nitrite also contain nitrates. If you need to use a nitrate medicine, take it at least 48 hours after your last dose of tadalafil. Do not drink excessive amounts of alcohol eg, 5 or more glasses of wine or 5 or more shots of whiskey when taking tadalafil. When taken in excess, alcohol can increase your chances of getting a headache or dizziness, increase your heart rate, or lower your blood pressure.

If you experience sudden loss of vision in one or both eyes, contact your doctor immediately. Check with your doctor right away if you have a sudden decrease in hearing or loss of hearing, which may be accompanied by dizziness and ringing in the ears. Do not eat grapefruit or drink grapefruit juice while you are using this medicine.

Grapefruit and grapefruit juice may change the amount of this medicine that is absorbed in the body. Do not take other medicines unless they have been discussed with your doctor.

This includes prescription or nonprescription over-the-counter [OTC] medicines and herbal or vitamin supplements. Side Effects Along with its needed effects, a medicine 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: Less common Arm, back, or jaw pain blurred vision chest pain, discomfort, tightness, or heaviness chills.