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CIALIS
CIALIS ONLINE
Before Using This Medicine
In deciding to use a medicine, the risks of taking the medicine
must be weighed against the good it will do. This is a decision
you and your doctor will make. For tadalafil, the following should
be considered:
Allergies—Tell your doctor if you have ever
had any unusual or allergic reaction to tadalafil. Also tell your
doctor and pharmacist if you are allergic to any other substances,
such as foods, preservatives, or dyes.
Pregnancy—Tadalafil is for use in men only.
tadalafil has not been studied in pregnant women. Tadalafil has
not shown to cause birth defects or other problems in animals.
Breast-feeding—Tadalafil is for use in men
only. It is not known whether tadalafil passes into human breast
milk.
Children—Tadalfil is not for use in
children.
Older adults—This medicine has been tested
in a limited number of patients 65 years of age or older and has
not been shown to cause different side effects or problems in
older people than it does in younger adults.
Other medicines—Although certain medicines
should not be used together at all, in other cases two different
medicines may be used together even if an interaction might occur.
In these cases, your doctor may want to change the dose, or other
precautions may be necessary. When you are taking tadalafil, it is
especially important that your doctor and pharmacist know if you
are taking any of the following:
 | Erectile dysfunction medicines—these medicines should not
be used at the same time as tadalafil because the safety of
using these medicines in combination has not been proven. |
| Nitrates (medicine used to treat chest pain [e.g.,
nitroglycerin])—these medicines should not be used at the
same time as tadalafil because they can cause very low blood
pressure and serious side effects |
| Alcoholic beverages— drinking alcohol can cause an
increased chance of some side effects. |
| Alpha blockers (medicine for high blood pressure)—these
medicines should not be used at the same time as tadalafil
because they can cause very low blood pressure and serious
side effects |
| Erythromycin (e.g., Apo-erythro) or
| Itraconazole (e.g., Sporanox) or
| Ketoconazole (e.g., Nizoral) or
| Grapefruit juice or
| Ritonavir (e.g., Norvir)— these may cause there to be more
tadalafil in your body |
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Proper Use of This Medicine
Special patient directions come with tadalafil. Read the
directions carefully before you start using tadalafil and each
time you get a refill of your medicine.
Use tadalafil exactly as directed by your doctor. Do
not use more of it and do not use it more often than your doctor
ordered. If too much is used, the chance of side effects or other
problems is increased.
Dosing—
The dose of tadalafil 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
tadalafil. If your dose is different, do not change it
unless your doctor tells you to do so.
| For oral dosage form (tablets):
| For treatment of erectile dysfunction:
| Adults—10 mg as a single dose no more than once a
day, 1 hour before sexual activity. If needed, your
doctor may change your dose. |
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Storage—
To store this medicine:
| Keep out of the reach of children.
| Do not store in the bathroom, near the kitchen sink, or in
other damp places. Heat or moisture may cause the medicine to
break down.
| Keep the medicine from freezing. Do not refrigerate.
| Do not keep outdated medicine or medicine no longer needed.
Ask your health care professional how you should dispose of
any medicine you do not use. Be sure that any discarded
medicine is out of the reach of children. |
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Precautions While Using This Medicine
Tadalafil has not been studied with other medicines used
for treatment of erectile dysfunction. Using them together is not
recommended .
It is important that you tell all of your healthcare
providers that you take tadalafil. If you need emergency
medical care for a heart problem it is important that your
healthcare provider knows when you last took tadalafil.
If you experience a prolonged or painful erection for 4
hours or more, contact your doctor immediately. This
condition may require prompt medical treatment to prevent serious
and permanent damage to your penis.
This medicine does not protect you against sexually transmitted
diseases. 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 may have now or may have had in the past. This medicine can
cause serious side effects in patients with heart problems.
Do not drink alcohol to excess when taking tadalafil (for
example, 5 glasses of wine or 5 shots of whiskey). When taken in
excess alcohol can increase your chances of getting a headache or
getting dizzy, increasing your heart rate, or lowering your blood
pressure.
Side Effects of This Medicine
Side Effects of This Medicine
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 or discomfort; chest tightness or
heaviness; chills; cold sweats;
confusion; dizziness; fainting;
faintness, or lightheadedness when getting up from a lying
or sitting position suddenly; fast or irregular
heartbeat; headache; nausea;
nervousness; pain or discomfort in arms, jaw, back
or neck; pounding in the ears; shortness of
breath; slow or fast heartbeat; sweating;
unusual tiredness or weakness ; vomiting |
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| Rare
| Painful or prolonged erection of the penis |
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Other side effects may occur that usually do not need medical
attention. These side effects may go away during treatment as your
body adjusts to the medicine. However, check with your doctor if
any of the following side effects continue or are bothersome.
| More Common
| Acid or sour stomach; belching; heartburn;
indigestion; stomach discomfort, upset, or pain |
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| Less common
| Bloody nose; burning, crawling, itching, numbness,
prickling, "pins and needles" , or tingling
feelings; burning feeling in chest or stomach;
burning, dry or itching eyes; body aches or pain ;
congestion; cough; diarrhea; difficulty
in moving; difficulty swallowing; dry mouth;
dryness or soreness of throat; eye pain ;
excessive eye discharge; fever; feeling of
constant movement of self or surroundings ; feeling
of warmth redness of the face, neck, arms and
occasionally, upper chest; hoarseness;
increased erection; itching skin; joint pain;
lack or loss of strength ; loose stools;
muscle aching or cramping; muscle pains or
stiffness; nasal congestion; neck pain;
pain; pain in arms and/or legs; pain or
burning in throat; rash; redness, pain,
swelling of eye, eyelid, or inner lining of eyelid ;
reduced sensitivity to touch; runny nose;
sensation of spinning; sleepiness or unusual
drowsiness; sleeplessness; sores, ulcers, or
white spots on lips or tongue or inside the mouth;
spontaneous penile erection; stomach upset;
swelling of eyelids; swelling or puffiness of eye or
face; swollen joints; tearing; tender,
swollen glands in neck; tenderness in stomach area;
trouble sleeping; unable to sleep; upper
abdominal pain; voice changes; watering of
eyes |
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Other side effects not listed above may also occur in some
patients. If you notice any other effects, check with your doctor.
| Rare
| Changes in color vision |
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