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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 Cialis with a nitrate medicine can cause a sudden and serious decrease in blood pressure.





seizure medicine.


antiviral medicine to treat hepatitis C or HIV/AIDS;
Your pharmacist can provide more information about Cialis.




Dosage


shortness of breath;
Professional

Once daily use for ED and Benign Prostatic Hyperplasia (BPH):

Cialis is used to treat erectile dysfunction (impotence) and symptoms of benign prostatic hypertrophy (enlarged prostate).
For erectile dysfunction, take this medicine just before sexual activity but not more than once per day.
What should I avoid while taking Cialis?


See also: Dosage Information (in more detail) What happens if I miss a dose?
Avoid using any other medicines to treat impotence, such as alprostadil or yohimbine, without first talking to your doctor.
Overview




See also: Side effects (in more detail) What other drugs will affect Cialis?
tadalafil is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.
Comment: Consider that this drug has shown to improve erectile dysfunction up to 36 hours following dosing, when used as needed.
Add to My Med List
It is not known whether tadalafil passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

Get emergency medical help if you have any signs of an allergic reaction to Cialis: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.



a light-headed feeling, like you might pass out.

heart attack symptoms - chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating.
Usual Adult Dose for Benign Prostatic Hyperplasia:
To make sure Cialis is safe for you, tell your doctor if you have any of these other conditions:


Usual Adult Dose for Erectile Dysfunction:

You should not take Cialis if you are allergic to tadalafil, or:
Concomitant administration with finasteride:
Cialis can be taken with or without food.
diarrhea;
-5 mg orally once a day at approximately the same time, without regard to timing of sexual activity



an antibiotic or antifungal medicine;
retinitis pigmentosa (an inherited condition of the eye);


Stop using Cialis and get emergency medical help if you have sudden vision loss.



irregular heartbeat;
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.
Tell your doctor about all your current medicines and any you start or stop using, especially:

Do not take Cialis for erectile dysfunction if you are taking Adcirca for pulmonary arterial hypertension.
liver or kidney disease (or if you are on dialysis);
Drinking alcohol with this medicine can cause side effects.




angina (chest pain), high or low blood pressure;



sinus pain, sore throat; or
Use: Treatment of erectile dysfunction (ED)




muscle pain.
More Pregnancy Warnings
User Reviews
-5 mg orally once a day at approximately the same time, without regard to timing of sexual activity
seizure (convulsions); or
How should I take Cialis?

Drug Images






Cialis (tadalafil) relaxes muscles found in the walls of blood vessels and increases blood flow to particular areas of the body.
Once daily use for BPH:
Stop using Cialis and get emergency medical help if you have:




Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
Slideshow
Use: Treatment of the signs and symptoms of benign prostatic hyperplasia (BPH)
Before taking this medicine
-Maintenance dose: 5 to 20 mg orally once a day, as needed, prior to sexual activity based on individual efficacy and tolerability
Cialis dosing information

Use as needed for ED:



a bleeding disorder such as hemophilia;
Once daily use for ED and BPH:
Comments: The incremental benefit of this drug decreases from 4 weeks until 26 weeks. The incremental benefit of this drug beyond 26 weeks is unknown.
Pricing & Coupons
Common Cialis side effects may include:
Side Effects

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.
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.

What happens if I overdose?
-5 mg orally once a day at approximately the same time
vision changes or sudden vision loss; or
a stomach ulcer;



Cialis side effects

During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect of Cialis.
If you take Cialis every day and you miss a dose, take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.
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.




Also call your doctor right away if you have:

What is Cialis?

Once a day use for ED:
Do not break or split a tablet. Swallow it whole.
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.
Generic Name: tadalafil (ta DAL a fil) Brand Names: Cialis

Store at room temperature away from moisture and heat.



ringing in your ears, or sudden hearing loss;

a recent heart attack (within the past 90 days);
swelling in your hands, ankles, or feet;


Cialis can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking Viagra or other drugs similar to tadalafil. Most of these people also had certain pre-existing eye problems or risk factors for blood vessel disorders (such as heart disease, diabetes, high blood pressure, high cholesterol, coronary artery disease, smoking, or being over 50 years old). It is not clear whether Cialis is the actual cause of vision loss.
if you have been told you should not have sexual intercourse for health reasons.
-Initial dose: 10 mg orally once a day, as needed, prior to sexual activity

a recent history (in the past 6 months) of a stroke, or congestive heart failure;
Do not take Cialis if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate. Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking Cialis with a nitrate medicine can cause a sudden and serious decrease in blood pressure.

If Cialis is used as needed, you are not likely to be on a dosing schedule.







Grapefruit and grapefruit juice may interact with tadalafil and lead to unwanted side effects. Avoid the use of grapefruit products while taking this medicine.

-Maintenance dose: 2.5 to 5 mg orally once a day based on individual efficacy and tolerability.



Another brand of tadalafil is Adcirca, which is used to treat pulmonary arterial hypertension. Do not take Cialis while also taking Adcirca, unless your doctor tells you to.
Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
More about Cialis (tadalafil) Side Effects During Pregnancy Dosage Information Drug Images Drug Interactions Support Group Pricing & Coupons En Espanol 341 Reviews - Add your own review/rating Consumer resources Cialis Cialis (Advanced Reading) Other brands: Adcirca Professional resources Cialis (AHFS Monograph) Cialis (FDA) Related treatment guides Erectile Dysfunction Benign Prostatic Hyperplasia
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.


heart disease or heart rhythm problems, coronary artery disease;


-5 mg orally once a day at approximately the same time, for up to 26 weeks
Where can I get more information?



Cialis: 7 Important Things You Need to Know
a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;



Interactions
drugs to treat high blood pressure or a prostate disorder; or
a physical deformity of the penis (such as Peyronie's disease); or

if you take other medicines to treat pulmonary arterial hypertension, such as riociguat (Adempas).
headache;
-Initial dose: 2.5 mg orally once a day at approximately the same time, without regard to timing of sexual activity

Important information

erection is painful or lasts longer than 4 hours (prolonged erection can damage the penis);


Some medicines can cause unwanted or dangerous effects when used with Cialis. Tell your doctor about all your current medicines, especially riociguat (Adempas).


Support Group Q & A

You why elects allergic reactions. dose.