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Interactions

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.

a bleeding disorder such as hemophilia;

retinitis pigmentosa (an inherited condition of the eye);
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.

Generic Name: tadalafil (ta DAL a fil) Brand Names: Cialis







Support Group Q & A


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.
Once a day use for ED:
Side Effects

Your pharmacist can provide more information about Cialis.

Cialis is used to treat erectile dysfunction (impotence) and symptoms of benign prostatic hypertrophy (enlarged prostate).

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.


Avoid using any other medicines to treat impotence, such as alprostadil or yohimbine, without first talking to your doctor.



Important information





seizure medicine.
drugs to treat high blood pressure or a prostate disorder; or
shortness of breath;
sinus pain, sore throat; or
More Pregnancy Warnings

headache;



Cialis dosing information

Also call your doctor right away if you have:

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
To make sure Cialis is safe for you, tell your doctor if you have any of these other conditions:
if you have been told you should not have sexual intercourse for health reasons.
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.

swelling in your hands, ankles, or feet;

What should I avoid while taking Cialis?
a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;


Overview
Use as needed for ED:

Use: Treatment of the signs and symptoms of benign prostatic hyperplasia (BPH)
User Reviews
diarrhea;



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.

If Cialis is used as needed, you are not likely to be on a dosing schedule.
-Initial dose: 2.5 mg orally once a day at approximately the same time, without regard to timing of sexual activity
an antibiotic or antifungal medicine;
a stomach ulcer;

Once daily use for ED and Benign Prostatic Hyperplasia (BPH):
vision changes or sudden vision loss; or


How should I take Cialis?



Do not break or split a tablet. Swallow it whole.


Concomitant administration with finasteride:

Usual Adult Dose for Erectile Dysfunction:
See also: Side effects (in more detail) What other drugs will affect Cialis?
Stop using Cialis and get emergency medical help if you have sudden vision loss.
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.

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


See also: Dosage Information (in more detail) What happens if I miss a dose?
Once daily use for BPH:

Drinking alcohol with this medicine can cause side effects.
seizure (convulsions); or

liver or kidney disease (or if you are on dialysis);


Cialis (tadalafil) relaxes muscles found in the walls of blood vessels and increases blood flow to particular areas of the body.



-5 mg orally once a day at approximately the same time
Store at room temperature away from moisture and heat.
-5 mg orally once a day at approximately the same time, for up to 26 weeks


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

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.

Cialis: 7 Important Things You Need to Know
Stop using Cialis and get emergency medical help if you have:



-Initial dose: 10 mg orally once a day, as needed, prior to sexual activity
irregular heartbeat;
-5 mg orally once a day at approximately the same time, without regard to timing of sexual activity

What happens if I overdose?
Tell your doctor about all your current medicines and any you start or stop using, especially:
heart attack symptoms - chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating.

Usual Adult Dose for 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;




Comment: Consider that this drug has shown to improve erectile dysfunction up to 36 hours following dosing, when used as needed.


Where can I get more information?
Professional
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.

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




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

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.
Cialis side effects




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.
Add to My Med List

What is Cialis?


-5 mg orally once a day at approximately the same time, without regard to timing of sexual activity
muscle pain.

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.



ringing in your ears, or sudden hearing loss;
a recent history (in the past 6 months) of a stroke, or congestive heart failure;



a physical deformity of the penis (such as Peyronie's disease); or


a recent heart attack (within the past 90 days);

Cialis can be taken with or without food.

-Maintenance dose: 5 to 20 mg orally once a day, as needed, prior to sexual activity based on individual efficacy and tolerability
Grapefruit and grapefruit juice may interact with tadalafil and lead to unwanted side effects. Avoid the use of grapefruit products while taking this medicine.
Do not take Cialis for erectile dysfunction if you are taking Adcirca for pulmonary arterial hypertension.

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

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

if you take other medicines to treat pulmonary arterial hypertension, such as riociguat (Adempas).

Drug Images
Pricing & Coupons

Common Cialis side effects may include:
Once daily use for ED and BPH:


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.
antiviral medicine to treat hepatitis C or HIV/AIDS;


Use: Treatment of erectile dysfunction (ED)
Slideshow



For erectile dysfunction, take this medicine just before sexual activity but not more than once per day.

Before taking this medicine

tadalafil is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.
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.
You should not take Cialis if you are allergic to tadalafil, or:

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.

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