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Cialis is used to treat erectile dysfunction (impotence) and symptoms of benign prostatic hypertrophy (enlarged prostate).
Comment: Consider that this drug has shown to improve erectile dysfunction up to 36 hours following dosing, when used as needed.
Use: Treatment of the signs and symptoms of benign prostatic hyperplasia (BPH)

diarrhea;
-Initial dose: 2.5 mg orally once a day at approximately the same time, without regard to timing of sexual activity
angina (chest pain), high or low blood pressure;

Store at room temperature away from moisture and heat.


-Initial dose: 10 mg orally once a day, as needed, prior to sexual activity


drugs to treat high blood pressure or a prostate disorder; or
-5 mg orally once a day at approximately the same time, without regard to timing of sexual activity




-5 mg orally once a day at approximately the same time, for up to 26 weeks
Generic Name: tadalafil (ta DAL a fil) Brand Names: Cialis












retinitis pigmentosa (an inherited condition of the eye);
Grapefruit and grapefruit juice may interact with tadalafil and lead to unwanted side effects. Avoid the use of grapefruit products while taking this medicine.


-5 mg orally once a day at approximately the same time, without regard to timing of sexual activity
-5 mg orally once a day at approximately the same time
Stop using Cialis and get emergency medical help if you have:
a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
What is Cialis?


Drug Images
Your pharmacist can provide more information about Cialis.

erection is painful or lasts longer than 4 hours (prolonged erection can damage the penis);
Before taking this medicine
a physical deformity of the penis (such as Peyronie's disease); or

Cialis (tadalafil) relaxes muscles found in the walls of blood vessels and increases blood flow to particular areas of the body.
Common Cialis side effects may include:

Overview
For erectile dysfunction, take this medicine just before sexual activity but not more than once per day.
Use: Treatment of erectile dysfunction (ED)
What should I avoid while taking Cialis?

Once daily use for ED and BPH:
Cialis: 7 Important Things You Need to Know



More Pregnancy Warnings

Where can I get more information?
You should not take Cialis if you are allergic to tadalafil, or:
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.
Concomitant administration with finasteride:
an antibiotic or antifungal medicine;
Pricing & Coupons
Cialis side effects
Support Group Q & A
a stomach ulcer;
-Maintenance dose: 5 to 20 mg orally once a day, as needed, prior to sexual activity based on individual efficacy and tolerability
Some medicines can cause unwanted or dangerous effects when used with Cialis. Tell your doctor about all your current medicines, especially riociguat (Adempas).

Cialis can be taken with or without food.
Cialis dosing information


seizure (convulsions); or
How should I take 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

Usual Adult Dose for Benign Prostatic Hyperplasia:

Once daily use for BPH:


vision changes or sudden vision loss; or






irregular heartbeat;



If Cialis is used as needed, you are not likely to be on a dosing schedule.
To make sure Cialis is safe for you, tell your doctor if you have any of these other conditions:
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.
Professional


headache;
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.

ringing in your ears, or sudden hearing loss;


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

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.
heart attack symptoms - chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating.









sinus pain, sore throat; or

Also call your doctor right away if you have:
Usual Adult Dose for Erectile Dysfunction:
Do not break or split a tablet. Swallow it whole.
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.
Drinking alcohol with this medicine can cause side effects.
See also: Side effects (in more detail) What other drugs will affect Cialis?
heart disease or heart rhythm problems, coronary artery disease;
Stop using Cialis and get emergency medical help if you have sudden vision loss.

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

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.





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.

Slideshow
antiviral medicine to treat hepatitis C or HIV/AIDS;
Use as needed for ED:

Interactions
seizure medicine.




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.
Side Effects


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.
a recent history (in the past 6 months) of a stroke, or congestive heart failure;






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



Important information


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.

See also: Dosage Information (in more detail) What happens if I miss a dose?
a light-headed feeling, like you might pass out.


Tell your doctor about all your current medicines and any you start or stop using, especially:
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 you have been told you should not have sexual intercourse for health reasons.

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.





Once daily use for ED and Benign Prostatic Hyperplasia (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.

Avoid using any other medicines to treat impotence, such as alprostadil or yohimbine, without first talking to your doctor.
Once a day use for ED:

shortness of breath;

User Reviews
muscle pain.
What happens if I overdose?
a bleeding disorder such as hemophilia;
tadalafil is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.

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.
Do not take Cialis for erectile dysfunction if you are taking Adcirca for pulmonary arterial hypertension.

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.


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if you have been told you should not have sexual intercourse for health reasons.

What should I avoid while taking 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.

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

-Initial dose: 10 mg orally once a day, as needed, prior to sexual activity
a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;
Important information



retinitis pigmentosa (an inherited condition of the eye);
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What happens if I overdose?
Usual Adult Dose for Benign Prostatic Hyperplasia:




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


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


vision changes or sudden vision loss; or


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.
Cialis side effects
Usual Adult Dose for Erectile Dysfunction:
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.




Use: Treatment of erectile dysfunction (ED)
swelling in your hands, ankles, or feet;
-5 mg orally once a day at approximately the same time
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.

Your pharmacist can provide more information about Cialis.





Drug Images






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

Before taking this medicine
Interactions




erection is painful or lasts longer than 4 hours (prolonged erection can damage the penis);
Store at room temperature away from moisture and heat.
tadalafil is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.
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.

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.

drugs to treat high blood pressure or a prostate disorder; or


seizure medicine.
Once daily use for ED and BPH:




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

Do not break or split a tablet. Swallow it whole.
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.
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.
a stomach ulcer;
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: 5 to 20 mg orally once a day, as needed, prior to sexual activity based on individual efficacy and tolerability

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.
Do not take Cialis for erectile dysfunction if you are taking Adcirca for pulmonary arterial hypertension.
shortness of breath;
If Cialis is used as needed, you are not likely to be on a dosing schedule.

-5 mg orally once a day at approximately the same time, for up to 26 weeks

Side Effects
Use: Treatment of the signs and symptoms of benign prostatic hyperplasia (BPH)
Once daily use for ED and Benign Prostatic Hyperplasia (BPH):

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



User Reviews

Professional
Where can I get more information?

Concomitant administration with finasteride:
Stop using Cialis and get emergency medical help if you have sudden vision loss.
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.




diarrhea;
muscle pain.
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.
sinus pain, sore throat; or




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






Support Group Q & A



Tell your doctor about all your current medicines and any you start or stop using, especially:
-Initial dose: 2.5 mg orally once a day at approximately the same time, without regard to timing of sexual activity

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 is used to treat erectile dysfunction (impotence) and symptoms of benign prostatic hypertrophy (enlarged prostate).
Stop using Cialis and get emergency medical help if you have:
Dosage


You should not take Cialis if you are allergic to tadalafil, or:
Pricing & Coupons
irregular heartbeat;

To make sure Cialis is safe for you, tell your doctor if you have any of these other conditions:
Cialis dosing information
-Maintenance dose: 2.5 to 5 mg orally once a day based on individual efficacy and tolerability.
See also: Side effects (in more detail) What other drugs will affect Cialis?



ringing in your ears, or sudden hearing loss;
angina (chest pain), high or low blood pressure;

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.


an antibiotic or antifungal medicine;
What is Cialis?

a bleeding disorder such as hemophilia;
See also: Dosage Information (in more detail) What happens if I miss a dose?


Overview
heart disease or heart rhythm problems, coronary artery disease;
Also call your doctor right away if you have:
a recent history (in the past 6 months) of a stroke, or congestive heart failure;

Cialis can be taken with or without food.
Once daily use for BPH:
Generic Name: tadalafil (ta DAL a fil) Brand Names: Cialis

heart attack symptoms - chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating.


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.

headache;
Slideshow
How should I take Cialis?



antiviral medicine to treat hepatitis C or HIV/AIDS;
Drinking alcohol with this medicine can cause side effects.




Cialis: 7 Important Things You Need to Know
a recent heart attack (within the past 90 days);
For erectile dysfunction, take this medicine just before sexual activity but not more than once per day.
Once a day use for ED:
Use as needed for ED:

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




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.


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

Add to My Med List
Common Cialis side effects may include:

More Pregnancy Warnings

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