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Use: Treatment of erectile dysfunction (ED)
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.


Where can I get more information?
tadalafil is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.

a bleeding disorder such as hemophilia;
-Initial dose: 10 mg orally once a day, as needed, prior to sexual activity


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



Dosage
Once daily use for ED and BPH:


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

User Reviews
Once daily use for BPH:

diarrhea;

For erectile dysfunction, take this medicine just before sexual activity but not more than once per day.
a recent heart attack (within the past 90 days);

a light-headed feeling, like you might pass out.
Stop using Cialis and get emergency medical help if you have sudden vision loss.

How should I take Cialis?



antiviral medicine to treat hepatitis C or HIV/AIDS;

Support Group Q & A



shortness of breath;

vision changes or sudden vision loss; or
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?

Tell your doctor about all your current medicines and any you start or stop using, especially:
Some medicines can cause unwanted or dangerous effects when used with Cialis. Tell your doctor about all your current medicines, especially riociguat (Adempas).




irregular heartbeat;
Cialis: 7 Important Things You Need to Know

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.


drugs to treat high blood pressure or a prostate disorder; or
Usual Adult Dose for Benign Prostatic Hyperplasia:

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


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.

a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;


Cialis dosing information



Grapefruit and grapefruit juice may interact with tadalafil and lead to unwanted side effects. Avoid the use of grapefruit products while taking this medicine.
Avoid using any other medicines to treat impotence, such as alprostadil or yohimbine, without first talking to your doctor.
Slideshow


Add to My Med List


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

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


retinitis pigmentosa (an inherited condition of the eye);

Drinking alcohol with this medicine can cause side effects.
Store at room temperature away from moisture and heat.




Cialis can be taken with or without food.
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 (tadalafil) relaxes muscles found in the walls of blood vessels and increases blood flow to particular areas of the body.
See also: Side effects (in more detail) What other drugs will affect Cialis?
ringing in your ears, or sudden hearing loss;



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.
Drug Images


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

Cialis side effects





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

Your pharmacist can provide more information about Cialis.


Usual Adult Dose for Erectile Dysfunction:
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.




Use as needed for ED:


Also call your doctor right away if you have:
sinus pain, sore throat; or
a physical deformity of the penis (such as Peyronie's disease); or
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.

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.


Once a day use for ED:
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.
Pricing & Coupons
seizure medicine.

See also: Dosage Information (in more detail) What happens if I miss a dose?


Important information
swelling in your hands, ankles, or feet;


Do not break or split a tablet. Swallow it whole.
-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, without regard to timing of sexual activity


Use: Treatment of the signs and symptoms of benign prostatic hyperplasia (BPH)
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

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

a stomach ulcer;

Common Cialis side effects may include:

Professional

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

Interactions
heart disease or heart rhythm problems, coronary artery disease;


-Maintenance dose: 2.5 to 5 mg orally once a day based on individual efficacy and tolerability.
What is Cialis?
What should I avoid while taking Cialis?

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



an antibiotic or antifungal medicine;

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.

Before taking this medicine









muscle pain.
You should not take Cialis if you are allergic to tadalafil, or:
Side Effects
-Initial dose: 2.5 mg orally once a day at approximately the same time, without regard to timing of sexual activity

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

Stop using Cialis and get emergency medical help if you have:
-Maintenance dose: 5 to 20 mg orally once a day, as needed, prior to sexual activity based on individual efficacy and tolerability
angina (chest pain), high or low blood pressure;


-5 mg orally once a day at approximately the same time
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.
To make sure Cialis is safe for you, tell your doctor if you have any of these other conditions:

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