4 CONTRAINDICATIONS

It increases blood flow to the penis following sexual stimulation and allows men to keep an erection hard enough for sex. Cialis is also used to treat the signs and symptoms of benign prostatic hyperplasia (BPH). Cialis is available as a lower-strength tablet that can be taken daily basis, eliminating the need to 'plan' for sex. Cialis is also available as an 'as needed' tablet. The effect of one tablet lasts for up to 36 hours. The recommended 'as needed' dose for Cialis is 10mg, taken before anticipated sexual activity. The dose may be increased to 20mg or decreased to 5mg. It should not be taken more than once a day.

• Cialis is a medication used to treat erectile dysfunction.
• The active ingredient in Cialis is tadalafil.
• Cialis can also be prescribed for benign prostatic hyperplasia.
• It works by increasing blood flow to the penis.
• Cialis is available in dosages of 2.5 mg, 5 mg, 10 mg, and 20 mg.
• It is typically taken before sexual activity but can be taken daily.
• The onset of action usually occurs within 30 to 60 minutes.
• Cialis has a longer duration of effect, up to 36 hours.
• Common side effects include headache, flushing, and nasal congestion.

The recommended starting dose for Cialis intended for once-daily use is 2.5mg, taken at the same time each day, without regard to the timing of sexual activity. This may be increased to 5mg/day based on need and tolerability.

May be taken with or without food.

17.3 Concomitant Use with Drugs Which Lower Blood Pressure

Also tell your doctor if you or any of your family members have or have ever had an eye disease such as retinitis pigmentosa (an inherited eye condition that causes loss of vision) or if you have ever had sudden severe vision loss, especially if you were told that the vision loss was caused by a blockage of blood flow to the nerves that help you see. if you are a woman and you are taking tadalafil to treat PAH, tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. If you become pregnant while taking tadalafil, call your doctor. if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking tadalafil. talk to your doctor about the safe use of alcoholic beverages during your treatment with tadalafil.

What to do in case of overdose

If you drink a large amount of alcohol (more than five glasses of wine or five shots of whiskey) while you are taking tadalafil you are more likely to experience certain side effects of tadalafil such as dizziness, headache, fast heartbeat, and low blood pressure. if you are taking tadalafil to treat erectile dysfunction, tell your doctor if you have ever been advised by a health care professional to avoid sexual activity for medical reasons or if you have ever experienced chest pain during sexual activity. Sexual activity may be a strain on your heart, especially if you have heart disease. If you experience chest pain, dizziness, or nausea during sexual activity, call your doctor immediately or get emergency medical treatment, and avoid sexual activity until your doctor tells you otherwise. tell all your health care providers that you are taking tadalafil. Cialis is available as a generic, under the name tadalafil.

If you are between the ages of 18 and 60, take no other medication or have no other medical conditions, side effects you are more likely to experience include: A headache, dyspepsia, back pain, nasal congestion, and flushing are the most commonly reported side effects. Other side effects chep cialis include a drop in blood pressure, muscle or limb pain, or conjunctivitis.

What About Other ED Medications?

If you ever need emergency medical treatment for a heart problem, the health care providers who treat you will need to know when you last took tadalafil. Talk to your doctor about eating grapefruit and drinking grapefruit juice while taking this medicine. If you are taking tadalafil for erectile dysfunction on a regular schedule, take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose or more than one dose per day to make up for a missed one.

Drug forms and strengths: 2.5 mg, 5 mg, 10 mg, 20 mg

If you are taking tadalafil for PAH or BPH, take the missed dose as soon as you remember it. Do not take a double dose to make up for a missed one. pain in the stomach, back, muscles, arms, or legs sudden decrease or loss of vision (see below for more information) changes in color vision (seeing a blue tinge on objects or having difficulty telling the difference between blue and green) sudden decrease or loss of hearing (see below for more information) erection that lasts longer than 4 hours swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs Some patients experienced a sudden loss of some or all of their vision after they took tadalafil or other medications that are similar to tadalafil. The vision loss was permanent in some cases. It is not known if the vision loss was caused by the medication. Rarely, may decrease blood flow to the optic nerve causing sudden vision loss. The risk is greater in people aged older than 50, with diabetes, heart disease, high blood pressure, high cholesterol, who smoke, or with certain pre-existing eye problems.

5. What should I know while using CIALIS?

Blocking PDE-5 means increased levels of cGMP within the smooth muscles which promotes muscle relaxation and vasodilation (a widening of blood vessels). High levels of PDE-5 are found in the penis, lungs, and retina. PDE-5 is also found throughout the body within the smooth muscle cells of blood vessels and muscles. Cialis (tadalafil) belongs to the class of medicines known as PDE-5 inhibitors. Cialis is used for the treatment of erectile dysfunction (ED). The dosage of Cialis may need to be reduced in men with kidney disease. For men with CLCR of 30 to 50 mL/min, a starting dose of 5mg not more than once per day is recommended.

• Cialis affects individuals differently based on metabolism and health status.
• Food interactions are less significant with Tadalafil than with other ED drugs.
• Hydration important as dehydration can exacerbate certain side effects.
• Time of day administration doesn't affect efficacy for most patients.
• Consistency with daily dosing time improves steady-state concentration.

The maximum dose is 10mg not more than once every 48 hours. For men with CLCR of < 30 mL/min or on hemodialysis, the maximum dose is 5mg not more than once every 72 hours.

60mg Tadalista Tablets

If you experience a sudden loss of vision while you are taking tadalafil, call your doctor immediately or get emergency medical treatment. Do not take any more doses of tadalafil or similar medications such as sildenafil (Revatio, Viagra) or vardenafil (Levitra) until you talk to your doctor. Some patients experienced a sudden decrease or loss of hearing after they took tadalafil or other medications that are similar to tadalafil. The hearing loss usually involved only one ear and did not cialis lilly brand always improve when the medication was stopped. It is not known if the hearing loss was caused by the medication.

Your questions answered

If you experience a sudden loss of hearing, sometimes with ringing in the ears or dizziness, while you are taking tadalafil, call your doctor immediately. Call your doctor if you have any unusual problems while taking this medication If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online ( or by phone (1-800-332-1088). Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Dispose of unneeded medications in a way so that pets, children, and other people cannot take them. Once-daily use may not be recommended in men with CLCR < 30 mL/min. For men with mild-to-moderate liver disease (Child-Pugh Class A or B), the dose should not exceed 10mg once per day. Cialis is not recommended in severe liver disease (Child-Pugh Class C). Rarely, may cause other side effects including hearing loss, or lead to painful erections lasting longer than four to six hours.

See your doctor immediately if this happens.

14.2 CIALIS for Once Daily Use

Do not flush this medication down the toilet. Talk to your pharmacist about take-back programs in your community. Visit the FDA's Safe Disposal of Medicines website for more information. Keep all medication out of sight and reach of children as many containers are not child-resistant. Place the medication in a safe location – one that is up and away and out of their sight and reach.

Daily Dosage

In case of overdose, call the poison control helpline at 1-800-222-1222. Information is also available online at If the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at 911. Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription. Keep a written list of all of the prescription and nonprescription (over-the-counter) medicines, vitamins, minerals, and dietary supplements you are taking. May not be suitable for some people including those with angina, chest pain, or other heart conditions, liver or kidney problems, blood or bleeding disorders, stomach ulcers, certain eye conditions, a physical deformity of the penis (such as Peyronie's disease), or serious prior hypersensitivity reactions to tadalafil.

May interact with some medications including nitrates - the use of Cialis and nitrates is contraindicated because of the severe hypotension that can develop. May also interact with other medications including ketoconazole or ritonavir; dosage adjustment is recommended.

More about Cialis (tadalafil)

Bring this list with you each time you visit a doctor or if you are admitted to the hospital. You should carry the list with you in case of emergencies. Entadfi® (as a combination product containing Finasteride, Tadalafil) Cialis is a brand (trade) name for tadalafil which may be used to treat erectile dysfunction (ED) and benign prostatic hyperplasia (BPH). Cialis (tadalafil) works by blocking the action of an enzyme known as cGMP-specific phosphodiesterase type-5 (PDE-5). This enzyme breaks down cGMP, a substance that induces smooth muscles to relax. A lower dosage of Cialis is recommended in men with mild-to-moderate liver disease. Cialis should be avoided with severe liver disease.

• Cialis's effectiveness depends on individual health factors.
• Dose adjustment may be necessary based on side effects.
• Cialis may cause vision changes in some users.
• Patients with kidney or liver issues should consult a doctor.
• Missed doses should not be doubled for next intake.
• Cialis should not be used with other ED treatments simultaneously.
• It is important to disclose other medications during consultation.
• Discontinuation may sometimes be recommended by your doctor.
• Regular check-ups can help monitor treatment progress.

Note: In general, seniors or children, people with certain medical conditions (such as liver or kidney problems, heart disease, diabetes, seizures) or people who take other medications are more at risk of developing a wider range of side effects. Cialis is used to treat erectile dysfunction (ED) and to reduce symptoms of benign prostatic hyperplasia (BPH). One 'as needed' tablet lasts for 36 hours or Cialis is available as a lower dosage that can be taken daily, eliminating the need to 'plan for sex'. Once daily Cialis can be taken without regard to sexual activity but should be taken at the same time every day (for example, on awakening).