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Higher doses come with an increased chance of developing side effects. Cialis is available by prescription and should be used under the supervision Coalis a medical professional. Not all possible interactions are listed in Ciqlis medication Cialis. If you are contemplating Cialis for daily use, consider these questions and then discuss it with your doctor:. Ciwlis one tablet at least 30mins before sex. The easiest way to Ciaois drug information, identify pills, check interactions and set up your own personal medication records. Version: What should I know about storage and disposal of this medication? The Seattle Times. The vision loss was permanent in some cases. The FDA has warned about sudden hearing loss experienced by people using tadalafil and similar products. Top of the page. Can apple cider vinegar treat erectile dysfunction? Cialis will only be effective if a man is mentally sexually aroused. Why is this medication prescribed? After taking a single tablet, some of the active ingredient of Cialis remains in your body for more than 2 days. Beraprost Epoprostenol Iloprost Selexipag Treprostinil. Your use of this information means that you agree to the Terms of Use. Weekly news roundup. The other medicines, Viagra and Levitra work in similar ways.

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Retrieved 29 May It may be taken with or without food. Your doctor will probably tell you not to take tadalafil if you are taking nitrates. If you experience chest pain, dizziness, or nausea during sexual activity, call your doctor immediately or get emergency Cialis treatment, and avoid sexual activity until your doctor tells you otherwise. Brand names. This is more likely in patients with hypertension, diabeteshigh cholesterolpre-existing eye problems, or heart disease. Sildenafil and vardenafil also inhibit PDE1 more than tadalafil. Sexual activity may be a strain on your heart, especially if you have heart disease. Cialis' side-effects are generally mild. This increased blood flow can cause an erection. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Tadalafil was approved by the United States U. See also: Cialis drug interactions in more detail. This is because a portion of the drug remains in the system for at least 24 hours. Seek emergency medical attention or call the Poison Help line at Cialis side effects in more detail. The patient should take no more than one dose in 24 hours, but a daily dose of 10 Ciwlis to 20 Ciaalis is not recommended. How it works. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that Calis drug or drug combination is safe, effective or appropriate for any given patient. However, some researchers have questioned how serious the risk is. Higher doses come with an increased chance of developing side effects. Do not take Cialis for erectile dysfunction if you are taking Adcirca for pulmonary arterial hypertension. Retrieved 5 November If you need emergency medical care for a heart problem, it will be important for your health care provider to know when you last took Cialis. Retrieved 29 May Persons surnamed "Cialis" objected to Eli Lilly and Company's so naming the drug, but the company has maintained that the drug's trade name is unrelated to the surname. Soon, inICOS received a patent for compound IC structurally unlike sildenafil and vardenafiland Phase 1 Cislis trials began in When this occurs, the blood vessels return to their normal size, and the erection ends. FDA alerts for all medications. Sildenafil 50mg vs mg How long does Viagra take to work? See also: Cialis side effects in more detail. Namespaces Article Talk.
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Cialis
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Cialis is indicated for the treatment of erectile dysfunction. Cialis works faster than other ED drugs and lasts for an extended period of time.
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  • INDICATIONS

    Cialis is indicated for the treatment of erectile dysfunction. Cialis is a phosphodiesterase type 5 (PDE5) inhibitor. It works by helping to increase blood flow into the penis during sexual stimulation. This helps you to achieve and maintain an erection.

    INSTRUCTIONS 

    Use Cialis as directed by your doctor.

    • Take Cialis by mouth with or without food.
    • For use as needed: Take Cialis at least 30 minutes before sexual activity, as directed by your doctor. Cialis may work for up to 36 hours after you take it.
    • For daily use: Take Cialis regularly at about the same time each day.
    • Check with your doctor before you eat grapefruit or drink grapefruit juice while you are taking Cialis.
    • For use as needed: If you miss a dose of Cialis and you still intend to engage in sexual activity, take it as soon as you remember. Continue to take it as directed by your doctor. For daily use: If you miss a dose of Cialis, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

    DOSAGE

    For Use As Needed

    • The recommended starting dose of Cialis for use as needed in most patients is 10 mg, taken prior to anticipated sexual activity.
    • The dose may be increased to 20 mg or decreased to 5 mg, based on individual efficacy and tolerability. The maximum recommended dosing frequency is once per day in most patients.
    • Cialis for use as needed was shown to improve erectile function compared to placebo up to 36 hours following dosing. Therefore, when advising patients on optimal use of Cialis, this should be taken into consideration.

     For Once Daily Use

    • The recommended starting dose of Cialis for once daily use is 2.5 mg, taken at approximately the same time every day, without regard to timing of sexual activity.
    • The Cialis dose for once daily use may be increased to 5 mg, based on individual efficacy and tolerability.

    Ask your health care provider any questions you may have about how to use Cialis.

    STORAGE

    Store Cialis at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Cialis out of the reach of children and away from pets.

    MORE INFO:

    Active Ingredient: Tadalafil.

    Inactive Ingredients: Croscarmellose sodium, hydroxypropyl cellulose, hypromellose, iron oxide, lactose monohydrate, magnesium stearate, microcrystalline cellulose, sodium lauryl sulfate, talc, titanium dioxide, and triacetin.

  • Do NOT use Cialis if:

    • you are allergic to any ingredient in Cialis
    • you have severe kidney problems and will be taking Cialis daily
    • you have severe liver problems or certain hereditary degenerative eye problems (eg, retinitis pigmentosa)
    • you have certain heart problems (eg, unstable angina, angina during sexual intercourse, uncontrolled irregular heartbeat), low blood pressure, or uncontrolled high blood pressure
    • you have had a heart attack within the past 90 days or you have had severe heart failure or a stroke within the past 6 months
    • you are taking a nitrate (eg, isosorbide, nitroglycerin) in any form (eg, tablet, capsule, patch, ointment), or nitroprusside
    • you have been advised by your doctor to avoid sexual activity because of heart problems
    • you use certain recreational drugs called "poppers" (eg, amyl nitrate or nitrite, butyl nitrate or nitrite)
    • you take another PDE5 inhibitor (eg, sildenafil, vardenafil) or another medicine that contains tadalafil.

    Contact your doctor or health care provider right away if any of these apply to you.

    Some medical conditions may interact with Cialis. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

    • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
    • if you have allergies to medicines, foods, or other substances
    • if you have a deformed penis (eg, Peyronie disease, cavernosal fibrosis), blood cell problems (eg, sickle cell anemia, leukemia, multiple myeloma), or any other condition that may increase the risk of a prolonged erection (priapism)
    • if you have a history of a prolonged (more than 4 hours) or painful erection (priapism)
    • if you have a history of certain eye problems (eg, retinitis pigmentosa, sudden vision loss, optic neuropathy, macular degeneration) or hearing problems (eg, ringing in the ears, decreased hearing, hearing loss)
    • if you have a history of liver or kidney problems, dialysis, lung problems (eg, pulmonary veno-occlusive disease), high or low blood pressure, ulcers, bleeding problems, heart problems (eg, heart failure, irregular heartbeat, aortic stenosis, angina), or blood vessel problems
    • if you have a history of heart attack, stroke, or life-threatening irregular heartbeat.

    Some medicines may interact with Cialis. Tell your health care provider if you are taking any other medicines, especially any of the following:

    • Alpha-blockers (eg, doxazosin), medicines for high blood pressure, nitrates (eg, isosorbide, nitroglycerin), or nitroprusside because severe low blood pressure with dizziness, lightheadedness, and fainting may occur
    • Azole antifungals (eg, itraconazole), HIV protease inhibitors (eg, ritonavir), macrolide antibiotics (eg, erythromycin), or telithromycin because they may increase the risk of Cialis's side effects
    • Barbiturates (eg, phenobarbital), carbamazepine, phenytoin, or rifampin because they may decrease Cialis's effectiveness.

    This may not be a complete list of all interactions that may occur. Ask your health care provider if Cialis may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

    Important safety information:

    • Cialis may cause dizziness, drowsiness, fainting, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Cialis with caution. Do not drive or perform other possible unsafe tasks until you know how you react to it.
    • Cialis may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.
    • Do not drink large amounts of alcohol (eg, 5 drinks or more) while you take Cialis. Doing so may increase your risk of dizziness, headache, fast heartbeat, and low blood pressure.
    • Patients with heart problems who take Cialis may be at increased risk for heart-related side effects, including heart attack or stroke. Symptoms of a heart attack may include chest, shoulder, neck, or jaw pain; numbness of an arm or leg; severe dizziness, headache, nausea, stomach pain, or vomiting; fainting; or vision changes. Symptoms of a stroke may include confusion; vision or speech changes; one-sided weakness; or fainting. Contact your doctor or seek medical attention right away if you experience these symptoms.
    • Cialis may rarely cause a prolonged (eg, more than 4 hours) or painful erection. This could happen even when you are not having sex. If this is not treated right away, it could lead to permanent sexual problems such as impotence. Contact your doctor right away if this happens.
    • Cialis does not stop the spread of HIV or other sexually transmitted diseases (STDs) to others through sexual contact. Use barrier methods of birth control (eg, condoms) if you have HIV infection or an STD.
    • Cialis will not prevent pregnancy. If your partner may become pregnant and you wish to avoid pregnancy, be sure to use an effective form of birth control.
    • Cialis may uncommonly cause mild, temporary vision changes (eg, blurred vision, sensitivity to light, blue/green color tint to vision). Contact your doctor if vision changes persist or are severe.
    • Rarely, an eye problem called nonarteritic anterior ischemic optic neuropathy (NAION) has been reported in patients who took Cialis. This may lead to decreased vision or permanent loss of vision in some cases. If you notice a sudden decrease in vision or loss of vision in one or both eyes, contact your doctor right away.
    • Sudden decreases in hearing and loss of hearing have been reported in some patients who have taken Cialis. Sometimes they also noticed ringing in the ears or dizziness. If you notice a sudden decrease or loss of hearing, contact your doctor right away.
    • Do not use other medicines or treatments for ED while you are taking Cialis without first checking with your doctor.
    • Use Cialis with caution in the elderly; they may be more sensitive to its effects.
    • Cialis is not recommended for use in children younger 18 years. 
  • All medicines may cause side effects, but many people have no, or minor, side effects.

    Check with your doctor if any of these most common side effects persist or become bothersome:

    Dizziness; flushing; headache; heartburn; mild back or muscle pain; stomach upset; stuffy or runny nose.

    Seek medical attention right away if any of these severe side effects occur:

    Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; fainting; fast or irregular heartbeat; memory loss; numbness of an arm or leg; one-sided weakness; prolonged, painful erection; red, swollen, blistered, or peeling skin; ringing in the ears; seizures; severe or persistent back or muscle pain; severe or persistent dizziness; severe or persistent vision changes; sudden decrease or loss of hearing; sudden decrease or loss of vision in one or both eyes.

    This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider.