How to Use

To ensure the safe use of Cialis (tadalafil), let your doctor know if you have a history or suffer from any of these conditions:

• Heart disease
• Heart rhythm problems
• Coronary artery disease
• History of congestive heart failure or stroke in the last 6 months
• Kidney or liver disease
• Heart attack in the last 90 days
• Stomach ulcers
• Bleeding disorder
• Physical deformity of your penis
• Retinitis pigmentosa
• If you have been instructed by a doctor not to engage in sexual intercourse

Cialis (tadalafil) is taken once a day. You should keenly follow the directions of your doctor and never take larger or smaller doses than recommended. You can take the tablet with or without food. Don’t break, split or crush the tablet. Swallow it whole. Take the medicine at least 60 minutes before any sexual activity.

The initial dose for erectile dysfunction is 10mg. The maintenance dose can be increased to 20mg or reduced to 5mg. It depends on the effectiveness of the drug on a patient. For the treatment of benign prostatic hyperplasia, the recommended dose is 5mg, daily.

Cialis will help you get an erection only after sexual stimulation.

FDA Pregnancy Classification

Cialis is not indicated for use in women. It is, however, not expected to cause any harm to an unborn baby. Tadalafil is also not expected to pass into breast milk or harm a breastfeeding baby.

Storage

Store at room temperature and away from heat and moisture.

Side Effects

Serious

• Painful erection or an erection lasting more than 4 hours
• Sudden vision loss
• Heat attack symptoms
• Irregular heartbeat
• Labored breathing
• Light headedness
• Seizures
• Swelling in the hands, ankles or feet
• Ringing in the ears

Common

• Headache
• Sinus pain
• Sore throat
• Muscle pain

Safety

To ensure the safe use of Cialis (tadalafil), let your doctor know of all the medicines you are using. This will help avoid serious interactions. You should never use nitrate based drugs together with Cialis. Combing the two can cause severe drop in blood pressure. Your doctor should also understand your medical history.

Seek emergency medical help if your erection is painful or if it last for more than 4 hours. Prolonged erections can cause damage to your penis. You should also contact your doctor immediately if you have sudden vision loss.

Stop the sexual activity and seek emergency medical attention if you feel dizzy, nauseated, or have pain, tingling or numbness in the chest, neck, arms or jaw. These are signs of serious side effects.

Don’t use Cialis if you are using Adcirca to treat pulmonary arterial hypertension.

Interactions

Cialis (tadalafil) interacts with 323 drugs.