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When taking Adcirca or Alyq, you may need 2 tablets for a full dose. Subscribe to our newsletters. The Observer. Ask your pharmacist for a list of the ingredients. If the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at It is important that you let us know which prescription, over-the-counter medicines and recreational drugs you are taking so that we can prescribe Cialis safely. You will be unsuitable for Cialis if you are taking alpha-blockers such as doxazosin or tamsulosinnicorandil or nitrates, such as GTN spray or isosorbide mononitrate tablets to treat angina. We're screening hospital visitors for flu symptoms. 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. Other treatments include Caverject 'Alprostadil'which is a medicine injected directly into the penis and MUSE another form of 'Alprostadil'which is a pellet inserted into the urethra. Journal of Medicinal Chemistry. Cialis is the brand name for tadalafil, a drug used Cialis treat erectile dysfunction. Do not take Cialis with similar medications such as avanafil Stendrasildenafil Viagra or vardenafil Levitra. Call your doctor if you have any unusual problems while taking this medication. How it works. Other uses for this medicine. Use the medicine exactly as directed. Version: Some tadalafil can remain in your bloodstream for 2 or more days after each dose you take longer if you have liver or kidney disease. Jump to content. Cialis branded Tadalafil Cialis is a reliable, branded ED treatment that lasts up to 36hrs. Other drugs may interact with tadalafil, including prescription and over-the-counter medicines, vitamins, and herbal products. Ciakis may be taken with or without food. Drug Class. The Philadelphia Cualis. Do not take a Cializ dose to make up for Cialis missed one. If you experience any of these symptoms, call your Cialid immediately or get emergency medical treatment: sudden decrease or loss of vision see below Coalis more information blurred vision changes in color iCalis seeing a blue tinge on objects or having difficulty telling the difference between blue and green Ciaois decrease or loss of hearing see below for more information ringing in ears erection that lasts longer than 4 hours dizziness chest pain hives rash difficulty breathing or swallowing swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs blistering or peeling of skin 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. Cialis should not be used by patients taking nitrates such as nitroglycerin tablets or patches because the combination of these with Cialis could significantly lower blood pressure and lead to fainting or even death in some men. Tadalafil does not prevent pregnancy or the spread of sexually transmitted diseases such as human immunodeficiency virus HIV. If you are taking tadalafil for erectile dysfunction, your doctor will probably start you on an average dose of tadalafil and increase or decrease your dose depending on your response to the medication. Pack size. Cialis drug interactions in more detail. You may attempt sexual activity at any time between doses. Higher doses come with an increased chance of developing side effects. Retrieved 5 November Always discuss with your health care practitioner ALL of the medications you are taking prescription and over-the-counter that way, you can receive the best advice for your own situation. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. You should take tadalafil one time a day.
Cialis
Cialis
(Active Ingredient: Tadalafil)
Testimonials
Cialis is indicated for the treatment of erectile dysfunction. Cialis works faster than other ED drugs and lasts for an extended period of time.
Other names for this medication:
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Cialis 20mg
PackagePer PillPriceSavingsBonusOrder
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Cialis 10mg
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Cialis 5mg
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Cialis 2.5mg
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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.