The
following information is a summary about Cialis.
It is not intended to replace a doctor's instructions.
Cialis USES
Cialis comes as light yellow film-coated tablets.
They are in the shape of almonds and have "C 10" marked
on one side. These tablets are available in blister
packs containing 4 tablets. Cialis is a treatment
for men with erectile dysfunction. This is when a
man cannot get, or keep a hard, erect penis suitable
for sexual activity. Cialis belongs to a group of
medicines called phosphodiesterase type 5 inhibitors.
Following sexual stimulation Cialis works by helping
the blood vessels in your penis to relax, allowing
the flow of blood into your penis. The result of
this is improved erectile function. Cialis will not
help you if you do not have erectile dysfunction.
It is important to note that Cialis does not work
if there is no sexual stimulation. You and your partner
will need to engage in foreplay, just as you would
if you were not taking a medicine for erectile dysfunction.
Cialis DIRECTIONS
Always take Cialis exactly as your doctor has instructed
you. You should check with your doctor or pharmacist
if you are unsure. The recommended starting dose
is one 10 mg tablet before sexual activity. If the
effect of this dose is too weak your doctor may increase
the dose to 20 mg. Cialis tablets are for oral use.
Swallow the tablet whole with some water. You may
take Cialis with or without food. You may take a
Cialis tablet at any point in time from 30 minutes
to 12 hours before sexual activity. Cialis may still
be effective up to 24 hours after taking the tablet.
It is important to note that Cialis does not work
if there is no sexual stimulation. You and your partner
will need to engage in foreplay, just as you would
if you were not taking a medicine for erectile dysfunction.
You should NOT take Cialis more than once a day.
Daily use of Cialis is strongly discouraged.
Cialis PRECAUTIONS
Do not take Cialis:
- if you are taking any form of organic nitrate
or nitric oxide donors such as amyl nitrite.
This is a group of medicines ("nitrates") used
in the treatment of angina pectoris ("chest pain").
Cialis has been shown to increase the effects
of these drugs. If you are taking any form of
nitrate or are unsure tell your doctor.
- if you have serious heart disease or have
had a recent heart attack.
- if you have had a recent stroke.
- if you have low blood pressure or uncontrolled
high blood pressure.
- if you are (hypersensitive) allergic to tadalafil
or any of the other ingredients of Cialis.
Take special care with Cialis:
Sexual activity carries a possible risk to patients
with heart disease because it puts an extra strain
on your heart. If you have a heart problem you should
tell your doctor. The following are reasons why Cialis
may also not be suitable for you. If any of them
apply to you, talk to your doctor before you take
the medicine:
- You have sickle cell anaemia (an abnormality
of red blood cells), multiple myeloma (cancer
of the bone marrow), leukaemia (cancer of the
blood cells) or any deformation of your penis.
- You have a serious liver or kidney problem.
Taking other medicines: As a general rule,
always tell your doctor if you are taking or have
recently taken any other medicine, even those not
prescribed, because occasionally they might interact.
This is particularly important if you are treated
with nitrates as you should not take Cialis if you
are taking these medicines. Do not take Cialis with
other medicines if your doctor tells you that you
may not.
You should not use Cialis together with any other
treatments for erectile dysfunction.
Cialis is not intended for use by women or by children
under the age of 18.
Driving and using machines:
As dizziness has been reported in men taking Cialis
in clinical studies, you should
be aware of how you react to Cialis before you drive
or operate machinery.
Information for men intolerant of lactose, one
of the ingredients of Cialis:
Cialis contains galactose and should not be taken
by patients with rare hereditary problems of lactose
intolerance, the Lapp lactase deficiency or glucose-galactose
malabsorption.
POSSIBLE Cialis SIDE EFFECTS
Like all medicines, Cialis can have side effects.
These effects are normally mild to moderate in nature.
The most common undesirable effects are headache
and indigestion. Less commonly reported side effects
are back pain, muscle aches, nasal congestion, facial
flushing and dizziness. Uncommon effects are swelling
of the eyelids, eye pain and red eyes. If you have
any of these side effects and they are troublesome,
severe, or do not go away, tell your doctor.
Allergic reactions (including skin rashes) could
occur. In rare instances it is possible that a prolonged
and possibly painful erection may occur after taking
Cialis. If you have such an erection, which lasts
continuously for more than 4 hours, you should contact
a doctor immediately. In case of chest pain occurring
during or after sexual activity you should NOT use
nitrates but you should seek immediate medical assistance.
If you notice any side effects not mentioned in this
leaflet, please inform your doctor or pharmacist.
Heart attack, stroke, and irregular heart beats have
been reported rarely in men taking Cialis. Most,
but not all of these men had known heart problems
before taking this medicine. It is not possible to
determine whether these events were directly related
to Cialis. Effects were seen in one animal species
that might indicate impairment of fertility. Subsequent
studies in man suggest that this effect is unlikely
in humans.
CialisSTORAGE
Store in the original package. KEEP CIALIS AND ALL
MEDICATIONS OUT OF THE REACH OF CHILDREN.
