Cialis (Tadalafil)
.: Indications and Usage genric Cialis (tadalafil):
Generic Cialis (Tadalafil) pills the made exact formula of an original Cialis. Tadalafil relaxes muscles in the penis. This allows increased blood flow into the penis, it is necessary for achieving and maintaining an erection.
Cialis is used to treat impotence.
Tadalafil may also be used for purposes other than those listed in this medication guide.
.: Important Information:
Some patients have lost eyesight in one eye after taking cialis. This type of vision loss is called non-arteritic anterior ischemic optic neuropathy (NAION). NAION causes a sudden loss of eyesight because blood flow is blocked to the optic nerve and it is not clear at this time if cialis (tadalafil) causes NAION. NAION also happens in patients who do not take this medicine. People who have a higher chance for NAION include those who: have heart disease;
are over fifty years old; have diabetes; have high blood pressure; have high cholesterol; smoke; or
have certain eye problems.
Stop using cialis if you have any loss in your eyesight and ask for medical help right away.
Do not take tadalafil if you are taking one of the following medicines:
> Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Minitran, Deponit, Transderm-Nitro, Dilatrate-SR, Isordil, Sorbitrate, Imdur, ISMO, Monoket and others;
> Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers");
> An alpha blocker (other than tamsulosin (Flomax) 0.4 mg once a day) such as doxazosin (Cardura), guanadrel (Hylorel), prazosin (Minipress), terazosin (Hytrin), alfuzosin (Uroxatral), and others.
Taking tadalafil with any of these medications you may have very low blood pressure, possibly resulting in dizziness, fainting, stroke, or heart attack.
Contact your doctor or seek emergency medical attention for any erection that lasts longer than four hours. It can be harmful for the penis.
Refrain from further sexual activity and notify your doctor it you develop:
1.Dizziness,
2.Nausea, or angina (pain, tightness, discomfort, numbness, or tingling in the chest, arms, neck, or jaw) during sexual activity.
Tadalafil is usually taken before sexual activity. The effects of cialis may last for up to 36 hours or more. Your doctor will tell how often you can take tadalafil. Do not take cialis(tadalafil) more often than is directed by your doctor.
.: Contraindications:
Some patients have lost eyesight in one eye after taking cialis. This type of vision loss is called non-arteritic anterior ischemic optic neuropathy (NAION). NAION causes a sudden loss of eyesight because blood flow is blocked to the optic nerve. It is not clear at this time if tadalafil causes NAION. NAION also happens in patients who do not take this medicine. People who have a higher chance for NAION include those who: have heart disease; are over fifty years old; have diabetes; have high blood pressure; have high cholesterol; smoke; or have certain eye problems.
Stop using tadalafil if you have any loss in your eyesight and seek medical help right away.
Do not take cialis if you are taking one of the following medicines:
> Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Minitran, Deponit, Transderm-Nitro, Dilatrate-SR, Isordil, Sorbitrate, Imdur, ISMO, Monoket, and others;
> Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"); or
> An alpha blocker (other than tamsulosin (Flomax) 0.4 mg once a day) such as doxazosin (Cardura), guanadrel (Hylorel), prazosin (Minipress), terazosin (Hytrin), alfuzosin (Uroxatral), and others.
Taking tadalafil with any of these medications you may have very low blood pressure, possibly resulting in dizziness, fainting, stroke, or heart attack.
Before taking tadalafil, tell your doctor if you:
1. have heart problems such as angina, heart failure, irregular heartbeats,
2. have had a heart attack; have low blood pressure or high blood pressure that is not controlled;
3. have had a stroke; have liver problems;
4. have kidney problems; have ever had blood cell problems such as sickle cell anemia, multiple myeloma, or leukemia;
5. have a bleeding disorder; have a stomach ulcer; have retinitis pigmentosa (an inherited condition of the eye);
6. have a physical deformity of the penis such as Peyronie's disease; have an erection that lasted longer than four hours.
Yoo should not take tadalafil, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
Although cialis can not be used by women, it is in the FDA pregnancy category B. This means that tadalafil is not expected to be dangerous for an unborn baby. Tadalafil should not be taken by women.
If you are over 65 years of age, you may be more likely to experience side effects from tadalafil. Your doctor may prescribe a lower dose of this medication.
.: Dosage and Administration:
Take tadalafil exactly as told by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
Take each dose with a glass of water.
Tadalafil is usually taken before sexual activity. The effects of tadalafil may last for more than forty hours. Your doctor will tell how often you can take tadalafil. Do not take tadalafil more often than is directed by your doctor.
Tadalafil is used for achieving an erection when sexual stimulation occurs. An erection will not occur just by taking a pill.
Tadalafil can be taken either with or without food.
Contact your doctor or seek emergency medical attention for any erection that lasts longer than four hours. A sustained erection can be harmful for the penis.
Grapefruit and grapefruit juice may interact with cialis. The interaction could lead to potentially adverse effects. You should discuss the use of grapefruit and grapefruit juice with your doctor. First talk to your doctor and then increase or decrease the amount of grapefruit products in your diet. Tadalafil should not be taken with alcohol (e.g. 5 or more drinks). Excessive alcohol may cause the risk of headache, dizziness, increased heart rate, or low blood pressure when tadalafil is taken.
If you develop dizziness, nausea, or angina (pain, tightness, discomfort, numbness, or tingling in the chest, arms, neck, or jaw) during sexual activity, refrain from further sexual activity and tell your doctor.
.: Possible Side Effects:
If you experience one of the following serious side effects, stop taking tadalafil and seek emergency medical attention or contact your doctor immediately:
> Difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives;
> Chest pain or irregular heartbeats;
> Dizziness, nausea, or pain, tightness, discomfort, numbness, or tingling in the chest, arms, neck, or jaw;
> Swelling of the ankles or legs;
> Shortness of breath;
> Prolonged or severe dizziness; or
> A prolonged (lasting longer than 4 hours) or painful erection.
Some less serious side effects may also occur. Do not stop to take tadalafil and talk to your doctor if you experience:
headache; indigestion; back pain, muscle aches; flushing; stuffy or runny nose; or temporary blue tint in vision or difficulty telling the difference between the colors blue and green (uncommon).
Some other side effects may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
.: Miss a Dose:
Tadalafil is used when you need it, so you are not likely to miss a dose.
.: Overdosage:
Seek emergency medical attention if an overdose is suspected.
.: Drug Interaction:
Do not take tadalafil if you are taking any of the following medicines:
> Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Minitran, Deponit, Transderm-Nitro, Dilatrate-SR, Isordil, Sorbitrate, Imdur, ISMO, Monoket, and others;
> Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"); or
> An alpha blocker (other than tamsulosin (Flomax) 0.4 mg once a day) such as doxazosin (Cardura), guanadrel (Hylorel), prazosin (Minipress), terazosin (Hytrin), alfuzosin (Uroxatral), and others.
Taking tadalafil with any of these medications you may have very low blood pressure, possibly resulting in dizziness, fainting, stroke, or heart attack.
Before taking tadalafil, tell your doctor if you are taking any of the following medications:
> any other drug used to treat impotence, such as sildenafil (Viagra), vardenafil (Levitra), alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others);
> The antibiotic erythromycin (E-Mycin, Eryc, Ery-Tab, others);
> An antifungal medication such as itraconazole (Sporanox) or ketoconazole (Nizoral); or
> HIV medications such as indinavir (Crixivan), ritonavir (Norvir), and others.
You should not be able to take tadalafil, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above.
Drugs other than those listed here may also interact with tadalafil or affect your condition. Talk to your doctor or pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.
.: Warnings/Precautions:
Do not take any other drug used to cure impotence, such as sildenafil (Viagra), vardenafil (Levitra), alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others), without first talking to your doctor. Tadalafil should not be taken with alcohol (e.g. five or more drinks). Excessive alcohol may cause the risk of headache, dizziness, increased heart rate, or low blood pressure when tadalafil is taken. Grapefruit and grapefruit juice may interact with tadalafil. The interaction could lead to potentially adverse effects. You should discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.
.: More Information:
Sexual stimulation is required for Cialis to work. You will not get an erection just by taking Generic Cialis with no sexual stimulation.
.: Storage:
Keep this medication at room temperature away from moisture and heat.
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