Drug Name

Cialis (Tadalafil)

Drug Uses

Cialis is used for treating men's erectile dysfunction (eg, impotence). It also can be used for other purposes.

Benefits:

• Works for up to 36 hours;
• Recommended time to take before sex is 30 minutes to 12 hours;
• Comparing to Levitra and Viagra, Cialis has fewer side effects and lasts longer in the body to increase spontaneity;
• 66% clients prefer Cialis to Viagra.

How Taken

Use Cialis as directed by your doctor. Check the label on the medicine for exact dosing instructions.

An extra patient leaflet is available with Cialis . Talk to your pharmacist if you have questions about this information.

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.

Talk with your doctor if you have questions about how you should take Cialis . 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.

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

Drug Class and Mechanism

Cialis is a phosphodiesterase type 5 inhibitor and it works by helping the blood flow into the penis to achieve and maintain an erection during sexual stimulation.

Missed Dose

If you miss a dose of Cialis , take it as soon as possible. If it 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.

Storage

Store Cialis at room temperature between 59 and 86 degrees F (15 and 30 degrees C) away from moisture and heat.

Warnings/Precautions

Do not take Cialis, if you are also using a nitrate drug for chest pain or heart problems, including

• nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Minitran, Deponit, Transderm-Nitro),
• isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate),
• isosorbide mononitrate (Imdur, ISMO, Monoket), or recreational drugs such as amyl nitrate or nitrite ("poppers").

Taking Cialis with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack. Before taking tadalafil, tell your doctor, if you have:

• heart disease or heart rhythm problems;
• a recent history a heart attack (within the past 90 days);
• a recent history of stroke or congestive heart failure (within the past 6 months);
• angina (chest pain);
• high or low blood pressure;
• liver disease;
• kidney disease (or if you are on dialysis);
• a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;
• a bleeding disorder such as hemophilia;
• a stomach ulcer;
• retinitis pigmentosa (an inherited condition of the eye);
• a physical deformity of the penis (such as Peyronie's disease); or
• f you have been told you should not have sexual intercourse for health reasons.

Possible Side Effects

The most common side effects with Cialis are headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose. These side effects usually go away after a few hours.

Patients who get back pain and muscle aches usually get it 12 to 24 hours after taking Cialis. Back pain and muscle aches usually go away by themselves within 48 hours. Call your doctor if you get a side effect that bothers you or one that will not go away.

More Information

Sexual stimulation is required for Cialis to work. You will not get an erection just by taking Generic Cialis without sexual stimulation.