Cialis Side Effects
 The following information is a summary about
Cialis® .
It is not intended to replace a doctor's instructions.
(Tadalafil - Oral)
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Viagra, or CIALIS is used to treat erectile
dysfunction, also known as impotence. This is when a man cannot get, or keep, a
hard erect penis suitable for sexual activity.
 How
to Take Cialis
Tadalafil comes as a tablet to take by mouth. It is
usually taken with or without food before sexual
activity. Your doctor will help you decide the best time
for you to take tadalafil before sexual activity.
Tadalafil should not be taken more often than once every
24 hours. If you have certain health conditions or are
taking certain medications, your doctor may tell you to
take tadalafil less often. Follow the directions on your
prescription label carefully, and ask your doctor or
pharmacist to explain any part you do not understand.
Take tadalafil exactly as directed. Do not take more or
less of it or take it more often than prescribed by your
doctor.
Cialis Side Effects
Tadalafil may cause side effects. Tell your doctor if
any of these symptoms are severe or do not go away:
- headache
- indigestion or heartburn flushing
- pain in the back, muscles, or any
limb
- stuffy or runny nose
If you experience any of the following
symptoms , call your doctor immediately:
- sudden severe loss of vision (see
below for more information)
- blurred vision
- changes in color vision (seeing a
blue tinge on objects or having difficulty telling
the difference between blue and green)
- erection that lasts longer than 4
hours
- chest pain
- hives
- rash
Tadalafil may cause other side
effects. Call your doctor if you have any unusual
problems while taking this medication.
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. The vision
loss was permanent in some cases. It is not known if the
vision loss was caused by the medication. If you
experience a sudden loss of vision while you are taking
tadalafil, call your doctor immediately. Do not take any
more doses of tadalafil or similar medications such as
sildenafil (Viagra) or vardenafil (Levitra) until you
talk to your doctor.
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 Warnings and Precautions
Sexual activity carries a potential cardiac risk for patients with pre-existing
cardiovascular disease. Therefore, treatments for erectile dysfunction,
including CIALIS, should not be used in men with cardiac disease for whom sexual
activity is inadvisable. Physicians should consider the potential cardiac risk
of sexual activity in patients with pre-existing cardiovascular disease. The
following groups of patients with cardiovascular disease were not included in
clinical trials:
patients with myocardial infarction within the last 90 days;
patients with unstable angina or angina occurring during sexual intercourse;
patients with New York Heart Association Class 2 or greater heart failure in the
last 6 months;
patients with uncontrolled arrhythmias, hypotension (< 90/50 mm Hg), or
uncontrolled hypertension;
patients with a stroke within the last 6 months.
Additionally, there is limited clinical trial data on the safety of CIALIS in
the following groups; if prescribed, a careful individual benefit/risk
evaluation should be undertaken by the prescribing physician
patients with severe renal insufficiency (creatinine clearance = 30 mL/min);
patients with severe hepatic insufficiency (Child-Pugh Class C).
Tadalafil 10 mg has been the highest dose studied in patients with mild (creatinine
clearance 51 to 80 mL/min), and moderate (creatinine clearance 31 to 50 mL/min)
renal failure and in patients with end stage renal failure undergoing
haemodialysis.
Priapism was not reported in clinical trials with CIALIS. However, priapism has
been reported with another PDE5 inhibitor, sildenafil. Patients who experience
erections lasting 4 hours or more should be instructed to seek immediate medical
assistance. If priapism is not treated immediately, penile tissue damage and
permanent loss of potency may result.
CIALIS should be used with caution in patients who have conditions that might
predispose them to priapism (such as sickle cell anaemia, multiple myeloma, or
leukaemia), or in patients with anatomical deformation of the penis (such as
angulation, cavernosal fibrosis or Peyronie's disease). The evaluation of
erectile dysfunction should include a determination of potential underlying
causes and the identification of appropriate treatment following an appropriate
medical assessment.
The safety and efficacy of combinations of CIALIS and other treatments for
erectile dysfunction have not been studied. Therefore, the use of such
combinations is not recommended.
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