The medicine is used to treat adult men with erectile dysfunction. This is when a man is unable to obtain or maintain a hard, erect penis for sexual activity. The drug showed a marked improvement in getting a firm erect penis for sexual activity.
The medicine contains the active substance tadalafil and belongs to a group of medicines called “phosphodiesterase 5 inhibitors”. After sexual stimulation, the medicine helps the blood vessels in the penis to relax, allowing blood to flow into the penis. As a result, erection improves. The medicine will not help you if you do not have erectile dysfunction.
It is important to note that the drug will not work without sexual stimulation. Foreplay with a partner may be necessary, as if you were not taking erectile dysfunction medication.
contraindication
The medicine should not be taken if you:
you are allergic to tadalafil or any of the other ingredients of this medicine.
take any form of organic nitrates or nitric oxide donors such as amyl nitrite. This is a group of drugs (“nitrates”) used to treat angina pectoris (a type of “pain in the heart”). The drug has been shown to enhance the effects of these drugs. If you are taking any form of nitrates or are unsure, talk to your doctor.
have a serious heart condition or have had a heart attack within the past 90 days.
had a stroke in the last 6 months.
suffer from low or uncontrolled high blood pressure.
have ever had vision loss due to non-arteritic anterior ischemic optic neuropathy (NAION), this condition is described as an “ocular stroke”.
take riociguat. This medicine is used to treat pulmonary arterial hypertension (i.e. high blood pressure in the lungs) and chronic thromboembolic pulmonary hypertension (i.e. high blood pressure in the lungs secondary to blood clots). PDE5 inhibitors, like the drug, have been shown to enhance the blood pressure lowering effect of this drug. If you are taking riociguat or are unsure, talk to your doctor.
Dosage of Cialis 20 mg film-coated tablets.
Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.
The recommended starting dose is one 10 mg tablet before sexual activity. If the effect of this dose is too small, the doctor may increase the dose to 20 mg.
Do not take the medicine more than once a day. Tadalafil 10 mg and 20 mg are intended to be taken before anticipated sexual activity and are not recommended for long-term daily use.
It is important to note that the supplement only works with sexual stimulation. Foreplay with a partner may be necessary, as if you were not taking erectile dysfunction medication.
If you take more than you should
Tell your doctor. You may experience the side effects described in the “Side Effects” section.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
patient records
Warnings and Precautions
Please talk to your doctor before taking any medicine.
Please note that sexual activity is a potential risk for patients with heart disease as it puts a strain on the heart. If you have a heart condition, you must tell your doctor.
Talk to your doctor before taking the tablets if you have:
Sickle cell anemia (change in red blood cells)
multiple myeloma (cancer of the bone marrow)
leukemia (cancer of the blood cells)
deformity (deformity) of your penis
severe liver disease
severe kidney disease
It is not known whether the drug is effective in patients who have undergone:
pelvic surgery
complete removal of the prostate gland or part of it with cut nerves of the prostate gland (non-sparing technique)
If you notice a sudden decrease or loss of vision, stop taking the drug and tell your doctor immediately.
Some patients taking tadalafil experienced a sudden worsening or loss of hearing. Although it is not known whether these phenomena are related to taking tadalafil, if you experience a sudden deterioration or loss of hearing, stop treatment and contact your doctor immediately.
The medicine should not be used by women.
children and young people
The drug should not be used in children and adolescents under the age of 18 years.
Ability to drive and use machines
Some men who took the drug in clinical trials reported dizziness. Carefully check how you react to the tablets before driving or operating machinery.
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