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What is Cialis?

Cialis, also available as tadalafil, is a medication that relaxes muscles of the blood vessels and increases blood flow to some specific areas of the body. Cialis helps treat symptoms of benign prostatic hypertrophy (enlarged prostate) and erectile dysfunction (impotence).

Another brand of tadalafil is Adcirca, which helps treat pulmonary arterial hypertension and improves working out in men and women. But, again, do not take both the medicines together unless your doctor asks you to. 

Important Information

Do not use Cialis if you are also taking a nitrate drug for heart problems or chest pain, including isosorbide dinitrate, nitroglycerin, isosorbide mononitrate, and other recreational drugs. Taking this drug with a nitrate medicine can lead you to a sudden and severe reduction in blood pressure. 

Some drugs can cause unwanted and dangerous effects after interacting with Cialis. Tell the doctor about the medications you are taking currently, especially riociguat (Adempas). 

Contact your healthcare provider or take urgent medical help if your erection lasts for more than four hours or is painful. Priapism (or a prolonged erection) can damage the penis.

Take medical help instantly if you have chest pain, nausea, or dizziness during sex. Also, stop taking this drug and get medical help if you have a sudden vision loss.

What to know before taking Cialis?

You should avoid taking Cialis if you are allergic to it or tadalafil. Taking it with other specific medicines can cause a sudden severe reduction in blood pressure. Do not use Cialis if you also take:

  • Riociguat (for pulmonary arterial hypertension); or
  • Any nitrate drug for heart problems or chest pain

Some Cialis (tadalafil) can remain in your bloodstream for two or more days after each dose (longer if you have kidney or liver disease). Avoid taking nitrate during this time.

To ensure Cialis is safe for you, tell the doctor if you have ever had:

  • A stroke or heart attack;
  • Heart rhythm problems or heart disease;
  • Pulmonary hypertension;
  • High or low blood pressure, chest pain (angina);
  • A pulmonary veno-occlusive disease condition (narrowing of the blood carrying veins from the lungs to the heart);
  • Kidney or liver disease;
  • A bleeding disorder;
  • Vision loss, or retinitis pigmentosa;
  • A penis physical deformity (such as Peyronie’s disease), or an erection for more than four hours;
  • Blood cell disorder like leukemia, sickle cell anemia, or multiple myeloma;
  • Health issues that make sexual activity unsafe; or 
  • A stomach ulcer

Cialis does not harm an unborn baby. It is unknown whether it goes through into breast milk or not. Tell your doctor if you are pregnant or breastfeeding. 

Cialis is not under the recommendation for use by anyone younger than 18 years old. 

How to take Cialis?

You should take Cialis only once per day usually. Read carefully and follow all directions on your prescription label. Do not take Cialis in larger or smaller amounts or for longer than recommended.

You can take drugs like Cialis with or without food. Swallow the whole pill rather than breaking or splitting it. For erectile dysfunction, take Cialis before sexual activity but not more than once a day.

Cialis can help attain an erection when sexual stimulation occurs. However, an erection will not happen just by taking a tablet. Do not use Cialis for erectile dysfunction if you are already taking Adcirca for pulmonary arterial hypertension.

Store Cialis away from heat and moisture at room temperature.

Cialis dosage

For erectile dysfunction (as needed):

  • Initial dose- 10 mg before anticipated sexual activity
  • Your doctor may increase the amount to 20 mg or decrease it to 5 mg based on individual tolerability and efficacy
  • Maximum dose frequency is one time a day in most patients.

For erectile dysfunction (daily use):

  • Initial dose- 2.5 mg once daily at the exact time every day approximately, without regard to sexual activity timing.
  • Your doctor may increase the amount of your daily dose to 5 mg based on individual tolerability and efficacy.

For benign prostatic hyperplasia (daily use):

  • Initial dose- 5 mg once daily at the exact time every day approximately
  • The recommended dose is 5 mg once daily during therapy at the precise time every day, approximately for up to 26 weeks.

Overdose

Take medical help instantly or call the Poison helpline at 1-800-222-1222.

What to avoid while using Cialis?

Alcohol consumption with this drug can cause side effects. 

Interaction of grapefruit and grapefruit juices with tadalafil may lead to unwanted side effects. Therefore, avoid taking grapefruit products during treatment with this drug. 

Cialis side effects

Take urgent medical help if you have symptoms of an allergic reaction to Cialis, including trouble breathing, rash or hives, swelling of your face, throat, lips, or tongue.

Stop taking Cialis and ask for medical help at once if you have dizziness, chest pain, or nausea during sex. It can lead you to a life-threatening side effect.

Stop taking it and call your doctor instantly if you have:

  • Lightheadedness;
  • Sudden hearing loss or ringing in your ears;
  • Vision changes or loss (sudden);
  • A painful erection or an erection that lasts longer than four hours (prolonged erection can cause penis damage); or
  • heart attack symptoms include pressure or pain in the chest, sweating, nausea, pain spreading to your jaw or shoulder.

Common side effects to Cialis may include:

  • Nausea, upset stomach;
  • Headache;
  • Stuffy nose;
  • Flushing (redness, warmth, or tingly feeling); or
  • Back pain, muscle pain, pain in your legs, arms, or back.

It is not a complete list of side effects, and others may occur. Consult your doctor for medical advice regarding side effects. In addition, you may report side effects to the FDA at 1-800-FDA-1088.

What drugs can interact with Cialis?

Tell your healthcare provider about the drugs you are taking currently and any medicine you are planning to start or stop using, especially:

  • Seizure medicines;
  • An antifungal or antibiotic medication;
  • Antiviral drug to treat HIV/AIDS or hepatitis C;
  • Medications to treat pulmonary arterial hypertension or erectile dysfunction (impotence); or
  • Medicines to treat a prostate disorder or high blood pressure.

It is not a complete list, and others may also interact with tadalafil, including prescription and over-the-counter (OTC) medicines, herbal products, and vitamins.