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Cialis - Tadalafil
( tah da' la fil )
Why is this medication prescribed?
Cialis is used to treat erectile dysfunction (impotence;
inability to get or keep an erection) in men. Cialis is in a class of
medications called phosphodiesterase (PDE) inhibitors. It works by
increasing blood flow to the penis during sexual stimulation. This
increased blood flow can cause an erection. Cialis does not cure erectile
dysfunction or increase sexual desire. Cialis does not prevent pregnancy
or the spread of sexually transmitted diseases such as human
immunodeficiency virus (HIV).
How should this medicine be used?
Cialis 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 Cialis before sexual activity.
Cialis 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 Cialis 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 Cialis exactly as directed.
Do not take more or less of it or take it more often than prescribed by
your doctor.
Your doctor will probably start you on an average dose of
Cialis and increase or decrease your dose depending on your response to
the medication. Tell your doctor if Cialis is not working well or if you
are experiencing side effects.
Other uses for this medicine
This medication may be prescribed for other uses; ask your
doctor or pharmacist for more information.
What special precautions should I follow?
Before taking Cialis,
tell your
doctor and pharmacist if you are allergic to Cialis or any other
medications.
do not take
Cialis if you are taking alpha blockers such as alfuzosin (Uroxatral),
doxazosin (Cardura), prazosin (Minipress), and terazosin (Hytrin).
However, you may take Cialis if you are taking an alpha blocker called
tamsulosin (Flomax) at a dose of 0.4 mg daily. Also do not take Cialis
if you are taking or have recently taken nitrates such as isosorbide
dinitrate (Isordril, Sorbitrate), isosorbide mononitrate (Imdur, ISMO),
and nitroglycerin (Nitro-BID, Nitro-Dur, Nitroquick, Nitrostat, others).
Nitrates come as tablets, sublingual (under the tongue) tablets, sprays,
patches, pastes, and ointments. Ask your doctor if you are not sure if
any of your medications contain nitrates.
tell your
doctor and pharmacist what other prescription and nonprescription
medications, vitamins, nutritional supplements, and herbal products you
are taking. Be sure to mention any of the following: antifungals such as
fluconazole (Diflucan), itraconazole (Sporanox), ketoconazole (Nizoral);
carbamazepine (Tegretol); cimetidine (Tagamet); clarithromycin (Biaxin);
cyclosporine (Neoral, Sandimmune); danazol (Danocrine); delavirdine (Rescriptor);
dexamethasone (Decadron); diltiazem (Cardizem, Dilacor, Tiazac);
erythromycin (E.E.S., E-Mycin, Erythrocin); ethosuximide (Zarontin);
fluoxetine (Prozac, Sarafem); fluvoxamine (Luvox); HIV protease
inhibitors such as indinavir (Crixivan), nelfinavir (Viracept), and
ritonavir (Norvir); isoniazid (INH, Nydrazid); medications for high
blood pressure; metronidazole (Flagyl); nefazodone (Serzone);other
medications or treatments for erectile dysfunction; phenobarbital
(Luminal, Solfoton); phenytoin (Dilantin); rifabutin (Mycobutin);
rifampin (Rifadin, Rimactane); troleandomycin (TAO), verapamil (Calan,
Covera, Isoptin, Verelan), and zafirlukast (Accolate). Your doctor may
need to change the doses of your medications or monitor you carefully
for side effects.
tell your
doctor if you have or have ever had an erection that lasted more than 4
hours; a condition that affects the shape of the penis such as
angulation, cavernosal fibrosis, or Peyronie's disease; high or low
blood pressure; irregular heartbeat; a heart attack; angina (chest
pain); a stroke; ulcers in the stomach or intestine; a bleeding
disorder; blood cell problems such as sickle cell anemia (a disease of
the red blood cells), multiple myeloma (cancer of the plasma cells), or
leukemia (cancer of the white blood cells); and liver, kidney, or heart
disease. Also tell your doctor if you or any of your family members have
or have ever had an eye disease such as retinitis pigmentosa. Tell your
doctor if you have ever been advised by a health care professional to
avoid sexual activity for medical reasons or if you have ever
experienced chest pain during sexual activity.
you should
know that Cialis is only for use in males. Women should not take Cialis,
especially if they are or could become pregnant or are breast-feeding.
If a pregnant woman takes Cialis, she should call her doctor.
if you are
having surgery, including dental surgery, tell the doctor or dentist
that you are taking Cialis.
ask your
doctor about the safe use of alcoholic beverages while you are taking
Cialis. Alcohol can make the side effects from Cialis worse. Your doctor
will tell you how much alcohol you may drink while you are taking this
medication.
you should
know that sexual activity may be a strain on your heart, especially if
you have heart disease. If you have chest pain during sexual activity,
call your doctor immediately and avoid sexual activity until your doctor
tells you otherwise.
tell all your
health care providers that you are taking Cialis. If you ever need
emergency medical treatment for a heart problem, the health care
providers who treat you will need to know when you last took Cialis.
What special dietary instructions should I
follow?
Talk to your doctor about drinking grapefruit juice while
taking this medicine.
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