Cialis

Cialis (tadalafil) has been approved for the treatment of erectile dysfunction in men. Although there are other drugs on the market for this indication, this drug is different in that it may work up to 36 hours after dosing.

Before using

Do not start or stop any medicine without doctor or pharmacist approval. Inform your doctor of any other medical conditions including penis problems; history of painful or prolonged erection; any heart problems; kidney problems; stomach ulcers; bleeding problems; blood cell problems such as sickle cell anemia, leukemia, or myeloma; eye diseases, especially retina diseases such as retinitis pigmentosa; uncontrolled high blood pressure; or allergies.

Use of this medicine is not recommended if you have a history of angina or chest pain, heart attack, stroke, low blood pressure, severe liver problems, or if you have been told by your healthcare provider to not have sexual activity because of certain health problems.

How To Take:

Take this medicine by mouth as needed before sexual activity as directed by your doctor.

Do not take tis medicine more often than once daily. If you are taking certain other medicines you may only be able to take this medicine one time every two or three days. Contact your doctor or pharmacist for more information.

Side Effects

Clinical Studies Experience. Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice.

Cialis was administered to over 6550 men during clinical trials worldwide. In trials of CIALIS for once daily use, a total of 716, 389, and 115 were treated for at least 6 months, 1 year, and 2 years, respectively. For CIALIS for use as needed, over 1300 and 1000 subjects were treated for at least 6 months and 1 year, respectively.

Notes

Do not share Cialis?® with others, since they may have a problem that is not effectively treated by this drug. Use of this drug does not protect against sexually transmitted diseases (e.g., HIV, Hepatitis B, gonorrhea).

Drug Interactions:

Tell your doctor of all nonprescription and prescription medication you may use, especially any nitrate medications (e.g., nitroglycerin, isosorbide dinitrate), nitroprusside (any "nitric oxide donor" medicines), cimetidine, erythromycin, azole antifungals (e.g., itraconazole, ketoconazole), mibefradil, rifamycins (e.g., rifampin) or high blood pressure medicines.

Storage

To store this medicine:

• Keep out of the reach of children.
• Do not store in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the medicine to break down.
• Keep the medicine from freezing. Do not refrigerate.
• Do not keep outdated medicine or medicine no longer needed. Ask your health care professional how you should dispose of any medicine you do not use. Be sure that any discarded medicine is out of the reach of children.

Dosage

Cialis for use as needed: Starting dose: 10 mg up to once daily. Increase to 20 mg or decrease to 5 mg based upon efficacy/tolerability. Improves erectile function compared to placebo up to 36 hours post dose.

Cialis for once daily use: 2.5 mg taken once daily, without regard to timing of sexual activity. May increase to 5 mg based upon efficacy and tolerability.

Cialis may be taken without regard to food (2.2).