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What is Cialis (tadalafil)?

Cialis (tadalafil) relaxes the muscles of the penis. It increases blood flow to the penis, which is necessary to achieve prolonged erection. Cialis (tadalafil) is used to treat erectile dysfunction (impotence).

Cialis (tadalafil) can be applied in other cases not listed in this medication guide.
What I need to discuss with your doctor before taking the drug?

Do not start taking Cialis (tadalafil) if you are taking any of the following medications:
Nitrate, such as nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Minitran, Deponit, Transderm-Nitro, others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), isosorbide mononitrate (Imdur, ISMO, Monoket), and others. · nitrates are also present in some recreational drugs such as amyl nitrate or nitrite (“poppers”)  or Alpha-blockers (except tamsulosin (Flomax) oin 0.4 mg once a day), such as doxazosin (Cardura), guanadrel (Hylorel), prazosin (Minipress), terazosin (Hytrin), alfuzosin (Uroxatral), and others.

• Simultaneous treatment Cialis (tadalafil) with any of these drugs can cause very low pressure, which can lead to dizziness, fainting, heart attack or heart attack.

• Before you start taking Cialis (tadalafil), tell your doctor if you have
Heart disease, such as angina, heart failure, irregular heartbeat, or have a heart attack:
· Low or uncontrolled high blood pressure;
· Have had a stroke;
· liver disease;
· Kidney disease;
· Blood disease associated with blood cells, such as sickle cell anemia, multiple myeloma, or leukemia; · Bleeding disorders;
· A stomach ulcer;
· Retinitis pigmentosa (an inherited zaboelvaniya eyes);
· Physical deformity of the penis such as Peyronie’s disease;
· An erection lasting more than 4 hours.

• You will not be able to take Cialis (tadalafil), or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.

• Although Cialis is not intended for women, FDA classification relates to the preparation of B with respect to pregnancy. This means that Cialis (tadalafil) is harmless to the fetus. Women should not take Cialis (tadalafil).

• Unknown. Whether the drug passes into breast milk. Women should not take Cialis (tadalafil).

• If you are over 65, of side effects of the drug is more likely. Your doctor may prescribe a reduced dose of Cialis (tadalafil).

MODE OF APPLICATION

• Take Cialis (tadalafil) exactly as directed by your doctor. To clarify the indications for use, contact your doctor or pharmacist.

• Take each dose with a full glass of water.

• As a rule, Cialis (tadalafil), if necessary, take before intercourse. The duration of action of the drug can take up to 36 hours or more. The frequency of the drug determined by the physician. Do not exceed the dose prescribed by your doctor Cialis (tadalafil).

• Cialis (tadalafil) contributes to an erection during sexual stimulation. An erection does not occur when only one taking a pill. • Cialis (tadalafil) is taken with food or on an empty stomach.

• Cialis (tadalafil) should not be taken with excessive amounts of alcohol (eg 5 or more servings). Excessive use of alcohol in combination with Cialis (tadalafil) can cause head pain, dizziness, palpitations or low blood pressure.

• Abstain from sexual activity and notify your doctor if during sex you experience dizziness, nausea, or angina (pain, pressure, discomfort, numbness, or tingling in your chest, arms, neck, or jaw).

• Contact your doctor immediately in case of a 4-hour erection. Persistent erection can damage the penis.

• Cialis (tadalafil) ozhzhet interact with grapefruit or grapefruit juice. This interaction can produce undesirable effects. Should discuss with your doctor the use of grapefruit or grapefruit juice during treatment. Do not increase or decrease the amount of grapefruit in your diet without first talking to your doctor.

• Store this medication at room temperature in a cool dry place.
WHAT IF I miss a dose?

• Cialis (tadalafil) is used as needed, so the drug is unlikely to miss.
What happens if I overdose?

• In the event of a possible drug overdose contact your doctor immediately.

• Symptoms of an overdose of Cialis (tadalafil) is unknown.
PRECAUTIONS FOR ADMISSION Cialis (Tadalafil)

• Do not take other medicines to treat impotence, such as sildenafil (Viagra), vardenafil (Levitra), alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others), without pososvetovavshis a doctor.

• Cialis (tadalafil) should not be taken with excessive amounts of alcohol (eg 5 or more servings). Excessive use of alcohol in combination with Cialis (tadalafil) can cause head pain, dizziness, palpitations or low blood pressure.

• Cialis (tadalafil) ozhzhet interact with grapefruit or grapefruit juice. This interaction can produce undesirable effects. Should discuss with your doctor the use of grapefruit or grapefruit juice during treatment. Do not increase or decrease the amount of grapefruit in your diet without first talking to your doctor.
The possible side effects of Cialis (tadalafil)?

• If any of the following serious side effects, stop taking the drug and contact your doctor immediately: · an allergic reaction (difficulty breathing; narrowing of the airways, swelling of the lips, tongue, face or hives);
· Chest pain or irregular heartbeat;
· Dizziness, nausea, or angina (pain, pressure, discomfort, numbness, or tingling in your chest, arms, neck, or jaw);
· Swelling of the ankles or legs;
· Shortness of breath;
· Prolonged or severe dizziness; or
· Prolonged (more than 4 hours) or painful erection.

• More likely to cause other, less serious side effects. Continue taking this medication and tell your doctor if you experience
· headache;
· Indigestion;
· Back pain;
· Muscle aches;
· Congestion;
· Stuffy nose or a bad cold;
· Temporary blue tint in the appearance of visual perception, or difficulty (unusual) in distinguishing between blue and green colors.

• There may be other side effects not listed in this guide. Report any unusual side effects, especially those that cause your anxiety, you should inform your doctor.
Interaction Cialis (tadalafil) WITH OTHER DRUGS

• Do not start taking Cialis (tadalafil) if you are taking any of the following drugs: · nitrate such as nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Minitran, Deponit, Transderm-Nitro, others) isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), isosorbide mononitrate (Imdur, ISMO, Monoket), and others. · nitrates are also present in some recreational drugs such as amyl nitrate or nitrite (“poppers”); · or alpha blockers (tamsulosin except (Flomax) oin 0.4 mg once a day), such as doxazosin (Cardura), guanadrel (Hylorel), prazosin (Minipress), terazosin (Hytrin), alfuzosin (Uroxatral), and others.

• Simultaneous treatment Cialis (tadalafil) with any of these drugs can cause very low pressure, which can lead to dizziness, fainting, heart attack or heart attack.

• Before taking Cialis (tadalafil), tell your doctor if you are taking any of the following medications:
· Other medicines to treat impotence, such as sildenafil (Viagra), vardenafil (Levitra), alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others);
· Antibiotic erythromycin (E-Mycin, Eryc, Ery-Tab, others); · antifungal medications such as itraconazole (Sporanox) or ketoconazole (Nizoral); or • anti-HIV drugs, such as indinavir (Crixivan), ritonavir (Norvir), and others.

• If you are taking any of the drugs listed above, you will need to adjust the dosage of Cialis (tadalafil), or take medicine under medical supervision.

• Cialis (tadalafil) may interact with other drugs not listed in this guide. When taking other prescription drugs and medications, non-prescription, including vitamins, minerals and herbs, you should consult your doctor.