CIALIS is used to treat erectile dysfunction in men. This is when a man cannot get, or maintain, a hard erect penis suitable for sexual activity. The active ingredient in CIALIS tablets, tadalafil, belongs to a group of medicines called phosphodiesterase type 5 inhibitors.
CIALIS will not help you if you do not have erectile dysfunction.
How to take Cialis
Follow all directions given to you by your doctor or pharmacist carefully.
They may differ from the information on this website.
If you do not understand the instructions on the pack, ask your doctor or pharmacist to help.
How much Cialis to take
On-Demand Dosing
You should not take Cialis more than once a day. Cialis 10 and 20 mg is intended for use prior to anticipated sexual activity and is not for continuous daily use.
The maximum recommended dose of CIALIS is one 20 mg tablet taken before sexual activity.
If you have kidney disease, the recommended dose of Cialis is one 10 mg tablet. This dose may be increased up to 20 mg. For patients with severe renal impairment 10 mg is the maximum recommended dose.
If you have liver disease, the recommended dose if Cialis is one 10 mg tablet. Patients with severe hepatic impairment should follow their doctor’s advice.
Once-A-Day Dosing
You should not take Cialis more than once a day. Always take Cialis exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.
The recommended dose of Cialis is one 5 mg tablet taken once per day.
Dosage adjustments are not required in patients with kidney disease. Once-a-day dosing of Cialis is not recommended in patients with severe renal impairment.
Patients with liver disease should follow their doctor’s advice.
No special consideration is needed for the elderly or people with diabetes.
Swallow the tablet whole with a full glass of water
When to take Cialis
On-Demand Dosing
Cialis can be taken with or without food or alcohol.
Cialis should be taken prior to anticipated sexual activity. The amount of time Cialis takes to work varies from person to person. In some men Cialis can work as early as 30 minutes after taking the tablet but it is recommended that you allow one hour the first time you take it. CIALIS has been proven to be effective for up to 36 hours. This means that you can take Cialis and choose when you want to have sex over the next 36 hours.
For example, you can take CIALIS at Friday lunchtime and you can choose to engage in sexual activity on Friday afternoon, Friday night or anytime on Saturday including Saturday night.
Sometimes if you’re feeling anxious or nervous you may not respond to the first tablet. Don’t give up, it may take a few doses before you get the full benefit of Cialis.
CIALIS will only work if you are sexually aroused.
Once-A-Day Dosing
Take Cialis with water every day at approximately the same time, either with or without food.
When take once a day, Cialis allows you to obtain an erection, when sexually stimulated, at any time point during the 24 hours of the day. You and your partner will need to engage in foreplay, just as you would if you were not taking a medicine for erectile dysfunction.
Drinking alcohol may effect your ability to get an erection, so avoid excessive drinking with CIALIS.
If you have any questions about taking CIALIS, ask your doctor or pharmacist.
Cialis Side Effects
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking CIALIS. Cialis helps most people with erectile dysfunction, but it may have unwanted side effects in a few people. All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical attention if you get some of the side effects.
Do not be alarmed by the following list of possible side effects. You may not experience any of them.Ask your doctor or pharmacist to answer any questions you may have.
The following side effects are usually mild and short-lived. In clinical trials, the number of patients taking Cialis who discontinued due to side effects (1.7%) was not different from the number of patients taking placebo (dummy treatment)(1.1%).
Tell your doctor or pharmacist if you notice any of the following and they worry you:
- facial flushing
- indigestion
- back pain
- chest pain
- muscle aches
- diarrhoea
- heart burn
- stomach pain
- allergic reactions, including skin rash, swelling of the face and hives
- sweating
- headache or migraine
- nasal congestion
- dizziness
- infection
- sore throat and discomfort when swallowing
- red eyes, eye pain and swelling of eyelids are uncommon
- changes in colour vision are rare
- decreases or loss of vision are very rare
- blurred vision
- bleeding nose
- prolonged erection
- fainting
If you experience chest pain during or after sexual activity, stop what you are doing, sit up and sit forward.
Call an ambulance if the pain does not resolve. Do not use nitrates.
In rare instances it is possible that a prolonged and possibly painful erection may occur after taking Cialis.
If you have an erection which lasts longer than usual, you should contact a doctor immediately.
When taking Cialis with large amounts of alcohol, some men may experience dizziness.
Sudden loss or decrease in hearing and seizures have been reported in people taking Cialis. It is not possible to determine whether these events are related directly to Cialis, to toher diseases or medications, to other factors, or to a combination of factors. If you experience these symptoms, stop taking Cialis and contact a doctor immediately.
This is not a complete list of all possible side effects. Others may occur in some people and there may be side effects not yet known.
Potential withdrawel effects from daily use have not been examined. It is recommended that patients continue to be monitored by their doctor after discontinuation of Cialis.
If you notice any symptoms that worry you, check with your doctor.
Ask your doctor or pharmacist if you dont understand anything on this list.
