Tadalafil is used to treat male sexual function problems (impotence or erectile dysfunction-ED). In combination with sexual stimulation, tadalafil works by increasing blood flow to the penis to help a man get and keep an erection.

Tadalafil is also used to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). It helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate frequently or urgently (including during the middle of the night). Tadalafil is thought to work by relaxing the smooth muscle in the prostate and bladder.

This drug does not protect against sexually transmitted diseases (such as HIV, hepatitis B, gonorrhea, syphilis). Practice “safe sex” such as using latex condoms. Consult your doctor or pharmacist for more details.

Buy  Tadalafil ( Generic Cialis )

Tadalafil is used to treat men who have erectile dysfunction (also called sexual impotence). Tadalafil belongs to a group of medicines called phosphodiesterase 5 (PDE5) inhibitors. These medicines prevent an enzyme called phosphodiesterase type-5 from working too quickly. The penis is one of the areas where this enzyme works.

Erectile dysfunction is a condition where the penis does not harden and expand when a man is sexually excited, or when he cannot keep an erection. When a man is sexually stimulated, his body’s normal response is to increase blood flow to his penis to produce an erection. By controlling the enzyme, tadalafil helps to maintain an erection after the penis is stroked by increasing blood flow to the penis. Without physical action to the penis, such as that occurring during sexual intercourse, tadalafil will not work to cause an erection.

Tadalafil is also used to treat men who have signs and symptoms of benign prostatic hyperplasia (BPH). BPH is caused by an enlarged prostate. Men with BPH usually have difficulty urinating, a decreased flow of urination, hesitation at the beginning of urination, and a need to get up at night to urinate. Tadalafil will make these symptoms less severe and reduce the chance that prostate surgery will be needed. This medicine is also used to treat erectile dysfunction and signs and symptoms of BPH.

Tadalafil is also used in both men and women to treat the symptoms of pulmonary arterial hypertension to improve your ability to exercise. This is high blood pressure that occurs in the main artery that carries blood from the right side of the heart (the ventricle) to the lungs. When the smaller blood vessels in the lungs become more resistant to blood flow, the right ventricle must work harder to pump enough blood through the lungs. Tadalafil works on the PDE5 enzyme in the lungs to relax the blood vessels. This will increase the supply of blood to the lungs and reduce the workload of the heart.

What is Cialis?

Cialis contains the active ingredient tadalafil. It is also available in a generic form called tadalafil. Generic versions are usually cheaper than brand-name medications, but they provide the same effects.

Cialis helps people with erectile dysfunction and those who have symptoms of benign prostatic hyperplasia (BPH), or an enlarged prostate.

Erectile dysfunction occurs when a person has difficulty getting or keeping a firm erection to be able to engage in sexual activity. Doctors may prescribe Cialis for this because it relaxes the blood vessels, allowing more blood to flow to the penis.

BPH, on the other hand, causes the prostate gland to grow and block the urine flow out of the bladder. People with this condition may find it hard to empty their bladder. Cialis helps relax the muscles in the bladder, allowing urine to flow more easily.

Cialis is available only with your doctor’s prescription. .

This product is available in the following dosage forms:

• Tablet

How does tadalafil work?

Tadalafil belongs to a group of medicines called phosphodiesterase 5 (PDE5) inhibitors.

If you have erectile dysfunction, it works by temporarily increasing blood flow to the penis when you get sexually excited.

It helps reduce symptoms of an enlarged prostate gland, such as difficulty peeing or needing to pee urgently, by relaxing the muscles in the prostate and bladder.

It helps pulmonary hypertension by relaxing blood vessels in the chest. This increases blood supply to the lungs and reduces the workload of the heart.

How well does it work for erection problems?

Tadalafil works well for erectile dysfunction.

In general, more than 6 in 10 men say they have harder erections after taking it.

If tadalafil does not work for you, it may be because:

• you have not waited long enough after taking it before trying to have sex
• you have waited too long after taking it to have sex
• the dose is not high enough
• you’re not sexually aroused enough

 

How long does it take to work?

Tadalafil usually starts to work within 30 to 60 minutes.

It’s triggered by sexual stimulation, so you need to be aroused for it to work.

How long will it work for?

You should be able to get an erection at any time between 30 minutes and 36 hours after taking tadalafil. You need to be sexually excited for it to work.

Your erection should go away after you have had sex.

Can I take it as often as I want?

No – do not take tadalafil more than once a day.

What Should You Know Before You take Cialis ?

Before Using

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Use of Cialis® tablet is not indicated for use in the pediatric population. Safety and efficacy have not been established.

Appropriate studies have not been performed on the relationship of age to the effects of Adcirca® and Alyq™ tablet in the pediatric population. Safety and efficacy have not been established.

Geriatric

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of tadalafil in the elderly. However, elderly patients are more sensitive to the effects of this medicine and are more likely to have age-related kidney and liver problems, which may require caution and an adjustment in the dose for patients receiving tadalafil.

Breastfeeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Drug Interactions

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

• Amyl Nitrite
• Boceprevir
• Erythrityl Tetranitrate
• Isosorbide Dinitrate
• Isosorbide Mononitrate
• Nitroglycerin
• Pentaerythritol Tetranitrate
• Propatyl Nitrate
• Riociguat
• Telaprevir

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

• Alfuzosin
• Atazanavir
• Bunazosin
• Clarithromycin
• Cobicistat
• Darunavir
• Erythromycin
• Fosamprenavir
• Indinavir
• Itraconazole
• Ketoconazole
• Lopinavir
• Moxisylyte
• Nefazodone
• Phenoxybenzamine
• Phentolamine
• Prazosin
• Ritonavir
• Saquinavir
• Simeprevir
• Simvastatin
• Tamsulosin
• Telithromycin
• Terazosin
• Tipranavir
• Trimazosin
• Urapidil

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

• Doxazosin
• Rifampin
• Silodosin

Other Interactions

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.

• Grapefruit Juice

Using this medicine with any of the following may cause an increased risk of certain side effects but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.

• Ethanol

Other Medical Problems

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

• • Abnormal penis, including curved penis and birth defects of the penis (eg, angulation, cavernosal fibrosis, or Peyronie’s disease) or
  • Leukemia (blood related cancer) or
  • Multiple myeloma (blood related cancer) or
  • Sickle-cell anemia (blood disorder)—Use with caution. May increase risk of unwanted side effects (eg, prolonged erection of the penis).
  • Age greater than 50 years or
  • Coronary artery disease or
  • Diabetes or
  • Hyperlipidemia (high lipids or fats in the blood) or
  • Hypertension (high blood pressure) or
  • Low cup to disc ratio (eye condition also called “crowded disc”) or
  • Smoking—Use with caution. May increase risk for non–arteritic anterior ischemic optic neuropathy (NAION).
  • Angina (severe chest pain) or
  • Arrhythmia (irregular heartbeat), uncontrolled or
  • Heart attack (within the last 3 months) or
  • Heart failure (within the last 6 months) or
  • Hypertension (high blood pressure), uncontrolled or
  • Hypotension (low blood pressure) or
  • Retinal disorders (eye problem) or
  • Retinitis pigmentosa (an inherited eye disorder) or
  • Stroke, recent history of—Should not be used in patients with these conditions.
  • Bleeding disorders or
  • Stomach ulcers—Use must be determined by your doctor. May increase your risk of bleeding.
  • Heart or blood vessel disease or
  • Pulmonary veno-occlusive disease or PVOD (a type of lung disease)—Use with caution. May make this condition worse.
  • Kidney disease, mild or moderate or
  • Liver disease, mild or moderate—Use with caution. The effects may be increased because of slower removal of the medicine from the body.
  • Non–arteritic anterior ischemic optic neuropathy (NAION, serious eye condition) in one or both eyes, history of—Use with caution. May increase your risk of getting NAION again.

Proper Use

Use tadalafil exactly as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered. Also, do not stop taking this medicine without checking first with your doctor.

This medicine comes with a patient information leaflet. Read and follow these instructions carefully. Read it again each time you refill your prescription in case there is new information. Ask your doctor if you have any questions.

You may take this medicine with or without food.

Swallow the tablet whole. Do not split, break, chew, or crush it.

When using this medicine for erectile dysfunction, the ability to have sexual activity may be improved for up to 36 hours after taking the tablet.

Use only the brand of this medicine that your doctor prescribed. Different brands may not work the same way.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor’s orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For oral dosage form (tablets):
  • For treatment of benign prostatic hyperplasia (daily use):
    • Adults—5 milligrams (mg) as a single dose, no more than once a day, taken at the same time each day.
    • Children—Use is not recommended.
  • For treatment of erectile dysfunction (as needed):
    • Adults—10 milligrams (mg) as a single dose, no more than once a day, taken 30 minutes before you think sexual activity may occur. Your doctor may adjust your dose as needed.
    • Children—Use is not recommended.
  • For treatment of erectile dysfunction (daily use):
    • Adults—2.5 milligrams (mg) once a day, taken at the same time each day, without regard for the timing of sexual activity. Your doctor may adjust your dose as needed.
    • Children—Use is not recommended.
  • For treatment of erectile dysfunction and benign prostatic hyperplasia (daily use):
    • Adults—5 milligrams (mg) once a day, taken at the same time each day, without regard for the timing of sexual activity.
    • Children—Use is not recommended.
  • For treatment of pulmonary arterial hypertension:
    • Adults—40 milligrams (mg) (two 20 mg tablets) taken once a day. Your doctor may adjust your dose as needed.
    • Children—Use and dose must be determined by your doctor.

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Precautions

It is important that you tell all of your doctors that you take tadalafil. If you need emergency medical care for a heart problem, it is important that your doctor knows when you last took tadalafil.

If you will be taking this medicine for pulmonary arterial hypertension, it is very important that your doctor check your progress at regular visits. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to take it. Blood and urine tests may be needed to check for unwanted effects.

If you take tadalafil for pulmonary arterial hypertension, do not take Cialis® or other PDE5 inhibitors, such as sildenafil (Revatio® or Viagra®) or vardenafil (Levitra®). Cialis® also contains tadalafil. If you take too much tadalafil or take it together with these medicines, the chance for side effects will be higher.

If you experience a prolonged erection for more than 4 hours or a painful erection for more than 6 hours, contact your doctor immediately. This condition may require prompt medical treatment to prevent serious and permanent damage to your penis.

This medicine does not protect you against sexually transmitted diseases (including HIV or AIDS). Use protective measures and ask your doctor if you have any questions about this.

It is important to tell your doctor about any heart problems you have now or may have had in the past. This medicine can cause serious side effects in patients with heart problems.

Do not use this medicine if you are also using riociguat or a nitrate medicine, often used to treat angina (chest pain). Nitrate medicines include nitroglycerin, isosorbide, Imdur®, Nitro-Bid®, Nitrostat®, Nitro-Dur®, Transderm Nitro®, Nitrol® Ointment, and Nitrolingual® Spray. Some illegal (“street”) drugs called “poppers” (such as amyl nitrate, butyl nitrate, or nitrite) also contain nitrates. If you need to use a nitrate medicine, take it at least 48 hours after your last dose of tadalafil.

Do not drink excessive amounts of alcohol (eg, 5 glasses of wine or 5 shots of whiskey) when taking tadalafil. When taken in excess, alcohol can increase your chances of getting a headache or dizziness, increase your heart rate, or lower your blood pressure.

If you experience sudden loss of vision in one or both eyes, contact your doctor immediately.

Check with your doctor right away if you have a sudden decrease in hearing or loss of hearing, which may be accompanied by dizziness and ringing in the ears.

Do not eat grapefruit or drink grapefruit juice while you are using this medicine. Grapefruit and grapefruit juice may change the amount of this medicine that is absorbed in the body.

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

Taking poppers (amyl nitrite) with tadalafil can have a dangerous effect on your heart.

It can also be potentially dangerous to take tadalafil with:

• stimulants like MDMA (ecstasy) or cocaine
• hallucinogens like LSD
• novel psychoactive substances (which used to be known as legal highs) like mephedrone

Tadalafil has not been properly tested with recreational drugs.

Talk to a doctor if you think you might use any recreational drugs with tadalafil.

Key facts

Cialis Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

LESS COMMON

1. Arm, back, or jaw pain
2. blurred vision
3. chest pain or discomfort
4. chest tightness or heaviness
5. chills
6. cold sweats
7. confusion
8. dizziness
9. fainting
10. faintness or lightheadedness when getting up suddenly from a lying or sitting position
11. fast or irregular heartbeat
12. headache
13. hearing loss
14. increased erection
15. nausea
16. nervousness
17. pain or discomfort in the arms, jaw, back, or neck
18. pounding in the ears
19. slow or fast heartbeat
20. spontaneous penile erection
21. sweating
22. unusual tiredness or weakness
23. vomiting

RARE

1. Painful or prolonged erection of the penis

INCIDENCE NOT KNOWN

1. Blindness
2. blistering, peeling, or loosening of the skin
3. cough
4. cracks in the skin
5. decrease or change in vision
6. diarrhea
7. difficulty with speaking
8. double vision
9. fast, irregular, pounding, or racing heartbeat or pulse
10. headache, severe and throbbing
11. hives or welts, itching, skin rash
12. inability to move the arms, legs, or facial muscles
13. inability to speak
14. joint or muscle pain
15. loss of heat from the body
16. numbness or tingling of the face, hands, or feet
17. red skin lesions, often with a purple center
18. red, irritated eyes
19. red, swollen skin
20. redness of the skin
21. redness or soreness of the eyes
22. scaly skin
23. slow speech
24. sores, ulcers, or white spots in the mouth or on the lips
25. stomach pain
26. sudden cardiac death
27. swelling of the feet or lower legs

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

MORE COMMON

1. Belching
2. heartburn
3. indigestion
4. stomach discomfort, upset, or pain

LESS COMMON

1. Bloody nose
2. body aches or pain
3. burning, crawling, itching, numbness, prickling, “pins and needles”, or tingling feelings
4. burning, dry, or itching eyes
5. burning feeling in the chest or stomach
6. congestion
7. difficulty with moving
8. difficulty with swallowing
9. dry mouth
10. dryness or soreness of the throat
11. excessive eye discharge
12. eye pain
13. feeling of constant movement of self or surroundings
14. feeling of warmth, redness of the face, neck, arms and occasionally, upper chest
15. fever
16. hoarseness
17. lack or loss of strength
18. loose stools
19. muscle aching or cramping
20. muscle stiffness
21. nasal congestion
22. neck pain
23. pain
24. pain in the arms or legs
25. pain or burning in the throat
26. redness, pain, swelling of the eye, eyelid, or inner lining of the eyelid
27. reduced sensitivity to touch
28. runny nose
29. sensation of spinning
30. sleepiness or unusual drowsiness
31. stomach upset
32. swelling of the eyelids
33. swelling or puffiness of the eyes or face
34. swollen joints
35. tearing
36. tender, swollen glands in the neck
37. tenderness in the stomach area
38. trouble with sleeping
39. upper abdominal or stomach pain
40. voice changes
41. watering of the eyes

RARE

1. Changes in color vision

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

Is it safe to buy Cialis online?

The Food and Drug Administration (FDA)Trusted Source warns that there are many pharmacies operating online. A person should always check reviews and recognize the signs that help them determine whether an online pharmacy is safe or not.

According to the FDA, online pharmacies are likely safe if they:

• require a doctor’s prescription
• are based in the U.S. and provide a physical address and telephone number within the U.S.
• have licensed pharmacists or physicians
• have a license with the state board of pharmacy

Can People buy Cialis Over the Counter?

Cialis is only available with a prescription. Some online pharmacies can provide prescriptions if the customer does not already have one.

Can People get Cialis Without Visiting a Doctor?

A person does not need to visit a doctor to get Cialis treatment, as they can use telemedicine services to receive a prescription. However, if they use a telehealth company’s services, they may have to book an online consultation with a licensed provider.

In addition, individuals should not give their prescribed medication to others. Those who have symptoms of erectile dysfunction or BPH should seek medical advice, as the medication can cause side effects and interact with other medications. Also, the drug may not be safe for everyone.

How Does it Compare With Other Medicines That Improve Erections?

Other medicines are usually taken on demand, 30 to 60 minutes before sexual activity.

On average, the alternatives to tadalafil work for up to 4 hours. If you take tadalafil, it can be effective for up to 36 hours.

If tadalafil does not work, there are other tablets you could try that work in a similar way, such as:

• sildenafil (Viagra)
• avanafil (Spedra)
• vardenafil (Levitra)

You can take tadalafil and vardenafil with or without food.

However, you should take sildenafil and avanafil on an empty stomach for fastest effects. Eating a meal which is high in fat may delay the effect of vardenafil.

You could also try a medicine called alprostadil (only available with a prescription). This is a man-made hormone that helps to stimulate blood flow to the penis.

Alprostadil comes as:

• an injection directly into your penis
• a small pellet placed inside your urethra (the tube that carries pee from your bladder to the tip of your penis)

If you cannot get erections because of a hormonal problem, your doctor may refer you to an endocrinologist (a doctor who specialises in the treatment of hormonal problems). They may recommend hormone injections to bring your body’s levels back to normal.

Can Women use Tadalafil?

Women can use tadalafil for pulmonary hypertension.

There’s no good evidence that tadalafil works for women with sexual problems.

Will Tadalafil Affect my Fertility?

There’s no firm evidence to suggest that taking tadalafil will reduce fertility in either women or men.

However, speak to a pharmacist or doctor before taking it if you’re trying to get pregnant.