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Tadalafil Patient Education

You must carefully read the "Consumer Information Use and Disclaimer" below in order to understand and correctly use this information.

Pronunciation 
(tah DA la fil)

Brand Names:
US Adcirca; Alyq; Cialis

Brand Names:
ACT Tadalafil [DSC]; Adcirca; APO-Tadalafil; APO-Tadalafil PAH; Auro-Tadalafil; Cialis; JAMP-Tadalafil; Mar- Tadalafil; MINT-Tadalafil; MYLAN-Tadalafil; PMS-Tadalafil; Priva-Tadalafil; RAN-Tadalafil; RIVA-Tadalafil; TEVA-Tadalafil 

 What is this drug used for?
• It is used to treat erectile dysfunction (ED).
• In men, it is used to treat the signs of an enlarged prostate.
• It is used to treat raised pressure in the lungs. 
• It may be given to you for other reasons. Talk with the doctor.

What do I need to tell my doctor BEFORE I take this drug? 
For all uses of this drug: 
• If you are allergic to this drug; any part of this drug; or any other drugs, foods, or substances. Tell your doctor about the allergy and what signs you had.
• If you have any of these health problems: Kidney disease or liver disease.
• If you have certain hereditary eye problems like retinitis pigmentosa.
• If you have a health problem called pulmonary veno-occlusive disease (PVOD).
• If you have a certain type of chest pain (unstable angina).
• If you have any of these health problems: Heart attack within the last 90 days, chest pain during sex, heart failure, a heartbeat that is not normal, high or low blood pressure, or a stroke within the last 6 months.
• If you use drugs called "poppers" like amyl nitrite and butyl nitrite.
• If you are taking any of these drugs: Isosorbide dinitrate, isosorbide mononitrate, nitroglycerin, riociguat, or ritonavir. •If you are taking any of these drugs: Itraconazole or ketoconazole.
• If you are taking rifampin.
• If you are taking another drug that has the same drug in it.
• If you are taking another drug like this one that is used to treat erectile dysfunction (ED) or high pressure in the lungs.
• If you are taking any of these drugs: Alfuzosin, doxazosin, prazosin, silodosin, tamsulosin, or terazosin.
• If the patient is a child. This drug is not approved for use in children. 

For erectile dysfunction (ED):
• If you have been told that you are not healthy enough to have sex.
This is not a list of all drugs or health problems that interact with this drug.
Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take this drug with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.

What are some things I need to know or do while I take this drug? 
For all uses of this drug: 
• Tell all of your health care providers that you take this drug. This includes your doctors, nurses, pharmacists, and dentists.
• Avoid driving and doing other tasks or actions that call for you to be alert until you see how this drug affects you.
• To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down. Be careful going up and down stairs.
• Talk with your doctor before you drink alcohol.
• If you drink grapefruit juice or eat grapefruit often, talk with your doctor. •Very bad and sometimes deadly side effects like a heartbeat that does not feel normal, heart attack, stroke, and very bad high blood pressure have happened with this drug. Talk with the doctor.
• A very bad eye problem has rarely happened with this drug. This may lead to a change in eyesight and sometimes loss of eyesight, which may not come back. Talk with the doctor.
• If you have bleeding problems, talk with your doctor.
• If you are 65 or older, use this drug with care. You could have more side effects.

High pressure in the lungs:
• Tell your doctor if you are pregnant, plan on getting pregnant, or are breast-feeding. You will need to talk about the benefits and risks to you and the baby

For other reasons:
•This drug is not approved for use in women. If you are a woman using this drug, talk with your doctor if you are pregnant, plan on getting pregnant, or are breast-feeding.

For erectile dysfunction (ED):
• This drug does not stop the spread of diseases like HIV or hepatitis that are passed through having sex. Do not have any kind of sex without using a latex or polyurethane condom. If you have questions, talk with your doctor.  

What are some side effects that I need to call my doctor about right away?
WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:
• Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat. 
• Chest pain or pressure.
• Fast or abnormal heartbeat. 
• Dizziness or passing out.
• Very bad headache.
• Weakness on 1 side of the body, trouble speaking or thinking, change in balance, drooping on one side of the face, or blurred eyesight.
• Change in eyesight.
• Loss of eyesight.
• Ringing in the ears, hearing loss, or any other changes in hearing.
• Call your doctor right away if you have a painful erection (hard penis) or an erection that lasts for longer than 4 hours. This may happen even when you are not having sex. If this is not treated right away, it may lead to lasting sex problems and you may not be able to have sex. 

What are some other side effects of this drug?
All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away: 

For all uses of this drug:
• Flushing.
• Headache.
• Back pain.
• Muscle pain.
• Upset stomach.
• Nose or throat irritation.
• Signs of a common cold. 

High pressure in the lungs: 
• Pain in arms or legs.

These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects. You may report side effects to your national health agency. 

How is this drug best taken? 
Use this drug as ordered by your doctor. Read all information given to you. Follow all instructions closely.

High pressure in the lungs: 
•Take with or without food.
•Take this drug at the same time of day.
•Keep taking this drug as you have been told by your doctor or other health care provider, even if you feel well. 

For other reasons:
•Take with or without food.
•Do not split or break tablet. 

What do I do if I miss a dose?
High pressure in the lungs:
•Take a missed dose as soon as you think about it.
•If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
•Do not take 2 doses at the same time or extra doses. 

For other reasons:
For daily use: Take a missed dose as soon as you think about it. If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
•Do not take 2 doses at the same time or extra doses.
•Many times this drug is used on an as needed basis. Do not use more often than told by the doctor.

How do I store and/or throw out this drug? 
• Store at room temperature in a dry place. Do not store in a bathroom.
• Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
• Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.

General drug facts
• If your symptoms or health problems do not get better or if they become worse, call your doctor.
• Do not share your drugs with others and do not take anyone else's drugs.
• Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your doctor, nurse, pharmacist, or other health care provider.
• If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened

Consumer Information Use and Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using this medicine.

© 2020 UpToDate, Inc. and its affiliates and/or licensors. All rights reserved.

Copyright © 2021 4romeo

Sildenafil (Generic Viagra™) 20MG

How to Take

This is the adjustable dose option! Because everyone is different, it might take more/less medication for some men to reach the same effect. Start off by taking 1 or 2 tablet(s) and, if you do not notice a desirable effect, you can increase the number of tablets for the next dose. Gradually increase your dose by 1 tablet until you find the dosage that works best for you. You can take up to a maximum of 5 tablets.

Sildenafil is taken “on-demand” 30 minutes to 1 hour before sexual activity. You may take sildenafil with or without food. However, if you eat a “greasy” meal (such as a cheeseburger and French fries) sildenafil may take a little longer to start working or may not work as well. Drinking alcohol (more than 2 drinks per day) with sildenafil can decrease how well the medication works (and can also be contributing to your ED). You should not take more than 100mg within 24 hrs.

Potential Side Effects

Common side effects of sildenafil include diarrhea, flushing, redness, heartburn, muscle pain, nosebleed, stuffy or runny nose, back pain, and trouble sleeping.

More serious side effects include erections lasting more than 4 hours, sudden vision loss in one or both eyes, and sudden hearing decrease or loss. If you have these symptoms, stop taking sildenafil and contact a doctor immediately.

Caution

Do not take sildenafil if you are allergic to its ingredient or if you are taking any type of “nitrates” (such as nitroglycerin) and guanylate cyclase stimulators such as riociguat.

Sildenafil (Generic Viagra™) 100MG

How to Take

This is the maximum strength option! Use your FREE 4Romeo pill cutter to take half (1/2) or one (1) tablet.

Sildenafil is always taken “on-demand” 30 minutes to 1 hour before sexual activity. You may take sildenafil with or without food. However, if you eat a “greasy” meal (such as cheeseburger and French fries) sildenafil may take a little longer to start working or may not work as well. Drinking alcohol (more than 2 drinks per day) with sildenafil can decrease how well the medication works (and can also be contributing to your ED). You should not take more than 100mg within 24 hrs.

Potential Side Effects

Common side effects of sildenafil include diarrhea, flushing, redness, heartburn, muscle pain, nosebleed, stuffy or runny nose, back pain, and trouble sleeping.

More serious side effects include erections lasting more than 4 hours, sudden vision loss in one or both eyes, and sudden hearing decrease or loss. If you have these symptoms, stop taking sildenafil and contact a doctor immediately.

Caution

Do not take sildenafil if you are allergic to its ingredient or if you are taking any type of “nitrates” (such as nitroglycerin) and guanylate cyclase stimulators such as riociguat.

Tadalafil (Generic Cialis™) 20MG

How to Take

This is the maximum strength option! Use your FREE 4Romeo pill cutter to take half (1/2) or one (1) tablet “on-demand” 30 minutes to 1 hour before sexual activity.

You may take tadalafil with or without food. Drinking alcohol (more than 2 drinks per day) with tadalafil can decrease how well the medication works (and can also be contributing to your ED). You should not take more than 20mg within 36-48 hrs.

Potential Side Effects

Common side effects of tadalafil include diarrhea, flushing, redness, heartburn, muscle pain, nosebleed, stuffy or runny nose, back pain, and trouble sleeping.

More serious side effects include erections lasting more than 4 hours, sudden vision loss in one or both eyes, and sudden hearing decrease or loss. If you have these symptoms, stop taking sildenafil and contact a doctor immediately.

Caution

Do not take tadalafil if you are allergic to its ingredient or if you are taking any type of “nitrates” (such as nitroglycerin) and guanylate cyclase stimulators such as riociguat.

Tadalafil (Generic Cialis™) 5MG

How to Take

This is the daily option! Take 1 tablet every day, around the same time, so that the medication can build up in your body and be ready to do its job at any given moment… because, let’s face it, we know you can’t always plan ahead!

You may take tadalafil with or without food. Drinking alcohol (more than 2 drinks per day) with tadalafil can decrease how well the medication works (and can also be contributing to your ED). You should not take more than 20mg within 36-48 hrs.

Potential Side Effects

Common side effects of tadalafil include diarrhea, flushing, redness, heartburn, muscle pain, nosebleed, stuffy or runny nose, back pain, and trouble sleeping.

More serious side effects include erections lasting more than 4 hours, sudden vision loss in one or both eyes, and sudden hearing decrease or loss. If you have these symptoms, stop taking sildenafil and contact a doctor immediately.

Caution

Do not take tadalafil if you are allergic to its ingredient or if you are taking any type of “nitrates” (such as nitroglycerin) and guanylate cyclase stimulators such as riociguat.

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