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    Generic Name: Tadalafil (tah-DA-la-fil)
    Brand Name: Cialis

    Cialis is taken for:

    Treating erectile dysfunction in men (eg, impotence) and other conditions as determined by your physician.

    Cialis is a phosphodiesterase type 5 inhibitor. It works by helping the blood flow into the penis to achieve and maintain an erection during sexual stimulation.

    Do NOT use Cialis if:

    • you are allergic to any ingredient in Cialis
    • you have been told by your health care provider not to participate in sexual activity because of certain heart or health problems
    • you are taking or taking any type of nitroglycerin (eg, under the tongue, capsule, tablet, spray, patch, ointment, paste) or other nitrates (eg, isosorbide), or recreational drugs ("poppers") containing amyl or butyl nitrate

    Contact your physician or health care provider right away if any of these apply to you.

    Before taking Cialis :

    Some medical conditions might interact with Cialis . Tell your physician or pharmacist if you have any medical conditions, especially if any of the following apply to you:

    • if you are pregnant, planning to become pregnant, or are breast-feeding
    • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
    • if you have allergies to medicines, foods, or other substances
    • if you have heart failure, tall blood pressure, an rough heartbeat, kidney or liver problems (eg, dialysis), or stomach ulcers
    • if you have bleeding problems, blood cell problems (eg, sickle cell anemia), multiple myeloma, or leukemia
    • you have a deformed penis or Peyronie disease, or have had an erection that lasted more than 4 hours
    • if you have retinitis pigmentosa, other eye disease, or if you have ever had severe vision loss

    Some MEDICINES MIGHT INTERACT with Cialis . Tell your health care provider if you are taking any other medicines, especially any of the following:

    • Azole antifungals (eg, ketoconazole), HIV protease inhibitors (eg, indinavir), ketolides (eg, telithromycin), or macrolides (eg, erythromycin) because actions and side effects, such as prolonged erection, dizziness upon standing, or vision problems, might be increased
    • Nitrates (eg, nitroglycerin, isosorbide) because blood pressure could drop suddenly to unsafe levels, causing dizziness, fainting, heart attack, or stroke
    • Alpha-blockers (eg, doxazosin) because dizziness, especially upon standing, or fainting might occur

    This might not be a complete list of all interactions that might occur. Ask your health care provider if Cialis might interact with other medicines that you use. Check with your health care provider before you start, stop, or change the dose of any medicine.

    How to use Cialis :

    Use Cialis as directed by your physician. Check the label on the medicine for exact dosing instructions.

    • Cialis comes with an additional patient information sheet. Read it carefully and reread it each time you get Cialis refilled.
    • Cialis might be taken with or without food.
    • Use Cialis as directed before anticipated sexual activity. Do not use more Cialis more than one time a day. If you have certain medical conditions or are taking certain other medicines, you might only be able to use Cialis one time every 2 or 3 days. Contact your physician or pharmacist for more information.
    • If you miss a dose of Cialis , use it as soon as you remember. Continue to use it as directed by your physician.

    Ask your health care provider any questions you might have about how to use Cialis .

    Important safety information:

    • Cialis might cause dizziness or changes in vision. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Cialis . Taking Cialis alone, with certain other medicines, or with alcohol might lessen your ability to drive or perform other potentially dangerous tasks.
    • To minimize dizziness or lightheadedness, sit or stand up slowly when rising from a seated or lying position.
    • Avoid drinking alcohol in excess (eg, 5 glasses of wine, 5 shots of whiskey) while taking Cialis . Drinking alcohol in excess while taking Cialis might cause an increase in heart rate, decrease in blood pressure, dizziness, and headaches.
    • Sexual activity might put extra strain on your heart, especially if you have heart problems. If you have heart problems and experience any symptoms during sexual activity, stop and tell your physician immediately. These symptoms include severe dizziness, fainting, chest pain, or nausea.
    • Cialis might cause back pain and muscle aches within 12 to 24 hours of taking it. These side effects generally go away within 48 hours. Contact your health care provider if they are bothersome or do not go away.
    • Contact your health care provider at one time if an erection lasts longer than 4 hours, whether painful or not. If a prolonged erection is not treated immediately, damage to the penis might result.
    • Cialis offers no protection against sexually transmitted diseases, including HIV. Use condoms to protect against sexually transmitted diseases.
    • Use Cialis with caution in the ELDERLY because they might be more sensitive to its effects.
    • PREGNANCY and BREAST-FEEDING: Cialis should not be taken in WOMEN. If you become pregnant, discuss with your physician the benefits and risks of taking Cialis during pregnancy. It is unknown if Cialis is excreted in breast milk. If you are or will be breast-feeding while you are taking Cialis , check with your physician or pharmacist to discuss the risks to your baby.

    Possible side effects of Cialis :

    All medicines might cause side effects, however many people have no, or minor, side effects. Check with your physician if any of these most GENERAL side effects persist or become bothersome:

    Back pain; flushing; headache; heartburn; indigestion; limb pain; muscle aches; nausea; stomach upset; stuffy or runny nose; vision changes (eg, trouble telling the difference between blue and green, seeing a blue tinge to objects).

    Seek medical attention right away if any of these SEVERE side effects occur:

    Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); changes in heartbeat; chest pain; fainting; painful or prolonged erection (lasting more than 4 hours); pounding in the chest; severe dizziness; sudden decrease or loss of vision in one or both eyes; unusual swelling.

    This is not a complete list of all side effects that might occur. If you have questions or need medical advice about side effects, contact your physician or health care provider. You might report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

    If OVERDOSE is suspected:

    Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately. Symptoms might include abnormal vision; back pain; muscle pain.

    Proper storage of Cialis :

    Store Cialis at 77 degrees F (25 degrees C). Store away from heat, moisture, and thin. Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Do not store in the bathroom. Store Cialis out of the reach of children and away from pets.

    General information:

    • If you have any questions about Cialis , please talk with your physician, pharmacist, or other health care provider.
    • Cialis is to be taken only by the patient for whom it is prescribed. Do not share it with other people.
    • If your symptoms do not improve or if they become worse, check with your physician.

    This information is a summary only. It does not contain all information about Cialis . If you have questions about the medicine you are taking or would like more information, check with your physician, pharmacist, or other health care provider.

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