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  • NOT take Cialis (tadalafil) if you are taking any of the following medicines:
    -- a 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 found in some recreational drugs such as amyl nitrate or nitrite ('poppers'); or
    -- an alpha blocker (other than tamsulosin (Flomax) 0.4 mg once a day) such as doxazosin (Cardura), guanadrel (Hylorel), prazosin (Minipress), terazosin (Hytrin), alfuzosin (Uroxatral), and others.
  • Taking Cialis (tadalafil) with any of these medications may cause very low blood pressure, possibly resulting in dizziness, fainting, stroke, or heart attack.
  • Contact your physician or seek emergency medical attention for any erection that lasts longer than 4 hours. A sustained erection can damage the penis.
  • Refrain from further sexual activity and notify your physician it you develop dizziness, nausea, or angina (pain, tightness, discomfort, numbness, or tingling in the chest, arms, neck, or jaw) during sexual activity.
  • Cialis (tadalafil) is usually taken when needed before sexual activity. The effects of Cialis (tadalafil) may last for up to 36 hours or more. your physician will determine how often you can take Cialis (tadalafil). NOT take Cialis (tadalafil) more often than is directed by your physician.
  • Cialis (tadalafil) relaxes muscles within the penis. This allows increased blood flow into the penis, necessary to achieve and maintain an erection.
  • Cialis (tadalafil) is used to treat erectile dysfunction (impotence).
  • Cialis (tadalafil) may also be used for purposes other than those listed in this medication guide.




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  • Take Cialis (tadalafil) exactly as directed by your physician. If you NOT understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
  • Take each dose with a full glass of water.
  • Cialis (tadalafil) is usually taken when needed before sexual activity. The effects of Cialis (tadalafil) may last for up to 36 hours or more. your physician will determine how often you can take Cialis (tadalafil). NOT take Cialis (tadalafil) more often than is directed by your physician.
  • Cialis (tadalafil) can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill.
  • Cialis (tadalafil) can be taken with or without food.
  • Cialis (tadalafil) should not be taken with excessive amounts of alcohol (e.g. 5 or more drinks). Excessive alcohol may increase the risk of headache, dizziness, increased heart rate, or low blood pressure when Cialis (tadalafil) is taken.
  • If you develop dizziness, nausea, or angina (pain, tightness, discomfort, numbness, or tingling in the chest, arms, neck, or jaw) during sexual activity, refrain from further sexual activity and notify your physician.
  • Contact your physician or seek emergency medical attention for any erection that lasts longer than 4 hours. A sustained erection can damage the penis.
  • Grapefruit and grapefruit juice may interact with Cialis (tadalafil). The interaction could lead to potentially adverse effects. You should discuss the use of grapefruit and grapefruit juice with your physician. NOT increase or decrease the amount of grapefruit products in your diet without first talking to your physician.
  • Store this medication at room temperature away from moisture and heat.

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  • If you experience any of the following serious side effects, stop taking Cialis (tadalafil) and seek emergency medical attention or contact your physician immediately:
    -- an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
    -- chest pain or irregular heartbeats;
    -- dizziness, nausea, or angina (pain, tightness, discomfort, numbness, or tingling in the chest, arms, neck, or jaw);
    -- swelling of the ankles or legs;
    -- shortness of breath;
    -- prolonged or severe dizziness; or
    -- a prolonged (lasting longer than 4 hours) or painful erection.
  • Other, less serious side effects may be more likely to occur. Continue to take Cialis (tadalafil) and talk to your physician if you experience
    -- headache;
    -- indigestion;
    -- back pain;
    -- muscle aches;
    -- flushing;
    -- stuffy or runny nose; or
    -- temporary blue tint in vision or difficulty telling the difference between the colors blue and green (uncommon).
  • Side effects other than those listed here may also occur. Talk to your physician about any side effect that seems unusual or that is especially bothersome.

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