Cialis (tadalafil): Is it doing any good & how long to take it?

phone the Australian Poisons Information Centre (by calling 13 11 26) or the New Zealand National Poisons Centre (by calling 0800 POISON or 0800 764 766), or go to the Emergency Department at your nearest hospital. You should do this even if there are no signs of discomfort or poisoning. If you have emergency treatment for any suspected heart condition, tell the emergency medical or ambulance staff that you are taking CIALIS. Remind any doctor, dentist or pharmacist you visit that you are using CIALIS.

Use Case	Description	Recommended Dosage	Typical Onset Time	Duration of Effect
Erectile Dysfunction	To facilitate erection during sexual activity	5 mg as needed, before activity	Within 30 minutes	Up to 36 hours
Pulmonary Hypertension	Off-label use for pulmonary arterial hypertension	20 mg once daily	Varies	N/A
BPH (Benign Prostatic Hyperplasia)	Under investigation for symptom relief	5 mg daily	Varies	Varies

Do not take CIALIS for any other complaints unless your doctor tells you to. Do not give you medicine to anyone else, even if they have the same condition as you. Be careful before you drive or use any machines or tools until you know how CIALIS affects you. Tell your doctor if you drink alcohol. Alcohol may affect your ability to get an erection. When taking CIALIS with large amounts of alcohol, some men may experience dizziness. Keep your tablets in the original pack until it is time to take them.

14.1 CIALIS for Use as Needed

Once-a-day dosing for Erectile Dysfunction and/or urinary symptoms associated with Benign Prostate hyperplasia: the recommended dose of CIALIS is one 5 mg tablet taken once per day dose adjustments are not required in patients with kidney disease unless you have severe renal impairment. 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. Once-a-day dosing is not recommended in patients with severe hepatic impairment. no special dosing consideration is needed for the elderly or people with diabetes.

Will I need to take this drug long term?

CIALIS can be taken with or without food or alcohol. However, drinking alcohol may affect your ability to get an erection, so avoid excessive drinking. CIALIS (10 mg or 20 mg) should be taken at least 30-60 minutes 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 16 minutes after taking the tablet but it is recommended that you allow 1 hour the first time you take it CIALIS has been proven to be effective for up to 36 hours. This means you can take CIALIS and it will allow you to obtain an erection when sexually stimulated, at any time during the 36 hours tadalafil cialis 5 mg after taking it. Follow the instructions in the carton on how to take care of your medicine properly.

Product	Dosage	Quantity + Bonus	Price
Cialis Generic	10mg	180 + 8 Pills	236.88€ 225.60€	Buy
Cialis Generic	10mg	60 + 6 Pills	105.81€ 100.77€	Buy
Cialis Super Active	20mg	30 + 6 Pills	128.09€ 121.99€	Buy
Cialis Super Active	20mg	180 + 20 Pills	521.59€ 496.75€	Buy
Cialis Generic	40mg	270 + 10 Pills	382.19€ 363.99€	Buy
Cialis Original	20mg	4 Pills	41.99€ 39.99€	Buy
Cialis Black	80mg	60 + 4 Pills	150.98€ 143.79€	Buy
Cialis Generic	20mg	20 Pills	54.72€ 52.11€	Buy
Cialis Generic	2.5mg	60 + 4 Pills	83.43€ 79.46€	Buy
Cialis Generic	20mg	120 + 8 Pills	188.15€ 179.19€	Buy

Store it in a cool dry place away from moisture, heat or sunlight; for example, do not store it: in the bathroom or near a sink, or in the car or on window sills. Keep it where young children cannot reach it.

The drug Cialis is popular because you can take it every day. But should you?

CIALIS is not intended for use by women. CIALIS is not intended for use by children under the age of 18 years. Tell your doctor or pharmacist if you are taking any other medicines, including any medicines, vitamins or supplements that you buy without a prescription from your pharmacy, supermarket or health food shop. Some medicines cialis drug prices may interfere with CIALIS or affect how it works. some antibiotic medicines such as rifampicin, erythromycin and clarithromycin some medicines used to treat seizures such as phenytoin, phenobarbitone and carbamazepine some medicines used to treat fungal infections such as ketoconazole and itraconazole protease inhibitors used to treat HIV such as ritonavir and saquinavir medicines used to treat hypertension (high blood pressure) such as metoprolol, irbesartan and enalapril alpha-blockers (used to treat hypertension and some prostate problems) such as prazosin and doxazosin a 5-alpha reductase inhibitor, such as finasteride (used to treat prostate and hair loss problems) warfarin, a medicine used to prevent or treat blood clots other PDE5 inhibitors such as sildenafil used to treat erectile dysfunction or pulmonary arterial hypertension (high blood pressure in the blood vessels in the lungs) Check with your doctor or pharmacist if you are not sure about what medicines, vitamins or supplements you are taking and if these affect CIALIS.

Dosage for both ED and BPH

CIALIS can be taken as either on-demand dosing or once-a-day dosing: CIALIS on-demand (10 mg or 20 mg) is intended for use prior to anticipated sexual activity and is not for continuous daily use CIALIS once-a-day (5 mg) is for patients who anticipate frequent use of CIALIS (i.e. Your doctor can advise on the appropriateness of once-a-day treatment. When taken once a day, CIALIS allows you to obtain an erection, when sexually stimulated, at any time point during the 24 hours of the day. Do not take once-a-day dosing and on-demand dosing concurrently When taking CIALIS once-a-day (5 mg), it may take up to 1 week for a full effect on erectile dysfunction. For urinary symptoms associated with benign prostate hyperplasia CIALIS once-a-day (5 mg) is taken daily.

Use in children

It may take up to a week to notice an improvement and 1 month for a full effect on urinary symptoms such as urinating too frequently during the day or at night, the need to urinate being too urgent, or too soon after relieving your bladder. 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 of CIALIS is one 10 mg tablet. Patients with severe hepatic impairment should follow their doctor's advice no special dosing consideration is needed for the elderly or people with diabetes. If you no longer need to use this medicine or it is out of date, take it to any pharmacy for safe disposal. Do not use this medicine after the the best generic cialis expiry date. If you do experience any side effects, most of them are minor and temporary. However, some side effects may need medical attention.

• Cialis 5 mg can be prescribed for both erectile dysfunction and BPH.
• It is important to follow the dosage instructions precisely.
• The medication does not cause an erection on its own.
• Use caution when driving, as side effects may impair alertness.
• Patients should discuss all health conditions before starting treatment.
• Cialis 5 mg is not a cure but helps manage symptoms.

See the information below and, if you need to, ask your doctor or pharmacist if you have any further questions about side effects.

• Do not drive if experiencing dizziness or vision changes.
• Avoid sudden standing if hypotension occurs.
• Report hearing loss or sudden decrease to doctor.
• Stop use and seek help for chest pain during sex.
• Inform surgeon if you take this before surgery.

*Sudden loss or decrease in hearing which may be accompanied by ringing in the ears and dizziness, loss of vision in one or both eyes and seizures have been reported in people taking CIALIS. It is not possible to determine whether these events are related directly to CIALIS, to other diseases or medications, to other factors, or to a combination of factors.

Side Effect	Frequency	Severity	Notes
Headache	Common	Mild	Usually resolves within a few hours
Flushing	Common	Mild	Redness of face and neck
Nasal Congestion	Less common	Mild	Temporary, resolves without intervention
Dyspepsia (Indigestion)	Less common	Mild	May occur in some users
Muscle Back Pain	Rare	Moderate	Usually transient

If you experience these symptoms, stop taking CIALIS and contact a doctor immediately.

Parameter	Value	Description
Absorption	Peak plasma concentration: 2 hours	Rapid onset after ingestion
Half-life	Approximately 17.5 hours	Duration of drug activity
Bioavailability	About 60%	Percentage of dose reaching systemic circulation
Metabolism	Liver enzyme CYP3A4	Major metabolic pathway
Excretion	Feces and urine	Mainly excreted in feces (~61%), urine (~36%)

Tell your doctor or pharmacist if you notice anything else that may be making you feel unwell.

17.7 Sudden Hearing Loss

This is when the prostate gland gets bigger with age. Symptoms include difficulty in starting to pass urine, a feeling of not completely emptying the bladder and a more frequent need to pass urine even at night. CIALIS improves blood flow to, and relaxes the muscles of, the prostate and bladder which may reduce symptoms of benign prostatic hyperplasia. Your doctor may have prescribed you CIALIS to treat either, or both of these conditions. you are allergic to tadalafil, or any of the ingredients listed at the end of this leaflet.

Mild side effects

Always check the ingredients to make sure you can use this medicine you are currently taking any nitrates, medicines used for the treatment of angina ("chest pain") or other heart conditions. CIALIS has been shown to increase the effects of these medicines. if you use recreational drugs called "poppers" or "amyl" like amyl nitrite and butyl nitrite that are normally taken through inhalation if you use guanylate cyclase stimulators such as riociguat, used to treat pulmonary arterial hypotension if you have heart or blood vessel problems that make sexual intercourse inadvisable. Sexual activity carries a possible risk to patients with a heart condition because it puts extra strain on the heart if you have heart problems such as angina, arrhythmias (change in rhythm or rate of heart beat), heart failure if you have suffered a heart attack in the last 3 months if you have suffered a stroke in the last 6 months if your blood pressure is unusually high or low or is not effectively treated if you have vision loss in one eye because of non-arteritic interior ischaemic optic neuropathy (NAION). heart problems or if you have had a heart attack sickle cell anaemia (an abnormality or red blood cells) multiple myeloma (cancer of the bone marrow) any deformation of the penis (such as angulation, cavernosal fibrosis or Peyronie's disease) sudden decrease in vision, loss of vision, distorted vision and/or dimmed vision affecting one or both eyes.

Duration of action

If you experience any of these while you are taking CIALIS, stop taking CIALIS and contact your doctor immediately. During treatment, you may be at risk of developing certain side effects. It is important you understand these risks and how to monitor for them. You have a higher chance of experiencing side effects like dizziness and diarrhea. Your doctor will assess if CIALIS is suitable for you. Other side effects not listed here may occur in some people. After you have received medical advice for any side effects that you experience, you can report side effects to the Therapeutic Goods Administration online at By reporting side effects, you can help provide more information on the safety of this medicine. Always make sure you speak to your doctor or pharmacist before you decide to stop taking any of your medicines. This medicine is only available with a doctor's prescription. This medicine does not contain sucrose, gluten, tartrazine or any other azo dyes.

5.4 Eye

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. Once-a-day dosing for Erectile Dysfunction and/or urinary symptoms associated with Benign Prostate hyperplasia: CIALIS should be taken daily at approximately the same time of day CIALIS must be taken daily to maintain effect. Swallow one tablet whole with a full glass of water. If you think that you have used too much CIALIS, you may need urgent medical attention. Do not take this medicine if you are allergic to any of these ingredients.