It is unknown if this medication passes into breast milk. Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist.

Warnings & Precautions

Read the Patient Information Leaflet if available from your pharmacist before you start taking tadalafil and each time you get a refill. If you have any questions, ask your doctor or pharmacist. Take this medication by mouth, with or without food, as directed by your doctor. Do not take tadalafil more often than once daily. The manufacturer directs to swallow this medication whole.

Is long-term daily use acceptable?

However, many similar drugs (immediate-release tablets) can be split/crushed. Follow your doctor's directions on how to take this medication. The dosage is based on your medical condition, response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). To treat the symptoms of BPH, take this medication as directed by your doctor, usually once a day. Do not start, stop, or change the dosage of any medicines without your doctor's approval.

Product	Dosage	Quantity + Bonus	Price
Cialis Original	20mg	8 Pills	61.70€ 58.76€
Cialis Generic	20mg	360 + 10 Pills	427.34€ 406.99€
Cialis Generic	10mg	20 Pills	48.23€ 45.93€
Cialis Super Active	20mg	90 + 10 Pills	314.14€ 299.18€
Cialis Generic	5mg	30 + 4 Pills	53.56€ 51.01€
Cialis Soft Tabs	20mg	20 + 2 Pills	66.98€ 63.79€
Cialis Black	80mg	30 + 2 Pills	89.11€ 84.87€
Cialis Generic	40mg	180 + 10 Pills	277.29€ 264.09€
Cialis Generic	5mg	270 + 10 Pills	205.81€ 196.01€
Cialis Generic	20mg	90 + 6 Pills	154.71€ 147.34€
Cialis Generic	60mg	120 + 8 Pills	240.18€ 228.74€
Cialis Original	20mg	4 Pills	41.99€ 39.99€
Cialis Generic	10mg	60 + 6 Pills	105.81€ 100.77€
Cialis Professional	20mg	180 + 4 Pills	423.11€ 402.96€

Some products that may interact with this drug are: Tadalafil can cause a serious drop in your blood pressure when used with nitrates, which can lead to dizziness, fainting, and rarely heart attack or stroke.

7. Interactions

Before taking tadalafil, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart problems (such as heart attack or life-threatening irregular heartbeat in the past 6 months, chest pain/angina, heart failure) penis conditions (such as angulation, fibrosis/scarring, Peyronie's disease) conditions that may increase the risk of priapism (such as sickle cell anemia, leukemia, multiple myeloma) eye problems (such as retinitis pigmentosa, sudden decreased vision, NAION) Alcohol or marijuana (cannabis) can make you more dizzy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely.

Long-term use

Talk to your doctor if you are using marijuana (cannabis). Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). This brand of the drug is not usually used in women. During pregnancy, tadalafil should be used only when clearly needed. Discuss the risks and benefits with your doctor. Do not use any of the following with tadalafil or within 48 hours of your last dose of tadalafil: certain drugs used to treat chest pain/angina (nitrates such as nitroglycerin, isosorbide) recreational drugs called "poppers" containing amyl or butyl nitrite If you are also taking an alpha blocker medication (such as doxazosin, tamsulosin) to treat an enlarged prostate/BPH or high blood pressure, your blood pressure may get too low which can lead to dizziness or fainting. Your doctor may start treatment with a lower dose of tadalafil or adjust your alpha blocker medication to minimize your risk of low blood pressure.

Overdose/Missed Dose

If you are also taking finasteride with this medication to treat symptoms of BPH, talk with your doctor about how long you should keep taking this medication. To treat erectile dysfunction-ED, there are 2 ways that tadalafil may be prescribed. Your doctor will determine which is the best way for you to take tadalafil. Follow your doctor's directions exactly since your dosage depends on how you are taking it. The first way is to take it as needed, usually at least 30 minutes before sexual activity.

Related treatment guides

Tadalafil's effect on sexual ability may last up to 36 hours. The second way to treat ED is to take tadalafil regularly, once a day every day. If you take it this way, you may attempt sexual activity at any time between your doses. If you are taking tadalafil to treat both ED and BPH, take it as directed by your doctor, usually once a day. You may attempt sexual activity at cialis 5mg generique any time between your doses. Other medications can affect the removal of tadalafil from your body, which may affect how tadalafil works. Examples include azole antifungals (such as itraconazole, ketoconazole), macrolide antibiotics (such as clarithromycin, erythromycin), HIV protease inhibitors (such as fosamprenavir), rifampin, ritonavir, among others. Do not take this medication with any other product that contains tadalafil or other similar medications used to treat erectile dysfunction-ED or pulmonary hypertension (such as sildenafil, vardenafil). If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911.

Cialis 10mg tablets should be stored in a cool, dry environment.
Protect the medication from direct sunlight and moisture.
Proper storage ensures medication stability and safety.
Keep Cialis out of sight and reach of children and pets.
Do not use expired Cialis tablets; dispose of them safely.
Store away from heat sources to prevent degradation.
Use original packaging to keep track of medication.
If you experience any storage issues, consult your pharmacist.
Keep a record of medication expiry dates for safety.
Avoid storing Cialis in the bathroom due to humidity.
Use a designated medication container for safe storage.

Otherwise, call a poison control center right away. US residents can call 1-800-222-1222.

[Counterfeit versions may contain incorrect doses, wrong ingredients, or contaminants.]
[Genuine tablets have specific physical characteristics (color, shape, imprint).]
[Purchase only with a valid prescription from a reputable, licensed pharmacy.]
[Be wary of online pharmacies that do not require a prescription.]
[Report suspected counterfeit medications to the FDA or relevant health authority.]

Canada residents can call 1-844-764-7669. Do not share this medication with others. If you are taking this medication on a regular schedule and you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take 10mg cialis price your next dose at the regular time. Do not double the dose to catch up. Store at room temperature away from light and moisture. Keep all medications away from children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so.

Frequently asked questions

If this serious problem occurs, stop taking tadalafil and get medical help right away. You have a slightly greater chance of developing NAION if you have heart disease, diabetes, high cholesterol, certain other eye problems ("crowded disk"), high blood pressure, if you are over 50, or if you smoke. Rarely, a sudden decrease or loss of hearing, sometimes with ringing in the ears and dizziness, may occur. Stop taking tadalafil and get medical help right away if these effects occur. In the rare event you have a painful or prolonged erection lasting 4 or more hours, stop using this drug and get medical help right away, or permanent problems could occur.

Nitrates and other medications

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: itching/swelling (especially of cheap generic cialis no prescription the face/tongue/throat) This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. You may report side effects to FDA at 1-800-FDA-1088 or at In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345. Properly discard this product when it is expired or no longer needed.

Side Effect	Frequency	Severity	Recommended Action
Headache	Common	Mild	Usually temporary; OTC pain relief can help
Dyspepsia (Indigestion)	Common	Mild	Dietary adjustments or antacids
Muscle Aches	Less common	Mild	Rest or analgesics
Flushing	Common	Mild	Cooling measures; usually transient
Vision Changes	Rare	Moderate	Seek medical advice if sudden vision disturbance occurs

Consult your pharmacist or local waste disposal company. HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional.

What special precautions should I follow?

If you are taking tadalafil once daily for BPH, or for ED, or for both, take it regularly to get the most benefit from it. To help you remember, take it at the same time each day. Tell your doctor if your condition does not get better or if it gets worse. Headache, stomach upset, back pain, muscle pain, stuffy nose, flushing, or dizziness may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly.

Duration of action

To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Sexual activity may put extra strain on your heart, especially if you have heart problems. If you have heart problems and experience any of these serious side effects while having sex, stop and get medical help right away: Rarely, sudden decreased vision, including permanent blindness, in one or both eyes (NAION) may occur. Always ask your health care professional for complete information about this product and your specific health needs.

[Psychological counseling may be beneficial alongside medication for some men with ED.]
[For BPH, other treatment options include other medications or surgical procedures.]
[A thorough medical history is essential to rule out other causes of symptoms.]
[Open communication with your partner about expectations and treatment is important.]
[Treatment plans should be personalized based on individual health needs and goals.]

Selected from NATIONAL DRUG DATA FILE (NDDF) data included with permission and copyrighted by First Databank, Inc., 2019.

Parameter	Value	Description	Note
Absorption time	30-60 minutes	Time to reach peak plasma levels	Takes about 1 hour for maximum effect
Half-life	17.5 hours	Duration of active drug in body	Allows for once-daily dosing
Bioavailability	80%	Percentage absorbed into circulation	High absorption efficiency
Metabolism	Liver (via CYP3A4 enzyme)	Breakdown of drug	Consider interactions with CYP3A4 inhibitors

This copyrighted material has been downloaded from a licensed data provider. The above information is intended to supplement, not substitute for, the expertise and judgment of your health care professional.

8.5 Geriatric Use

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 often or urgently (including during the middle of the night). Tadalafil is thought to work by relaxing the smooth muscle in the prostate and bladder.

Why isn't my tadalafil dosage working?

This drug does not protect against sexually transmitted diseases (such as HIV, hepatitis B, gonorrhea, syphilis). Using an effective barrier method (latex or polyurethane condom/dental dams) during sexual activity will help to decrease your risk of infection. This section contains uses of this drug that are not listed in the approved professional labeling for the drug but that may be prescribed by your health care professional. Use this drug for a condition that is listed in this section only if it has been so prescribed by your health care professional. Tadalafil is also available in another brand for high blood pressure in the lungs (pulmonary hypertension).