What is the most important information I should know about Tadalafil?

• Tadalafil has been reported to result in one eye eyesight loss (NAION) in some patients after using this medication. It is not proved that using Tadalafil causes eyesight loss. Some patients who do not use Tadalafil also experience NAION. Patients with certain medical conditions (heart disease, diabetes, high blood pressure, high cholesterol level, eyesight problems) run the risk of having NAION. Smokers and patients over 50 years of age also run the risk of eyesight loss. Contact your medical specialist or apply for medical help if you experience eyesight loss after using Tadalafil.
• Taking Tadalafil with other certain medicines may lead to undesirable side effects (low blood pressure, fainting, stroke, dizziness, heart attack). Do not use Tadalafil together with any drugs containing nitrate (nitroglycerin, isosorbide, dinitrate, isosorbide mononitrate, amyl nitrate, nitrite, etc.), alpha blockers (tamsulosin, doxazosin, guanadrel, prazosin, terazosin, alfuzosin, ets.). Apply for emergency care or contact your medical specialist if you experience prolonged erection, dizziness, nausea, angina during sexual activity. Do not exceed recommended dose. Follow the directions of your medical specialist. Tadalafil should be taken before sexual activity.

What is Generic Cialis (Tadalafil)?

• Tadalafil is used to treat male erectile dysfunction and impotence. Tadalafil helps blood flow in penis leading to stronger erection. Sometimes it is used to treat some other medical conditions.

What should I discuss with my healthcare provider before taking Tadalafil?

• Tadalafil has been reported to result in one eye eyesight loss (NAION) in some patients after using this medication. It is not proved that using Tadalafil causes eyesight loss. Some patients who do not use Tadalafil also experience NAION. Patients with certain medical conditions (heart disease, diabetes, high blood pressure, high cholesterol level, eyesight problems) run the risk of having NAION. Smokers and patients over 50 years of age also run the risk of eyesight loss. Contact your medical specialist or apply for medical help if you experience eyesight loss after using Tadalafil.
• Taking Tadalafil with other certain medicines may lead to undesirable side effects (low blood pressure, fainting, stroke, dizziness, heart attack). Do not use Tadalafil together with any drugs containing nitrate (nitroglycerin, isosorbide, dinitrate, isosorbide mononitrate, amyl nitrate, nitrite, etc.), alpha blockers (tamsulosin, doxazosin, guanadrel, prazosin, terazosin, alfuzosin, ets.).
• Notify your doctor before using Tadalafil if you have ever experienced heart problems (heart failure, heart attack, angina, irregular heartbeats), blood pressure problems, stroke, kidney disease, liver disease, blood cell problems (multiple myeloma, sickle cell anemia, leukemia), stomach ulcer, bleeding disorder, Peyronie’s disease, prolonged erection, bleeding disorder. You may need additional monitoring of your body while using Tadalafil. You may also need lower dose of this medicine. Discuss with your medical specialist possible risks of using this ED drug. Tadalafil is intended to use in male only. It should not be taken by women or children. Elder patients have higher chance to experience side effects from using Tadalafil.

How should I take Tadalafil?

• Follow the directions of your medical specialist. Ask your doctor or pharmacist for the details of using Tadalafil if something is not clear for you. This medicine should be taken before sexual activity washed down with full glass of water. You may take Tadalafil on empty stomach or with food. Do not take Tadalafil more often than recommended by your doctor. The effect of this medicine lasts up to 36 hours. Sexual stimulation is needed to achieve the desired effect. You wont achieve erection by taking pill without sexual stimulation.
• It is not recommended to take Tadalafil together with excessive amount of alcohol. Interaction of Tadalafil with alcohol may result in dizziness, low blood pressure, increased heart rate or headache. Contact your medical specialist if you experience any side effects during sexual activity including numbness, tightness, pain or discomfort. Seek for emergency care in case of prolonged erection (more than 4 hours). Grapefruit products should be taken with extreme caution. Ask your doctor for the details and possible risks of taking Tadalafil together with grapefruits and grapefruit juice.
• Tadalafil should be stored in dry and cool place at a room temperature.

What happens if I miss a dose?

• Tadalafil is not intended to use regularly, so you wont miss your dose.

What happens if I overdose?

• Apply for emergency care if you have taken more than recommended quantity of this medicine.

What should I avoid while taking Tadalafil?

• Do not use any other ED medicines (Viagra, Levitra, Muse, Caverject, Edex, Yodoxin, etc.) together with Tadalafil without your doctor approval.
• Try to avoid excessive amounts of alcohol while using Tadalafil. Using this drug together with alcohol may result in low blood pressure, dizziness and headache. Grapefruit products should be taken with extreme caution. Ask your doctor for the details and possible risks of taking Tadalafil together with grapefruits and grapefruit juice.
• Tadalafil should be stored in dry and cool place at a room temperature.

What are the possible side effects of Tadalafil?

• Notify your doctor or apply for emergency medical care if you experience any side effects of using Tadalafil. Inform your doctor if you experience any allergic reaction, irregular heartbeats, dizziness, chest pain, angina, nausea, difficulty breathing, severe dizziness, prolonged erection, painful erection, back pain, flushing, runny nose, indigestion, headache, changes in vision, back pain and any other side effects.
• If you experience any of the following serious side effects, stop taking Tadalafil and seek emergency medical attention or contact your doctor immediately.

What other drugs will affect Tadalafil?

• Do not use Tadalafil together with any drugs containing nitrate (nitroglycerin, isosorbide, dinitrate, isosorbide mononitrate, amyl nitrate, nitrite, etc.), alpha blockers (tamsulosin, doxazosin, guanadrel, prazosin, terazosin, alfuzosin, etc.), any other ED medicines (Viagra, Levitra, Muse, Caverject, Edex, Yodoxin, Yocon, etc.), antibiotic erythromycin, antifungal medications, ketoconazole, HIV medications and others.
• You may need additional monitoring of your body or special adjustment of your dose. Ask your doctor for details and drug interactions. Notify your doctor of using any other prescription and over-the-counter drugs including minerals, herbal products and vitamins.

Where can I get more information?

• You can ask your doctor or pharmacist for additional information about Tadalafil (Generic Cialis).

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.