Brand Name

Cialis {Lilly}

Generic Name

tadalafil, pronounced ta DAL a fil

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Drug Guide

The information contained in the following drug guide is intended as an educational resource only. This guide is not exhaustive and does not contain all available information about this drug.This guide is not intended as medical advice for individual conditions or treatment.

The information provided in this guide does not replace the need for the advice and services of medical professionals or the need for medical examination. Always talk to your physician or pharmacist before taking any prescription medication or over the counter drugs (including any supplements) or before making any changes to your treatment. Only your doctor, nurse or pharmacist can provide you with safe and effective advice regarding your drug treatment.

The use of the information in this guide is at your sole risk. This information is provided "AS IS" with no warranties to accuracy or timeliness.

**All trademarks and registered trademarks are the property of their respective owners.

What is Cialis?

Cialis is prescribed to treat impotence or Erectile Dysfunction (ED) in men. Cialis may also be used to treat the symptoms of benign prostatic hyperplasia (BPH), which is a condition that happens to some men if their prostate gland becomes enlarged.

Cialis may also be used for other purposes than those listed in this medication guide.

Key Facts About Cialis

You should not take Cialis more than one time in a 24 hour period.

Contact your doctor immediately if you have an erection that lasts longer than 4 hours, or is painful.

If you are taking a nitrate drug for chest pain or heart problems you should not take Cialis. These medications include nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates can also be found in some recreational drugs like amyl nitrate or nitrite (“poppers”). If you take Cialis and a nitrate drug you may experience a serious and sudden decrease in your blood pressure.

Cialis may decrease blood flow to the optic nerve of your eye, which may cause a sudden loss of vision. This rare occurrence has happened mostly in people who took Cialis and had heart disease, diabetes, high blood pressure, high cholesterol, were smokers, were over age 50, or had certain pre-existing eye conditions. We still do not know if Cialis caused the actual vision loss. If you experience sudden loss of your vision stop using Cialis right away and seek emergency medical attention.

While taking Cialis, and during sexual activity, if you become dizzy or nauseated, or if you experience numbness, tingling or pain in your chest, arms, neck, or jaw, stop and call your doctor immediately. These signs could indicate that you are having a serious reaction to Cialis.

Before You Take Cialis

If you are allergic to tadalafil you should not take Cialis.

You should not take Cialis if you are taking nitrate medications. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket).

If you take Cialis alongside nitrate medications you put yourself at risk of having a serious and sudden drop in blood pressure.

Tell your doctor if you have had either heart disease, a heart attack, a stroke, congestive heart failure or heart rhythm problems before taking Cialis.

Tell your doctor if you have high or low blood pressure, or coronary artery disease before taking Cialis.

Let your doctor know if you have retinitis pigmentosa, which is an inherited condition of the eye, before taking Cialis.

If you have a physical deformity of the penis, like Peyronie’s disease, or if you have previously been told that you should not have sexual intercourse for health reasons, you may not be a candidate to take Cialis.

You should inform your doctor if you have kidney or liver disease, or if you have a stomach ulcer.

If you have a blood disorder like sickle cell anemia, multiple myeloma, or leukemia, or a bleeding disorder like hemophilia you should tell your doctor before taking Cialis.

You should not drink alcohol while taking Cialis as it may increase certain side effects of Cialis.

Grapefruit and grapefruit juice should not be consumed when you are taking Cialis, as it can interact with Cialis and potentially lead to dangerous side effects. Discuss your use of grapefruit products with your doctor.

Cialis Drug Interactions

You should inform your doctor if you are taking any of the following:

• Adcirca for pulmonary arterial hypertension
• alfuzosin (Uroxatral)
• alprostadil (Caverject, Muse, Edex)
• antibiotics clarithromycin (Biaxin), dalfopristin/quinupristin (Synercid), erythromycin (E.E.S., EryPed, Ery-Tab Erythrocin, Pediazole) or telithromycin (Ketek)
• antifungal medications itraconazole (Sporanox), ketoconazole (Nizoral), miconazole (Oravig), or voriconazole (Vfend)
• atazanavir (Reyataz)
• carbamazepine (Carbatrol, Equetro, Tegretol)
• darunavir (Prezista)
• diltiazem (Cardizem, Dilacor, Tiazac)
• doxazosin (Cardura)
• efavirenz (Sustiva)
• erectile dysfunction (ED) medications like sildenafil (Viagra) or vardenafil (Levitra)
• etravirine (Intelence)
• fosamprenavir (Lexiva)
• indinavir (Crixivan)
• nefazodone (an antidepressant)
• nelfinavir (Viracept)
• nevirapine (Viramune)
• nicardipine (Cardene)
• nitrate medications like nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Minitran, Deponit, Transderm-Nitro), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket), or recreational drugs like amyl nitrate or nitrite (“poppers”)
• phenobarbital (Solfoton)
• phenytoin (Dilantin)
• prazosin (Minipress)
• quinidine (Quin-G)
• rifabutin (Mycobutin)
• rifampin (Rifadin, Rimactane, Rifater, Rifamate)
• ritonavir (Norvir, Kaletra)
• saquinavir (Invirase)
• tamsulosin (Flomax)
• terazosin (Hytrin)
• verapamil (Calan, Covera, Isoptin, Verelan)

Other drugs you take that are not listed may interact with Cialis. You should tell your doctor about all of the medications you use. This includes prescription drugs, vitamins, supplements and herbal products, and over the counter medications. You should not begin taking a new medication without telling your doctor first.

Directions for Taking Cialis

Cialis may be taken with or without food. Swallow the Cialis tablet whole, and do not break it.

Cialis should be taken as needed, before sexual activity. Do not take Cialis more than once per day, or every 24 hours.

Cialis may help you to have an erection when sexual stimulation occurs. You cannot just get an erection by taking Cialis. Let your doctor know if you have any concerns about how you should take this medicine.

Cialis should be stored at room temperature, and away from both moisture and heat.

If you miss a dose of Cialis you should be sure that your last dose was at least 24 hours ago. Do not take 2 doses at once, or take doses any sooner than one day, or a full 24 hours apart.

You should not take Cialis for erectile dysfunction (ED) if you are taking Adcirca for pulmonary arterial hypertension.

Cialis Side Effects

If you experience any of the following adverse effects you should stop taking Cialis and seek emergency medical help immediately:

While you are engaging in sexual activity, if you should become dizzy, nauseated, or have pain, tingling or numbness in your chest, arms, neck, or jaw, stop and call your doctor immediately. These side effects could indicate a serious adverse effect of Cialis.

• chest pain or a heavy feeling in your chest
• chest pain that spreads to your arm or shoulder, accompanied by nausea, sweating and a general ill feeling
• fainting or feeling faint
• irregular heartbeat
• loss of vision
• penis erection that lasts 4 hours or longer or is painful
• ringing in your ears, or a sudden loss of hearing
• shortness of breath
• swelling in your hands, ankles, or feet
• vision changes

Less serious side effects of Cialis are:

• back pain
• diarrhea
• headache
• memory problems
• muscle pain
• stuffy nose orcold symptoms
• upset stomach
• warmth and redness on your face, neck or chest

It should be noted that this is not a complete list of possible side effects of Cialis.You should contact your physician for a complete list and medical advice regarding these effects.

Cialis Description and Dosing

Cialis is available in tablets, in dosages of 2.5 mg 5 mg 10 mg and 20 mg

Cialis tablets are all yellow, almond shaped, film coated, and imprinted with “C 2.5”, “C 5”, “C 10” and “C 20” on one side in accordance to the dosage strength.

Cialis is dosed individually for each patient. You should follow your doctor’s instructions for taking Cialis exactly as it is prescribed for you.

The typical dose for an adult male with ED is 10 mg taken orally prior to anticipated sexual activity. The maximum dose is once per day, or once in a 24 hour period.

Some men are dosed with 2.5 mg orally once a day, without regard to anticipated sexual activity. Your doctor will determine if this dose is right for you, or if it should increase to 5 mg once daily.

All people taking Cialis should consult their doctor for specific dosing pertaining to them. Do not attempt to alter or change your dose without your physician’s consent.

If you believe you have overdosed on Cialis you should seek medical help immediately.

Ingredients in Cialis

The main ingredient in Cialis is tadalafil. Other ingredients are croscarmellose sodium, hydroxypropyl cellulose, hypromellose, iron oxide, lactose

monohydrate, magnesium stearate, microcrystalline cellulose, sodium lauryl sulfate, talc, titanium dioxide, and triacetin.

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The information contained in this drug guide is intended as an educational resource only. This guide is not exhaustive and does not contain all available information about this drug.This guide is not intended as medical advice for individual conditions or treatment.

The information provided in this guide does not replace the need for the advice and services of medical professionals or the need for medical examination. Always talk to your physician or pharmacist before taking any prescription medication or over the counter drugs (including any supplements) or before making any changes to your treatment. Only your doctor, nurse or pharmacist can provide you with safe and effective advice regarding your drug treatment.

The use of the information in this guide is at your sole risk. This information is provided "AS IS" with no warranties to accuracy or timeliness.

**All trademarks and registered trademarks are the property of their respective owners.