http://www.rx-vipshop.com/product.php?category=Erectile+Dysfunction&item=Cialis
PR: 0
What is tadalafil?
- Tadalafil relaxes muscles and increases blood flow to particular areas of the body.
- Tadalafil is used to treat erectile dysfunction (impotence).
- Tadalafil may also be used for purposes other than those listed in this medication guide.
- Do not take tadalafil if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking tadalafil with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack.
- A small number of patients have had a sudden loss of eyesight after taking tadalafil. This type of vision loss is caused by decreased blood flow to the optic nerve of the eye. It is not clear whether tadalafil is the actual cause of such vision loss. Sudden vision loss with tadalafil use has occurred most often in people with heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old.
- Before taking tadalafil, tell your doctor if you have:
- heart disease or heart rhythm problems;
- a recent history a heart attack (within the past 90 days);
- a recent history of stroke or congestive heart failure (within the past 6 months);
- angina (chest pain);
- high or low blood pressure;
- liver disease;
- kidney disease (or if you are on dialysis);
- a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;
- a bleeding disorder such as hemophilia;
- a stomach ulcer;
- retinitis pigmentosa (an inherited condition of the eye);
- a physical deformity of the penis (such as Peyronie's disease); or
- if you have been told you should not have sexual intercourse for health reasons.
- If you have any of these conditions, you may not be able to use tadalafil or you may need a dosage adjustment or special tests during treatment.
- FDA pregnancy category B: Although tadalafil is not for use in women, this medication is not expected to be harmful to an unborn baby. Do not use tadalafil without telling your doctor if you are pregnant or plan to become pregnant during treatment.
- Although tadalafil is not for use in women, it is not known if tadalafil passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
- You may need a lower dose of this medication if you are older than 65. Follow your doctor's instructions.
- Take each dose with a full glass of water.
- Avoid taking High-fat food before taking Viagra as it may cause the medicine to take more time to start working.
- Tadalafil is usually taken only when needed, 30 - 60 minutes before sexual activity. The medication can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill.
- Do not take tadalafil more than once a day. Allow 24 hours to pass between doses.
- Store this medication at room temperature away from moisture and heat.
- Since tadalafil is used as needed, you are not likely to be on a dosing schedule.
- Seek emergency medical attention if you think you have used too much of this medicine.
- Symptoms of a tadalafil overdose may include chest pain, nausea, irregular heartbeat, and feeling light-headed or fainting.
- Avoid drinking alcohol, which can increase some of the side effects of tadalafil.
- Grapefruit and grapefruit juice may interact with tadalafil. Discuss the use of grapefruit products with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.
- Do not use any other drug to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others), unless your doctor tells you to.
- If you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity, stop and call your doctor right away. You could be having a serious side effect of tadalafil.
- Stop using tadalafil and get emergency medical help if you have sudden vision loss.
- Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
- Stop using tadalafil and call your doctor at once if you have any of these serious side effects:
- chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;
- irregular heartbeat;
- swelling in your hands, ankles, or feet;
- shortness of breath;
- vision changes;
- feeling light-headed, fainting; or
- penis erection that is painful or lasts 4 hours or longer.
- Continue taking tadalafil and talk with your doctor if you have any of these less serious side effects:
- warmth or redness in your face, neck, or chest;
- stuffy nose;
- headache;
- upset stomach; or
- back pain.
- Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
Do not take tadalafil if you are taking the following medications:
- nitroglycerin-type drugs for the heart or chest pain such as amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin, even if these are only taken occasionally
Tadalafil may also interact with the following medications:
- alpha blockers, such as alfuzosin (UroXatral®), doxazosin (Cardura®), prazosin (Minipress®), or terazosin (Hytrin®), used to treat high blood pressure or an enlarged prostate.
- bosentan
- certain antibiotics such as clarithromycin, erythromycin, troleandomycin
- certain drugs used for seizures such as carbamazepine, phenytoin, and phenobarbital
- cimetidine
- cisapride
- diltiazem
- grapefruit juice
- medicines for fungal infections (fluconazole, itraconazole, ketoconazole, voriconazole)
- mibefradil
- nicardipine
- certain medicines for the treatment of HIV infection or AIDS
- quinidine
- rifabutin, rifampin or rifapentine
- some drugs for treating depression, anxiety or other mood problems (examples: fluoxetine, fluvoxamine, nefazodone)
- verapamil
More info
http://www.enetpills.org/product_cialis.htm
PR: 3
Drug Uses
Cialis is a prescription medicine taken by mouth for the treatment of erectile dysfunction (ED) in men.
How Taken
Take Cialis exactly as your doctor prescribes. Cialis comes in different doses (5 mg, 10 mg, and 20 mg). For most men, the recommended starting Cialis dose is 10 mg. Cialis should be taken no more than once a day. Your doctor will prescribe the dose that is right for you.
Warnings/Precautions
Cialis can cause your blood pressure to drop suddenly to an unsafe level if it is taken with certain other medicines such as nitrates and alpha-blockers, and recreational drugs that contain nitrates called "poppers". A sudden drop in your blood pressure could cause you to become dizzy, faint, or have a heart attack or stroke. Until you are certain how you are affected by Cialis, use caution when driving or operating heavy machinery. Cialis contains some lactose and should not be taken by patients who are lactose intolerant. Also, during treatment you should avoid grapefruit juice. Taking Cialis with grapefruit juice can increase your chances of experiencing undesirable side effects. If you are taking medications with nitrates or nitric oxide, have uncontrolled blood pressure (high or low), or if you have a history of stroke or heart attack DO NOT take Cialis.
Missed Dose
Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.
Possible Side Effects
The most common side effects with Cialis are headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose. These side effects usually go away after a few hours. Patients who get back pain and muscle aches usually get it 12 to 24 hours after taking Cialis. Back pain and muscle aches usually go away by themselves within 48 hours. Call your doctor if you get a side effect that bothers you or one that will not go away.
Storage
Store Cialis at room temperature between 59 and 86 F (15 and 30 C).
Overdose
In cases of overdose, standard supportive measures should be adopted as required. Hemodialysis contributes negligibly to Cialis elimination.
More Information
Do not change your dose of Cialis without talking to your doctor. Your doctor may lower your dose or raise your dose, depending on how your body reacts to Cialis. Do not drink alcohol to excess when taking Cialis (for example, 5 glasses of wine or 5 shots of whiskey). When taken in excess, alcohol can increase your chances of getting a headache or getting dizzy, increasing your heart rate, or lowering your blood pressure.
Disclaimer
This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.
More info