Tadalafil

Why is this medication being prescribed?

Tadalafil (Cialis) helps treat Erectile dysfunction (ED impermanence, impotence; inability to keep or obtain an erection) and also the signs that are associated with benign prostatic hyperplasia (BPH which is an increased prostate) which can cause difficulty in urination (hesitation and weak stream, dribbling and insufficient bladder emptying) as well as painful urination as well as urinary frequency and urgency in males who are in their late 20s. Tadalafil (Adcirca) is used to enhance the capacity to exercise for those suffering from arterial hypertension in the pulmonary arteries (PAH which is a condition that causes elevated blood pressure within the vessels that carry air to the lungs, which causes dizziness, shortness of breath and fatigue). Tadalafil belongs in a category of medicines known as phosphodiesterase (PDE) inhibitors. It is used to treat the erectile dysfunction issue by increasing the flow of blood to the penis in the course of sexual stimulation. The increased flow of blood can result in incontinence. Tadalafil can treat PAH by relaxing lung blood vessels that let blood flow more freely.

If you’re taking tadalafil in order to treat the problem of erectile dysfunction, be aware that it cannot solve erectile dysfunction and does not increase the desire to sexually. Tadalafil doesn’t prevent pregnancy, nor does it prevent the transmission of sexually transmitted infections like the human immunodeficiency virus (HIV).

How should this medication be employed?

Tadalafil is a tablet to be taken by mouth. It can be taken without or with food.

If you’re taking tadalafil in order to treat Erectile dysfunction, you must follow the directions of your physician and follow the guidelines listed in this paragraph. There are two methods to take tadalafil: either every day or on an on-demand basis. Discuss with your physician the right dosage regimen for you. Tadalafil can be taken when necessary, usually around 30 minutes prior to sexual activity, and not more than once per 24 hours. Your physician will assist you to choose the most appropriate timing to take tadalafil prior to sexual activities. Tadalafil is sometimes also used once per day, each day, without regard to the timing of sexual activities. You can try sexual activities in any moment between doses. If you’re taking tadalafil according to a routine schedule, you should take it at the same time each day. If you suffer from specific medical conditions or are taking certain medicines or medications, your doctor might advise you to stop taking tadalafil more frequently or prescribe an amount that is lower that is taken every daily. Follow the instructions on your prescription label with care and ask your doctor or pharmacist to explain any portion that you are unsure of. Follow the directions exactly. Don’t take any more or less or take it for longer than recommended by your physician.

If you’re taking tadalafil in order to treat PAH or BPH take care to follow the instructions of your doctor and the guidelines contained in this paragraph. It is recommended to take tadalafil only once a day. You should take all tablets to get the daily dosage at the same time throughout the day. Do not split the tablets into separate doses. Take tadalafil around the same time each day. If you’re using medication to treat BPH and other conditions, your doctor might advise you to discontinue taking any other medications at least a day prior to commencing treatment with Tadalafil. Follow the instructions of your doctor attentively, and ask your pharmacist or doctor to clarify any aspect that you don’t understand.

If you’re using tadalafil to treat erectile dysfunction The doctor you consult with will likely begin with an average dosage of tadalafil, and then reduce or increase your dosage in accordance with the response you have to this medication. Talk to your doctor when tadalafil isn’t working as well or if you’re experiencing any adverse reactions.

If you’re taking tadalafil in order to treat PAH it is important to understand that tadalafil can control PAH, but it does not solve it. Keep taking tadalafil, even when you feel good. Don’t quit taking tadalafil before talking with your doctor.

Ask your physician or pharmacist for copy detail of the manufacturer for the patient.

There are other uses of this medication

The medication could be prescribed for other purposes Ask your physician or pharmacist for further information.

What precautions must I be taking?

Before taking tadalafil

• inform your doctor and pharmacist if you’re intolerant to tadalafil or any other medication as well as any other ingredients in tablets of tadalafil. Consult your pharmacist for a list of ingredients.
• Inform your physician if you have recently or are currently taking been taking Riociguat (Adempas) or other nitrates, such as isosorbide dianite (Isordil), mononitrate isosorbide (Monoket), and Nitroglycerin (Minitran, Nitro-Dur Nitromist, Nitrostat, others). Nitrates are available as tablets as well as Sublingual (under your tongue) sprays, tablets, pastes, patches, and Ointments. Consult your physician if you are unsure if some of your medicines contain Nitrates. The doctor is likely to advise that you should not take tadalafil when you are taking Nitrates.
• inform your doctor if are taking street drugs that contain nitrates (‘poppers’) such as amyl nitrate or butyl or nitrite, while you take tadalafil. Your doctor is likely to advise the patient not to use tadalafil if are taking street medications that contain nitrates.
• You should be aware that tadalafil can be purchased under the brands Adcirca or Cialis. It is recommended to only treat with one of these drugs at one time.
• inform your doctor and pharmacist about any other prescription or nonprescription medicines as well as vitamins and nutritional supplements you’re taking or planning to be taking. Be sure to include one of these: Alpha blockers like alfuzosin (Uroxatral), doxazosin (Cardura) dutasteride (Avodart in Jalyn) prazosin (Minipress), silodosin (Rapaflo) as well as Tamsulosin (Flomax in Jalyn) and Terazosin; Amiodarone (Cordarone, Pacerone); specific antifungals like fluconazole (Diflucan) griseofulvin (Grifulvin, the Gris-PEG), itraconazole (Onmel, Sporanox), ketoconazole (Extina, Ketozole, Nizoral, Xolegel) as well as voriconazole (Vfend) and aprepitant (Emend) bosentan (Tracleer) as well as carbamazepine (Carbatrol, Epitol, Tegretol, Teril, others) clarithromycin (Biaxin and in Prevpac) and diazem (Cardizem Cartia, Tiazac, and others) as well as Efavirenz (Sustiva in Atripla) and Erythromycin (E.E.S. E-Mycin, Erythrocin); HIV protease inhibitors comprising indinavir (Crixivan) and Nelfinavir (Viracept) and ritonavir (Norvir in Kaletra) and lovastatin (Altocor in Advicor) medication for high blood pressure nefazodone and Nevirapine (Viramune) and other medicines as well as treatments of erectile disorders; other treatments or medications for PAH, phenobarbital; the phenytoin (Dilantin Phenytek) as well as the rifabutin (Mycobutin) as well as the drug rifampin (Rifadin Rimactane, Rifamate, in Rifater, Rifamate) and sertraline (Zoloft) Telithromycin (Ketek) and verapamil (Calan Covera, Verelan, and Calan Tarka). Your doctor might have to alter the dosages of your prescriptions or observe closely for any of the effects of your medications.
• Inform your doctor about the herbs you’re taking, particularly St. John’s wort.
• Inform your doctor if smoke, if you’ve had an erection that lasts longer than 4 hours; and are experiencing vomiting, diarrhea, or not drinking enough fluids or sweating heavily, which could have resulted in dehydration (loss of a substantial quantity of body fluids. Inform your doctor if you suffer from or had any experience with the pulmonary venous-occlusive disorder (PVOD which is a blockage of the veins in the lung) or any other medical health condition that alters how the penis is shaped, diabetes, high cholesterol; low or high blood pressure, irregular heartbeats; an attack on your heart or failure or heart failure (chest pain) or a stroke abdominal ulcers bleeding problem with blood circulation or blood cell issues like sickle cell anemia (a disease that affects red blood cells) or multi myeloma (cancer of plasma cells) also known as leukemia (cancer of white blood cells) or kidney, heart or liver diseases. Tell your doctor if anyone in your family has or ever suffered from an eye condition like retinitis pigmentosa (an eye disease that is inherited and results in loss of vision) or if you’ve suffered a sudden, severe vision loss, particularly when you were told the loss of vision was due to an obstruction that impedes blood flow towards nerves that aid in seeing.
• If you’re a female who is taking tadalafil in order to treat PAH, inform your physician if you’re planning to be pregnant, or nursing. If you fall pregnant while using tadalafil contact your physician.
• If you’re having surgery, such as dental surgery be sure to inform the dentist or doctor that are taking Tadalafil.
• consult your physician regarding the appropriate use of alcohol during treatment with Tadalafil. If you drink a substantial volume of liquor (more than five drinks of alcohol or five shots of whiskey) when you take tadalafil, you’re likely to experience the negative effects of tadalafil like headache, dizziness, rapid heartbeat as well as lower blood pressure.
• If you’re using tadalafil for the treatment of Erectile dysfunction, inform your doctor if ever been directed by a medical expert to refrain from sexual activity due to medical reasons or if you’ve felt chest pains during sexual activities. Sexual activities can be a strain on your heart, particularly when you suffer from heart disease. If you feel chest pain nausea, dizziness, or dizziness when you are sexually active, contact your doctor right away or seek medical attention in an emergency. You should stay away from sexual activity until your physician tells you to stop.
• Inform all of your health professionals you’re taking tadalafil. If you ever require urgent medical attention for a heart condition medical professionals who treat you must be aware of when you last used tadalafil.

What specific dietary guidelines should I adhere to?

Consult your physician about drinking grapefruit juice and eating grapefruit juice when you are taking this medicine.

What can I do if I have forgotten an amount?

If you’re taking tadalafil in order to treat erectile disfunction regularly then take the dose you missed when the memory of it. If it’s nearing the time to take your next dose, you can skip any missed doses and follow your usual dosing regimen. Don’t take a double dosage or take more than one in a day to compensate for a missed dose.

If you’re taking tadalafil in order to treat PAH or BPH Take the dose you missed as quickly as you remember. But, if it’s nearing the time to take your next dose, avoid the dose you missed and follow your usual dosing regimen. Don’t take a second dose to compensate for the missed one.

What kind of side effects can this medication can cause?

Tadalafil may cause side effects. Inform your doctor when any of these signs are serious or don’t disappear:

1. headache
2. indigestion or heartburn
3. nausea
4. diarrhea
5. flushing
6. discomfort in the stomach muscles, back, arms or legs
7. cough

Certain side effects may be very serious. If you notice some of these signs, contact your doctor immediately or seek urgent medical attention:

1. sudden reduction or loss of the vision (see below for further details)
2. blurred vision
3. Color vision changes (seeing blue tinges on objects or having trouble discerning the distinction between blue and green)
4. sudden loss or decrease in the hearing (see below for further details)
5. Ears ringing
6. an erection that lasts for more than 4 hours
7. dizziness
8. chest pain
9. Hives
10. It is a rash
11. difficulties breathing or swallowing
12. swelling of the throat, face mouth, tongue, eyes feet, hands, ankles, or lower legs
13. the skin’s surface is prone to blistering or peeling

Certain patients suffered an abrupt loss of one or all their vision after they used tadalafil or any other drugs similar to the tadalafil. The loss of vision was lasting in some instances. It is unclear whether the loss of vision results from the drug. If you notice a sudden loss of your vision while you’re taking tadalafil consult your physician immediately or seek medical attention in an emergency. Don’t take any further doses of tadalafil or related medicines such as sildenafil (Revatio, Viagra) or Vardenafil (Levitra) up to the time you speak with your physician.

A few patients experienced a sudden loss in hearing when they were prescribed tadalafil or drugs which are similar to tadalafil. The loss of hearing usually affected one ear only and didn’t always improve after stopping the medication. It is unclear whether the loss of hearing results from the medication. If you experience abrupt loss in hearing often with ringing in your ears or dizziness while you’re taking tadalafil contact your doctor right away. Don’t take any further doses of tadalafil, or other similar medicines such as sildenafil (Revatio, Viagra) or Vardenafil (Levitra) up to the time you speak with your physician.

Tadalafil could cause other adverse reactions. Consult your physician if you encounter any unusual issues during your treatment

If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration’s (FDA) MedWatch Adverse Event Reporting program online (http://www.fda.gov/Safety/MedWatch) or by phone (1-800-332-1088).

What do I need to know about the disposal and storage of this medicine?

Store the medicine in the bottle it was purchased in, securely sealed, and away from reach of children. It should be stored at room temperature and away from excessive moisture and heat (not within bathrooms).

The medication that is not needed must be eliminated with special methods to make sure that pets, children, and even other people aren’t able to eat the drugs. But, do not flush them in the toilet. The best method to get rid of the medication is through a take-back program. Consult your pharmacist or your local recycling department to inquire about programs for take-back within your area. See the FDA’s Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) for more information if you do not have access to a take-back program.

It is crucial to keep all medications away from the reach of children since numerous containers (such as weekly pill minders as well as eye drops patches, creams, as well as inhalers) are not safe for children and children are able to open their lids easily. To safeguard children from poisoning, make sure to lock the caps that protect you from poisoning and place the medication in a secure place that is up away and out of their reach and view. http://www.upandaway.org

In the event of an emergency or overdose

In the event of an overdose If you suspect that you have taken an overdose, dial for help at the poison control number 1-800-222-1222. Information is also available online at https://www.poisonhelp.org/help. If the patient has fallen down or suffered a seizure is having breathing problems or isn’t able to be re-awakened immediately contact emergency assistance at 911.

What else should I be aware of?

Make sure to keep appointments with your physician.

Don’t let anyone else use your medication. Discuss with your pharmacy any issues about refilling your prescription.

It is essential to keep a list of all prescription and non-prescription (over-the-counter) drugs you’re taking, along with any other products like minerals, vitamins or other nutritional supplements. It is recommended to bring this list every when you see a doctor or are admitted to the hospital. This is also a crucial list to have in the event of an emergency.

Brand names

• Adcirca
• Cialis