Information about Tadalafil (Generic Cialis soft) :


Tadalafil is an effective medicine that is used to treat erectile dysfunction (impotence). Tadalafil helps to relax muscles and increase blood flow to particular areas of the body.
It may also be used for other conditions as determined by your doctor.

You should not use Tadalafil in case you have any condition mentioned below: you are also using a nitrate drug to treat chest pain or heart problems. The list of such drugs includes 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 the combination of Tadalafil with a nitrate medicine may lead to serious consequences: such as decrease in blood pressure, leading to fainting, stroke, or heart attack.

A small number of patients is reported to have experienced a sudden loss of eyesight after using Tadalafil. It is caused by decreased blood flow to the optic nerve of the eye. It is not known whether Tadalafil is the actual reason of this loss of eyesight. It is more likely to have such a problem if you have 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.

Be aware that Tadalafil may interact with some medicines. Consult with your health care provider in case you are taking any other drugs, especially any of the following: 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; 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.

Before using Tadalafil you should tell your doctor if you have any medical conditions listed below: 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.

In such cases, you may not be able to take Tadalafil or you may need a special dosage adjustment or special tests during course of treatment.

Tadalafil is in FDA pregnancy category B. Tadalafil is not used for women. Nevertheless this medication is not expected to be deleterious to an unborn baby. You should not use Tadalafil without medical consultation in case you are pregnant or plan pregnancy during treatment. It is not clear whether Tadalafil passes into breast milk that is why you should not take this medication without telling your doctor if you are breast-feeding a baby.

You may be administered a lower dosage of this drug if you are older than 65. Follow your doctor's instructions.

How to use Tadalafil?
You should take each dose of Tadalafil with a full glass of water. Try to avoid using High-fat food before taking Tadalafil as it may cause the medicine to take more time to effect.

Take Tadalafil when it needs. It is recommended to take it 30 - 60 minutes before sexual intercourse. You should know that this medication helps to have a good erection when sexual stimulation occurs; an erection will not happen just by using Tadalafil.

You should not take Tadalafil more than once per day. Keep the 24 hours interval between doses.

This medication should be kept at indoor temperature away from moisture and heat.

What happens if I miss a dose?
Tadalafil is used when necessary. You are unlikely to miss a dose.

What happens if I overdose?
Seek emergency medical attention in case an overdosage is suspected. Symptoms of the overdose are chest pain, nausea, irregular heartbeat, and feeling light-headed or fainting.

What should I avoid while taking tadalafil?
Try to avoid drinking alcohol, as it may increase the risk of side effects of Tadalafil. It is known that grapefruit and grapefruit juice may interact with Tadalafil. Consult with your doctor before consumption any of grapefruit products. You should not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.

Any other drugs to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others), should not be used while taking Tadalafil unless your doctor recommends otherwise.

What are the possible side effects of tadalafil?
You should stop and consult with your doctor right away if you experience any of side effects especially bothersome listed below: dizziness or nausea, pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity, 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.

Stop taking Tadalafil and get emergency medical help if you have sudden vision loss.

Seek emergency in case you have any of these severe side effects: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Do not stop taking Tadalafil but consult 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.

What is the shelf life of the pills?
This information is mentioned on each blister. The expiration date is 2 years from the date of manufacture.