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CIALIS DRUG INFORMATION, ABOUT CIALIS

COMMON BRAND NAME: CIALIS®

WHAT IS CIALIS?

Cialis is used to treat impotence or erectile dysfunction in men (the inability to get or keep an erection). Cialis is in a class of medications called phosphodiesterase (PDE) inhibitors. It works to increase the blood flow to the penis during sexual stimulation. Increased blood flow can result in an erection. Cialis, however, will not cure erectile dysfunction or your increase sexual desire.

Pregnancy will not be prevented by the use of Cialis. Nor will it prevent the spread of sexually transmitted diseases such as human immunodeficiency virus (HIV).

HOW TO USE CIALIS

Carefully follow the directions on your prescription label. Take Cialis exactly as directed. Do not take more or less or take more often than prescribed by your physician.

Take Cialis tablets by mouth, with or without food, before sexual activity. Your doctor will advise you about the best time frame for you to take Cialis.

CIALIS DOSAGE

Do not take Cialis more often than once every 24 hours. Your physician may advise you to take it less often if you have certain health conditions or are taking certain medications.

If Cialis is not working or if you are experiencing side effects, advise your physician. He may increase or decrease your dosage.

CIALIS DRUG INTERACTIONS and PRECAUTIONS

Before you buy Cialis online, tell your doctor and pharmacist if you

• are allergic to Cialis (tadalafil) or any other drugs.
• are taking alpha blockers like:
  
  
  • alfuzosin (Uroxatral)
  • terazosin (Hytrin)
  • doxazosin (Cardura)
  • prazosin (Minipress)

Do not take Cialis if you are taking alpha blockers.

However, you may take Cialis if you are taking the alpha blocker tamsulosin (Flomax) at a dose of 0.4 mg a day.

• are taking nitrates like:

• isosorbide dinitrate (Sorbitrate, Isordril)
• isosorbide mononitrate (ISMO, Imdur)
• nitroglycerin (Nitro-BID, Nitro-Dur, Nitrostat, Nitroquick, others)

Do not take Cialis if you are taking or have recently taken nitrates.

Nitrates can come in the form of tablets, taken sublingual (under the tongue), or as sprays, patches, pastes, and ointments. Ask your physician if you are unsure whether any of your medications contain nitrates.

• are taking any other prescription and nonprescription medicines, nutritional supplements, vitamins or herbal products, especially any of the following:

• other drugs or treatments for erectile dysfunction
• HIV protease inhibitors like:
  
  
• nelfinavir (Viracept)
• indinavir (Crixivan)
• ritonavir (Norvir)
  
  

IMPORTANT NOTE: This information is to supplement and not to be a substitution for the judgment and expertise of your pharmacist, doctor or other healthcare professional. It should not be interpreted to indicate that use of this medication is appropriate, safe or effective for you. Consult your physician before this medicine is used

• high blood pressure medicine
• antifungal drugs like:
  
  
  • fluconazole (Diflucan)
  • itraconazole (Sporanox)
  • ketoconazole (Nizoral)
    
    
• carbamazepine (Tegretol)
• clarithromycin (Biaxin)
• cyclosporine (Neoral, Sandimmune)
• cimetidine (Tagamet)
• dexamethasone (Decadron)
• danazol (Danocrine)
• diltiazem (Cardizem, Dilacor, Tiazac)
• delavirdine (Rescriptor)
• ethosuximide (Zarontin)
• erythromycin (E-Mycin, E.E.S., Erythrocin)
• fluvoxamine (Luvox)
• fluoxetine (Sarafem, Prozac)
• isoniazid (Nydrazid, INH)
• metronidazole (Flagyl)
• nefazodone (Serzone)
• phenobarbital (Solfoton, Luminal)
• phenytoin (Dilantin)
• rifabutin (Mycobutin)
• rifampin (Rifadin, Rimactane)
• troleandomycin (TAO)
• verapamil (Calan, Isoptin, Covera, Verelan)
• zafirlukast (Accolate)

Your doctor may change your dosage or monitor you carefully for side effects.

• have ever had:
  
  
  • an erection which lasted more than four hours
  • a condition which affects the penis' shape like:
    
    
    • Peyronie's disease
    • angulation
    • cavernosal fibrosis
      
      
  • irregular heartbeat
  • high or low blood pressure
  • stroke
  • angina
  • heart attack
  • ulcers in stomach or intestine
  • bleeding disorder
  • blood cell problems like:
    
    
    • sickle cell anemia
    • leukemia
    • multiple myeloma (cancer of the plasma cells)
      
      
  • heart disease
  • liver disease
  • kidney disease
    
    
• have or have ever had an eye disease like retinitis pigmentosa. Also tell you doctor if anyone in your family has had this disease.
  
  
• have ever been advised by a health care professional to avoid sexual activity for medical reasons.
  
  
• have ever experienced chest pain during sexual activity.
  
  
• are having surgery, including dental surgery.

NOTES

Cialis is only for use in males. Women should not take Cialis, particularily if they are or may become pregnant or if they are breast-feeding.

If a pregnant woman takes Cialis, she needs to call her doctor immediately.

Acoholic beverages. Ask your physician how much alcohol is safe to use while you are taking Cialis. Alcohol can worsen the side effects of Cialis.

Sexual activity may be a strain on your heart, especially if you have heart disease. If you experience chest pain during sexual activity, call your physician immediately and avoid sexual activity until you are advised otherwise by your doctor.

Tell any and all of your health care providers that you are taking Cialis. If you ever need emergency treatment for a heart problem, the health care providers who treat you will need to know the last time you took Cialis.

Do not let anyone else take your medication.

SPECIAL DIET INSTRUCTIONS

Ask your doctor about drinking grapefruit juice while taking Cialis.

CIALIS SIDE EFFECTS

Tell your physician if any of these Cialis side affects are severe or do not go away:

• headache
• pain in your back, muscles or any limb
• heartburn or indigestion
• stuffy or runny nose
• flushing

Call your doctor immediately if you have any of the following uncommon but serious Cialis side affects:

• erection lasting longer than 4 hours
• vision change such as
  • seeing a blue tinge on objects
  • having difficulty distinguishing between blue and green
    
    
• chest pain - Cialis may cause serious side effects if you have a heart condition.

Call your doctor if you experience any other unusual problem. It may be a Cialis side effect.

CIALIS OVERDOSE

In case of an overdose of Cialis, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.

Overdose symptoms:

• headache
• pain in your back, muscles or any limb
• heartburn or indigestion
• stuffy or runny nose
• flushing

OTHER INFORMATION

Keep all appointments with your doctor .

Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.

STORAGE

Keep Cialis in the original container, tightly closed, and out of reach of children.

Store it at room temperature and away from excess heat and moisture. Do not store in the bathroom.

Discard any medication that is outdated or no longer needed. Talk to your pharmacist about proper disposal.

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