 Cialis (Tadalafil) is a phosphodiesterase 5 inhibitor (PDE-5 inhibitor), used to
treat male impotence or erectile dysfunction problems. Tadalafil works in
combination with sexual stimulation, by helping the blood flow into the penis
to achieve and maintain an erection. It is available as oral tablets and as
sublingual Cialis or Tadalafil 'Soft Tabs', which dissolve under the tongue,
they are designed for patients who cannot tolerate tadalafil in the stomach.
Tadalis soft tabs also enter the blood stream directly to achieve a faster effect.
Brand names include: Cialis, Tadalafil HCL, Regalis, Tadalis, Tadalis Sx, Tadanafil and Forzest.
Ordering options for Tadalafil, including Cialis, Soft Tabs, Tadalis SX and Forzest are below.
No prescription is needed, but some pharmacies will require a consultation via questionnaire to
enable their staff physician to issue a prescription (this is a free consultation).
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Precautions: before taking Tadalafil
Do not use tadalafil if you are also taking or using any form of nitroglycerin, other nitrates
such as isosorbide, nitroprusside or any "nitric oxide donor" medicine, or recreational drugs
called "poppers" containing amyl or butyl nitrate as very serious interactions may occur.
If you are not sure if a medication is a nitrate, contact your doctor for advice.
Tadalafil Cautions : Consult your doctor first:
Use of Tadalafil is not recommended if you have a history of angina or chest pain, heart attack,
stroke, low blood pressure or severe liver problems. PDE-5 inhibitors can cause vision problems,
also consult your doctor if you suffer from any eye disease, especially retinitis pigmentosa or if
you have any physical abnormality of the penis, curvature, scarring or Peyronies disease.
Tadalafil Side Effects
Side effects that may occur include headache, flushing, stomach upset or nausea, heartburn,
stuffy or runny nose, back pain, muscle pain, or vision changes such as trouble telling the
difference between blue and green or seeing a blue tinge to objects as well as loss of vision.
Other side effects are high blood pressure (hypertension) or low blood pressure (hypotension),
increased heart rate and/or awareness of heart beat (heart palpitations).
There may be other side effects not listed here: consult your doctor.
Avoid grapefruit juice
Grapefruit juice may increase the level of Tadalafil in the blood and increase side effects.
Important
If you experience a painful or prolonged erection (lasting more than 4 hours), stop using this
medication and seek immediate medical attention or permanent problems may occur.
Cialis (Tadalafil) Drug Interactions
Additional monitoring of your condition or dosage may be needed if you are taking any other
drugs for erectile dysfunction (ED Drugs). Other drugs may also adversely interact with Tadalafil.
Therefore check with your doctor if you are taking antifungal medicines such as itraconazole or
ketoconazole. Macrolide antibiotics such as clarithromycin or erythromycin, blood pressure drugs
and diuretics such as bendrofluazide or hydrochlorothiazide, and certain alpha-blockers such as
alfuzosin, doxazosin, prazosin, or terazosin. HIV protease inhibitors (ritonavir or indinavir)
This NOT a complete list: Tell your doctor of ALL medications and supplements you take.
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