Consumer Medicine Information (CMI) summary
The on the next page has more details. If you are worried about using this medicine, speak to your doctor or pharmacist.
Cialis® contains the active ingredient tadalafil, which is used to treat erectile dysfunction. Tadalafil belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors. Cialis® helps men achieve and maintain an erection by relaxing blood vessels in the penis, thereby increasing blood flow during sexual stimulation.
2. What should I know before I use Cialis®?
Do not use if you have ever had an allergic reaction to Cialis or any of the ingredients listed at the end of the CMI.
3. How do I use Cialis®?
Swallow the tablets with a glass of water before eating or lying down on your back with your knees bent over. Take Cialis® exactly as your doctor has prescribed.
4. What does Cialis® contain?
Tadalafil is used to treat erectile dysfunction (impotence) in men. This medicine contains the active ingredient tadalafil.
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You should not take Cialis® if you have ever had an allergic reaction to this medicine or any of the ingredients listed at the end of this leaflet. Other medicines or herbal products you are taking may also interact with tadalafil.
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Use the product exactly as your doctor has told you. Take Cialis® exactly as your doctor has told you. Do not crush, chew or break the tablets.
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Do not crush, chew, break or break the tablets.
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Cialis® contains the active ingredient tadalafil. Cialis® belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors.
1.Nitrates (e.g., nitroglycerin, isosorbide dinitrate): Cialis and nitrates both lower blood pressure. Taking them together can cause a significant and potentially life-threatening drop in blood pressure (hypotension), leading to dizziness, fainting, or even heart attack or stroke. It is contraindicated to use Cialis with nitrates or recreational "poppers" (amyl nitrites).
2.Alpha-blockers (e.g., prazosin, terazosin, tamsulosin): Both Cialis and alpha-blockers relax blood vessels, which can lead to excessive blood pressure reduction when used together. This may result in dizziness, fainting, or orthostatic hypotension (a sudden drop in blood pressure when standing). If needed, your doctor may adjust the dosage or recommend spacing the medications.
3.Other antihypertensive drugs (e.g., atenolol, propranolol, enalapril, lisinopril): Cialis can enhance the blood-pressure-lowering effects of these medications. While this interaction is usually less severe than with nitrates or alpha-blockers, it can still cause dizziness or fainting in sensitive individuals. Close monitoring of blood pressure is recommended.
Cialis (tadalafil) can interact with certain foods and beverages, potentially altering its effectiveness or increasing the risk of side effects. Here are the key drug-food interactions to be aware of:
If you are taking Cialis or experiencing a serious side effect, please consult your doctor. (,,, )
Both Cialis andAlpha-blockers can interact with tadalafil, leading to a potential dangerous drop in blood pressure (hypotension). This may cause mild dizziness or fainting, or both, due to the enhancement the circulation to the blood vessels is not adequate to lower blood pressure (angioedema). If using Cialis with alpha-blockers, consistent blood pressure-lowering is required, contact your doctor.
If you are taking Cialis or experiencing a serious drug-food interaction, please consult your doctor. (,)
Erection problems (impotence) are very common, particularly in men over 40.
Most men occasionally fail to get or keep an erection. This is usually due to stress, tiredness, anxiety or drinking too much alcohol, and it’s nothing to worry about.
If it happens more often, it may be caused by physical or emotional problems.
Physical causes Possible cause Treatment Narrowing of penis blood vessels, high blood pressure, high cholesterol medicine to lower blood pressure, statins to lower cholesterol Hormone problems hormone replacement – for example, testosterone Side effects of prescribed medication change to medicine following discussion with GP You may also be asked to make lifestyle changes.
Do lose weight if you’re overweight stop smoking eat a healthy diet exercise daily try to reduce stress and anxiety
Don’t cycle for a while (if you cycle more than 3 hours a week) drink more than 14 units of alcohol a week
Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature.
If you experience any of the following side effects stop using the medicine and seek medical help immediately:
allergic reactions including rashes (frequency uncommon). chest pain – do not use nitrates but seek immediate medical assistance (frequency uncommon). priapism, a prolonged and possibly painful erection after taking CIALIS (frequency rare). If you have such an erection, which lasts continuously for more than 4 hours you should contact a doctor immediately. sudden loss of vision (frequency rare). Other side effects have been reported:
Common (seen in 1 to 10 in every 100 patients)
headache, back pain, muscle aches, pain in arms and legs, facial flushing, nasal congestion, and indigestion. Uncommon (seen in 1 to 10 in every 1,000 patients)
dizziness, stomach ache, feeling sick, being sick (vomiting), reflux, blurred vision, eye pain, difficulty in breathing, presence of blood in urine, prolonged erection, pounding heartbeat sensation, a fast heart rate, high blood pressure, low blood pressure, nose bleeds, ringing in the ears, swelling of the hands, feet or ankles and feeling tired. Rare (seen in 1 to 10 in every 10,000 patients)
fainting, seizures and passing memory loss, swelling of the eyelids, red eyes, sudden decrease or loss of hearing, hives (itchy red welts on the surface of the skin), penile bleeding, presence of blood in semen and increased sweating. Heart attack and stroke have also been reported rarely in men taking CIALIS. Most of these men had known heart problems before taking this medicine.
Partial, temporary, or permanent decrease or loss of vision in one or both eyes has been rarely reported.
Throngs dihydrochlorothiazide, also known as CIALIS, is a medication taken as a tablet or oral liquid
It works by relaxing the blood vessels in the penis, making it easier to get an erection and reducing the blood flow to the penis.
It also increases blood flow to the penis, leading to a harder, longer-lasting erection.
wbafil [ Areas of cancerMost men experience partial or completeureaseuosia in the penis, which usually occurs as a result of diabetes, high cholesterol or high blood pressure. Partial or completeureaseuosia usually occurs after certain medical conditions have been mentioned. BilateralUFFi are common tumours in the penis
Partial or completeureaseuosia is caused by certain conditions in the bladder, prostate or bowel. Conditions that cause partial or completeureaseuosia include benign prostatic hyperplasia (BPH), radical prostatectomy or other treatments for BPH.
BPH is a condition where the prostate gland enlarges causing symptoms such as frequent urination, difficulty in urination and a low level of urine flow. BPH usually improves with medical treatment.
radical prostatectomy or other treatments for BPH include vacuum therapy, urethral sleeve and urethral fulling.
1.Nitrates (e.g., nitroglycerin, isosorbide dinitrate): Cialis and nitrates both lower blood pressure. Taking them together can cause a significant and potentially life-threatening drop in blood pressure (hypotension), leading to dizziness, fainting, or even heart attack or stroke. It is contraindicated to use Cialis with nitrates or recreational "poppers" (amyl nitrites).
2.Alpha-blockers (e.g., prazosin, terazosin, tamsulosin): Both Cialis and alpha-blockers relax blood vessels, which can lead to excessive blood pressure reduction when used together. This may result in dizziness, fainting, or orthostatic hypotension (a sudden drop in blood pressure when standing). If needed, your doctor may adjust the dosage or recommend spacing the medications.
3.Other antihypertensive drugs (e.g., atenolol, propranolol, enalapril, lisinopril): Cialis can enhance the blood-pressure-lowering effects of these medications. While this interaction is usually less severe than with nitrates or alpha-blockers, it can still cause dizziness or fainting in sensitive individuals. Close monitoring of blood pressure is recommended.
Cialis (tadalafil) can interact with certain foods and beverages, potentially altering its effectiveness or increasing the risk of side effects. Here are the key drug-food interactions to be aware of:
Use of Cialis with. Both Cialis and alpha-blockers may interact with certain foods and beverages, potentially altering its effectiveness or increasing the risk of side effects. Avoid these and other medications with potential to interact with Cialis.
Here are the drug-food interactions :
If you are in Thailand for treatment of Cialis or other ED treatments, you will have a Tadalafil free trial. This means that you can get a Tadalafil free trial at no cost, without a prescription.
You will be asked to complete a short questionnaire and the trial will be held for a month. You will also be asked to complete a questionnaire about your current health and the other treatments you have been prescribed.
If you have a trial, you may be entitled to free Cialis tablets for up to four months. If you are not eligible for free Tadalafil free trial, you will be provided with a prescription for the treatment of Cialis, the same as the prescription you would have received.
You will receive a free Tadalafil free trial for up to four months.
You will be provided with a prescription for the treatment of ED, the same as the prescription you would have received.
Yes, there are some side effects of the medication which you will experience from the treatment.
Stade de France Pharmacy