Before using Tadalafil

Some medical conditions may interact with Tadalafil . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have heart failure, high blood pressure, an irregular heartbeat, kidney or liver problems (eg, dialysis), or stomach ulcers
• if you have bleeding problems, blood cell problems (eg, sickle cell anemia), multiple myeloma, or leukemia
• you have a deformed penis or Peyronie disease, or have had an erection that lasted more than 4 hours
• if you have retinitis pigmentosa, other eye disease, or if you have ever had severe vision loss

Some MEDICINES MAY INTERACT with Tadalafil . Tell your health care provider if you are taking any other medicines, especially any of the following:

• Azole antifungals (eg, ketoconazole), HIV protease inhibitors (eg, indinavir), ketolides (eg, telithromycin), or macrolides (eg, erythromycin) because actions and side effects, such as prolonged erection, dizziness upon standing, or vision problems, may be increased
• Nitrates (eg, nitroglycerin, isosorbide) because blood pressure could drop suddenly to unsafe levels, causing dizziness, fainting, heart attack, or stroke
• Alpha-blockers (eg, doxazosin) because dizziness, especially upon standing, or fainting may occur

This may not be a complete list of all interactions that may occur. Ask your health care provider if Tadalafil may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

Cialis, help me to do it, please…

Cialis generic is used to treat erectile dysfunction.

Cialis relaxes muscles within the penis. This allows increased blood flow into the penis, necessary to achieve and maintain an erection.

Cialis may also be used for purposes other than those listed in this medication guide.

· Taking cialis with any of these medications may cause very low blood pressure, possibly resulting in dizziness, fainting, stroke, or heart attack.

· Contact your doctor or seek emergency medical attention for any erection that lasts longer than 4 hours. A sustained erection can damage the penis.

· Refrain from further sexual activity and notify your doctor it you develop dizziness, nausea, or angina (pain, tightness, discomfort, numbness, or tingling in the chest, arms, neck, or jaw) during sexual activity.

· Cialis is usually taken when needed before sexual activity. The effects of cialis may last for up to 36 hours or more. Your doctor will determine how often you can take cialis. Do not take cialis more often than is directed by your doctor.

Before taking cialis, tell your doctor if you

* have heart problems such as angina, heart failure, irregular heartbeats, or have had a heart attack;

* have low blood pressure or high blood pressure that is not controlled;

* have had strokes;

*have liver problems;

* have kidney problems;

* have ever had blood cell problems such as sickle cell anemia or leukemia;

* have a bleeding disorder;

* have a stomach ulcer;

* have retinitis pigmentosa (an inherited condition of the eye);

* have a physical deformity of the penis such as Peyronie's disease;

* had an erection that lasted longer than 4 hours.

* You may not be able to take cialis , or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.

* Although cialis is not indicated for use by women, it is in the FDA pregnancy category B. This means that cialis is not expected to be harmful to an unborn baby. Cialis should not be taken by women.

* It is not known whether cialis passes into breast milk. Cialis should not be taken by women.

* If you are over 65 years of age, you may be more likely to experience side effects from cialis. Your doctor may prescribe a lower dose of this medication.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

Keep all appointments with your doctor.