Cialis Tablets

Erectile Dysfunction Doctor Service

The Cialis film-coated tablet is an efficient treatment, which is indicated to treat erectile dysfunction for adult men.

This is when a man cannot get, or keep a hard, erect penis suitable for sexual activity.

It contains the active substance tadalafil which belongs to a group of medicines called phosphodiesterase type 5 inhibitors.

Cialis has been shown to significantly improve the ability of obtaining a hard erect penis suitable for sexual activity.

Following sexual stimulation, Cialis works by helping the blood vessels in your penis to relax, allowing the flow of blood into your penis. The result of this is improved erectile function. Cialis will only work when you are sexually stimulated.

At least one in ten men has trouble getting or keeping an erection at some time. There may be physical or psychological causes, or a mixture of both. Whatever the cause is, due to muscle and blood vessel changes not enough blood stays in the penis to make it hard and keep it hard.

Cialis is a safe and efficient treatment which allows you to obtain an erection, when sexually stimulated, at any time point during the 24 hours of the day.

Once a day dosing of Cialis may be useful to men who anticipate having sexual activity two or more times per week.

What Is Erectile Dysfunction?

Erectile dysfunction is something that most men will experience at some point in their lives. While this can be a short-term condition caused by things like alcohol, stress, or tiredness, some men will experience erectile dysfunction over a longer period of time. This can be due to a physical or emotional cause.

What Causes Erectile Dysfunction?

Small blood vessels supply the penis, and when a man is sexually aroused, an increase in blood flow into the penis causes the penis to stiffen. Erectile dysfunction can happen if these vessels are blocked in any way. Because the vessels are so thin, blockages can occur easily.

Things like smoking, high cholesterol, diabetes and lack of exercise can all have an effect on these blood vessels. Erectile dysfunction symptoms could also be down to emotional or psychological causes, such as anxiety or depression. Sometimes erectile dysfunction may be a side effect of being on certain medication.

Health issues can also contribute to erectile dysfunction. Circulation problems can mean blood struggles to reach the penis and problems like hormonal imbalances, groin injuries, or low mood have also been known to have an effect on a man’s ability to achieve an erection.

If you’ve regularly been experiencing erectile dysfunction, please speak to a pharmacist or your GP.

What Is Cialis?

Cialis is a prescription medicine taken by mouth for the treatment of:

• men with erectile dysfunction (ED)
• men with symptoms of benign prostatic hyperplasia (BPH)
• men with both ED and BPH

What Is The Most Important Information I Should Know About Cialis?

Cialis can cause your blood pressure to drop suddenly to an unsafe level if it is taken with certain other medicines. You could get dizzy, faint, or have a heart attack or stroke. Never take Cialis with any nitrate or guanylate cyclase stimulator medicines.

How long before sex should I take Cialis?

If you are using Cialis 10mg or Cialis 20mg then you should take ONE tablet at least half an hour before you expect to begin intimacy. If you are using Cialis Daily, you will be taking the medication once a day at the same time everyday and doing so whether you foresee having sex or not. Cialis Daily provides 24-hour erectile potency.

How Long Does Cialis Last For?

Cialis lasts for up to 36 hours after taking the medication. Cialis Daily provides ongoing erectile difficulty support with day-to-day increased responsiveness to stimulation provided you take the medication exactly as directed.

Are there any differences between Cialis and Viagra?

Both Viagra and Cialis feature similar chemical constituencies and function in much the same way to allow men to overcome erectile difficulties. The primary difference between Cialis and Viagra is in how long they continue to be effective for the man.

Viagra can be effective for up to 4 hours after taking the medication, while Cialis has a much longer window of effectiveness – up to 36 hours.

Like all medicines, this medicine can cause side effects, although not everybody gets them. 

• Do not use it, if you are allergic to any of the ingredients.

For a full list of side effects, please read the patient information leaflet.
The side effects reported in association with the use of Cialis are usually mild to moderate and of a short duration.

If you experience any of the following side effects stop using the medicine and seek medical help immediately:

• Allergic reactions including rashes.
• Chest pain - do not use nitrates but seek immediate medical assistance.
• 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.

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.
• Partial, temporary, or permanent decrease or loss of vision in one or both eyes has been rarely reported.
• 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.

Some additional rare side effects have been reported in men taking Cialis that were not seen in clinical trials. These include:

• Migraine, swelling of the face, serious allergic reaction which causes swelling of the face or throat, serious skin rashes, some disorders affecting blood flow to the eyes, irregular heartbeats, angina and sudden cardiac death.

The side effect of dizziness has been reported more frequently in men over 75 years of age taking Cialis.

Diarrhoea has been reported more frequently in men over 65 years of age taking Cialis.

If you get any side effects, talk to your doctor, our Rightdose pharmacists or nurse. This includes any possible side effects not listed in this leaflet.

You can help to make medicines safer by reporting any side-effects to the Yellow Card Scheme at www.mhra.gov.uk/yellowcard.

Before taking any medication, it is important to read the Patient Information Leaflet. You can find information leaflets for your medicines by typing them into the search bar at medicines.org,or by contacting us.

Patient Information Leaflet Cialis Film-coated Tablets

Cialis should not be given to individuals under the age of 18.

What you need to know before you take Cialis

Do not take Cialis if you:

• are allergic to tadalafil or any of the other ingredients of this medicine.
• recently had a stroke within the last 6 months.
• have serious heart disease or recently had a heart attack within the last 90 days.
• have low blood pressure or uncontrolled high blood pressure.
• ever had loss of vision because of non-arteritic anterior ischemic optic neuropathy (NAION), a condition described as “stroke of the eye”.
• are taking any form of organic nitrate or nitric oxide donors such as amyl nitrite. This is a group
  of medicines (“nitrates”) used in the treatment of angina pectoris (“chest pain”). CIALIS has been shown to increase the effects of these medicines. If you are taking any form of nitrate or are unsure, tell your doctor.
• are taking riociguat. This drug is used to treat pulmonary arterial hypertension (i.e., high blood pressure in the lungs) and chronic thromboembolic pulmonary hypertension (i.e., high blood pressure in the lungs secondary to blood clots). PDE5 inhibitors, such as CIALIS, have been shown to increase the hypotensive effects of this medicine. If you are taking riociguat or are unsure, tell your doctor.

Pregnancy and breastfeeding and fertility

Cialis is not indicated for use by women.
Fertility: When dogs were treated there was reduced sperm development in the testes. A reduction in sperm was seen in some men. These effects are unlikely to lead to a lack of fertility.

Driving and using machines

Some men taking Cialis in clinical studies have reported dizziness. Check carefully how you react to the tablets before driving or using machines.

How to store Cialis

• Do not use this medicine after the expiry date which is stated on the carton and blister after ‘EXP’. The expiry date refers to the last day of that month.
• Store in the original package in order to protect from moisture. Do not store above 25°C.
• Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.

Keep this medicine out of the sight and reach of children.

Before using any medication, it is important to read the Patient Information Leaflet. You can find information leaflets for your medicines by typing them into the search bar at medicines.org, or by contacting us.

Whichever erectile dysfunction (ED) treatment you are prescribed, always use this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.

• For the treatment of erectile dysfunction
• Cialis tablets are for oral use in men only

Directions:

• The recommended dose is one 5 mg tablet taken once a day at approximately the same time of the day. Your doctor may adjust the dose to 2.5 mg based on your response to Cialis. This will be given as a 2.5mg tablet.
• Swallow the tablet whole with some water. The tablets can be taken with or without food.
• Do not take Cialis more than once a day.

When taken once a day, Cialis allows you to obtain an erection, when sexually stimulated, at any time point during the 24 hours of the day. Once a day dosing of Cialis may be useful to men who anticipate having sexual activity two or more times per week.

It is important to note that Cialis does not work if there is no sexual stimulation. You and your partner will need to engage in foreplay, just as you would if you were not taking a medicine for erectile dysfunction.

Cialis with food, drink and alcohol

Drinking alcohol may temporarily lower your blood pressure. If you have taken or are planning to take Cialis, avoid excessive drinking (blood alcohol level of 0.08% or greater), since this may increase the risk of dizziness when standing up.

• The tablets can be taken with or without food.
• Drinking alcohol may affect your ability to get an erection.
• Grapefruit juicemay affect how well Cialis will work and should be taken with caution. Talk to your doctor for further information.

Cialis contains lactose

• If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.

Cialis contains sodium

• This medicine contains less than 1 mmol sodium (23 mg) per tablet, that is to say essentially ‘sodium-free’.

If you take more Cialis: You should contact your doctor. You may experience any of the side effects.

If you forget to take Cialis: Take your dose as soon as you remember but do not take a double dose to make up for a forgotten tablet.

You should not take CIALIS more than once a day.

Warnings & Precautions

Talk to your doctor before taking Cialis.

Be aware that sexual activity carries a possible risk to patients with heart disease because it puts an extra strain on your heart. If you have a heart problem you should tell your doctor.

Cialis film-coated tablets should not be given to women or to individuals under the age of 18.

Since benign prostatic hyperplasia and prostate cancer may have the same symptoms, your doctor will check you for prostate cancer before starting treatment with CIALIS for benign prostatic hyperplasia.

Cialis does not treat prostate cancer.

Tell your doctor if you have:

• a serious liver problem.
• leukaemia (cancer of the blood cells).
• sickle cell anaemia (an abnormality of red blood cells).
• multiple myeloma (cancer of the bone marrow).
• any deformation of your penis.
• a severe kidney problem.

It is not known if CIALIS is effective in patients who have had:

• pelvic surgery.
• removal of all or part of the prostate gland in which nerves of the prostate are cut (radical non nerve-sparing prostatectomy).

If you experience sudden decrease or loss of vision, stop taking Cialis and contact your doctor immediately.

Other Medicines & Cialis

Tell your doctor if you are taking, have recently taken or might take any other medicines

Do not take Cialis if you are already taking nitrates.

Some medicines may be affected by CIALIS or they may affect how well CIALIS will work. Tell your doctor or pharmacist if you are already taking:

• riociguat.
• an alpha blocker (used to treat high blood pressure or urinary symptoms associated with benign prostatic hyperplasia).
• other medicines to treat high blood pressure.
• a 5- alpha reductase inhibitor (used to treat benign prostatic hyperplasia).
• medicines such as ketoconazole tablets (to treat fungal infections) and protease inhibitors for treatment of
• AIDS or HIV infection.
• phenobarbital, phenytoin and carbamazepine (anticonvulsant medicines).
• rifampicin, erythromycin , clarithromycin or itraconazole.
• other treatments for erectile dysfunction.

Ingredients:

The active substance is tadalafil.

The other ingredients are:

Tablet core: lactose monohydrate (see end of section 2), croscarmellose sodium, hydroxypropyl cellulose, microcrystalline cellulose, sodium lauryl sulfate, magnesium stearate.

Film-coat: lactose monohydrate, hypromellose, triacetin, titanium dioxide (E171), iron oxide yellow (E172), talc.