What Should I Know Before I use CIALIS?

Warnings

Do not use CIALIS if:

you are allergic to tadalafil, or any of the ingredients listed at the end of this leaflet. Always check the ingredients to make sure you can use this medicine
you are currently taking any nitrates, medicines used for the treatment of angina (“chest pain”) or other heart conditions. CIALIS has been shown to increase the effects of these medicines.
if you use recreational drugs called “poppers” or “amyl” like amyl nitrite and butyl nitrite that are normally taken through inhalation
if you use guanylate cyclase stimulators such as riociguat, used to treat pulmonary arterial hypotension
if you have heart or blood vessel problems that make sexual intercourse inadvisable. Sexual activity carries a possible risk to patients with a heart condition because it puts extra strain on the heart
if you have heart problems such as angina, arrhythmias (change in rhythm or rate of heart beat), heart failure
if you have suffered a heart attack in the last 3 months
if you have suffered a stroke in the last 6 months
if your blood pressure is unusually high or low or is not effectively treated
if you have vision loss in one eye because of non-arteritic interior ischaemic optic neuropathy (NAION).

Check with your doctor if you have or have had:

liver or kidney problems
heart problems or if you have had a heart attack
blood vessel problems
sickle cell anaemia (an abnormality or red blood cells)
multiple myeloma (cancer of the bone marrow)
leukaemia (cancer of the blood cells)
any deformation of the penis (such as angulation, cavernosal fibrosis or Peyronie’s disease)
loss of vision in one or both eyes.
During treatment, you may be at risk of developing certain side effects. It is important you understand these risks and how to monitor for them. See additional information under Section

Tell your doctor if you:

are aged 75 years and over.
You have a higher chance of experiencing side effects like dizziness and diarrhea.
Your doctor will assess if CIALIS is suitable for you.

Use in women

CIALIS is not intended for use by women.

Use in children

CIALIS is not intended for use by children under the age of 18 years.

What should I know about storage and disposal of Cialis?

Keep Cialis in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom).

Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA’s Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) for more information if you do not have access to a take-back program.

It is important to keep all medication out of sight and reach of children as many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location – one that is up and away and out of their sight and reach. http://www.upandaway.org

What is the Pros and cons of Cialis (tadalafil) ?

Pros of Cialis

    • A first-choice medication for treating erectile dysfunction
    • Can be taken either as needed, or on a regular basis for those who need it more regularly — this means you can be more spontaneous about the timing of sex.
    • Lasts longer than Viagra (sildenafil)

Cons of Cialis

    • Can’t be taken if you’ve had a heart attack in the past 3 months, or a stroke or heart failure in the past 6 months
    • Can’t be used if you’ve recently taken nitrates like Isordil, Imdur, or nitroglycerin (Nitro-BID, Nitro-Dur, Nitrostat)
    • Could have more side effects for people who are 65 or older — use this medication with care