What are the risks and warnings for Cialis (tadalafil)?

Cialis (tadalafil) can cause some serious health issues. This risk may be even higher for certain groups.

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If this worries you, talk to your doctor or pharmacist about other options

Risk of heart attack or stroke

  • Risk factors: Existing heart condition | Recent heart attack or stroke in past 6 months | High or low blood pressure

It’s not recommended for men to take Cialis (tadalafil) if they’ve had a heart attack, stroke, or symptoms of heart failure in the past 6 months, abnormal blood pressure, or if they have chest pain. The safety of Cialis (tadalafil) has not been studied in these situations. Talk to your doctor if you have any of these health conditions.

Low blood pressure

  • Risk factors: Taking alpha blockers | Taking medications for high blood pressure or chest pain (angina) | Drinking alcohol

If you’re taking alpha blockers or medications for high blood pressure with Cialis (tadalafil), your blood pressure may drop too low. Make sure to check your blood pressure regularly if you’re taking these other medications. Be very careful getting up from a sitting or lying down position since this can make you feel dizzy and more likely to fall. Drinking alcohol can also cause low blood pressure. Avoid or lower your alcohol consumption when taking Cialis (tadalafil). You should never take Cialis (tadalafil) when taking nitrate medication for chest pain (angina) because it can cause your blood pressure to suddenly drop to unsafe levels.

Prolonged erection

  • Risk factors: Peyronie’s disease | Cavernosal fibrosis | Sickle cell anemia

There have been reports of men having an erection lasting more than 4 hours while on Cialis (tadalafil). This is rare but if it’s not treated in time, it can cause permanent damage to your penis, including permanent impotence. Get medical help immediately if this happens.

Vision changes

If you suddenly notice changes in your vision in one or both eyes, go to the emergency room or call your doctor immediately. Although this is rare, Cialis (tadalafil) can cause permanent eye damage.

Hearing loss

There have been reports of men having permanent hearing loss while taking Cialis (tadalafil). This may happen along with ringing in the ears (tinnitus) and dizziness. Go to the emergency room or call your doctor immediately if you notice changes in your hearing in one or both ears.

Interactions with other medications

  • Risk factors: Age 65 years or older | Liver disease | Kidney disease | Taking medications such as nitrates, anti-hypertensives, alpha blockers, ketoconazole, or ritonavir

You may experience more side effects while taking Cialis (tadalafil) if you are also taking medications called nitrates for chest pain, blood pressure medications, certain medications for HIV, are elderly, or have liver or kidney disease. Talk to your doctor before starting Cialis (tadalafil) if any of these apply to you.

What is the distanges of taking Cialis ?

Cialis (tadalafil) is the only medication in its class that treats both erectile dysfunction and enlarged prostate symptoms. You can also take it on a regular basis, which can allow for more spontaneity.

If you are between the ages of 18 and 60, take no other medication or have no other medical conditions, side effects you are more likely to experience include:

  • A headache, dyspepsia, back pain, nasal congestion, and flushing are the most commonly reported side effects.
  • Other side effects include a drop in blood pressure, muscle or limb pain, or conjunctivitis.
  • Rarely, may decrease blood flow to the optic nerve causing sudden vision loss. The risk is greater in people aged older than 50, with diabetes, heart disease, high blood pressure, high cholesterol, who smoke, or with certain pre-existing eye problems.
  • The dosage of Cialis may need reducing in men with kidney disease. For men with CLCR of 30 to 50 mL/min, a starting dose of 5mg not more than once per day is recommended. The maximum dose is 10mg not more than once every 48 hours.
  • For men with CLCR of < 30 mL/min or on hemodialysis, the maximum dose is 5mg not more than once every 72 hours. Once daily use may not be recommended in men with CLCR < 30 mL/min.
  • For men with mild-to-moderate liver disease (Child-Pugh Class A or B), the dose should not exceed 10mg once per day. Cialis is not recommended in severe liver disease (Child-Pugh Class C).
  • Rarely, may cause other side effects including hearing loss or lead to painful erections lasting longer than four to six hours. See your doctor immediately if this happens.
  • May not be suitable for some people including those with angina, chest pain, or other heart conditions, liver or kidney problems, blood or bleeding disorders, stomach ulcers, certain eye conditions, a physical deformity of the penis (such as Peyronie’s disease), or serious prior hypersensitivity reactions to tadalafil.
  • May interact with some medications including nitrates – use of Cialis and nitrates is contraindicated because of the severe hypotension that can develop. May also interact with other medications including ketoconazole or ritonavir; dosage adjustment is recommended.
  • A lower dosage of Cialis is recommended in men with mild-to-moderate liver disease. Cialis should be avoided with severe liver disease.
  • Not for use in females.

 

What is the advantages of taking Cialis ?

Tadalafil (Cialis) is used to treat erectile dysfunction (ED, impotence; inability to get or keep an erection), and the symptoms of benign prostatic hyperplasia (BPH; an enlarged prostate) which include difficulty urinating (hesitation, dribbling, weak stream, and incomplete bladder emptying), painful urination, and urinary frequency and urgency in adult men.

Tadalafil (Adcirca) is used to improve the ability to exercise in people with pulmonary arterial hypertension (PAH; high blood pressure in the vessels carrying blood to the lungs, causing shortness of breath, dizziness, and tiredness).

Tadalafil is in a class of medications called phosphodiesterase (PDE) inhibitors. It works to treat erectile dysfunction by increasing blood flow to the penis during sexual stimulation. This increased blood flow can cause an erection. Tadalafil treats PAH by relaxing the blood vessels in the lungs to allow blood to flow more easily.

If you are taking tadalafil to treat erectile dysfunction, you should know that it does not cure erectile dysfunction or increase sexual desire. Tadalafil does not prevent pregnancy or the spread of sexually transmitted diseases such as human immunodeficiency virus (HIV).

  • Cialis is used for the treatment of erectile dysfunction (ED). It increases blood flow to the penis following sexual stimulation and allows men to keep an erection hard enough for sex.
  • Cialis is also used to treat the signs and symptoms of benign prostatic hyperplasia (BPH).
  • Cialis is available as a lower-strength tablet that can be taken on a daily basis, eliminating the need to ‘plan’ for sex.
  • Cialis is also available as an ‘as needed’ tablet. The effect of one tablet lasts for up to 36 hours.
  • The recommended ‘as needed’ dose for Cialis is 10mg, taken prior to anticipated sexual activity. The dose may be increased to 20mg or decreased to 5mg. It should not be taken more than once a day.
  • The recommended starting dose for Cialis intended for once daily use is 2.5mg, take at the same time each day, without regard to timing of sexual activity. This may be increased to 5mg/day based on need and tolerability.
  • May be taken with or without food.
  • Cialis is available as a generic, under the name tadalafil.