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.