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If your eye specialist has told you that you have a "crowded" optic disc, you might be at higher risk of vision changes with this medication.

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For BPH, it's not fully clear how the medication works to help treat symptoms. But researchers think it helps relax the muscles in the prostate (a small gland in the groin). The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time. Contact your healthcare provider immediately if you experience any of the following.

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Priapism: painful erection lasting for more than 4 hours Eye problems: vision loss, can't see as clearly, bloodshot eyes, burning feeling in the eye, eye swelling or pressure Dangerously low blood pressure: feeling faint, weak, or dizzy; blurry vision; racing heart; feeling confused Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor immediately if any of the following side effects occur: faintness or lightheadedness when getting up suddenly from a lying or sitting position pain or discomfort in the arms, jaw, back, or neck Painful or prolonged erection of the penis blistering, peeling, or loosening of the skin fast, irregular, pounding, or racing heartbeat or pulse inability to move the arms, legs, or facial muscles numbness or tingling of the face, hands, or feet red skin lesions, often with a purple center sores, ulcers, or white spots in the mouth or on the lips swelling of the feet or lower legs Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.

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Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings burning feeling in the chest or stomach feeling of constant movement of self or surroundings feeling of warmth, redness of the face, neck, arms and occasionally, upper chest redness, pain, swelling of the eye, eyelid, or inner lining of the eyelid swelling or puffiness of the eyes or face Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional. You may report side effects to the FDA at 1-800-FDA-1088. For ED only, can take either as needed or once daily Can treat ED and BPH at the same time Can take up to 2 hours to get its full effect for ED Can cause side effects like headache, stomach upset, and back pain Not recommended 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 take if you've recently taken nitrates like isosorbide mononitrate (Monoket) or nitroglycerin (Nitrostat) You can take tadalafil (Cialis) with or without food. Food doesn't affect how well the medication works. Your prescriber can decide if tadalafil (Cialis) is right for you based on the risks and benefits.

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Some people who took tadalafil (Cialis) had problems with hearing.

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Tadalafil (Cialis) can interact with a lot of medications. Some include blood pressure medications and other BPH medications. It can make your blood pressure drop too low. Your care team can make sure your medications are safe to take together. If you have an erection for more than 4 hours or a painful erection after taking tadalafil (Cialis), go to the emergency room right away.

Terms and Conditions

It it's left untreated, it could lead to damage to the penis. Be sure to practice safe sex and use a condom. Tadalafil (Cialis) doesn't stop the spread of sexually transmitted infections (STIs). Tadalafil (Cialis) can sex medicine 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 factors: History of a heart condition Heart attack in the past 3 months Stroke in the past 6 months Heart failure in the past 6 months Uncontrolled heart rhythm problems (arrhythmia) Uncontrolled high blood pressure Low blood pressure Have chest pain during sex Before taking tadalafil (Cialis), tell your prescriber if you have any heart problems. Some heart problems can make people more sensitive to the effects of the medication. And, having sex can be risky for people with certain heart conditions. Tadalafil (Cialis) is sometimes used for having sex. Sometimes, this happened along with ringing in the ears (tinnitus) and dizziness.

It's not clear if these problems are directly related to the medication. If you notice any changes in your hearing in one or both of your ears, stop taking tadalafil (Cialis) and call your prescriber right away.

Condition Patient Population Recommended Dosage Notes
Erectile Dysfunction Men over 18 involving ED 20 mg as needed Take 30 mins before activity
Pulmonary Hypertension Adults with PAH 40 mg daily Under medical supervision
Benign Prostatic Hyperplasia Men over 50 20 mg once daily Combined with other BPH treatments
Off-label uses Various (under doctor guidance) Custom dose Not officially approved

Risk factors: Taking nitrate medications Taking blood pressure medications Taking alpha blockers Taking certain antifungals or antivirals Tadalafil (Cialis) can interact with certain medications. These drug interactions can raise your risk of serious side effects, including dangerously low blood pressure.

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If you have an erection that lasts longer than 4 hours or a painful erection, get medical help right away. If you suddenly notice changes in your vision in one or both of your eyes, go to the emergency room or call your prescriber right away. Although this is rare, tadalafil (Cialis) might raise the risk of eye damage. This can potentially lead to permanent vision loss. Before starting tadalafil (Cialis), tell your prescriber about your full medical history. These include nitroglycerin (Nitrostat) and isosorbide dinitrate (Isordil).

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Risk factors: Medical conditions that affect the penis Sickle cell anemia Multiple myeloma Leukemia It's rare, but some people who took medications like tadalafil (Cialis) have had an erection that lasted more than 4 hours (priapism). If it's not treated in time, it can lead to permanent damage to the penis. Let your prescriber know about your medical conditions. You're at higher risk of priapism if you have other conditions affecting your penis. The risk could also be higher if you have sickle cell anemia, multiple myeloma, or leukemia. It can cause your blood pressure to drop too low. Tadalafil (Cialis) can also interact with blood pressure medications. Other drug interactions are with certain antifungals and antivirals like ritonavir (Norvir). Some interactions can raise the risk of other side effects like headaches and flushing.

It's important to tell your prescriber and pharmacist about all the medications you take and plan to take. Your care team can check that they're all safe to take together.

Pros and cons of Tadalafil (Cialis)

Because of this, it might not be the best choice for people whose prescriber has told them not to have sex to be safe. Tadalafil (Cialis) hasn't been studied in people who've had a recent heart attack, stroke, or heart failure. It also hasn't been studied in people with certain types of chest pain. If you have a heart problem, talk to your prescriber to find out if this medication is safe for you. Risk factors: Medical conditions that make you more sensitive to blood pressure changes Taking alpha blockers Taking blood pressure medications Taking medications for chest pain (angina) Taking ritonavir (Norvir) Drinking alcohol Tadalafil (Cialis) can cause temporary low blood pressure.

Dosage & Usage Instructions:

But it can for people with health conditions that are sensitive to changes in blood pressure. Your blood pressure can also get too low if you take tadalafil (Cialis) with some medications. It also includes alpha blockers like tamsulosin (Flomax). You should never take tadalafil (Cialis) when taking a nitrate medication for chest pain (angina). This combination can make your blood pressure drop dangerously low.

Dosage for erectile dysfunction (ED)

If you have chest pain after taking tadalafil (Cialis), talk to your prescriber about safe options for relief. Tell your prescriber about all your health problems and medications. They can check that tadalafil (Cialis) is safe for you to take. If you take this medication, be very careful getting up after sitting or lying down. This can help prevent you from feeling dizzy from low blood pressure and possibly falling. They can adjust your medications or give you specific instructions on how to take them to keep you safe.

Overdose/Missed Dose

If you have trouble swallowing pills whole, talk to your prescriber about your options. If you're taking tadalafil (Cialis) for ED as needed before sex: It's best to take the medication at least 30 minutes before you have sex. This gives the medication enough time to kick in. If this isn't convenient, ask your prescriber about your options. If you're taking tadalafil (Cialis) once daily either for ED, BPH, or both: Take the medication at the same time every day.

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This can help make it part of your daily routine so you remember to take your medication. For ED, this can give you more freedom (no need to worry about timing when to take the medication before sex). Don't take tadalafil (Cialis) more than once per day unless your prescriber told you to. This could lead to worse side effects like low blood pressure, dizziness, and vision problems. Some people might feel muscle or back pain while taking tadalafil (Cialis).

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If this happens, it should get better within about 2 days. In the meantime, try placing a hot or cold compress where it hurts for some short-term relief. Reach out to your care team if the pain doesn't get better or go away. Tell your prescribers and pharmacist that you're taking tadalafil (Cialis). Also share a list of your other medications with them. Erectile dysfunction (ED) only When taken as needed: The typical starting dose is 10 mg by mouth at least 30 minutes before sexual activity. Take the medication only up to once per day, even if you have sex more than once in a day.

Condition Explanation Alternative Measures
Nitrate use Contraindicated with nitrates Use other ED medications
Severe liver impairment Affects drug metabolism Consult doctor before use
Recent stroke or heart attack High cardiovascular risk Delay use, medical assessment
Retinitis pigmentosa Potential risk of vision loss Medical advice required

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