What
important information should you know about TADALAFIL TROCHES (CIALIS)?
Tadalafil (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.
Do
NOT take TADALAFIL (CIALIS) if you:
- Take any medicines
called nitrates.
- Use recreational
drugs called “poppers” like amyl nitrite and butyl nitrite.
(See “Who should not take TADALAFIL (CIALIS)?”)
Tell your health
care providers that you take TADALAFIL (CIALIS). If you need emergency
medical care for a heart problem, it will be important for your health
care provider to know when you last took TADALAFIL (CIALIS).
A fter dissolving
a half or whole troche (sublingual tablet), some of the active ingredient
TADALAFIL remains in your body for more than 2 days. The active ingredient
can remain longer if you have problems with your kidneys or liver, or
you are taking certain other medications.
What
is TADALAFIL (CIALIS)?
TADALAFIL TROCHES (CIALIS) is a prescription medicine dissolved in the
mouth for treatment of erectile dysfunction (ED) in men. ED is a condition
where the penis does not harden and expand when a man is sexually excited,
or when he can not keep an erection. A man who has trouble getting or
keeping an erection should see his doctor for help if the condition
bothers him. TADALAFIL (CIALIS) may help a man with ED get and keep
an erection when he is sexually excited.
TADALAFIL (CIALIS)
does not: ?Cure ED ? Increase a man’s sexual desire. ? Protect
a man or his partner from sexually transmitted diseases, including HIV.
Speak to your doctor about ways to guard against sexually transmitted
diseases. ? Serve as a male form of birth control TADALAFIL TROCHES
(CIALIS) is only for men with ED. TADALAFIL (CIALIS) is not for women
or children. TADALAFIL TROCHES (CIALIS) must be used only under doctor’s
care.
Do
not take TADALAFIL TROCHES (CIALIS) if you:
- Take any medicines
called nitrates. Nitrates are commonly used to treat angina. Angina
is a symptom of heart disease and can cause pain in your chest, jaw,
or down your arm. Medicines called nitrates include nitroglycerin
that is found in tables, sprays, ointments, pastes or patches. Nitrates
can also be found in other medicines such as isosorbide nitrate or
isororbide mononitrate. Some recreational drugs called “poppers”
also contain nitrates, such as amyl nitrite and butyl nitrite. Do
not use TADALAFIL TROCHES (CIALIS) if you are using these drugs. Ask
your doctor or pharmacist if you are not sure if any of your medicines
are nitrates.
- You have been
told by your healthcare provider to not have sexual activity because
of health problems. Sexual activity can put an extra strain on your
heart, especially if your heart is already weak from a heart attack
or heart disease.
- Are allergic
to TADALAFIL (CIALIS) or any of its ingredients.
What
should you discuss with your doctor before taking TADALAFIL TROCHES
(CIALIS)?
Before taking TADALAFIL TROCHES (CIALIS), tell your doctor about all
your medical problems, including if you: Have heart problems such as
angina, hear failure, irregular heartbeats, or have had a heart attack.
Ask your doctor if it is safe for you to have sexual activity. Have
low blood pressure or have high blood pressure that is not controlled
or have had a stroke. Have liver problems, have kidney problems or require
dialysis. Have retinitis pigmentosa, a rare genetic (runs in families)
eye disease. Have stomach ulcers. Have a bleeding problem. Have a deformed
penis shape or Peyronie’s disease. Have had an erection that lasted
more than 4 hours. Have blood cell problems such as sickle cell anemia,
multiple myeloma, or leukemia
Can
other medications affect TADALAFIL TROCHES (CIALIS)?
Tell your doctor about all the medicines you take including prescription
and non- prescription medicines, vitamins and herbal supplements. TADALAFIL
TROCHES (CIALIS) and other medicines may affect each other. Always check
your doctor before starting or stopping any medicines. Especially tell
your doctor if you take any of the following:
- Medicines called
nitrates (See “What important information should you know about
TADALAFIL TROCHES (CIALIS)?”)
- Medicines called
alpha blockers. These include Hytrin? (trazosin HCl), Flomax? (tamsulsosin
HCl), Cardura? (doxasosin mesylate), Minipress? (prazosin HCL) or
Uroxatral? (alfazosin HCl). Alpha blockers are sometimes prescribed
for prostate problems or high blood pressure. If TADALAFIL (CIALIS)
is taken with certain alpha blockers, your blood pressure could suddenly
drop. You could get dizzy or faint.
- Ritonavir (Novir?)
or indinavir (Crixivan?) Ketoconazole or itraconazole (such as Nizoral?
or Sporanox?) Erythromycin
- Other medicines
or treatments for ED
How
should you take TADALAFIL TROCHES (CIALIS)?
Use TADALAFIL TROCHES (CIALIS) exactly as your doctor prescribes. TADALAFIL
TROCHES (CIALIS) comes in a 10mg round scored tablet that dissolves
in the mouth under the tongue. For most men, the recommended dose is
½ a troche (5mg) dissolved in the mouth with minimal swallowing
to allow rapid absorption. Some men may require the whole 10mg TADALAFIL
TROCHE. TADALAFIL TROCHES (CIALIS) should not be taken more than once
a day. Some men can only take the tablet every two days as it is so
effective
Dissolve one half
to one troche (tablet) before sexual activity. In some patients, the
ability to have sexual activity was improved at 10 minutes after taking
the sublingual troche of TADALAFIL (CIALIS). The ability to have sexual
activity was improved up to 36 hours after taking TADALAFIL (CIALIS).
Some form of sexual stimulation is needed for an erection to happen
with TADALAFIL (CIALIS). TADALAFIL TROCHES (CIALIS) may be taken with
or without meals; however, never while in the process of eating or drinking
liquids or chewing gum or other candy. The only thing in the mouth should
be the TADALAFIL TROCHES (CIALIS).
Do not drink alcohol
to excess when taking TADALAFIL TROCHES (CIALIS) (for example, 5 glasses
of wine or 5 shots of whiskey). When taken in excess, alcohol can increase
your chances of getting headache or getting dizzy, increasing your heart
rate or lowering your blood pressure. If you take too much TADALAFIL
TROCHES (CIALIS), call your doctor or emergency room right away.
What
are the possible side effects of TADALAFIL TROCHES (CIALIS)?
The most common side effects with TADALAFIL TROCHES (CIALIS) are headache,
indigestion, back pain, muscle aches, flushing, and stuffy or runny
nose. These side effects usually go away after a few hours. Patients
who get back pain and muscle aches usually get it 12 to 24 hours after
taking TADALAFIL TROCHES (CIALIS). Back pain and muscle aches usually
go away by themselves within 48 hours. Call your doctor if you get a
side effect that bothers you or one that will not go away.
TADALAFIL
TROCHE (CIALIS) may uncommonly cause:
- Erections that
won’t go away (priapism) that lasts more than 4 hours, get medical
help right away. Priapism must be treated as soon as possible or lasting
damage can happen to your penis including the inability to have erections.
- Vision changes,
such as seeing a blue tinge to objects or having difficulty telling
the difference between the colors blue and green.
These are not all side effects of TADALAFIL TROCHES (CIALIS). For
more information ask your doctor or pharmacist.
General
information about TADALAFIL TROCHES (CIALIS):
Do not use TADALAFIL TROCHES (CIALIS) for a condition for which it was
not prescribed. Do not give TADALAFIL TROCHES (CIALIS) to other person,
even if they have the same symptoms that you have. It may harm them.
