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.
NOT take TADALAFIL (CIALIS) if you:
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).
any medicines called nitrates.
- Use recreational
drugs called “poppers” like amyl nitrite and butyl
nitrite. (See “Who should not take TADALAFIL (CIALIS)?”)
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.
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
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.
not take TADALAFIL TROCHES (CIALIS) if you:
should you discuss with
- 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.
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
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:
should you take TADALAFIL TROCHES (CIALIS)?
called nitrates (See “What important information should
you know about TADALAFIL TROCHES (CIALIS)?”)
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.
(Novir?) or indinavir (Crixivan?) Ketoconazole or itraconazole
(such as Nizoral? or Sporanox?) Erythromycin
- Other medicines
or treatments for ED
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.
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
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.
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.
TROCHE (CIALIS) may uncommonly cause:
information about TADALAFIL TROCHES (CIALIS):
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.
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.