Facts:
Sildenafil Citrate soft tabs are compounded using Pfizer’s Viagra®. This is not a generic or herbal medication.

Sildenafil Citrate soft tabs dissolve under your tongue and enter your blood stream quicker than tablets.

Sildenafil Citrate soft tabs start working faster than tablets.

Sildenafil Citrate soft tabs are not affected by food intake.


Dosage:
For some men, a half tab is adequate to receive the desired results. You should never take more than one Sildenafil Citrate soft tab at any one time and not more than once a day.



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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).

After 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.
*This compounded medicine is not marketed, manufactured, distributed or endorsed by Pfizer®, Inc.
Sildenafil Citrate Tabs are sold under the registered trademark Viagra®