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.