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CIALIS is used to treat erectile dysfunction or ED also known as impotence in men. This is when a man cannot get, or keep, a hard erect penis when needed for having sex.
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The active ingredient in CIALIS tablets is called tadalafil which belongs to a group of medicines called phosphodiesterase type 5 inhibitor. Following sexual stimulations, CIALIS tadalafil works by helping the blood vessels in your penis to relax, allowing the flow of blood into your penis. The result of this causes improved erectile function. CIALIS is not going to help you if you do not have erectile dysfunction issue.

It is important to note that CIALIS does not work if there is no sexual stimulations. Partners will need to engage in a foreplay, just as you would if you were not taking a medicine for erectile dysfunction. Ask your doctor if you have any questions about why CIALIS has been prescribed for you. Your doctor may have prescribed it for another reason. CIALIS is available only with a doctor's prescription.

Before You Take CIALIS Tadalafil

Do not take CIALIS if:

you are currently taking any nitrates or amyl nitrite. Nitrates are medicines used in the treatment of angina pectoris ("chest pain"). CIALIS has been shown to increase the effects of these drugs. If you are taking any form of nitrate or are unsure tell your doctor;

you have had an allergic reaction in the past to tadalafil or any of the other ingredients of CIALIS listed at the end of this leaflet.
Some of the symptoms of an allergic reaction may include shortness of breath, wheezing or difficulty breathing; swelling of the face, lips, tongue or other parts of the body; rash, itching or hives on the skin. Do not take CIALIS after the expiry date printed on the pack or if the packaging is torn or shows signs of tampering. If it has expired or is damaged, return it to your pharmacist for disposal. If you are not sure whether you should start taking CIALIS, talk to your doctor.

How Much Cialis to Take
The recommended dose is 20mg before sexual activity. You should NOT take CIALIS more than once a day.

How to Take Cialis

CIALIS tablets are for oral use. Swallow the tablet whole with water. You may take CIALIS with or without food or alcohol.

When to Take Cialis

You can engage in sexual activity within half an hour of taking the tablet and up to 36 hours later. It may be possible for you to engage in sexual activity more than once - for example, in the evening and again in the morning. The amount of time CIALIS takes to work varies from person to person. After you have taken CIALIS you may wish to attempt sexual intercourse at different times to decide the best time range for you and your partner. Your dose may be lowered to 10mg based on your individual response to CIALIS. If you are not sure when to take CIALIS, ask your doctor or health care professional.

While You are Taking CIALIS Tadalafil

Things You Must Do

If you are about to be started on any new medicine, remind your doctor and pharmacist that you are taking CIALIS. Tell any other doctors, dentists and health care professionals who treat you that you are taking CIALIS.

Things You Must Not Do

Do not use CIALIS to treat any other complaints unless your doctor tells you to. Do not give CIALIS tablets to others, even if they have similar conditions. Their doctor should decide if CIALIS is right for them.

Things to be Careful Of

Although the frequency of dizziness in men taking CIALIS was similar to that of men taking placebo (sugar pills) in clinical studies, you should be aware of how you react to CIALIS before you drive or operate machinery.

Side Effects of Cialis

Tell your doctor or health care professional as soon as possible if you do not feel well while you are taking CIALIS. CIALIS helps most people with erectile dysfunction, but it may have unwanted side effects in a few people. Most of the side effects are mild to moderate in nature. Do not be alarmed by the following list of the most common possible side effects. You may not experience any of them. Ask your doctor or health care professional to answer any questions you may have. Tell your doctor or health care professional if you notice any of the following and they are troublesome, severe, or do not go away:

headache
indigestion
back pain
muscle aches
nasal congestion
facial flushing
swelling of the eyelids
eye pain
red eyes
dizziness.
Allergic reactions (including skin rashes) could occur. In rare instances it is possible that a prolonged and possibly painful erection may occur after taking CIALIS. If you have such an erection which lasts continuously for more than 4 hours, you should contact a doctor immediately. In case of chest pain occurring during or after sexual activity you should NOT use nitrates but you should seek immediate medical assistance. Tell your doctor or pharmacist if you notice anything that is making you feel unwell.

Cialis Ingredients - Tadalafil
CIALIS tablets contain either 10 mg or 20 mg of the active ingredient called tadalafil. CIALIS tablets also contain the following ingredients: lactose monohydrate, croscarmellose sodium, hydroxypropylcellulose, microcrystalline cellulose, sodium laurilsulfate, magnesium stearate, hypromellose, triacetin, titanium dioxide (E171), iron oxide (E172) and talc.

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