Generic Name: tadalafil (ta DAL what is cialis how cialis works cialis logo pills cialis logo a fil brand Names: Adcirca, Cialis, medically reviewed on July 12, 2017. Cialis viagra and cialis combination (tadalafil) relaxes muscles of the blood vessels and increases blood flow to particular areas of the body. Cialis is what is cialis pills used to treat erectile dysfunction (impotence) and symptoms of benign prostatic hypertrophy (enlarged prostate). Another brand of tadalafil is Adcirca, which is used to treat pulmonary arterial hypertension and improve exercise capacity in men and women. Do is cialis safe not take Cialis while also taking Adcirca, unless your doctor tells you. Do not take Cialis if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs such as "poppers". Taking tadalafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure. Some medicines can cause unwanted or dangerous effects when used with Cialis. Tell your doctor about all your current medicines, especially riociguat (Adempas). Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than what is cialis pills 4 hours. A prolonged erection (priapism) can damage the penis. Get medical help at once what is cialis pills if you have nausea, chest pain, or dizziness during sex. Stop using Cialis and get emergency medical help if you have sudden vision loss. Before taking this medicine, you should not take Cialis if you are allergic to tadalafil. Taking Cialis with certain other medicines can cause a sudden and serious decrease in blood pressure. Do not take this medicine if you also use: riociguat (to treat pulmonary arterial hypertension or a nitrate drug (for chest pain or heart problems) such as nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, or recreational drugs such as amyl nitrate or nitrite "poppers". Some tadalafil can remain in your bloodstream for 2 or more days after each dose you take (longer if you have liver or kidney disease). Avoid nitrate use during this time. To make sure what is cialis pills this Cialis is safe for you, tell what is cialis pills your doctor if you have ever had: heart disease or heart rhythm problems; a heart attack or stroke; angina (chest pain high or low blood pressure; pulmonary hypertension (unless you are taking tadalafil for this. Sudden vision loss has occurred in a small number of people taking medicines like tadalafil (Viagra or others). Most of these people already had certain eye problems or risk fa cholesterol, coronary artery disease, smoking, or being over 50 years old). It is not clear whether the medicine was the actual cause of vision loss. Cialis is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. It is not known whether tadalafil passes into breast milk or if it could affect the nursing baby. Tell your doctor if you are breast-feeding. Cialis is not approved for use by anyone younger than 18 years old. How should I take Cialis? Cialis is usually taken only once per day. Follow what is cialis pills all directions how cialis works on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended. Cialis can be taken with or without food. Do not break or split what is cialis pills a tablet. For erectile dysfunction, take Cialis just before sexual activity but not more than once per day. Cialis can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill. Follow your doctor's instructions. Do not take Cialis for erectile dysfunction if you are taking Adcirca for pulmonary arterial hypertension. Store at room temperature away from moisture and heat. See also: Dosage cialis related deaths Information (in more detail) What happens if I miss a dose? As Cialis is used as needed, you are not likely to be on a dosing schedule. What happens if I overdose?

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For the Central Asian kingdom, see. Tadalafil iNN ) 2 is a, pDE5 inhibitor marketed in pill form for treating erectile dysfunction (ED) under the name, cialis /sils/ see-AL-iss, and under the name. Adcirca /dsrk/ ad-SUR-k for the treatment of pulmonary arterial generic cialis 20mg hypertension. In October 2011 the,.S. Food and Drug Administration (FDA) approved Cialis for treating the signs and symptoms of benign prostatic hyperplasia (BPH) as well as a combination of BPH and erectile dysfunction when the conditions coincide. It initially was developed by the biotechnology company, iCOS, and then again developed and marketed worldwide by Lilly icos, LLC, the joint venture of icos Corporation and. Eli Lilly and Company. Cialis tablets,.5 mg, 5 mg, 10 mg, and 20 mg doses, are yellow, film-coated, and almond-shaped. The approved dose for pulmonary arterial hypertension is 40 mg (two 20 mg tablets) once daily. Tadalafil is also manufactured and sold under the name. Tadacip by the Indian pharmaceutical company, cipla in doses of 10 mg and 20 mg. On November 21, 2003 the FDA approved tadalafil (as Cialis) for sale in the United States as the third ED prescription drug pill (after sildenafil generic cialis 20mg citrate (Viagra) and vardenafil (Levitra). Like sildenafil and vardenafil, tadalafil is recommended as an 'as needed' medication. Cialis is also offered as a once-daily medication. Tadalafil was approved in May 2009 in the United States for the treatment of pulmonary arterial hypertension 3 and is under regulatory review in other regions for this condition. In late November 2008, Eli Lilly sold the exclusive rights to commercialize tadalafil for pulmonary arterial hypertension in the United States. United Therapeutics generic cialis 20mg for an upfront payment of 150 million. Contents Side effects edit Tadalafil has been used by approximately 15,000 men participating in clinical trials, and over eight million men worldwide (primarily in the post-approval/post-marketing setting). The most common side effects when using tadalafil are headache, stomach discomfort or pain, indigestion, burping, acid reflux, back pain, muscle aches, flushing, and stuffy or runny nose. These side effects reflect the ability of PDE5 inhibition to cause vasodilation (cause blood vessels to widen and usually go away after a few hours. Back pain and muscle aches can occur 12 to 24 hours after taking the drug, and the symptom usually disappears after 48 hours. In May 2005, the.S. Food and Drug Administration found that tadalafil (along with other PDE5 inhibitors) was associated with vision impairment related to naion ( non-arteritic anterior ischemic optic neuropathy ) in certain patients taking these drugs in the post-marketing (outside of clinical trials) setting. Most, but not all, of these patients had underlying anatomic or vascular risk factors for development of naion unrelated to PDE5 use, including: low cup to disc ratio crowded disc age over 50, diabetes, hypertension, coronary artery disease, hyperlipidemia and smoking. Given the small number of naion events with PDE5 use (fewer than one in one million the large number of users of PDE5 inhibitors (millions) and the fact that this event occurs in a similar population to those who do not take these medicines, the. However, the label of all three PDE5 inhibitors was changed to alert clinicians to a possible association. In October 2007, the FDA announced that the labeling for all PDE5 inhibitors, including tadalafil, requires a more prominent warning of the potential risk of sudden hearing loss as the result of postmarketing reports of deafness associated with use of PDE5 inhibitors. 4 Drug interactions edit Since PDE5 inhibitors such as tadalafil may cause transiently low blood pressure ( hypotension alkyl nitrites ( poppers ) should generic cialis 20mg not be taken for at least 48 hours after taking the last dose of tadalafil. Using poppers (such as the sex drug amyl nitrite ) within generic cialis 20mg this timeframe may increase the risk of life-threatening hypotension. Since people who have taken tadalafil within the past 48 hours cannot take organic nitrates to relieve angina (such as glyceryl trinitrate spray these patients should seek immediate medical attention if they experience anginal chest pain. 5 In the event of a medical emergency, paramedics and medical personnel should be notified of any recent doses of tadalafil. Tadalafil is metabolized predominantly by the hepatic CYP3A4 enzyme system. The presence of other drugs which induce this system can shorten tadalafil half-life and reduce serum levels, and hence efficacy, of the drug. Pharmacodynamics edit Although sildenafil (Viagra vardenafil (Levitra and tadalafil (Cialis) all work by inhibiting PDE5, tadalafil's pharmacologic distinction is its longer half-life (17.5 hours) 6 compared to sildenafil and vardenafil (both 45 hours) 7 resulting in longer duration of action, and so partly responsible for.

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