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How can I report a serious side effect with Cialis to FDA? FDA encourages anyone aware of a serious side effect, including consumers or patients, to make a MedWatch report. You can report an adverse event either online, by regular mail or by fax, using the contact information at the bottom of this page. Tadalafil is a medicine that is commonly used for the following conditions.

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Cialis may be taken with or without food. In some patients, the dose strength and maximum frequency of use may be adjusted. For more detailed information consult with your health care provider. Are there any side effects with Cialis? As with any drug product, there may be side effects.

Heavy meals

The most commonly reported side effects in patients treated with Cialis during the testing of the product were: Patients who get back pain and muscle aches usually get them 12 to 24 hours after taking Cialis and these usually go away by themselves within 48 hours. The active ingredient can remain longer if you have problems with your kidneys or liver, or you are taking certain other medications. Physicians should discuss with patients the potential for CIALIS to augment the blood-pressure-lowering effect of alpha-blockers and antihypertensive medications. What should I talk to my doctor about when considering if Cialis is right for me? Because sexual activity can increase the work of the heart, your doctors should talk to you about your heart’s general condition and if Cialis is right for you.

What if I miss a dose?

Patients who have a condition called "left ventricular outlet obstruction" from valvular problems or heart muscle enlargement may get side effects such as fainting or light-headedness. Because patients with recent heart attacks or stroke, heart pains (angina), heart failure, uncontrolled blood pressure or uncontrolled irregular heart beats, severe liver disease, and retinal eye problems were not studied with Cialis, Cialis is not recommended for these patients. There may be rare occurrences of priapism or painful, prolonged erections. This is a serious condition that requires immediate medical attention. Patients should seek prompt medical attention if their erection lasts longer than four hours. Erectile dysfunction, a condition where you have trouble getting or keeping an erection Pulmonary arterial hypertension, a condition where you have high blood pressure in the blood vessels that carry blood from your heart to your lungs Benign prostatic hyperplasia (BPH), a condition where the prostate gland has become enlarged Tadalafil may also be used for other conditions as determined by your healthcare provider.

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Tadalafil works by blocking the activity of an enzyme called phosphodiesterase 5 (PDE5).

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This medicine is only available with a doctor's prescription. This medicine does not contain sucrose, gluten, tartrazine or any other azo dyes. Do not take this medicine if you are allergic to any of these ingredients. CIALIS 5 mg tablets are yellow, film coated, almond shaped tablets, marked "C5" on one side (Aust R 128496). CIALIS 10 mg tablets are light yellow, film coated, almond shaped tablets, marked "C10" on one side (Aust R 90590).

Professional resources

CIALIS 20 mg tablets are yellow, film coated, almond shaped tablets, marked "C20" on one cialis 20 mg 30 pills side (Aust R 81137). This leaflet was prepared in October 2024. Cialis is approved for the treatment of men who experience difficulty having and maintaining an erection (impotence). Cialis works by enhancing the effects of one of the chemicals the body normally releases into the penis during sexual arousal. This allows an increase of blood flow into the penis.

Reporting side effects

An erection is the result of an increase in blood flow into certain internal areas of the penis. How is Cialis different from the currently approved products for erectile dysfunction (ED)? Cialis is different from other currently approved products for ED in that it stays in the body longer. However, there were no studies that directly compared the clinical efficacy and safety of Cialis to other products. Cialis is taken orally before sexual activity, not more than once daily. This enzyme usually stops some types of muscles from relaxing, including the muscles lining some types of blood vessels. By blocking PDE5, the muscles will relax and blood flow increases. For erectile dysfunction, it increases blood flow to the cialis without prescriptions canada penis when aroused. This makes it easier to get and keep an erection.

Condition Risk/Reason Recommendation
Use with Nitrates Severe hypotension risk Avoid concurrent use
Severe Liver Impairment Altered drug metabolism Consult doctor before use
Severe Kidney Disease Increased side effects Use with caution, dosage adjustment
Hypotension Low blood pressure Do not use without medical advice

For pulmonary arterial hypertension, tadalafil relaxes the blood vessels in the lungs. This lowers blood pressure and reduces strain on the heart.

Aspect Percentage/Rating Comments
Efficacy 85% satisfied Effective for most users
Onset Speed 4 out of 5 ratings Usually within 30-60 minutes
Duration 5 out of 5 ratings Effect lasts up to 36 hours
Side Effects 15% report mild side effects Mostly minor and transient

For benign prostatic hyperplasia, tadalafil relaxes the muscles of the bladder and prostate, making it easier to urinate and reducing symptoms. Tadalafil should be stored at room temperature, between 68 F to 77 F (20 C to 25 C). It can be exposed to temperatures between 59 F to 86 F (15 C to 30 C) for shorter periods of time, such as when transporting it.

  • Tadalafil is also used off-label for certain pulmonary hypertension cases.
  • The 10mg tablet strength is one of the most commonly prescribed.
  • Its long duration allows for more spontaneity compared to shorter-acting ED drugs.
  • Some patients report improved confidence and reduced performance anxiety.
  • It is metabolized primarily in the liver by the CYP3A4 enzyme system.
  • Strong CYP3A4 inhibitors (like ketoconazole) can significantly increase tadalafil levels.

The most common side effects of tadalafil are listed below. The side effects may vary depending upon the condition being treated.

  • Cialis 10mg is suitable for most men with ED.
  • It provides a reliable option for improving sexual function.
  • Cialis works by increasing blood flow in the body.
  • The medicine can be taken with a light meal.
  • Avoid high-fat foods for faster absorption.
  • Side effects are usually mild and temporary.
  • Do not take Cialis with certain heart medications.
  • Inform your doctor about any allergy to medications.
  • Use only the prescribed dose to prevent adverse effects.
  • Cialis 10mg is not intended for recreational use.
  • Maintain open communication with your healthcare provider.
  • Always check the expiration date before use.

Tell your healthcare provider if you have any of these side effects that bother you.

  • Cialis 10mg is a popular choice for ED treatment due to its duration.
  • It is available by prescription and should be used as directed.
  • Common side effects include muscle aches and back pain.
  • Cialis 10mg can be effective for men of all ages.
  • Avoid taking Cialis with certain medications like alpha-blockers.
  • Overdose on Cialis can cause serious health problems.
  • Cialis may interact with other drugs, so inform your doctor.
  • The medication helps increase blood flow to the penis.
  • It is not a hormone and does not affect testosterone levels.
  • Cialis 10mg tablets are typically white or off-white.
  • Use caution if you have liver or kidney problems.
  • Always complete your prescribed course of treatment.

Pain in your muscles, back, arms, or legs There may be other side effects of tadalafil that are not listed here. Contact your healthcare provider if you think you are having a side effect of a medicine. In the U.S., you can report side effects to the FDA at or by calling 800-FDA-1088. In Canada, you can report side effects to Health Canada at or by calling 866-234-2345. While less common, the most serious side effects of tadalafil are described below, along with what to do if they happen. Tadalafil may cause allergic reactions, which can be serious.

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Follow the instructions in the carton on how to take care of your medicine properly. Store it in a cool dry place away from moisture, heat or sunlight; for example, do not store it: in the bathroom or near a sink, or in the car or on window sills. Keep it where young children cannot reach it. If you no longer need to use this medicine or it is out of date, take it to any pharmacy for safe disposal. Do not use this medicine after the expiry date.

Priapism and Your Cialis Dose

If you do experience any side effects, most of them are minor and temporary. However, some side effects may need medical attention. See the information below and, if you need to, ask your doctor or pharmacist if you have any further questions about side effects. *Sudden loss or decrease in hearing which may be accompanied by ringing in the ears and dizziness, loss of vision in one or both eyes and seizures have been reported in people taking CIALIS. It is not possible to determine whether these events are related directly to CIALIS, to other diseases or medications, to other factors, or to a combination of factors.

Cialis and other medications

If you experience these symptoms, stop taking CIALIS and contact a doctor immediately. Tell your doctor or pharmacist if you notice anything else that may be making you feel unwell. Other side effects not listed here may occur in some people. After you have received medical advice for any side effects that you experience, you can report side effects to the Therapeutic Goods Administration online at By reporting side effects, you can help provide more information on the safety of this medicine. Always make sure you speak to your doctor or pharmacist before you decide to stop taking any of your medicines. Stop taking tadalafil and get help right away if you have any of the following symptoms of a serious allergic reaction.

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Cialis will be available by prescription only. When will Cialis be available to pharmacies? FDA has no control over when products are available in pharmacies after FDA approval for marketing. The decision of availability is completely up to the company marketing the product. For further information contact your pharmacist or Eli Lilly and Company directly. Swelling of the face, lips, mouth, tongue, or throat Itching, skin rash, or pale red bumps on the skin called hives Tadalafil may cause an unwanted erection that is persistent, painful, and that may occur without sexual arousal. Permanent damage to the penis may occur if priapism is not treated quickly. Stop taking tadalafil and get emergency help right away if you have any of the following symptoms of priapism.

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Cialis should not be used by patients taking nitrates (such as nitroglycerin tablets or patches) because the combination of these with Cialis could significantly lower blood pressure and lead to fainting or even death in some men. Can Cialis be used with other treatments for impotence? The safety and effectiveness of Cialis when used with other treatments for impotence has not been studied. Combined use could lead to additional lowering of blood pressure, possibly to unsafe levels. Therefore the use of such treatments in combination cialis daily for sale with Cialis is not recommended.

What should I do if I miss a dose of tadalafil?

What if I am taking other drugs? Always discuss with your health care practitioner ALL of the medications you are taking (prescription and over-the-counter) that way, you can receive the best advice for your own situation. Cialis is not recommended for people taking any form of nitroglycerin because the combination may lower blood pressure to an unsafe level. Cialis will be available as oral tablets in 5mg, 10mg and 20mg strengths. Will Cialis be prescription or OTC (over-the-counter)? Erection lasting for more than 4 hours Erection that is unrelated to sexual stimulation If you feel faint or dizzy, lie down. Tell your healthcare provider right away if you have any of the following symptoms of low blood pressure. Tadalafil can cause mild, temporary vision changes such as seeing a blue tint, abnormal colors, blurry vision, or sensitivity to light. Though rare, some people have reported permanent vision loss.

  • Cialis 10mg is available in tablet form.
  • The medication is designed for men with ED symptoms.
  • Take Cialis with a glass of water for best results.
  • The effects can be felt within 30 minutes.
  • Cialis lasts longer than many other ED drugs.
  • Do not consume large amounts of alcohol with Cialis.
  • Notify your doctor if you experience vision changes.
  • Cialis is not suitable for women or children.
  • Use with caution if you have liver or kidney issues.
  • Side effects are manageable and usually temporary.
  • Regular check-ups are recommended during treatment.
  • Never share your medication with others.

Stop taking tadalafil and get help right away if you have sudden vision loss in one or both eyes. Tadalafil may cause a sudden decrease or loss of hearing. Stop taking tadalafil and tell your healthcare provider right away if you experience hearing loss or have any of the following symptoms.

Step Action Tips
Take with water Swallow tablet whole Avoid crushing or splitting
Food intake Can be taken with or without food Food may delay effect
Timing Take 30 to 60 minutes before anticipated activity Plan accordingly
Avoid alcohol Alcohol can impair effectiveness and cause side effects Limit or avoid alcohol