1 INDICATIONS AND USAGE

If you feel chest pain, dizziness, or nausea during sex, stop and contact your healthcare provider right away.

7.1 Potential for Pharmacodynamic Interactions with CIALIS

It’s not known if Cialis is safe to take during pregnancy. For more information, please see the “Cialis and pregnancy” section above. It’s not known if Cialis is safe to take while breastfeeding. For more information, please see the “Cialis and breastfeeding” section above. Note: For more information about the potential negative effects of Cialis, see the “Cialis side effects” section above.

Pregnancy Categories

Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.

What should I do if I accidentally use too much tadalafil?

How to use: 1 tablet before sexual activity once daily. The effect should give the ability for erection for 36 hours. Precautions: Do not take another tablet except after 48 hours pass after the first tablet Delivery Information We deliver daily from 2:00 PM to 9:00 PM through our delivery associates, based on the selected shipping method at checkout: Bloom Super Express Orders placed before 2:00 PM are delivered the same day between 2:00 PM and 9:00 PM. Orders placed after 2:00 PM will be processed the next business day. Note: Some areas (e.g., Madinaty, El Shorouk, El Obour City, Helwan) are excluded from same-day delivery and will be delivered within 2–3 business days. Tadalafil does not protect against sexually transmitted infections, including HIV. Tadalafil belongs to a group of medicines, known as phosphodiesterase-5 (PDE-5) inhibitors, which are used to treat erectile dysfunction or pulmonary arterial hypertension. You should not take more than one PDE-5 inhibitor medicine. Medicines in this group include avanafil (Stendra), sildenafil (Viagra, Revatio, and others), tadalafil (Cialis and others), and vardenafil (Levitra, Staxyn).

If you take liquid tadalafil, shake the bottle well for 30 seconds before use. Use an accurate measuring device to measure your dose.

A household spoon is not an accurate measuring device and may cause you to take the wrong dose.

• Cialis 20mg is not suitable for use by women or minors.
• Discuss all medications and supplements with your doctor before use.
• Use Cialis 20mg at least 24 hours apart to avoid overdose.
• Your doctor may recommend blood tests before starting Cialis.
• Cialis 20mg may cause flushing, especially in hot weather.
• Maintain open communication with your healthcare provider about treatment progress.
• Avoid using Cialis 20mg with other ED medications unless advised.
• Sexual activity is safe for most people taking Cialis 20mg.
• The medication should be taken as part of a comprehensive ED treatment plan.
• Keep a record of any side effects or reactions during therapy.

Ask your pharmacist to recommend an appropriate measuring device. Tell your healthcare provider about all of your health conditions and any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using.

8.1 Pregnancy

Bloom Super Saver Delivery within 2–3 business days. Other Locations in Egypt Delivery within 2–7 business days. Returns: For returns and exchange details, please refer to our Return Policy. Tadalafil is a medicine that is commonly used for the following conditions. 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.

What should I know about tadalafil before using it?

Tadalafil works by blocking the activity of an enzyme called phosphodiesterase 5 (PDE5). 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 penis when aroused. This makes it easier to get and keep an erection.

Pulmonary Arterial Hypertension

For pulmonary arterial hypertension, tadalafil relaxes the blood vessels in the lungs. This lowers blood pressure and reduces strain on the heart. 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. This will help them determine if tadalafil is right for you. In particular, make sure that you discuss any of the following. Tell your healthcare provider if you have any of the following. Heart problems, such as heart rhythm problems, chest pain, or heart failure Heart attack, stroke, or heart surgery within the past six months High blood pressure that is still too high despite taking medicines for it Peyronie's disease, or a penis with an abnormal curve or shape An erection lasting longer than four hours A blood disorder, such as sickle cell anemia, multiple myeloma, or leukemia An inherited eye disease called retinitis pigmentosa Vision loss, or a problem with the nerve between your eyes and brain (optic nerve) Health conditions or factors that raise the risk of optic nerve problems, such as diabetes, high cholesterol, smoking, being older than 50, or having a “crowded disc,” which is something an eye doctor may see in an eye exam Pulmonary veno-occlusive disease, a condition where blood vessels in the lungs are blocked It is not known if or how tadalafil could affect pregnancy or harm an unborn baby. Tell your healthcare provider if you are or plan to become pregnant. Your healthcare provider will advise you if you should take tadalafil while you are pregnant or trying to get pregnant.

It is not known if tadalafil passes into breast milk.

• Absorption is not significantly affected by food, unlike some other ED drugs.
• A high-fat meal may delay the time to reach maximum concentration.
• For predictable timing, take on an empty stomach or with a light meal.
• Maximum plasma concentration is reached approximately 2 hours after dosing.
• The medication is highly protein-bound in the bloodstream.
• It is not removed by dialysis, so dose adjustment is critical in renal failure.
• In mild to moderate renal impairment, a maximum dose of 10mg is often advised.
• In severe renal impairment, the maximum recommended dose is 5mg.
• For patients on dialysis, use is not recommended.

Tell your healthcare provider if you are breastfeeding or plan to breastfeed. Your healthcare provider may recommend limiting or avoiding grapefruit while taking tadalafil.

• Generic tadalafil 20mg must meet the same FDA standards as the brand.
• Bioequivalence studies ensure generic versions work the same way.
• Pill imprint codes (e.g., C 5, TAD) help identify the manufacturer.
• Common generic manufacturers include Apotex, Aurobindo, and Teva.
• Prices for generic tadalafil have decreased significantly in recent years.
• Online telemedicine services may prescribe after a virtual consultation.
• Ensure any online service is legitimate and requires a doctor's review.
• Be wary of websites offering prescription drugs without a prescription.
• Your local pharmacist is a good resource for medication questions.

Grapefruit or grapefruit juice can raise tadalafil levels in your body, which can increase the risk of side effects. It is unknown if drinking alcohol will affect tadalafil. The risk of low blood pressure and dizziness may be increased if you drink alcohol while taking tadalafil. It is best to limit the amount of alcohol you drink while taking tadalafil. Always tell your healthcare provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. In particular, make sure that you discuss if you are using any of the following before taking tadalafil.

8.7 Renal Insufficiency

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. 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.

Cialis and herbs and supplements

People who are allergic to any of the following should not take tadalafil. Any of the ingredients in the specific product dispensed Your pharmacist can tell you all of the ingredients in the specific tadalafil products they stock. Tadalafil should not be taken while you are using certain other medicines. Before taking tadalafil, tell your healthcare provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. See the Interactions section for more details.

Less common

Do not take tadalafil unless it has been prescribed to you by a healthcare provider. Do not share tadalafil with other people, even if they have the same condition as you. Keep tadalafil out of the reach of children. Sexual activity can put extra strain on your heart, which may be unsafe for people with certain health problems, such as a recent heart attack. Talk to your healthcare provider to see if your heart is strong enough for sex. A nitrate, such as nitroglycerin (Nitro-Dur, Nitrostat, and others) or isosorbide, which is a medicine used for chest pain caused by a type of heart disease, or a street drug, such as amyl nitrite (“poppers”) A guanylate cyclase stimulator, such as riociguat (Adempas), which is a medicine used for high blood pressure in the lungs (pulmonary arterial hypertension), or vericiguat (Verquvo), which is a medicine used for a type of heart failure An alpha-blocker, such as alfuzosin (Uroxatral), doxazosin (Cardura), dutasteride, prazosin (Minipress), silodosin (Rapaflo), tamsulosin (Flomax), or terazosin (Hytrin), which is a medicine that may be used for high blood pressure and/or difficulty peeing due to an enlarged prostate A blood pressure medicine, such as amlodipine (Norvasc) or enalapril (Vasotec) Bosentan (Tracleer), which is a medicine used for pulmonary arterial hypertension A protease inhibitor, such as ritonavir (Norvir), which is a medicine commonly used to treat HIV Rifampin (Rifadin), which is a medicine commonly used to treat an infection called tuberculosis A medicine used for fungal infections, such as ketoconazole or itraconazole (Sporanox, Tolsura) Erythromycin (Ery-Tab and others) or clarithromycin (Biaxin), which is a medicine used for bacterial infections Any other medicine used for erectile dysfunction or pulmonary arterial hypertension Some other medicines may alter the blood levels of tadalafil.

Stores to help you save

The most common side effects of tadalafil are listed below. The side effects may vary depending upon the condition being treated. Tell your healthcare provider if you have any of these side effects that bother you. 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.

Alternatives for erectile dysfunction (ED)

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 brand cialis canadian pharmacy 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. Stop taking tadalafil and get help right away if you have any of the following symptoms of a serious allergic reaction.

Generic version

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. 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.