CIALIS® (Tadalafil)

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CIALIS is the only prescription erectile dysfunction (ED) tablet clinically proven to both go to work fast, in as little as 30

minutes for some men, and work up to 36 hours.† With CIALIS, you can be ready when the moment is right.

†Individual results may vary. In clinical trials, CIALIS was shown to improve, up to 36 hours after dosing, the ability of men

with ED to have a single, successful intercourse attempt. CIALIS has not been studied for multiple attempts per dose

http://www.cialis.com

Updated safety information for oral ED medications, including CIALIS

Sudden loss or decrease in hearing, sometimes with ringing in the ears and dizziness, has been reported in rare instances in

men taking prescription ED tablets, including CIALIS. It is not possible to determine whether these events are related

directly to the PDE5 inhibitors, to other diseases or medications, to other factors, or to a combination of factors. If you

experience these symptoms, stop taking CIALIS and contact a doctor right away.
Important Safety Information for CIALIS® (tadalafil)
CIALIS is indicated for the treatment of erectile dysfunction.
CIALIS IS NOT FOR EVERYONE. Tell your doctor about your medical conditions and all medications, and ask if you're healthy

enough for sexual activity.
Don't take CIALIS if you take nitrates, often prescribed for chest pain, as this may cause a sudden, unsafe drop in blood

pressure.
Don't drink alcohol in excess (to a level of intoxication) with CIALIS, as this may increase your chances of getting dizzy or

lowering your blood pressure. CIALIS does not protect against sexually transmitted diseases, including HIV. The most common

side effects with CIALIS were headache and upset stomach. Backache and muscle ache were also reported, sometimes with delayed

onset.
As with any ED tablet, in the rare event of priapism (an erection lasting more than 4 hours), seek immediate medical help to

avoid long-term injury.
In rare instances, men taking prescription ED tablets (including CIALIS) reported a sudden decrease or loss of vision. It's

not possible to determine if these events are related directly to the ED tablets or to other factors. If you have a sudden

decrease or loss of vision, stop taking any ED tablet and call your doctor right away.
Sudden loss or decrease in hearing, sometimes with ringing in the ears and dizziness, has been reported in rare instances in

men taking prescription ED tablets, including CIALIS. It is not possible to determine whether these events are related

directly to the PDE5 inhibitors, to other diseases or medications, to other factors, or to a combination of factors. If you

experience these symptoms, stop taking CIALIS and contact a doctor right away.
Individual results may vary. In clinical trials, CIALIS was shown to improve, up to 36 hours after dosing, the ability of men

with ED to have a single successful intercourse attempt. CIALIS has not been studied for multiple sexual attempts per dose.
CIALIS is available by prescription only. For additional safety information http://www.cialis.com/common_pages/safety.jsp ,

talk to your doctor about this medicine and see the full Patient Information

http://www.cialis.com/common_pages/prescribe_pt_info.jsp .

Important Safety Information

What important information should you know about CIALIS?

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 CIALIS if you:

• take any medicines called nitrates
• use recreational drugs called "poppers" like amyl nitrite and butyl nitrite (See "Who should not take CIALIS?")

Tell all your healthcare providers that you take CIALIS. If you need emergency medical care for a heart problem, it will be

important for your healthcare provider to know when you last took CIALIS.

After taking a single tablet, some of the active ingredient of CIALIS 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 (see

"Can other medications affect CIALIS?").
What is CIALIS?

CIALIS is a prescription medicine taken by mouth for the 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 cannot keep an erection. A man who has

trouble getting or keeping an erection should see his doctor for help if the condition bothers him. CIALIS may help a man with

ED get and keep an erection when he is sexually excited.
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

CIALIS is only for men with ED. CIALIS is not for women or children. CIALIS must be used only under a doctor's care.
Who should not take CIALIS?
Do not take 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 tablets,

sprays, ointments, pastes, or patches. Nitrates can also be found in other medicines such as isosorbidedinitrate or isosorbide

mononitrate. Some recreational drugs called "poppers" also contain nitrates, such as amyl nitrite and butyl nitrite. Do not

use 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 CIALIS or any of its ingredients. The active ingredient in CIALIS is called tadalafil. See Patient

Information for a complete list of ingredients

What should you discuss with your doctor before taking CIALIS?
Before taking CIALIS, tell your doctor about all your medical problems, including if you:

• have heart problems such as angina, heart 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
• 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 ever had severe vision loss, including a condition called NAION
• 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 CIALIS?
Tell your doctor about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal

supplements. CIALIS and other medicines may affect each other. Always check with 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 CIALIS?")
• medicines called alpha blockers. These include Hytrin® (terazosin HCl), Flomax® (tamsulosin HCl), Cardura® (doxazosin

mesylate), Minipress® (prazosin HCl) or Uroxatral® (alfuzosin HCl). Alpha blockers are sometimes prescribed for prostate

problems or high blood pressure. If CIALIS is taken with certain alpha blockers, your blood pressure could suddenly drop. You

could get dizzy or faint

• ritonavir (Norvir®) or indinavir (Crixivan®)
• ketoconazole or itraconazole (such as Nizoral® or Sporanox®)
• erythromycin
• other medicines or treatments for ED

How should you take CIALIS?
Take CIALIS exactly as your doctor prescribes. CIALIS comes in different doses (5 mg, 10 mg, and 20 mg). For most men, the

recommended starting dose is 10 mg. CIALIS should be taken no more than once a day. Some men can only take a low dose of

CIALIS because of medical conditions or medicines they take. Your doctor will prescribe the dose that is right for you.

* If you have kidney problems, your doctor may start you on a lower dose of CIALIS
* If you have kidney or liver problems or you are taking certain medications, your doctor may limit your highest dose of

CIALIS to 10 mg and may also limit you to one tablet in 48 hours (2 days) or one tablet in 72 hours (3 days)
* If you have prostate problems or high blood pressure for which you take medicines called alpha blockers, your doctor may

start you on a lower dose of CIALIS

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Take one CIALIS tablet before sexual activity. In some patients, the ability to have sexual activity was improved at 30

minutes after taking CIALIS when compared to a sugar pill. The ability to have sexual activity was improved up to 36 hours

after taking CIALIS when compared to a sugar pill. You and your doctor should consider this in deciding when you should take

CIALIS prior to sexual activity. Some form of sexual stimulation is needed for an erection to happen with CIALIS. CIALIS may

be taken with or without meals. Do not change your dose of CIALIS without talking to your doctor. Your doctor may lower your

dose or raise your dose, depending on how your body reacts to CIALIS.

Do not drink alcohol to excess when taking CIALIS (for example, 5 glasses of wine or 5 shots of whiskey). When taken in

excess, alcohol can increase your chances of getting a headache or getting dizzy, increasing your heart rate, or lowering your

blood pressure. If you take too much CIALIS, call your doctor or emergency room right away.
What are the possible side effects of CIALIS?

The most common side effects with 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 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.

CIALIS may uncommonly cause an erection that won't go away (priapism). If you get an erection 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.

CIALIS may uncommonly cause vision changes, such as seeing a blue tinge to objects or having difficulty telling the difference

between the colors blue and green.

In rare instances, men taking PDE5 inhibitors (oral erectile dysfunction medicines, including CIALIS) reported a sudden

decrease or loss of vision in one or both eyes. It is not possible to determine whether these events are related directly to

these medicines, to other factors such as high blood pressure or diabetes, or to a combination of these. If you experience

sudden decrease or loss of vision, stop taking PDE5 inhibitors, including CIALIS, and call a doctor right away.

Sudden loss or decrease in hearing, sometimes with ringing in the ears and dizziness, has been reported in rare instances in

men taking prescription ED tablets, including CIALIS. It is not possible to determine whether these events are related

directly to the PDE5 inhibitors, to other diseases or medications, to other factors, or to a combination of factors. If you

experience these symptoms, stop taking CIALIS and contact a doctor right away.

These are not all the possible side effects of CIALIS. For more information, ask your doctor or pharmacist.

How should CIALIS be stored?

• Store CIALIS at room temperature between 59°F and 86°F (15°C and 30°C)
• Keep CIALIS and all medicines out of the reach of children

General Information about CIALIS:

Medicines are sometimes prescribed for conditions other than those described in patient information leaflets. Do not use

CIALIS for a condition for which it was not prescribed. Do not give CIALIS to other people, even if they have the same

symptoms that you have. It may harm them.
Info from this site we get here http://www.cialis.com/index.jsp
CIALIS® (tadalafil) is a registered trademark of Eli Lilly and Company.