What is generic Cialis (Tadalafil)?

• Generic means using a different name for the same ingredients. The content of the pill is absolutely the same. The pills differ only in the price.
• Cialis acts by relaxing muscles and increasing blood flow into penis and other parts of the human body.
• Cialis is used to treat impotence (erectile dysfunction).
• Cialis may be used for other purposes.

What should I discuss with my doctor before taking tadalafil?

• Do not take Cialis if you are using other drugs containing nitrates:  nitroglycerin (Nitrolingual, Nitrostat, Nitro-Bid, Nitro-Dur and others), isosorbide mononitrate (Imdur, Monoket, ISMO), isosorbide dinitrate (Sorbitrate, Dilatrate-SR, Isordil). Some recreational drugs such as amyl nitrate or nitrite ("poppers") may also contain nitrates. Taking Cialis with a these medicines can cause a serious decrease in blood pressure, leading to heart attack, stroke or fainting.
• Sudden loss of eyesight also may occurre after taking Cialis. But this side effect is very very rare and occurre most often in people with diabetes, heart disease, high cholesterol, high blood pressure or certain pre-existing eye problems, and in those who smoke or are over 50 years old. This side effect is caused by decreased blood flow to the optic nerve of the eye. It is not clear - it's only supposed that Cialis causes such vision loss.
• Consult with your doctor before taking Cialis if you have:
  • heart rhythm problems or heart disease;
  • had a heart attack (within the past 90 days);
  • high or low blood pressure;
  • sickle cell anemia, multiple myeloma, leukemia or other blood cell disorders;
  • had congestive heart failure or strokes (within the past 6 months);
  • chest pain (angina);
  • kidney disease (or if you are on dialysis);
  • liver disease;
  • a bleeding disorder such as hemophilia;
  • a stomach ulcer;
  • an inherited condition of the eye (retinitis pigmentosa);
  • a physical deformity of the penis (such as Peyronie's disease); or
  • if you should not have sexual intercourse for health reasons.
• If you have any of these conditions, you may not be able to use Cialis or you may need to adjust dosage or pass through special tests.
• FDA pregnancy category B: Although Cialis is not for use in women, this medication is not harmful to an unborn baby. Do not take Cialis if you are pregnant or plan to become pregnant during treatment without consultation.
• Although Cialis is not for use in women, it is not tested if Cialis can pass into breast milk harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
• You may need a lower dose of Cialis if you are older than 65.

How should I take Cialis?

• Take each dose of Cialis with a full glass of water.
• Avoid taking High-fat food before taking Cialis (fat may slower its effect).
• Cialis is usually taken only when needed (30 - 60 minutes before sexual activity). The medication helps to achieve an erection only in case of sexual stimulation. Taking a pill does not cause erection.
• Take Cialis no more than once a day (24 hours should pass between doses).
• the medication should be stored at room temperature away from moisture and heat.

What happens if I miss a dose?

• Cialis is used on "as needed" basis, you should not schedule taking it.

What happens if I overdose?

• If you have used too much of the drug - seek for urgent medical attention (Cialis overdose may include  irregular heartbeat, chest pain, nausea, and feeling light-headed or fainting.

What should I avoid while taking Cialis?

• Alcohol can increase some of the side effects of Cialis. Avoid drinking alcohol.
• Cialis may also interact with grapefruit or grapefruit juice. Discuss the use of grapefruit products with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.
• Do not combine Cialis with any other drug treating erectile dysfunction. This may include: yohimbine (Yocon, Yodoxin), alprostadil (Caverject, Muse, Edex) and others, unless your doctor tells you to.

What are the possible side effects of Cialis?

• Call your doctor right away if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity.
• Get emergency medical help if you have sudden vision loss.
• Ask for medical help if you have any of these allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
• Stop using Cialis and call your doctor at once if you have any of these serious side effects:
  • pain spreading to the arm or shoulder, chest pain or heavy feeling,  nausea, sweating, general ill feeling;
  • swelling in your hands, ankles, or feet;
  • irregular heartbeat;
  • vision changes;
  • feeling light-headed, fainting; or
  • shortness of breath;
  • erection that lasts 4 hours or longer and is painful.
• Continue taking Cialis and talk with your doctor if you have any of these less serious side effects:
  • stuffy nose;
  • warmth or redness in your face, neck, or chest;
  • upset stomach;
  • back pain;
  • headache.
• There may be some side effects other than those listed above. Consult with your doctor if you have any unusual side effect.

What drugs may interact with Cialis?

Do not take Cialis if you are taking these medications: nitroglycerin-type drugs (amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin) even if they are taken occasionally.

Cialis may also interact with: alpha blockers doxazosin (Cardura), alfuzosin (UroXatral), terazosin (Hytrin) or prazosin (Minipress) used for high blood pressure or an enlarged prostate treatment; bosentan; certain antibiotics (clarithromycin, erythromycin, troleandomycin); cimetidine; cisapride; diltiazem; grapefruit juice; certain drugs used for seizures (carbamazepine, phenytoin, and phenobarbital); mibefradil; nicardipine; certain medicines for the treatment of HIV infection or AIDS; medicines for fungal infections (itraconazole, fluconazole, voriconazole and ketoconazole); quinidine; rifabutin, rifapentine or rifampin; some drugs for treating anxiety, depression and other mood problems (fluvoxamine, fluoxetine, nefazodone); verapamil.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.