What Tadalafil is used for Tadalafil is a treatment for adult men with erectile dysfunction. This is when a man cannot get, or keep a hard, erect penis suitable for sexual activity. Tadalafil has been shown to significantly improve the ability of obtaining a hard-erect penis suitable for sexual activity. Tadalafil belongs to a group of medicines called phosphodiesterase type 5 inhibitors. Following sexual stimulation Tadalafil works by helping the blood vessels in your penis to relax, allowing the flow of blood into your penis. The result of this is improved erectile function. Tadalafil will not help you if you do not have erectile dysfunction. It is important to note that Tadalafil does not work if there is no sexual stimulation. Do not take Tadalafil if you: are allergic to tadalafil or any of the other ingredients of this medicine. have serious heart disease or recently had a heart attack within the last 90 days. recently had a stroke within the last 6 months. have low blood pressure or uncontrolled high blood pressure. ever had loss of vision because of non-arteritic anterior ischemic optic neuropathy, a condition described as “stroke of the eye”. Warnings and precautions: Before taking the tablets, tell your doctor if you have: sickle cell anemia (an abnormality of red blood cells). multiple myeloma (cancer of the bone marrow). leukemia (cancer of the blood cells). any deformation of your penis. a serious liver problem. a severe kidney problem. Possible side effects Like all medicines, this medicine can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature. If you experience any of the following side effects stop using the medicine and seek medical help immediately: allergic reactions including rashes. chest pain - do not use nitrates but seek immediate medical assistance. priapism, a prolonged and possibly painful erection after taking Tadalafil. If you have such an erection, which lasts continuously for more than 4 hours you should contact a doctor immediately. sudden loss of vision. Other side effects have been reported: headache, back pain, muscle aches, pain in arms and legs, facial flushing, nasal congestion, and indigestion. dizziness, stomach ache, feeling sick, being sick (vomiting), reflux, blurred vision, eye pain, difficulty in breathing, presence of blood in urine, prolonged erection, pounding heartbeat sensation, a fast heart rate, high blood pressure, low blood pressure, nose bleeds, ringing in the ears, swelling of the hands, feet or ankles and feeling tired. fainting, seizures and passing memory loss, swelling of the eyelids, red eyes, sudden decrease or loss of hearing, hives (itchy red welts on the surface of the skin), penile bleeding, presence of blood in semen and increased sweating. Other medicines and Tadalafil Tell your doctor if you are taking, have recently taken or might take any other medicines Do not take Tadalafil if you are already taking nitrates. Some medicines may be affected by Tadalafil or they may affect how well Tadalafil will work including: an alpha blocker (used to treat high blood pressure or urinary symptoms associated with benign prostatic hyperplasia). other medicines to treat high blood pressure. A-5-Alpha reductase inhibitor (used to treat benign prostatic hyperplasia). medicines such as ketoconazole tablets (to treat fungal infections) and protease inhibitors for treatment of AIDS or HIV infection. phenobarbital, phenytoin and carbamazepine (anticonvulsant medicines). rifampicin, erythromycin, clarithromycin or itraconazole. other treatments for erectile dysfunction. How to take Tadalafil The usual dose is 5mg, taken once a day, taken at the same time each day, without regard for the timing of sexual activity. You can take your tablet in the morning or evening, but it's best to take it at the same time each day. Your doctor might give you a low dose of 2.5mg if you are having any problems. How to store Tadalafil Keep this medicine out of the sight and reach of children. Do not use this medicine after the expiry date which is stated on the carton and blister after ‘EXP’. The expiry date refers to the last day of that month. Store in the original package in order to protect from moisture. Do not store above 30°C. Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.

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