Cialis ( tadalafil ) tablets

How does it work?
This medicine contains the active ingredient tadalafil, which is a medicine used in the treatment of erectile dysfunction (impotence). Tadalafil is called a phosphodiesterase type 5 inhibitor, and works by preventing the action of a chemical in the body called phosphodiesterase type 5.
An erection is produced via a complex chain of events, involving signals from the nervous system and the release of chemical messengers within the tissues of the penis. One of these chemical messengers is called cyclic GMP.
Cyclic GMP causes the blood vessels in the penis to widen by relaxing a thin layer of muscle found in the blood vessel walls. This allows more blood to enter the penis, which ultimately results in the penis becoming rigid and erect.
Cyclic GMP is normally broken down by another chemical in the body called phosphodiesterase type 5. Tadalafil works by preventing the action of phosphodiesterase type 5, thus stopping the breakdown of cyclic GMP. This means that the blood vessels are kept dilated for longer, improving blood flow to the penis and maintaining an erection.
As tadalafil enhances the actions of the chemical messengers responsible for producing an erection, it will only work once these messengers are present. This means that sexual stimulation is required for it to produce and maintain an erection. The dose can be taken from 30 minutes to 12 hours before intended intercourse, and it may produce an erection in response to sexual stimulation up to 24 hours after taking the dose.

What is it used for?
Impotence (erectile dysfunction)

Warning!
If your erection lasts longer than 4 hours (priapism), consult a doctor immediately. Treatment of this condition should not be delayed more than 6 hours, as this can cause damage to the erectile tissue in the penis and irreversible erectile dysfunction.
This medicine may cause dizziness and so may affect your ability to drive or operate machinery safely. Do not drive or operate machinery until you know how this medicine affects you and you are sure it won't affect your performance.
If this medicine is taken with alcohol there is an increased risk of a drop in blood pressure that might make you feel dizzy. In addition, alcohol can impair sexual performance.
This medicine should not be taken more than once a day, and it is strongly recommended that you don't use it every day. This is because the long-term safety of using this medicine every day for long periods of time has not been established.

Use with caution in
Conditions such as sickle cell disease, bone cancer or leukaemia in which there is an increased risk of prolonged erections (priapism)
Decreased kidney function
Decreased liver function
Disease involving the heart and blood vessels (cardiovascular disease)
Physical abnormality of the penis, such as severe curvature, scarring or Peyronie's disease
Not to be used in
Abnormal heart beats (arrhythmias) not controlled by treatment
Angina not well controlled by medical treatment (unstable angina)
Children and adolescents under 18 years of age
Conditions in which sexual activity is not advisable, for example severe heart disorders
Hereditary galactose intolerance
Hereditary Lapp lactase deficiency
Inherited inability to absorb the sugars glucose and galactose (glucose-galactose malabsorption)
Low blood pressure (hypotension)
People taking any form of nitrate medications, eg glyceryl trinitrate
People who have had a heart attack in the last three months
People who have had a stroke in the last six months
People with angina that occurs during sex
People with mild to severe heart failure in the last six months
Uncontrolled high blood pressure (hypertension)
Women

This medicine should not be used if you are allergic to one or any of its ingredients. Please inform your doctor or pharmacist if you have previously experienced such an allergy.
If you feel you have experienced an allergic reaction, stop using this medicine and inform your doctor or pharmacist immediately.

Side effects
Medicines and their possible side effects can affect individual people in different ways. The following are some of the side effects that are known to be associated with this medicine. Because a side effect is stated here, it does not mean that all people using this medicine will experience that or any side effect.
Headache
Nasal congestion
Indigestion (dyspepsia)
Back pain
Dizziness
Flushing
Pain in the muscles (myalgia)
Eye pain
Red eye due to excess blood supply (hyperaemia)
Swelling of the eyelids
The side effects listed above may not include all of the side effects reported by the drug's manufacturer.
For more information about any other possible risks associated with this medicine, please read the information provided with the medicine or consult your doctor or pharmacist.

Disclaimer

This Information may change. Therefore, read the product information leaflet provided with the product before using it !!