ED Medications: Cialis, Levitra, Viagra
Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Do not take more or less of it or take it more often than prescribed by your doctor.
How it works
Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine. Visit your care team for regular checks on your progress. Tell your care team if your symptoms do not start to get better or if they get worse.
Cialis for erectile dysfunction (ED)
Using this medication does not protect you or your partner against HIV or other sexually transmitted infections (STIs). Stop and call tadalafil pills your care team right away if you have symptoms such as nausea, dizziness, or chest pain during sex. Contact your care team right away if you have an erection that lasts longer than 4 hours or if it becomes painful. This may be a sign of a serious problem and must be treated right away to prevent permanent damage. Side effects that you should report to your care team as soon as possible: Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat Heart attack—pain or tightness in the chest, shoulders, arms, or jaw, nausea, shortness of breath, cold or clammy skin, feeling faint or lightheaded Low blood pressure—dizziness, feeling faint or lightheaded, blurry vision Redness, blistering, peeling, or loosening of the skin, including inside the mouth Stroke—sudden numbness or weakness of the face, arm, or leg, trouble speaking, confusion, trouble walking, loss of balance or coordination, dizziness, severe headache, change in vision Sudden vision loss in one or both eyes Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome): This list may not describe all possible side effects.
Your questions answered
You may report side effects to FDA at 1-800-FDA-1088. Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medication after the expiration date. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider. If you are taking tadalafil to treat PAH or BPH, follow your doctor's directions and the guidelines in this paragraph. You should take tadalafil one time a day. Take all of the tablets for your daily dose at one time each day; do not divide the tablets to take as separate doses. Take tadalafil at around the same time every day.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Cialis Generic | 40mg | 360 + 10 Pills | 477.87€ 455.11€ | |
| Cialis Generic | 5mg | 30 + 4 Pills | 53.56€ 51.01€ | |
| Cialis Generic | 40mg | 30 + 4 Pills | 74.97€ 71.40€ | |
| Cialis Generic | 20mg | 90 + 6 Pills | 154.71€ 147.34€ | |
| Cialis Generic | 20mg | 180 + 10 Pills | 254.09€ 241.99€ | |
| Cialis Generic | 20mg | 30 + 4 Pills | 68.05€ 64.81€ | |
| Cialis Generic | 20mg | 10 Pills | 31.49€ 29.99€ | |
| Tadalista Super Active | 20mg | 90 + 10 Pills | 314.14€ 299.18€ | |
| Cialis Generic | 10mg | 90 + 6 Pills | 146.17€ 139.21€ | |
| Cialis Generic | 2.5mg | 30 + 4 Pills | 51.95€ 49.48€ | |
| Cialis Generic | 60mg | 60 + 4 Pills | 145.06€ 138.15€ | |
| Cialis Generic | 60mg | 30 + 2 Pills | 85.33€ 81.27€ | |
| Cialis Generic | 5mg | 120 + 6 Pills | 132.92€ 126.59€ | |
| Tadalista Super Active | 20mg | 30 + 6 Pills | 128.09€ 121.99€ | |
| Cialis Generic | 60mg | 180 + 10 Pills | 313.11€ 298.20€ |
If you are already taking medication to treat BPH, your doctor may tell you to stop taking your other medication at least one day before starting treatment with tadalafil. Follow your doctor's directions carefully, and ask your doctor or pharmacist to explain any part you do not understand. If you are taking tadalafil for erectile dysfunction, your doctor will probably start you on an average dose of tadalafil and increase or decrease your dose depending on your response to the medication.
Treatment Options When Cialis Does Not Work Well
Your doctor will help you decide the best time for you to take tadalafil before sexual activity. Tadalafil is also sometimes taken once a day every day without regard to timing of sexual activity. You may attempt sexual activity at any time between doses. If you are taking tadalafil on a regular schedule, take it at around the same time every day. If you have certain health conditions or are taking certain medications, your doctor may tell you to take tadalafil less often or may prescribe a lower dose to be taken once a day. Tell your doctor if tadalafil is not working well or if you are experiencing side effects.
- Tadalafil may interact with other medications like alpha-blockers.
- It is important to avoid grapefruit or grapefruit juice while taking tadalafil.
- Side effects are usually mild but seek medical help for serious reactions.
- Allergic reactions to tadalafil are rare but possible.
- Tadalafil does not cause spontaneous erections without sexual arousal.
If you are taking tadalafil for PAH, you should know that tadalafil controls PAH but does not cure it. Continue to take tadalafil even if you feel well. Do not stop taking tadalafil without talking to your doctor.
| Condition | Approved by FDA | Common Off-label Uses | Notes |
|---|---|---|---|
| Erectile Dysfunction | Yes | BPH (Benign Prostatic Hyperplasia) | Common off-label for BPH |
| Pulmonary Hypertension | Yes | - | Under brand Adcirca |
| BPH Symptoms | Yes | - | Often combined with ED treatment |
| Exercise-Induced Pulmonary Hypertension | No | - | Not an approved indication |
Ask your pharmacist or doctor for a copy of the manufacturer's information for the patient.
More about tadalafil
No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician. Get the latest in health news delivered to your inbox! Tadalafil tablets are a medication that treats erectile dysfunction. It increases blood flow to your penis, which helps you maintain an erection. It can also treat benign prostatic hyperplasia and symptoms of an enlarged prostate.
How Levitra works:
Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. TADALAFIL (tah DA la fil) treats erectile dysfunction (ED). It works by increasing blood flow to the penis, which helps to maintain an erection.
How long does Cialis stay in your system?
It may also be used to treat symptoms of an enlarged prostate (benign prostatic hyperplasia). This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions. COMMON BRAND NAME(S): Adcirca, ALYQ, Cialis They need to know if you have any of these conditions: Blood diseases, such as sickle cell anemia or leukemia Have had a painful and prolonged erection Heart disease, such as angina, heart failure, irregular heartbeat or rhythm Stomach ulcers, other stomach or intestine problems An unusual or allergic reaction to tadalafil, other medications, foods, dyes, or preservatives Take this medication by mouth with a glass of water. Follow the directions on the prescription label. You may take this medication with or without meals. This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.
- Common brands of tadalafil include Cialis and Adcirca.
- Tadalafil is also prescribed for pulmonary arterial hypertension under Adcirca.
- It can be used preventively or when needed, depending on the treatment plan.
- Regular use may improve erectile function over time.
- Always follow your healthcare provider’s instructions on tadalafil use.
tell your doctor and pharmacist if you are allergic to tadalafil, any other medications, or any of the ingredients in tadalafil tablets. Ask your pharmacist for a list of the ingredients.
What should I do if I forget a dose?
When this medication is used for erection problems, your care team may prescribe it to be taken once daily or as needed. If you are taking the medication as needed, you may be able to have sexual activity 30 minutes after taking it and for up to 36 hours after taking it. Whether you are taking the medication as needed or once daily, you should not take more than one dose per day. If you are taking this medication for symptoms of benign prostatic hyperplasia (BPH) or to treat both BPH and an erection problem, take the dose once daily at about the same time each day. Do not take your medication more often than directed.
Side effect details
Talk to your care team about the use of this medication in children. Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once. NOTE: This medicine is only for you. Do not share this medicine with others. If you are taking this medication as needed for erection problems, this does not apply.
Cialis and other medications
If you miss a dose while taking this medication once daily for an erection problem, benign prostatic hyperplasia, or both, take it as soon as you remember, but do not take more than one dose per day. Do not take this medication with any of the following: Nitrates, such as amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin Other medications for erectile dysfunction, such as avanafil, sildenafil, vardenafil This medication may also interact with the following: Certain antibiotics, such as clarithromycin or erythromycin Certain medications for fungal infections, such as fluconazole, itraconazole, ketoconazole, voriconazole Certain medications for seizures, such as carbamazepine, phenytoin, phenobarbital Other medications may affect the way this medication works. Talk with your care team about all of the medications you take. They may suggest changes to your treatment plan to lower the risk of side effects and to make sure your medications work as intended. This list may not describe all possible interactions. tell your doctor if you are taking or have recently taken riociguat (Adempas) or nitrates such as isosorbide dinitrate (Isordil), isosorbide mononitrate (Monoket), and nitroglycerin (Minitran, Nitro-Dur, Nitromist, Nitrostat, others).
- The medication is generally well-tolerated, with most side effects being mild to moderate and transient.
- Patient reviews often highlight the convenience of the daily dose for reducing timing-related anxiety.
- Never share your prescription medication with another person, as it is prescribed for your specific condition.
Nitrates come as tablets, sublingual (under the tongue) tablets, sprays, patches, pastes, and ointments.
What to avoid
Sign up for our Health Essentials emails for expert guidance on nutrition, fitness, sleep, skin care and more. Note: Introduction and Additional Common Questions written and medically approved by Cleveland Clinic professionals. Tadalafil (Cialis) is used to treat erectile dysfunction (ED, impotence; inability to get or keep an erection), and the symptoms of benign prostatic hyperplasia (BPH; an enlarged prostate) which include difficulty urinating (hesitation, dribbling, weak stream, and incomplete bladder emptying), painful urination, and urinary frequency and urgency in adult men. Tadalafil (Adcirca) is used to improve the ability to exercise in people with pulmonary arterial hypertension (PAH; high blood pressure in the vessels carrying blood to the lungs, causing shortness of breath, dizziness, and tiredness). Tadalafil is in a class of medications called phosphodiesterase (PDE) inhibitors.
Duration of action
It works to treat erectile dysfunction by increasing blood flow to the penis during sexual stimulation. This increased blood flow can cause an erection. Tadalafil treats PAH by relaxing the blood vessels in the lungs to allow blood to flow more easily. If you are taking tadalafil to treat erectile dysfunction, you should know that it does not cure erectile dysfunction or increase sexual desire. Tadalafil does not prevent pregnancy or the spread of sexually transmitted diseases such as human immunodeficiency virus (HIV).
More FAQ
It may be taken with or without food. If you are taking tadalafil to treat erectile dysfunction, follow your doctor's directions and the guidelines in this paragraph. There are two different ways to take tadalafil, either daily or on an as needed basis. Talk to your doctor about which dosing schedule is right for you. Tadalafil is sometimes taken as needed, usually at least 30 minutes before sexual activity and not more often than once every 24 hours.
- Tadalafil 2.5 or 5 mg Administered Once Daily for 12 Weeks in Men with Both Erectile Dysfunction and Signs and Symptoms of Benign Prostatic Hyperplasia: Results of a Randomized, Placebo-Controlled, Double-Blind Study
- Tadalafil for Women with Antidepressant-Related Dysfunction
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