Cialis medicine (Viagra)
Information specific to: Cialis 10mg tablets when used in Erectile dysfunction.
Cialis (See-al-iss) is a medicine which is used in treating erectile dysfunction. Cialis contains tadalafil. It is supplied by Eli Lilly and Company Limited.
The information in this Medicine Guide for cialis varies according to the condition being treated and the particular preparation used.
Your medicine
Cialis is used in the treatment of erectile dysfunction in men. It works by relaxing muscles in the walls of the blood vessels. Sexual stimulation increases the blood flow to the penis. Following sexual stimulation, Cialis helps to produce an erection that is suitable for sexual activity.
Cialis is not suitable for women or anyone under 18 years of age.
Other information about Cialis:
this medicine must not be taken more than once a day and it is recommended that you do not take it every day
Do not share your medicine with other people. It may not be suitable for them and may harm them.
The pharmacy label on your medicine tells you how much medicine you should take. It also tells you how often you should take your medicine. This is the dose that you and your prescriber have agreed you should take. You should not change the dose of your medicine unless you are told to do so by your prescriber.
If you feel that the medicine is making you unwell or you do not think it is working, then talk to your prescriber.
Whether this medicine is suitable for you
Cialis is not suitable for everyone and some people should never use it. Other people should only use it with special care. It is important that the person prescribing this medicine knows your full medical history.
Your prescriber may only prescribe this medicine with special care or may not prescribe it at all if you:
are allergic or sensitive to or have had a reaction to any of the ingredients in the medicine
have certain types of heart problems which could be made worse by engaging in sexual activity
have conditions which increase the risk of priapism such as sickle cell anaemia, leukaemia or multiple myeloma
have galactose intolerance
have glucose-galactose malabsorption problems
have had a heart attack within the last 90 days
have had a stroke within the last six months
have had pelvic surgery
have had surgery of the prostate
have high blood pressure which is not well controlled
have kidney problems
have Lapp lactase deficiency
have liver problems
have loss of vision
have low blood pressure
have penile problems such as a deformed penis, Peyronie's disease or penile scarring
Cialis is not used in children.
As part of the process of assessing suitability to take this medicine a prescriber may also arrange tests:
to determine whether or not the medicine is suitable and whether it must be prescribed with extra care
Over time it is possible that Cialis can become unsuitable for some people, or they may become unsuitable for it. If at any time it appears that Cialis has become unsuitable, it is important that the prescriber is contacted immediately.
Alcohol
Alcohol can interact with certain medicines.
In the case of Cialis:
this medicine may interact with alcohol
You should seek advice from your prescriber as to whether you may drink alcohol while taking this medicine.
Diet
Medicines can interact with certain foods. In some cases, this may be harmful and your prescriber may advise you to avoid certain foods.
In the case of Cialis:
this medicine interacts with grapefruit juice. Grapefruit juice increases the level of Cialis in your blood
For more advice speak to your prescriber, nutritionist or pharmacist.
Driving and operating machinery
When taking any medicine you should be aware that it might interfere with your ability to drive or operate machinery safely.
In the case of Cialis:
this medicine could affect your ability to drive or operate machinery
You should see how this medicine affects you before you judge whether you are safe to drive or operate machinery. If you are in any doubt about whether you should drive or operate machinery, talk to your prescriber.
Family planning and pregnancy
This medicine must not be taken by women so its effects in pregnancy are not known.
In the case of Cialis:
this medicine may decrease male fertility because it affects sperm production
Breast-feeding
This medicine must not be taken by women so its effects on breast-feeding are not known.
Taking other medicines
If you are taking more than one medicine they may interact with each other. At times your prescriber may decide to use medicines that interact, in other cases this may not be appropriate.
The decision to use medicines that interact depends on your specific circumstances. Your prescriber may decide to use medicines that interact, if it is believed that the benefits of taking the medicines together outweigh the risks. In such cases, it may be necessary to alter your dose or monitor you more closely.
Tell your prescriber the names of all the medicines that you are taking so that they can consider all possible interactions. This includes all the medicines which have been prescribed by your GP, hospital doctor, dentist, nurse, health visitor, midwife or pharmacist. You must also tell your prescriber about medicines which you have bought over the counter without prescriptions.
The following medicines may interact with Cialis:
carbamazepine
clarithromycin
doxazosin
erythromycin
ethinylestradiol
itraconazole
ketoconazole
nitroglycerin
phenobarbital
phenytoin
rifampicin
ritonavir
saquinavir
terbutaline
theophylline
The following types of medicine may interact with Cialis:
alpha-blockers
antidiabetics
antihypertensives
calcium channel blockers
cytochrome P450 enzyme inducers
cytochrome P450 enzyme inhibitors
medicines used to treat erectile dysfunction
nitrates
other phosphodiesterase type-5 inhibitors
p-glycoprotein inhibitors
If you are taking Cialis and one of the above medicines or types of medicines, make sure your prescriber knows about it.
Complementary preparations and vitamins
Medicines can interact with complementary preparations and vitamins. In general, there is not much information available about interactions between medicines and complementary preparations or vitamins.
If you are planning to take or are already taking any complementary preparations and vitamins you should ask your prescriber whether there are any known interactions with Cialis.
Your prescriber can advise whether it is appropriate for you to take combinations that are known to interact. They can also discuss with you the possible effect that the complementary preparations and vitamins may have on your condition.
If you experience any unusual effects while taking this medicine in combination with complementary preparations and vitamins, you should tell your prescriber.
Cialis medicine