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CIALIS 20 mg. 12 tablets

Product Code: CIALIS 20 mg. 12 tablets
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CIALIS 20 mg. 12 tablets

 CIALIS. 20 mg. 12 tablets

What CIALIS is and what it is used
CIALIS is a treatment for adult men with erectile dysfunction. This is a condition in which a man can not get, or keep a hard , erect penis suitable for sexual activity . CIALIS shows significant improvement in the ability to obtain a hard , erect penis suitable for sexual activity.
CIALIS contains the active ingredient tadalafil , which belongs to a group of medicines called phosphodiesterase type 5 . Following sexual stimulation CIALIS works by helping the blood vessels in your penis to relax , allowing the flow of blood into your penis . This results in improved erectile function . CIALIS will not help you if you do not have erectile dysfunction.
It is important to note that CIALIS does not work if there is no sexual stimulation. You and your partner will need to engage in foreplay , just as you would if you were not taking a medicine for erectile dysfunction.

2 . What you should know before taking CIALIS
Do not take CIALIS, if you :
allergic to tadalafil or any other ingredients of this medicine (listed in Section 6) ;
taking any form of organic nitrate or nitric oxide donors such as amyl nitrite. These are a group of drugs ( " nitrate " ) used in the treatment of angina pectoris ( " chest pain " ) . CIALIS has been shown to increase the effects of these drugs. If you are taking any form of nitrate or are unsure tell your doctor ;
have serious heart disease or have had a recent heart attack within the last 90 days;
have had a recent stroke (stroke ) in the last six months ;
have low blood pressure or uncontrolled high blood pressure;
have ever had loss of vision because of non-arteritic anterior ischemic optic neuropathy (NAION) - a condition described as " stroke of the eye " .
Warnings and Precautions
Talk to your doctor before taking CIALIS.
Sexual activity carries a possible risk to patients with heart disease because it puts an extra strain on your heart . If you have a heart problem you should tell your doctor.

Before taking the tablets , tell your doctor if you have:
sickle cell anemia (an abnormality of red blood cells) ;
multiple myeloma ( bone marrow cancer ) ;
leukemia ( cancer of the blood cells) ;
any deformation of the penis ;
serious liver problem ;
severe kidney problems .
It is not known if CIALIS is effective in patients who have :
pelvic surgery ;
removal of all or part of the prostate gland, in which nerves are interrupted prostate ( radical nerve-sparing prostatectomy ) .
If you experience sudden decrease or loss of vision , stop taking CIALIS and immediately contact your doctor.
CIALIS is not intended for use by women .

Children and adolescents
CIALIS is not intended for use by children and adolescents under 18 years.

CIALIS and other medicines
Tell your doctor if you are taking , have recently taken or might take any other medicines .
Do not take CIALIS, if you are already taking nitrates.

Some medicines may be affected by CIALIS or they may affect how well it will work CIALIS. Tell your doctor or pharmacist if you are already taking :
alpha blockers (used to treat high blood pressure or of the urinary symptoms associated with benign prostatic hyperplasia (magnification ) of the prostate) ;
other medications for the treatment of high blood pressure ;
inhibitor of 5-alpha reductase inhibitors (used to treat benign prostatic hyperplasia (increase) of the prostate) ;
drugs such as ketoconazole tablets ( for the treatment of fungal infections) and protease inhibitors for treatment of AIDS or HIV- infection ;
phenobarbital , phenytoin and carbamazepine ( anticonvulsants ) ;
rifampicin , erythromycin , clarithromycin or itraconazole ;
other treatments for erectile dysfunction.
Taking CIALIS with drinks and alcohol
Information on the effect of alcohol is in section 3. Grapefruit juice may affect how well it will work and CIALIS should be taken with caution. Talk to your doctor for more information.

Fertility
In the treatment of dogs , decreased sperm production in the testes . Reduction of sperm occurs in some men . These effects are unlikely to lead to a lack of fertility.

Driving and using machines
Some men who were taking CIALIS in clinical studies have reported dizziness . Check carefully how you react tablets before you drive or use machines.

CIALIS contains lactose :
If you have an intolerance to some sugars, contact your doctor before taking this medicine.

3 . How to take CIALIS
Always take this medicine exactly as your doctor tells you . If you are not sure, ask your doctor or pharmacist.
CIALIS tablets are for oral use only in men . Swallow the tablet whole with some water. You can take the tablets with or without food.

The recommended starting dose is one 10 mg tablet before sexual activity. However, you may be given a dose of one tablet of 20 mg, as your doctor has decided that the recommended dose of 10 mg is too low.
You may take CIALIS tablet at least 30 minutes before sexual activity. CIALIS may still be effective up to 36 hours after taking the tablet .
Do not take CIALIS more than once a day. CIALIS 10 mg and 20 mg is intended for use prior to anticipated sexual activity and is not recommended for continuous daily use.
It is important to note that CIALIS does not operate without sexual stimulation. You and your partner will need to engage in foreplay , just as you would if you were not taking a medicine for erectile dysfunction.
Drinking alcohol may affect your ability to get an erection and may temporarily reduce your blood pressure. If you have taken or are planning to take CIALIS, avoid excessive drinking ( alcohol level in the blood of 0.08% or greater ) , as this may increase the risk of dizziness when standing up .

If you take more than the dose of CIALIS
Contact your doctor. May experience side effects described in section 4.

If you have any questions about using this medicine, ask your doctor or pharmacist.

4 . Possible side effects
Like all medicines, this medicine can cause side effects , although not everybody gets them. These effects are usually mild to moderate in nature.

If you experience any of the following side effects, stop taking the drug and seek immediate medical attention :
allergic reactions including rashes ( frequency - uncommon) ;
pain in the chest - do not use nitrates and seek medical advice immediately (frequency - uncommon ) ;
prolonged and possibly painful erection after taking CIALIS ( frequency - rare ) . If you have such an erection that lasts more than 4 hours, you should immediately contact your doctor ;
sudden loss of vision ( frequency - rare ) .
Other reported side effects:
Common ( occur in 1 to 10 in every 100 patients):
headache , back pain , muscle pain , pain in arms and legs, facial flushing, nasal congestion, indigestion and heartburn.
Uncommon ( occurs in 1 to 10 out of 1000 patients):
dizziness , abdominal pain, blurred vision , eye pain , increased sweating , difficulty breathing, bleeding from the penis , blood in semen and / or urine , feeling heart palpitations , increased heart rate , increased blood pressure , decreased blood pressure, nosebleeds and tinnitus.
Rare (occurs in 1 to 10 per 10 000 patients):
weakness, seizures and passing memory loss , swelling of the eyelids , redness of the eyes, a sudden decrease or loss of hearing and urticaria ( itchy red spots on the skin) .
In men taking CIALIS, rarely have also been reported heart attack and stroke . Most of these men had known heart problems before taking this medicine.
Rarely, a partial, temporary or permanent decrease or loss of vision in one or both eyes.

Some additional rare side effects have been reported in men taking CIALIS, not observed in clinical trials . These include:
migraine , facial swelling , severe allergic reaction causing swelling of the face or throat , severe skin rashes , some disorders affecting blood flow to the eyes, irregular heartbeats , angina and sudden cardiac death.
Side effects dizziness and diarrhea were reported more commonly in men aged over 75 years who take CIALIS.

If you get any side effects, tell your doctor or pharmacist. This includes all listed in this leaflet .

5 . How to store CIALIS
Keep out of reach of children.
Do not use this medicine after the expiry date stated on the carton and blister after " EXP " . The expiry date refers to the last day of that month.
Store in the original package to protect from moisture. Do not store above 30 ° C.
Do not dispose of medications in wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required . These measures will help to protect the environment.

6 . Package Contents and more information
What does CIALIS
The active substance is tadalafil. Each tablet contains 20 mg of CIALIS tadalafil.

Other ingredients are:
Tablet core: lactose monohydrate (see end of section 2 ), croscarmellose sodium, hydroxypropyl cellulose , microcrystalline cellulose, sodium lauryl sulfate , magnesium stearate.
Film coating : lactose monohydrate , hypromellose , triacetin , titanium dioxide ( E171 ), yellow iron oxide (E172), talc.

Cialis looks like and contents of pack
CIALIS 20 mg tablet is a yellow , almond-shaped and is marked on one side "C 20 " .
CIALIS 20 mg is available in blister packs containing 2 , 4, 8, 10 or 12 tablets .
Not all pack sizes may be marketed in each country.

Marketing Authorisation Holder and Manufacturer
Marketing Authorisation Holder:
Eli Lilly Nederland B.V., Netherlands.

manufacturer:
Lilly S.A., Spain.

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