36-hour CIALIS for use as needed (5 mg, 10 mg, 20 mg) for erectile dysfunction (ED)

36-hour CIALIS for use as needed may help you be ready when the moment is right*

36-hour CIALIS is a tablet that you take as needed. One 20 mg tablet of 36-hour CIALIS for use as needed can help some men be ready for sexual activity in as little as 30 minutes, and it may work for up to 36 hours.*^† Do not take CIALIS more than one time each day.

Sometimes the right moment comes at the wrong time. Life is full of interruptions, surprises, and unexpected events. And all of them can derail your romantic moment or plan. But with 36-hour CIALIS for use as needed, you can pick up where you left off—so that special moment won't get away.

When you take 36-hour CIALIS for use as needed, you may be able to:

Improve your ability to get and maintain an erection
Be more confident in your ability to get and maintain an erection
Be satisfied with the hardness of your erections
Be ready for sexual activity in as little as 30 minutes*^†

*Individual results may vary. Not studied for multiple attempts per dose.

^†In clinical trials, 36-hour CIALIS for use as needed started to work in 30 minutes for some men who took 20 mg of 36-hour CIALIS. When taken as needed, 36-hour CIALIS was shown to improve, up to 36 hours after dosing, the ability of men with ED to have a single successful intercourse attempt.

36-hour CIALIS for use as needed may be an effective option:

Regardless of your age^‡
No matter how severe your ED may be
Even if you have health problems, such as diabetes or controlled hypertension (high blood pressure)
Even if you have had a prostatectomy (or have had partial removal of the prostate)

^‡CIALIS is only for men aged 18 or older.

What you should know before starting treatment with 36-hour CIALIS for use as needed (5 mg, 10 mg, 20 mg)

You may need to take 36-hour CIALIS for use as needed more than once before you get the results you expect. But don't give up — be patient and give yourself some time. If you take CIALIS a few times and still aren't satisfied, talk with your healthcare provider. Do not take CIALIS more than one time each day.

Tell your healthcare provider about all your medical conditions and medications, and ask if your heart is healthy enough for sexual activity. Do not take CIALIS if you take nitrates such as isosorbide dinitrate or isosorbide mononitrate, which are often prescribed for chest pain, or if you use recreational drugs called "poppers," such as amyl nitrite or butyl nitrite, as this may cause an unsafe drop in blood pressure. Do not drink alcohol in excess with CIALIS. Side effects may include headache, upset stomach, delayed backache, or muscle ache. To avoid long-term injury, seek immediate medical help for an erection lasting more than 4 hours. If you have any sudden decrease or loss in hearing or vision, stop taking CIALIS and call your healthcare provider right away.

CIALIS is available by prescription only. For additional information, talk to your healthcare provider and see full Patient Information and Prescribing Information.

It's important that you take 36-hour CIALIS for use as needed (5 mg, 10 mg, 20 mg) exactly as directed by your doctor or healthcare provider

Take one 36-hour CIALIS for use as needed tablet at least 30 minutes before you expect to have intercourse.*^† You may need to take CIALIS an hour before sexual activity. You and your healthcare provider should decide how soon before sexual activity you should take 36-hour CIALIS for use as needed
Do not take CIALIS more than one time each day. Call your healthcare provider right away if you accidentally take more than this
Do not split tablets. By doing so, you may not receive an adequate dose or you may receive a larger dose than you need
Your dose will be prescribed by your healthcare provider. You may need to try 36-hour CIALIS for use as needed more than once before you get the results you expect. If you take 36-hour CIALIS for use as needed a few times and still aren't satisfied, talk with your healthcare provider. Do not take CIALIS more than one time each day
Do not use other ED medicines or ED treatments while taking CIALIS
CIALIS is also marketed as ADCIRCA^® (tadalafil) for the treatment of pulmonary arterial hypertension. You should not take both CIALIS and ADCIRCA, nor should you take sildenafil citrate (Revatio^®)^‡ with CIALIS
Do not take CIALIS if you are allergic to CIALIS or ADCIRCA, or any of its ingredients. Call your healthcare provider or get help right away if you experience any symptoms of an allergic reaction, such as rash, hives, swelling of the lips, tongue, or throat, or difficulty breathing or swallowing
You can take CIALIS with or without food
Avoid drinking too much alcohol (for example, 5 glasses of wine or 5 shots of whiskey) when you take CIALIS. Drinking too much alcohol may cause headache or dizziness, an increase in your heart rate, or a drop in your blood pressure

*Individual results may vary. Not studied for multiple attempts per dose.

^†In clinical trials, 36-hour CIALIS started to work in 30 minutes for some men who took 20 mg of 36-hour CIALIS. When taken as needed, 36-hour CIALIS was shown to improve, up to 36 hours after dosing, the ability of men with ED to have a single successful intercourse attempt.

^‡The brand listed is a trademark of its respective owner and is not a trademark of Eli Lilly and Company. The maker of this brand is not affiliated with and does not endorse Eli Lilly and Company or its products.

Get 30 tablets of CIALIS for daily use for FREE.

CIALIS is indicated for the treatment of men with erectile dysfunction (ED), men with the signs and symptoms of benign prostatic hyperplasia (BPH), and men with both ED and the signs and symptoms of BPH. CIALIS is not indicated for women or children.

Important Safety Information for CIALIS^® (tadalafil) tablets

What Is The Most Important Information I Should Know About CIALIS?

Do not take CIALIS if you:

take medicines called “nitrates” such as isosorbide dinitrate or isosorbide mononitrate which are often prescribed for chest pain as the combination may cause an unsafe drop in blood pressure
use recreational drugs called “poppers” like amyl nitrite and butyl nitrite
are allergic to CIALIS or ADCIRCA^® (tadalafil), or any of its ingredients. Call your healthcare provider or get help right away if you experience any symptoms of an allergic reaction, such as rash, hives, swelling of the lips, tongue or throat, or difficulty breathing or swallowing

After taking a single tablet, some of the active ingredient of CIALIS remains in your body for more than 2 days. The active ingredient can remain longer if you have problems with your kidneys or liver, or you are taking certain other medications.

Stop sexual activity and get medical help right away if you get symptoms such as chest pain, dizziness, or nausea during sex. Sexual activity can put an extra strain on your heart, especially if your heart is already weak from a heart attack or heart disease.

What Should I Tell My Healthcare Provider Before Taking CIALIS?

CIALIS is not right for everyone. Only your healthcare provider and you can decide if CIALIS is right for you. Ask your healthcare provider if your heart is healthy enough for you to have sexual activity. You should not take CIALIS if your healthcare provider has told you not to have sexual activity because of your health problems. Before taking CIALIS, tell your healthcare provider about all your medical problems, particularly if you have or ever had:

heart problems such as chest pain (angina), heart failure, irregular heartbeats, or have had a heart attack
high or low blood pressure or have high blood pressure that is not controlled
stroke
liver or kidney problems or require dialysis
retinitis pigmentosa, a rare genetic (runs in families) eye disease
severe vision loss, including a condition called NAION
stomach ulcers or a bleeding problem
a deformed penis shape or Peyronie's disease
an erection that lasted more than 4 hours
blood cell problems such as sickle cell anemia, multiple myeloma, or leukemia

Can Other Medicines Affect CIALIS?

Tell your healthcare provider about all the medicines you take especially if you take:

medicines called “nitrates” which are often prescribed for chest pain
alpha-blockers often prescribed for prostate problems
blood pressure medications
medicines for HIV or some types of oral antifungal medications
some types of antibiotics such as clarithromycin, telithromycin, erythromycin (several brand names exist, please contact your healthcare provider to determine if you are taking this medicine)
other medicines or treatments for erectile dysfunction (ED)
CIALIS is also marketed as ADCIRCA for the treatment of pulmonary arterial hypertension. Do not take both CIALIS and ADCIRCA. Do not take sildenafil citrate (Revatio^®)* with CIALIS.

What Should I Avoid While Taking CIALIS?

Do not use other ED medicines or ED treatments while taking CIALIS.
Do not drink too much alcohol when taking CIALIS (for example, 5 glasses of wine or 5 shots of whiskey). Drinking too much alcohol can increase your chances of getting a headache or getting dizzy, increasing your heart rate, or lowering your blood pressure.

What Are The Possible Side Effects Of CIALIS?

The most common side effects with CIALIS are: headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose. These side effects usually go away after a few hours. Men who get back pain and muscle aches usually get it 12 to 24 hours after taking CIALIS. Back pain and muscle aches usually go away within 2 days. Call your healthcare provider if you get any side effect that bothers you or one that does not go away.

Uncommon but serious side effects include:

An erection that won't go away: If you get an erection lasting more than 4 hours, seek immediate medical help to avoid long-term injury.

In rare instances, men taking prescription ED tablets, including CIALIS, reported a sudden decrease or loss of vision or hearing (sometimes with ringing in the ears and dizziness). It's not possible to determine if these events are related directly to the ED tablets or to other factors. If you have a sudden decrease or loss of vision or hearing, stop taking any ED tablet, including CIALIS and call a healthcare provider right away.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

CIALIS does not:

cure ED
increase a man’s sexual desire
protect a man or his partner from sexually transmitted diseases, including HIV
serve as a male form of birth control

CIALIS is available by prescription only. For additional information, talk to your healthcare provider and see full Patient and Prescribing Information.

*The brand listed is a trademark of its respective owner and is not a trademark of Eli Lilly and Company. The maker of this brand is not affiliated with and does not endorse Eli Lilly and Company or its products.

TD Con-F ISI 03FEB2012

TD80214 11/2012