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Important Safety Information Prescribing Information Patient Information

Select Important Safety Information

Do not take CIALIS if you:

  • take medicine called "nitrates" such as isosorbide dinitrate or isosorbide mononitrate which are often prescribed for chest pain, or use recreational drugs called "poppers" like amyl or butyl nitrite, as the combination may cause an unsafe drop in blood pressure
  • 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. It 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.

Click here for more complete safety information for CIALIS

 

Beware of Counterfeit CIALIS

CIALIS is available only with a prescription from your doctor.
The only way to be sure you’re getting real CIALIS is by getting a prescription from your doctor and taking it to your local pharmacy or a certified online pharmacy to have it filled. If you want to be ready anytime the moment is right, be sure to purchase CIALIS from a reliable pharmacy. And remember, prescriptions can only be filled at U.S.-based pharmacies.

Cialis tablets for erectile dysfunction

If you do prefer to purchase CIALIS online, here are some ways to help make sure you’re getting the real thing. Beware of sites that:

  • Offer CIALIS at a price that’s much lower than the price at your local pharmacy or at a price that seems “too good to be true”
  • Don’t list a street address or contact information, especially if they’re not located in the United States
  • Sell prescription medications without a prescription, or after a short online survey or review by a remotely located physician
  • Offer generic, “soft tab,” or “fast dissolve” CIALIS. There is no generic for CIALIS, and CIALIS only comes as an almond-shaped tablet that is swallowed whole.

Only use online pharmacies that are accredited by the National Association of Boards of Pharmacy (NABP).

It is difficult to tell whether or not the ED drugs you purchase online are dangerous because counterfeiters are very good at copying the packaging and appearance of legitimate ED drugs. Even the makers of legitimate ED drugs often can’t confirm whether or not a product bought online is real until they’ve conducted chemical analyses.

More than 50% of drugs bought online from illegal sites are counterfeit,† so don’t buy CIALIS from Web sites that offer to sell it to you without a prescription. The drugs they sell may be counterfeit (fake), illegal, and possibly dangerous. To minimize your chances of getting fake CIALIS, make sure your prescription is filled at a U.S.-based or accredited online pharmacy. Online pharmacies with Verified Internet Pharmacy Practice Sites™ (VIPPS) accreditation have had their facilities inspected and their practices reviewed by the NABP. Learn more and get a list of these online pharmacies at www.nabp.net. You can also check by visiting www.legitscript.com.

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

†European Alliance for Access to Safe Medicines. The Counterfeiting Superhighway. 2008.

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.

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.

TD Con-F ISI 16DEC2011