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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

 

Getting Started With CIALIS

If you’re new to CIALIS, use this checklist to make sure you have the best possible experience. Just click on any of the three tabs below to reveal a list of key things to remember about the two CIALIS dosing options.

It’s important to take CIALIS properly, otherwise you may not get the results you’re looking for. To help you get the most from your treatment with CIALIS, make sure to monitor and track your results, and share the information with your doctor.

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CIALIS for daily use
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Take CIALIS for daily use once-a-day, every day at about the same time, so you can be ready anytime the moment is right.*
Give CIALIS for daily use a chance to take effect. It may take up to 4 to 5 days before CIALIS for daily use starts working, or you may get results earlier.

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. If you get symptoms such as chest pain, dizziness, or nausea during sex when taking CIALIS, stop sexual activity and call your doctor right away.
Do not skip doses. Take one tablet every day. If you miss a dose, take your next dose as soon as you remember.
Do not take more than one CIALIS for daily use tablet per day.
Do not take 36-hour CIALIS while taking CIALIS for daily use.
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36-hour CIALIS
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Take one 36-hour CIALIS tablet at least 30 minutes before you expect to have intercourse. You may need to wait an hour after taking 36-hour CIALIS to attempt sex.*†
Do not take more than one dose of 36-hour CIALIS in a day.
You may need to try 36-hour CIALIS more than once before you get the results you expect.
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. If you get symptoms such as chest pain, dizziness, or nausea during sex when taking CIALIS, stop sexual activity and call your doctor right away.
Do not take CIALIS for daily use while taking 36-hour CIALIS.
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Information applicable to both CIALIS options
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When you start treatment, make sure to monitor and track your results. And share them with your doctor.
Call your doctor if you get any side effect that bothers you or does not go away. Be sure to let your doctor know if you are not getting the results you had hoped for.
Remember, you must be sexually stimulated for CIALIS to work. When you are sexually stimulated, CIALIS can help you achieve and maintain an erection until the end of sexual activity. Taking CIALIS can also increase the hardness of your erection.
Do not split tablets. By doing so, you may not receive an adequate dose, or you may receive a larger dose than you need.
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.
Don't take CIALIS if you take nitrates.
Make sure you get CIALIS from a legitimate pharmacy. Many Web sites claim to be selling CIALIS, but instead deal in counterfeits. Counterfeits may be ineffective, dangerous, or both. For more information about the dangers of counterfeit medication and how to buy CIALIS safely, click here.
Do not use other ED medicines or ED treatments while taking CIALIS.
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*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.

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