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Glossary

Alpha-blockers

Also called alpha-adrenergic antagonists. A kind of medicine that treats a variety of health conditions, including high blood pressure, an enlarged prostate, and some circulation problems. Alpha-blockers relax certain muscles and help small blood vessels stay open and relaxed. This improves blood flow and lowers blood pressure.

Antihistamines

Medicines used to treat allergic reactions, cold symptoms, and motion sickness.

Anxiety

A feeling of uneasiness, apprehension, and fear that is often accompanied by physical signs such as sweating, tension, and an increased heart rate.

Benign prostatic hyperplasia (BPH)

Enlargement of the prostate gland that can lead to urination and bladder problems if the enlarged gland begins to press on the urethra.

Depression

A serious medical illness that involves the brain. Symptoms of depression include feelings of sadness, loss of interest or pleasure in activities that used to be enjoyed, and even thoughts of death or suicide. These feelings do not go away, and they can interfere with a person's everyday life.

Diabetes

A disease in which blood glucose (sugar) levels are too high. Insulin is a hormone in the body that helps glucose get from the blood into cells to give them energy. With diabetes, either the body doesn't make insulin or it doesn't use insulin the right way. This means that too much glucose stays in the blood. Over time, having too much glucose in the blood can cause serious health problems.

Enlarged prostate

Also known as benign prostatic hyperplasia (BPH). This is a condition in which the prostate gland grows bigger. The gland may press on the urethra as it grows, causing urination and bladder problems.

Frequent urination

Needing to urinate more often than usual. May be a symptom of benign prostatic hyperplasia (BPH), also known as an enlarged prostate.

Heart disease

The number one killer in the United States. The most common cause of heart disease is narrowing or blockage of the blood vessels that supply blood to the heart and all other parts of the body. Heart disease can also happen when there are problems with the valves in the heart or with how well the heart pumps.

High blood cholesterol

Cholesterol is a waxy, fat-like substance found in the blood and all cells of the body. Your body needs some cholesterol to work the right way. Your body makes all the cholesterol it needs. But cholesterol is also found in some foods we eat. This extra cholesterol in your blood can also build up in your arteries. This is called plaque. Over time, plaque can cause arteries to narrow. This can stop or slow down the flow of blood to your heart and the rest of your body, causing heart disease.

High blood pressure (also called hypertension)

Blood pressure is the force of blood pushing against the walls of the arteries as the heart pumps out blood. When this pressure rises and stays high over time, it is called high blood pressure. It can lead to heart disease, heart failure, stroke, kidney failure, and other health problems.

Leukemia

A cancer of the white blood cells. White blood cells help the body fight infection. In leukemia, the bone marrow produces abnormal white blood cells, which crowd out healthy blood cells, making it hard for blood to do its work.

Low blood pressure (also called hypotension)

When blood pressure during and after each heartbeat is much lower than usual. When this happens, the heart, brain, and other parts of the body do not get enough blood.

Multiple myeloma

A blood cancer that affects plasma cells in bone marrow. In multiple myeloma, plasma cells grow out of control and form tumors in the bone marrow.

Multiple sclerosis (MS)

A nervous system disease that affects the brain and spinal cord. MS damages the material that surrounds and protects nerve cells. This damage slows down or blocks messages between the brain and the rest of the body, which can cause problems with a person's sight, muscles, coordination, balance, and mental functioning.

NAION

A rare type of vision loss. It is caused by low blood flow to the optic nerve in the eye. NAION stands for nonarteritic anterior ischemic optic neuropathy.

Nitrates

Also known as "poppers." A type of medicine commonly used to treat heart problems. These medicines relax and widen blood vessels. This allows more blood to flow to the heart, which makes the heart work less hard.

Oral

Taken by mouth, such as oral medicines for erectile dysfunction (ED).

Parkinson's disease

A disorder that kills or damages nerve cells in a part of the brain that controls how muscles move. Symptoms may include shaking, stiffness, slow movement, and poor balance and coordination.

PDE5 inhibitors

A class of drugs used as a first-line oral medicine for erectile dysfunction (ED). PDE5 is an abbreviated term for phosphodiesterase 5, an enzyme that breaks down cGMP during an erection, ultimately returning the penis to a flaccid state.

Peyronie's disease

A condition in which a hard lump (plaque) forms on the penis. Sometimes the lump makes the penis less flexible, which can be painful. It can also cause the penis to bend or arc during an erection.

Popper

A slang term for various chemical compounds, including amyl nitrite and butyl nitrite, that are used for recreational purposes. The chemical compound is inhaled to increase sexual desire.

Priapism

An erection lasting more than 4 hours that results from blood not being able to exit the penis. If a man experiences priapism, he should seek emergency medical attention.

Prostate

A gland in a man's body located near the base of his penis. The prostate secretes a fluid that makes up the main portion of the fluid (semen) that a man ejaculates during an orgasm.

Protease inhibitors

A class of drugs that can keep a virus from making copies of itself (for example, AIDS virus protease inhibitors).

Retinitis pigmentosa

An eye disease in which there is damage to the retina. The retina is the layer of tissue at the back of the inner eye that converts light images to nerve signals and sends them to the brain.

Sexual stimulation

The act of sexually arousing a person through touch and/or emotional excitement.

Sickle cell anemia

A disease in which the body produces abnormally shaped red blood cells. These sickle-shaped cells don't last as long as normal, round red blood cells. This can cause anemia. Also, the sickle cells get stuck in blood vessels, blocking blood flow. This can cause pain and organ damage. The disease is genetic, meaning it is passed from one generation to the next. About 1 in 12 African-Americans carries the trait for sickle cell disease.

Straining

Use of the muscles of the abdomen to push down on the bladder and increase the force of urine flow.

Testosterone

A male hormone responsible for male sex characteristics, such as facial hair, voice, and other changes that happen at puberty.

Urgent urination

A sudden, urgent need to urinate, accompanied by bladder discomfort. May be a symptom of benign prostatic hyperplasia (BPH), also known as an enlarged prostate.

Weak stream

A slow or low urinary flow rate.

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.