Adcirca

What is this medicine?

TADALAFIL relaxes muscles and increases blood flow to particular areas of the body. Tadalafil is used to treat pulmonary arterial hypertension and improve exercise capacity in men and women.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:heart disease or heart rhythm problems, coronary artery disease;

• a recent heart attack (within the past 90 days);
• a recent history (in the past 6 months) of a stroke, or congestive heart failure;
• angina (chest pain), high or low blood pressure;
• liver or kidney disease (or if you are on dialysis);
• a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;
• a bleeding disorder such as hemophilia;
• a stomach ulcer;
• retinitis pigmentosa (an inherited condition of the eye);
• a physical deformity of the penis (such as Peyronie's disease).

How should I use this medicine?

• Take tadalafil exactly as your healthcare provider tells you.
• Tadalafil is usually taken only once per day. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended. Take the tablets at the same time every day. You should take both tablets at the same time, one after the other, every day. Do not split your dose.
• Tadalafil can be taken with or without food.
• Do not change your dose or stop taking this medicine without speaking to your healthcare provider.
• If you take too much tadalafil, call your healthcare provider or go to an emergency department right away.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

Tell your doctor about all medicines you use, and those you start or stop using during your treatment with tadalafil, especially:

• bosentan;
• imatinib;
• nefazodone;
• St. John's wort;
• an antibiotic--clarithromycin, erythromycin, telithromycin;
• antifungal medication--itraconazole, ketoconazole, posaconazole, voriconazole;
• heart or blood pressure medication--amlodipine nicardipine, quinidine;
• hepatitis C medications--boceprevir, telaprevir;
• HIV/AIDS medication--atazanavir, delavirdine, efavirenz, fosamprenavir, indinavir, nelfinavir, nevirapine, ritonavir, saquinavir;
• seizure medication--carbamazepine, fosphenytoin, oxcarbazepine, phenobarbital, phenytoin, primidone; or
• tuberculosis medication--isoniazid, rifabutin, rifampin, rifapentine.

This list is not complete. Other drugs may interact with tadalafil, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

What should I watch for while using this medicine?

You should not use tadalafil if you are allergic to tadalafil.
Do not take Cialis brand of tadalafil while also taking tadalafil, unless your doctor tells you to.
Do not take tadalafil if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate. Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking tadalafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure.
Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.
Stop using tadalafil and get emergency medical help if you have sudden vision loss.

What side effects may I notice from this medicine?

Get emergency medical help if you have any of these signs of an allergic reaction to tadalafil: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.
Stop using tadalafil and call your doctor at once if you have:

• vision changes or sudden vision loss;
• ringing in your ears, or sudden hearing loss;
• chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;
• irregular heartbeat;
• swelling in your hands, ankles, or feet;
• shortness of breath;
• seizure (convulsions); or
• a light-headed feeling, like you might pass out.

Common tadalafil side effects may include:

• headache;
• redness or warmth in your face, neck, or chest;
• cold symptoms such as stuffy nose, sinus pain, sore throat, cough;
• upset stomach; or
• muscle pain, back pain, pain in your arms or legs.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects.

Where should I keep my medicine?

Store at room temperature away from moisture and heat.