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This is intended as a summary and should not replace individual medical advice from a doctor or pharmacist. This summary does not include all possible information for this medication, ask your health care professional for personalized recommendations and complete information about this product.

Tadalafil is used to treat sexual function problems in males. Tadalafil works in combination with sexual stimulation to increase blood flow to the penis to help get and maintain erections. Tadalafil uses also include treating enlarged prostate and in relief of BPH symptoms such as weak stream, difficulty in beginning urine flow, and needing to urinate urgently and frequently. Tadalafil relaxes the smooth muscle in the prostate and bladder. This medication offers no protection against sexually transmitted diseases.

The following uses are not listed in the approved professional labeling for tadalafil but may be prescribed by your doctor. Only use tadalafil for these uses if prescribed by your doctor. Tadalafil is available for high blood pressure in the lungs in another brand.

Read the Patient Information Leaflet each time you fill your prescription and ask your doctor or pharmacist any questions you may have. Take tadalafil by mouth as directed by your doctor but not more than once daily. To treat BPH symptoms take the medication as directed. Tadalafil for erectile dysfunction (ED) may be prescribed 2 ways. The first is to take it half an hour before sexual activity. The effects on your sexual ability may last as long as 36 hours.

The other way is taking a regular dose once a day. If you take tadalafil for both BPH and ED take it as directed by your health care professional. Sexual activity can be attempted any time between your doses. For the most benefit this medication should be taken regularly, take it at the same time daily to help you remember. Tell your doctor if your condition remains stagnant or worsens.

Normal side effects include back pain, upset stomach, muscle pain, flushing, headache, dizziness or stuffy nose. If these effects worsen or persist tell your health care professional. Get up slowly when rising from a lying or sitting position to decrease risk of dizziness and lightheadedness. Your doctor has assessed the benefits and risk of this medication for you and has prescribed it because they believe the benefits outweigh the risk. Many people who take this medication never experience serious side effects. Sexual activity can increase strain on your heart especially if you have pre-existing heart problems.

If you experience any of these side effects in conjunction with a heart problem while having sex immediately stop and get medical help: fainting, left arm/ jaw/chest pain, nausea, severe dizziness. Sudden decreased vision or permanent blindness (NAION) in one or both eyes may rarely occur. If this happens stop taking tadalafil and get medical help immediately. Chance of developing NAION may increase if you have diabetes, certain other eye problems, high blood pressure, high cholesterol, heart disease, if you are over 50, or if you smoke.

Sudden loss of hearing, dizziness and ringing in the ears may occur rarely and if it does stop taking tadalafil and seek medical assistance immediately. If you have an erection lasting 4 hours or more or if it is painful stop using the drug and seek medical attention or permanent issues can occur. Serious allergic reaction is rare however if you notice any of these symptoms immediately seek medical assistance: severe dizziness, swelling of the face/throat/tongue, trouble breathing or rash. This list of side effects is not exhaustive.

Inform your doctor of all allergies as this product may contain inactive ingredients that can cause allergic reactions. Also inform your health care professional of your medical history especially: stroke, liver disease, kidney disease, abnormal blood pressure, eye problems, conditions that may increase risk of priapism, heart problems, penis conditions, severe dehydration, active stomach ulcers, bleeding disorders. This drug can make you dizzy, marijuana and alcohol can increase dizziness. Tell your doctor or dentist about any medical products you use before surgery. Tadalafil should only be used during pregnancy if clearly needed and it is unknown if this medication passes into breast milk.

Drug interactions can increase risk of side effects or change how medications work. This document is not an exhaustive list of drug interactions. This drug may interact with: riociguat. Use with nitrates can cause a serious drop in blood pressure. Use with the following should be prohibited: recreational drugs called “poppers”, drugs used to treat angina/chest pain. If you also use an alpha blocker to treat BPH or high blood pressure use of tadalafil may lower your blood pressure too much which increases risk of fainting or dizziness. Removal of tadalafil from the body can be affected by other medications such as: macrolide antibiotics, HIV protease inhibitors, rifampin, hepatitis C virus protease inhibitors, azole antifungals. Do not take this medication in conjunction with other versions of tadalafil or other ED treatment medications.

If someone exhibits symptoms such as passing out or trouble breathing they may have overdosed, call 911 or poison control right way.

As soon as you remember the missed dose use your medication, if it is near the time of your next dose skip the missed dose and do not attempt to catch up by doubling the dose.

Do not store this medication in the bathroom, keep it away from light and moisture. Keep all drugs away from pets and children. Dispose of this medication when expired or not needed as instructed by a pharmacist or local waste disposal company.