FAQ Cialis, Faq About Cialis

What is erectile dysfunction (ED)?

ED is a medical condition that causes problems with getting or maintaining an erection.
Approximately 18 million men in the United States alone have ED.

And while it is more common in older age, ED can happen at almost any age - even those who have never had issues
with sexual activity before. Fortunately, ED can be treated.
So talk with your healthcare provider right away if you are experiencing any kind of ED.

What causes ED?

ED is a medical condition that happens when the normal process of getting an erection is interrupted.
This can be caused by a lot of different things, such as diabetes, high cholesterol, stress, too much alcohol consumption,
smoking, and other causes.

Also, the signals that your brain sends to bring on an erection can be interrupted by nerve damage from a spinal cord
injury, nervous system disease, or even some treatments for prostate cancer.

Does age play a role in the progression of ED?

It's true that as men get older, sexual function is likely to decrease and ED becomes more common.
But simply getting older by itself does not lead to ED, nor is ED just a natural part of aging that men have to accept.

ED affects men of all ages.
It's a real medical condition that affects approximately 18 million men in the

United States, both young and old.
If ED is a problem for you, it can be addressed, no matter your age.

More often than not, ED is caused by other health problems, such as heart disease or diabetes, which are also more
common as a man gets older. So, in addition to being a problem that can affect your sexual relationship, ED may
also be a sign of other health conditions that your healthcare provider should know about.

What is the most important information I should know about Cialis?

Cialis can cause your blood pressure to drop suddenly to an unsafe level if it is taken with certain other medicines.
You could get dizzy, faint, or have a heart attack or stroke.

Do not take Cialis if you take any medicines called "nitrates." Nitrates are commonly used to treat angina.
Angina is a symptom of heart disease and can cause pain in your chest, jaw, or down your arm.
Medicines called nitrates include nitroglycerin that is found in tablets, sprays, ointments, pastes, or patches.

Nitrates can also be found in other medicines such as isosorbide dinitrate or isosorbide mononitrate.
Some recreational drugs called "poppers" also contain nitrates, such as amyl nitrite and butyl nitrite.
Ask your healthcare provider or pharmacist if you are not sure if any of your medicines are nitrates.

Tell all of your healthcare providers that you take cialis.
If you need emergency medical care for a heart problem, it is important for your healthcare provider to know when you
last took Cialis.

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 receive medical aid at once if you receive symptoms, such as a stethalgia, giddiness, or a nausea
during a floor.

Sexual activity can place an additional strain in your heart, especially if your heart is
already weak from heart attack or a heart trouble.

Who should not take Cialis?

Do not take Cialis if you:
Take any medicines called "nitrates"
Use recreational drugs called "poppers" like amyl nitrite and butyl nitrite.
Are allergic to Cialis or Adcirca® (tadalafil), or any of its ingredients.
Symptoms of an allergic reaction may include:

Rash
Hives
Swelling of the lips, tongue, or throat
Difficulty breathing or swallowing

Call your healthcare provider or get help right away if you have any of the symptoms of an allergic reaction listed above.

What should I tell my doctor or healthcare provider before taking Cialis?

Cialis is not right for everyone.
Only you and your healthcare provider can decide if Cialis is right for you.
Before taking cialis, tell your healthcare provider about all your medical problems, including if you:

Have heart problems such as angina, heart failure, irregular heartbeats, or have had a heart attack.
Ask your healthcare provider if it is safe 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:

Have low blood pressure or have high blood pressure that is not controlled
Have had a stroke
Have liver problems

Have kidney problems or require dialysis
Have retinitis pigmentosa, a rare genetic (runs in families) eye disease
Have ever had severe vision loss, including a condition called NAION

Have stomach ulcers
Have a bleeding problem
Have a deformed penis shape or Peyronie's disease

Have had an erection that lasted more than 4 hours
Have 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 including prescription and non-prescription medicines,
vitamins, and herbal supplements.

Cialis and other medicines may affect each other.
Always check with your healthcare provider before starting or stopping any medicines.
Especially tell your healthcare provider if you take any of the following:

Medicines called nitrates.
Medicines called alpha-blockers.
These include Hytrin® (terazosin HCl), Flomax® (tamsulosin HCl), Cardura®
(doxazosin mesylate), Minipress® (prazosin HCl), Uroxatral® (alfuzosin HCl), Jalyn®
(dutasteride and tamsulosin HCl), or Rapaflo® (silodosin).

Alpha-blockers are sometimes prescribed for prostate problems or high blood pressure.
If Cialis is taken with certain alpha-blockers, your blood pressure could suddenly drop.

You could get dizzy or faint
Other medicines to treat high blood pressure (hypertension)

Medicines called human immunodeficiency virus (HIV) protease inhibitors, such
as ritonavir (Norvir®) or lopinavir/ritonavir (Kaletra®)

Some types of oral antifungals such as ketoconazole (Nizoral®) or itraconazole (Sporanox®)
Some types of antibiotics such as clarithromycin (Biaxin®), telithromycin (Ketek®), erythromycin
(several brand names exist. Please consult your healthcare provider to determine if you are taking this medicine)

Other medicines or treatments for 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 are the possible side effects of Cialis?

The most common side effects of 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 them 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 side effects include:

An erection that wont go away (priapism).
If you get an erection that lasts more than 4 hours, get medical help right away.

Priapism must be treated as soon as possible or lasting damage can happen to your penis, including the inability to
have erections.

Color vision changes, such as seeing a blue tinge (shade) to objects or having difficulty telling the difference between
the colors blue and green.

In rare instances, men taking phosphodiesterase 5, or PDE5, inhibitors
(oral ED medicines, including cialis) reported a sudden decrease or loss of vision in one or both eyes.

It is not possible to determine whether these events are related directly to these
medicines, to other factors such as high blood pressure or diabetes, or to a combination of these.

If you experience sudden decrease or loss of vision, stop taking PDE5 inhibitors, including Cialis, and call a healthcare
provider right away.

Sudden loss or decrease in hearing, sometimes with ringing in the ears and dizziness, has been rarely reported in
people taking PDE5 inhibitors, including Cialis.

It is not possible to determine whether these events are related directly to the PDE5 inhibitors, to other diseases or
medications, to other factors, or to a combination of factors.

If you experience these symptoms, stop taking Cialis and contact a healthcare provider right away.

These are not all the possible side effects of Cialis.
For more information, ask your healthcare provider or pharmacist.

How do I talk about ED with my partner?

Talking with your partner about ED may not be easy, but it can be helpful - for both of you.
If you and your partner avoid the conversation, neither of you can know what the other is thinking and feeling.
For many men, ED is a condition that is treatable.

You should be open and honest, as well as sensitive, about your partner's needs and questions. Remember to stick
to the facts and try to think and talk about ED as the medical problem that it is.

That way, you'll both gain a better understanding of what you're going through, and
what to expect, as a couple.

You may want to reassure your partner that your ED is not her fault and that your condition could be caused by a
medical issue.

How does Cialis treat ED?

Cialis is a prescription medicine that you take by mouth for the treatment of ED.
When you get an erection, blood flows into your penis and is temporarily trapped there, creating pressure in the
surrounding chambers that cause your penis to expand.

When you have ED, this process is interrupted.
Cialis for daily use (2.5 mg and 5 mg) and 36-hour cialis (5 mg, 10 mg, and 20 mg) may increase blood flow to
your penis when you are sexually stimulated.

Cialis may improve the ability to get erections and maintain them until sexual intercourse is successfully completed.

It may also improve the overall satisfaction with the hardness of erections.
After sexual intercourse is completed, the erection should go away.
But in the rare event of an erection lasting more than 4 hours, seek immediate medical help to avoid permanent damage.

For the treatment of ED, how do the cialis options differ?

CIALIS offers 2 different dosing options to treat ED. There's CIALIS for
daily use(2.5 mg and 5 mg), a low-dose tablet you take once a day so you can
attempt sex anytime between doses.

It may take up to 4 to 5 days before cialis for daily use may start to work for ED, or you may get results earlier.

Your healthcare provider may start you on one dose and then adjust it, depending on how your body responds to the
medicine. Do not take cialis for daily use more than 1 time each day.

Then there's 36-hour cialis (5 mg, 10 mg, and 20 mg), a tablet that you take as needed. It can help some men be
ready for sexual activity in as little as 30 minutes, and it may work for up to 36 hours.
Do not take 36-hour cialis more than 1 time each day.

If your healthcare provider decides that cialis is right for you, talk to him or her and your partner to help decide which
option best fits your needs. If you are not satisfied, talk to your healthcare provider, who may recommend an adjustment
to your cialis dosage.

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.

When treating my ED, what can I expect with Cialis?

If you're taking cialis for daily use (2.5 mg or 5 mg) for ED, it may take up to 4 to 5 days before cialis for daily use
may start to work and you are able to have successful intercourse, or you may get results earlier. If after 4 or 5 days
you have not experienced the results that you hoped for, talk to your healthcare provider, who may
recommend an adjustment to your Cialis dosage.

Cialis for daily use is a low-dose tablet. Do not take Cialis for daily use more than 1 time each day.

36-hour Cialis (5 mg, 10 mg, or 20 mg) may help some men be ready for sexual activity in as little as 30 minutes, and it
may work for up to 36 hours.

It may take a few times to get the results you may want.
Talk to your healthcare provider if you do not get the results you expect.
Do not take 36-hour Cialis more than 1 time each day.

When you start treatment, track and monitor your results and share the information with your healthcare provider.
And keep in mind that after you take a single tablet, some of the active ingredient of Cialis can remain in your body
for more than 2 days.

It can remain longer if you have problems with your kidneys or liver, or if you are taking certain other medications.
Please see full Patient Information to learn more.

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.

Can I take both cialis for daily use and 36-hour cialis at the same time to treat my ED?

Do not take cialis for daily use (2.5 mg and 5 mg) and 36-hour cialis (5 mg, 10 mg, and 20 mg) at the same time.
If you are taking one of the cialis dosing options and would like to start taking the other one, discontinue use and
talk to your healthcare provider.
You should not take any other ED treatment while taking cialis. Do not take cialis more than 1 time each day.

Can I split cialis tablets in half?

Do not split cialis for daily use tablets (2.5 mg and 5 mg) or 36-hour cialis tablets (5 mg, 10 mg, and 20 mg).

Cialis tablets are not scored down the middle, so you may not be able to break one exactly in half. If a cialis tablet is
not split exactly in half, you may not receive an adequate dose or you may receive a larger dose than you need.

If you do not get the proper dose, you may not get the results you are hoping for.
If your healthcare provider thinks cialis is right for you, he or she will prescribe the recommended dose.

Your healthcare provider may adjust your dose depending on how your body responds to the medicine.
Do not take cialis for daily use more than 1 time each day.

What should I do if I miss a dose of cialis for daily use (2.5 mg and 5 mg)?

If you miss a dose, take it when you remember.
However, do not take CIALIS more than 1 time each day.

How much does cialis cost after the free trial?

After your free trial, the cost of a 1-month supply (30 tablets) of cialis for daily use
(2.5 mg and 5 mg) should be about the same as 6 tablets of 36-hour cialis (5 mg, 10 mg, and 20 mg) for use as needed.

A nationwide analysis of out-of-pocket cost for patients without prescription coverage estimates that 30 tablets of
cialis 5 mg, on average, cost $135 in December 2011.

However, this is just an estimate.
Eli Lilly and Company, the maker of cialis, does not set or control the actual retail price at pharmacies.

Patients should check local pharmacies for actual retail prices, which may vary by pharmacy.
Both national and regional managed care coverage has expanded for cialis for daily use, so be sure to contact your
health plan's member services to find out if you're covered for a full month's prescription.
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