1. What is CIALIS Tadalafil and what is it used for?

CIALIS is used to treat adult men with erectile dysfunction
applied. This is the case when a man does not have sexual activity
can get or maintain a hard, erect penis. CIALIS showed one
significant improvement, a hard, erect penis for sexual activity too
to get.
CIALIS contains tadalafil as an active ingredient and belongs to a group of medicines
called the "phosphodiesterase 5 inhibitors". After a sexual
Stimulating Tadalafil helps to relax the blood vessels in your penis
Blood flow into your penis is possible. The result is an improved erection.
CIALIS will not help you if you are not suffering from erectile dysfunction
Suffer.
It is important to note that CIALIS does not work without sexual stimulation. On
Partnership foreplay may be necessary, as if you were not a medicine
against erectile dysfunction.

2. What should you watch out for before taking CIALIS?

CIALIS must not be taken if you:
- allergic to tadalafil or any of the other
Components of this medicine are.
- in any form organic nitrates or nitrogen oxide donors such as amyl nitrite
taking. This is a group of medicines ("nitrates") that are used for treatment
of angina pectoris (certain type of "heartache") are used. It
CIALIS has been shown to enhance the effects of these drugs. If you
take some form of nitrates, or are unsure, speak
with your doctor.
- suffer from a serious heart condition or one in the last 90 days
Had heart attack.
- had a stroke in the last 6 months.
- suffer from low or uncontrolled high blood pressure.
- ever a vision loss due to a non-arteritic anterior
Ischemic optic neuropathy (NAION), this disease is known as
"Stroke of the eye" described.
- Take riociguat. This medicine is used for treatment
of pulmonary arterial hypertension (i.e., high blood pressure in the lung) and
Chronic thromboembolic pulmonary hypertension (i.e., high blood pressure
in the lungs in addition to blood clots). PDE5 inhibitors, such as Cialis
have been shown to increase the antihypertensive effect of this drug.
If you are taking riociguat or are unsure, talk to your doctor

3. How to take Tadalafil?

Always take this medicine exactly as your doctor has told you.
Ask your doctor or pharmacist if you are not sure.
CIALIS tablets are to be taken by men only. Swallow
the whole tablet with a little water. You can use CIALIS independently of the
Take meals.
The recommended starting dose
 is a 10 mg tablet before sexual activity.
If the effect of this dosage is too low, your doctor may decide the dosage
increase to 20 mg.
You should take CIALIS at least 30 minutes before sexual activity.
CIALIS can work for up to 36 hours after taking the tablet.
Do not take CIALIS more than once a day. Tadalafil are 10 mg and 20 mg
Intended to be taken before expected sexual activity and daily
Intake for a long time is not recommended.
It is important to note that Tadalafil only works with sexual stimulation. On
Partnership foreplay may be necessary, as if you were not a medicine
against erectile dysfunction.
Alcohol consumption can affect your ability to get an erection and
can also temporarily lower your blood pressure. If you taken CIALIS
or if you plan to take CIALIS, avoid overeating
Drink (blood alcohol level of 0.8 ‰ and more), because this reduces the risk of
Dizziness when getting up can be increased.
If you take more Tadalafil than you
should
Tell your doctor. It could be that side effects occur, like in the
Section 4. described.
If you have any further questions on the use of this medicine, please contact
to your doctor or pharmacist.

4. What side effects are possible with Tadalafil?

Like all medicines, this medicine may also have side effects
but do not have to occur at everyone. These are usually mild to moderate.
Stop the treatment and notify a doctor immediately if
You notice any of the following side effects:
- allergic reactions, including rashes (uncommon).
- Chest pain - Do not use nitrates, take them immediately
medical assistance (frequency uncommon).
- Priapism, a prolonged and possibly painful erection can
occur after ingestion of CIALIS (frequency rare). Should you have an erection
If you have more than 4 hours, contact your doctor immediately
Doctor in contact.
- sudden loss of vision (frequency rare).
Other side effects have been reported:
Frequently
 (may affect up to 1 in 10 people)
- Headache, backache, muscle aches, pain in the
Arms and legs, facial flushing, stuffy nose and indigestion.
Occasionally
 (may affect up to 1 in 100 people)
- Dizziness, abdominal pain, nausea, vomiting, acid regurgitation (reflux
stomach acid), blurred vision, eye pain, difficulty
breathing, blood in urine, prolonged erection, palpitations, tachycardia (faster
Heartbeat), high blood pressure, low blood pressure, nosebleeds, ear noises
(Tinnitus), swelling of hands, feet or joints and fatigue.
Rare
 (may affect up to 1 in 1000 people)
- Fainting, seizures and temporary memory loss,
Swelling of the eyelids, red eyes, sudden deafness or
Numbness, hives (itchy, red ridges of the skin), penile bleeding, blood
in the sperm and increased sweating.
Heart attacks and strokes have been rare in patients taking CIALIS
reported. Most of these men already had this before taking this
Arzeimittel known heart disease.
Partial, temporary or permanent deterioration or loss of
Eyesight of one or both eyes has been rarely reported.
Some more rare side effects
not seen in clinical trials
were reported in men who had taken CIALIS. These include:
- Migraines, facial swelling, severe allergic reactions,
which cause swelling in the face or neck, serious
Redness, some diseases that affect the blood flow to the eye,
irregular heartbeat, angina (heart attack) and sudden cardiac death.

5. How to store CIALIS?

Keep Tadalafil out of the sight and reach of children.
You must take this medicine after the carton and the blister pack
after 'verw. until 'or' EXP 'specified expiry date