Use CIALIS with caution in patients predisposed to priapism (5.3).
- The 20mg dose is usually prescribed for most men.
- Cialis works by relaxing blood vessels in the penis.
- It can also treat symptoms of benign prostatic hyperplasia.
- Store Cialis in a cool, dry place away from children.
- Do not split or crush the pills.
Patients should stop CIALIS and seek medical care if a sudden loss of vision occurs in one or both eyes, which could be a sign of Non Arteritic Ischemic Optic Neuropathy (NAION). Discuss increased risk of NAION in patients with history of NAION (5.4).
- The future of ED treatment may include new formulations of tadalafil.
- Research includes fast-dissolving tablets, topical gels, and subcutaneous pellets.
- The goal is to improve convenience, speed of onset, or reduce side effects.
- Gene therapy and stem cell treatments are in early experimental stages.
- These are not currently standard or widely available.
- For now, oral PDE5 inhibitors like tadalafil remain first-line therapy.
- Ongoing research continues to refine our understanding of its long-term effects.
- Personalized medicine may one day tailor ED treatment based on genetics.
- Always rely on current, peer-reviewed medical information.
- Be wary of sensationalized news reports about "miracle cures".
- Your urologist or primary care doctor is your best source for updates.
- Regular check-ups ensure your treatment plan remains optimal.
Patients should stop CIALIS and seek prompt medical attention in the event of sudden decrease or loss of hearing (5.5).
5.9 Alcohol
CIALIS for use as needed: Starting dose: 10 mg up to once daily. Improves erectile function compared to placebo up to 36 hours post dose (2.1). CIALIS for once daily use: 2.5 mg taken once daily, without regard to timing of sexual activity. May increase to 5 mg based upon efficacy and tolerability (2.1). CIALIS may be taken without regard to food (2.2). Most common adverse reactions (≥2%) include headache, dyspepsia, back pain, myalgia, nasal congestion, flushing, and pain in limb (6.1, 6.2).
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Cialis Professional | 20mg | 30 Pills | 104.57€ 99.59€ | |
| Cialis Professional | 20mg | 270 + 6 Pills | 623.07€ 593.40€ | |
| Cialis Professional | 40mg | 90 + 2 Pills | 348.59€ 331.99€ | |
| Cialis Original | 20mg | 48 + 4 Pills | 224.69€ 213.99€ | |
| Cialis Generic | 10mg | 360 + 10 Pills | 388.49€ 369.99€ | |
| Cialis Generic | 2.5mg | 20 Pills | 40.73€ 38.79€ | |
| Cialis Generic | 40mg | 120 + 8 Pills | 206.98€ 197.12€ | |
| Cialis Super Active | 20mg | 10 Pills | 55.64€ 52.99€ | |
| Cialis Generic | 20mg | 180 + 10 Pills | 254.09€ 241.99€ | |
| Cialis Super Active | 20mg | 60 + 8 Pills | 230.32€ 219.35€ |
To report SUSPECTED ADVERSE REACTIONS, contact Eli Lilly and Company at 1-800-LillyRx (1-800-545-5979) or FDA at 1-800-FDA-1088 or See 17 for PATIENT COUNSELING INFORMATION and FDA-approved patient labeling.
17.8 Alcohol
Both conditions are considered emergencies and need to be treated right away to prevent long-term damage. So if you’ve had prolonged erections or priapism in the past, tell your doctor before you take Cialis. They may have you carefully monitor your condition after taking Cialis. Blood cell problems can include sickle cell anemia and blood cancers such as multiple myeloma or leukemia. If you have a blood cell problem, tell your doctor before taking Cialis.
What to do in case of overdose
You may be at an increased risk for developing a long lasting erection when taking the drug. Erections lasting longer than 4 hours can be dangerous and may cause permanent damage. Your doctor may recommend a low dose of Cialis if you have blood cell problems. If you’ve had an allergic reaction to Cialis or any of its ingredients, you should not take Cialis. Ask your doctor what other medications are better options for you.
When to take
It’s not known if Cialis is safe to take during pregnancy. For more information, please see the “Cialis and pregnancy” section above. It’s not known if Cialis is safe to take while breastfeeding. For more information, please see the “Cialis and breastfeeding” section above. Note: For more information about the potential negative effects of Cialis, see the “Cialis side effects” section above. Table of Contents FULL PRESCRIBING INFORMATION: CONTENTS*1 INDICATIONS AND USAGE1.1 Erectile Dysfunction2 DOSAGE AND ADMINISTRATION2.1 Erectile Dysfunction2.2 Use with Food2.3 Use in Special Populations2.4 Concomitant Medications3 DOSAGE FORMS AND STRENGTHS4 CONTRAINDICATIONS4.1 Nitrates4.2 Hypersensitivity Reactions5 WARNINGS AND PRECAUTIONS5.1 Cardiovascular5.2 Potential for Drug Interactions When Taking CIALIS for Once Daily Use5.3 Prolonged Erection5.4 Eye5.5 Sudden Hearing Loss5.6
17.10 Recommended Administration
Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.
Discover more about Cialis
Contains inactivated NDC Code(s)NDC Code(s): 21695-028-10, 21695-029-10, 21695-029-16, 21695-029-30 If you are a consumer or patient please visit this version. HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use CIALIS safely and effectively. See full prescribing information for CIALIS.CIALIS (tadalafil) tablet, film coated for cialis woman oral useInitial U.S. Approval: 2003INDICATIONS AND USAGECIALIS® is a phosphodiesterase 5 (PDE5) inhibitor indicated for erectile dysfunction (ED) (1.1).DOSAGE AND ADMINISTRATIONCIALIS for use as needed: Starting dose: 10 mg up to once daily. Increase to 20 mg or decrease to 5 mg based upon efficacy/tolerability.
Cialis and other medications
Improves erectile function compared to placebo up to 36 hours post dose (2.1).CIALIS for once daily use: 2.5 mg taken once daily, without regard to timing of sexual activity. May increase to 5 mg based upon efficacy and tolerability (2.1).CIALIS may be taken without regard to food (2.2).DOSAGE FORMS AND STRENGTHSTablets (not scored): 2.5 mg, 5 mg, 10 mg, 20 mg (3).CONTRAINDICATIONSWARNINGS AND PRECAUTIONSPatients should not use CIALIS if sex is inadvisable due to cardiovascular status (5.1).Use of CIALIS with alpha blockers, antihypertensives or substantial amounts of alcohol (≥5 units) may lead to hypotension (5.6, 5.9).If taking potent inhibitors of CYP3A4, dose should be adjusted: CIALIS for use as needed: ≤10 mg every 72 hours. For once daily use: dose not to exceed 2.5 mg (5.10).Patients should seek emergency treatment if an erection lasts >4 hours. Use CIALIS with caution in patients predisposed to priapism (5.3).Patients should stop CIALIS and seek medical care if a sudden loss of vision occurs in one or both eyes, which could be a sign of Non Arteritic Ischemic Optic Neuropathy (NAION). Discuss increased risk of NAION in patients with history of NAION (5.4).Patients should stop CIALIS and seek prompt medical attention in the event of sudden decrease or loss of hearing (5.5).ADVERSE REACTIONSMost common adverse reactions (≥2%) include headache, dyspepsia, back pain, myalgia, nasal congestion, flushing, and pain in limb (6.1, 6.2).To report SUSPECTED ADVERSE REACTIONS, contact Eli Lilly and Company at 1-800-LillyRx (1-800-545-5979) or FDA at 1-800-FDA-1088 or INTERACTIONSSee 17 for PATIENT COUNSELING INFORMATION and FDA-approved patient labeling.Revised: 7/2009 CIALIS® is a phosphodiesterase 5 (PDE5) inhibitor indicated for erectile dysfunction (ED) (1.1). Alpha blockers and Antihypertensives5.7 Renal Insufficiency5.8 Hepatic Impairment5.9 Alcohol5.10 Concomitant Use of Potent Inhibitors of Cytochrome P450 3A4 (CYP3A4)5.11 Combination With Other PDE5 Inhibitors or Erectile Dysfunction Therapies5.12 Effects on Bleeding5.13 Counseling Patients About Sexually Transmitted Diseases6 ADVERSE REACTIONS6.1 Clinical Studies Experience6.2 Postmarketing Experience7 DRUG INTERACTIONS7.1 Potential for Pharmacodynamic Interactions with CIALIS7.2 Potential for Other Drugs
- Cialis 20mg should be taken at the same time each day.
- Do not take Cialis with grapefruit juice.
- Check for contraindications with your healthcare provider.
- Sexual activity may be unsafe with certain medical conditions.
- Discontinue use if you experience vision changes.
to Affect CIALIS7.3 Potential for CIALIS to Affect Other Drugs8 USE IN SPECIFIC POPULATIONS8.1 Pregnancy8.3 Nursing Mothers8.4 Pediatric Use8.5 Geriatric Use8.6 Hepatic Impairment8.7 Renal Insufficiency10 OVERDOSAGE11 DESCRIPTION12 CLINICAL PHARMACOLOGY12.1 Mechanism of Action12.2 Pharmacodynamics12.3 Pharmacokinetics13 NONCLINICAL TOXICOLOGY13.1 Carcinogenesis, Mutagenesis, Impairment of Fertility13.2 Animal Toxicology and/or Pharmacology14 CLINICAL STUDIES14.1 CIALIS for Use as Needed14.2 CIALIS for Once
Cialis y Testosterona
Patients should not use CIALIS if sex is inadvisable due to cardiovascular status (5.1). Use of CIALIS with alpha blockers, antihypertensives or substantial amounts of alcohol (≥5 units) may lead to hypotension (5.6, 5.9). If taking potent inhibitors of CYP3A4, dose should be adjusted: CIALIS for use as needed: ≤10 mg every 72 hours. For once daily use: dose not to exceed 2.5 mg (5.10). Patients should seek emergency treatment if an erection lasts >4 hours. Daily Use16 HOW SUPPLIED/STORAGE AND HANDLING16.1 How Supplied16.2 Storage17 PATIENT COUNSELING INFORMATION17.1 Nitrates17.2 Cardiovascular Considerations17.3 Concomitant Use with Drugs Which Lower Blood Pressure17.4 Potential for Drug Interactions When Taking CIALIS for Once Daily Use17.5 Priapism17.6 Vision17.7 Sudden Hearing Loss17.8 Alcohol17.9 Sexually Transmitted Disease17.10 Recommended Administration*Sections or subsections omitted from the full prescribing information are not listed.
| Drug Name | Active Ingredient | Onset of Action | Duration | Common Side Effects |
|---|---|---|---|---|
| Cialis | Tadalafil | 30-60 min | Up to 36 hours | Headache, flushing, dyspepsia |
| Viagra | Sildenafil | 30-60 min | 4-6 hours | Vision changes, headache |
| Levitra | Vardenafil | 25-60 min | 4-5 hours | Dizziness, flushing |
Sections or subsections omitted from the full prescribing information are not listed.
| Region | Average Cost per 20mg Tablet | Insurance Coverage | Availability |
|---|---|---|---|
| United States | $10-$20 | Varies | Widely available via pharmacies |
| Europe | €8-€15 | Generally not covered | Available in OTC or prescription |
| Asia | $2-$8 | Less common | Accessible at local pharmacies |
2 DOSAGE AND ADMINISTRATION 2.1 Erectile DysfunctionCIALIS for Use as NeededThe recommended starting dose of CIALIS for use as needed in most patients is 10 mg, taken prior to anticipated sexual activity.The dose may be increased to 20 mg or decreased to 5 mg, based on individual efficacy and tolerability.
5.11 Combination With Other PDE5 Inhibitors or Erectile Dysfunction Therapies
If you have retinitis pigmentosa (a genetic eye condition that may cause vision loss), you should not take Cialis. It’s possible that Cialis may increase your risk of bleeding. So if you have a history of stomach ulcers, taking Cialis may increase your risk of developing bleeding ulcers. (Stomach ulcers are sores in the lining of your stomach or intestine, and they may bleed.) Talk with your doctor before taking Cialis if you have a history of stomach ulcers. Cialis may increase your risk of bleeding.
Cialis for benign prostatic hyperplasia (BPH)
If you have a history of bleeding problems, such as hemophilia, taking Cialis may further increase your risk for bleeding. Talk with your doctor before taking Cialis if you have a history of bleeding problems. If you have a deformed penis or a history of Peyronie’s disease (a curved penis), tell your doctor before taking Cialis. You may be at an increased risk for developing a long-lasting erection if you take the drug. Blood may become trapped in the penis and lead to an erection lasting longer than 4 hours, which can be dangerous and cause lasting damage.
Overdose symptoms
Your doctor will probably have you take a low dose of Cialis or use the medication with caution. History of erections lasting longer than 4 hours. If you have a history of prolonged erections or priapism, you may be at an increased risk for developing them while taking Cialis. A prolonged erection is one that lasts more than 4 hours. And priapism is a painful erection that lasts more than 6 hours.