WHAT IS Cialis soft/Tadalafil?

• Cialis soft/Cialis soft/Cialis soft/Tadalafil relaxes muscles and increases blood flow to particular areas of the body.
• Cialis soft/Cialis soft/Cialis soft/Tadalafil is used to treat erectile dysfunction (impotence).
• Cialis soft/Cialis soft/Cialis soft/Tadalafil may also be used for purposes other than those listed in this medication guide.

WHAT HAPPENS IF I OVERDOSE?

• Symptoms of a Cialis soft/Cialis soft/Cialis soft/tadalafil overdose may include chest pain, nausea, irregular heartbeat, and feeling light-headed or fainting.
• Seek emergency medical attention if you think you have used too much of this medicine.

WHAT HAPPENS IF I MISS A DOSE?

• Since Cialis soft/Cialis soft/Cialis soft/tadalafil is used as needed, you are not likely to be on a dosing schedule.

WHAT SHOULD I DISCUSS WITH MY DOCTOR BEFORE TAKING Cialis soft/Tadalafil?

• FDA pregnancy category B: Although Cialis soft/Cialis soft/Cialis soft/tadalafil is not for use in women, this medication is not expected to be harmful to an unborn baby. Do not use Cialis soft/Cialis soft/Cialis soft/tadalafil without telling your doctor if you are pregnant or plan to become pregnant during treatment.
• A small number of patients have had a sudden loss of eyesight after taking Cialis soft/Cialis soft/Cialis soft/tadalafil. This type of vision loss is caused by decreased blood flow to the optic nerve of the eye. It is not clear whether Cialis soft/Cialis soft/Cialis soft/tadalafil is the actual cause of such vision loss. Sudden vision loss with Cialis soft/Cialis soft/Cialis soft/tadalafil use has occurred most often in people with heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old.
• Before taking Cialis soft/Cialis soft/Cialis soft/tadalafil, tell your doctor if you have:
  • a physical deformity of the penis (such as Peyronie's disease); or
  • liver disease;
  • high or low blood pressure;
  • a bleeding disorder such as hemophilia;
  • if you have been told you should not have sexual intercourse for health reasons.
  • heart disease or heart rhythm problems;
  • angina (chest pain);
  • retinitis pigmentosa (an inherited condition of the eye);
  • kidney disease (or if you are on dialysis);
  • a recent history of stroke or congestive heart failure (within the past 6 months);
  • a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;
  • a stomach ulcer;
  • a recent history a heart attack (within the past 90 days);
• You may need a lower dose of this medication if you are older than 65. Follow your doctor's instructions.
• Although Cialis soft/Cialis soft/Cialis soft/tadalafil is not for use in women, it is not known if Cialis soft/Cialis soft/Cialis soft/tadalafil passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
• If you have any of these conditions, you may not be able to use Cialis soft/Cialis soft/Cialis soft/tadalafil or you may need a dosage adjustment or special tests during treatment.
• Do not take Cialis soft/Cialis soft/Cialis soft/tadalafil if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), Sorbitrate tr/isosorbide dinitrate (Dilatrate-SR, Isordil titradose tr/Isordil , Sorbitrate tr/Sorbitrate ), and Sorbitrate tr/isosorbide mononitrate (Imdur, ISMO, Monoket ). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking Cialis soft/Cialis soft/Cialis soft/tadalafil with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack.

HOW SHOULD I TAKE Cialis soft/Tadalafil?

• Do not take Cialis soft/Cialis soft/Cialis soft/tadalafil more than once a day. Allow 24 hours to pass between doses.
• Store this medication at room temperature away from moisture and heat.
• Take each dose with a full glass of water.
• Avoid taking High-fat food before taking Viagra soft/Viagra as it may cause the medicine to take more time to start working.
• Cialis soft/Cialis soft/Cialis soft/Tadalafil is usually taken only when needed, 30 - 60 minutes before sexual activity. The medication can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill.

WHAT ARE THE POSSIBLE SIDE EFFECTS OF Cialis soft/Tadalafil?

• Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
• Stop using Cialis soft/Cialis soft/Cialis soft/tadalafil and get emergency medical help if you have sudden vision loss.
• Stop using Cialis soft/Cialis soft/Cialis soft/tadalafil and call your doctor at once if you have any of these serious side effects:
  • feeling light-headed, fainting; or
  • 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;
  • vision changes;
  • penis erection that is painful or lasts 4 hours or longer.
• If you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity, stop and call your doctor right away. You could be having a serious side effect of Cialis soft/Cialis soft/Cialis soft/tadalafil.
• Continue taking Cialis soft/Cialis soft/Cialis soft/tadalafil and talk with your doctor if you have any of these less serious side effects:
  • warmth or redness in your face, neck, or chest;
  • headache;
  • upset stomach; or
  • stuffy nose;
  • back pain.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

Do not take Cialis soft/Cialis soft/Cialis soft/tadalafil if you are taking the following medications:

• nitroglycerin-type drugs for the heart or chest pain such as amyl nitrite, Sorbitrate tr/isosorbide dinitrate, Sorbitrate tr/isosorbide mononitrate, nitroglycerin, even if these are only taken occasionally

Cialis soft/Cialis soft/Cialis soft/Tadalafil may also interact with the following medications:

• alpha blockers, such as Uroxatral/alfuzosin ( UroXatral ©), Cardura/doxazosin ( Cardura ©), Minipress/prazosin ( Minipress ©), or Hytrin/terazosin ( Hytrin ©), used to treat high blood pressure or an enlarged prostate.
• grapefruit juice
• bosentan
• mibefradil
• Covera hs/verapamil
• quinidine
• some drugs for treating depression, anxiety or other mood problems (examples: Prozac/fluoxetine, Luvox/fluvoxamine, nefazodone)
• certain drugs used for seizures such as Tegretol/carbamazepine, Dilantin er/phenytoin, and phenobarbital
• nicardipine
• certain medicines for the treatment of HIV infection or AIDS
• medicines for fungal infections (Diflucan/fluconazole, Sporanox/itraconazole, Nizoral/ketoconazole, voriconazole)
• cimetidine
• rifabutin, rifampin or rifapentine
• Cartia cd/Diltiazem cd/diltiazem
• cisapride
• certain antibiotics such as Biaxin/clarithromycin, E-mycin/erythromycin, troleandomycin

WHAT SHOULD I AVOID WHILE TAKING Cialis soft/Tadalafil?

• Grapefruit and grapefruit juice may interact with Cialis soft/Cialis soft/Cialis soft/tadalafil. Discuss the use of grapefruit products with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.
• Do not use any other drug to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others), unless your doctor tells you to.
• Avoid drinking alcohol, which can increase some of the side effects of Cialis soft/Cialis soft/Cialis soft/tadalafil.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.