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This article incorporates text from this source, which is in the public domain. London: BMJ Group and Pharmaceutical Press. Retrieved 24 September 2015. The American Journal of Gastroenterology. Text is available under the CC BY-SA 3. Non-text media are available under their specified licenses. WIKI 2 is an independent company and has no affiliation with Wikimedia Foundation. Adcirca and Alyq are used in men and women to treat pulmonary arterial hypertension (PAH) and to improve exercise capacity.

Tadalafil may also be used for purposes not listed in this medication guide. What is the most important information I should know about Cialis (Tadalafil).

You should not take tadalafil if you are allergic to it, or:Do not take tadalafil if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate. Nitrates are also found in some recreational drugs such as amyl nitrate, butyl nitrate or nitrite ("poppers").

Taking tadalafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure. Some tadalafil can remain in your bloodstream for 2 or more days after each dose you take (longer if you have liver or kidney disease). Avoid nitrate use during this time. A small number of people taking tadalafil have had sudden vision loss. Most of these people already had eye problems, or had diabetes or other health conditions that can affect blood vessels in the eyes.

It is not clear whether tadalafil causes vision loss. Do not start or stop taking tadalafil during pregnancy without your doctor's advice. Having pulmonary arterial hypertension (PAH) during pregnancy may cause heart failure, stroke, or other medical problems in both mother and baby.

Tell your doctor right away if you become pregnant. Stop and get medical help at once if you have nausea, chest pain, or dizziness during sex. You could be having a life-threatening side effect. Grapefruit may interact with tadalafil and lead to unwanted side effects. Use Cialis (Tadalafil) exactly as directed on the label, or as prescribed by your doctor. When taking Adcirca or Alyq, you may need 2 tablets for a full dose. Take both tablets one after the other.

Do not split the dose. Take Cialis just before sexual activity, but not more than once per day. Cialis can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill. Do not change your tadalafil dose or stop taking this medicine without your doctor's advice. If you miss a dose of Adcirca or Alyq, take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose.

What happens if I overdose on Cialis (Tadalafil). If you think you or someone else may have overdosed on: Cialis (Tadalafil), call your doctor or the Poison Control center(800) 222-1222If someone collapses or isn't breathing after taking Cialis (Tadalafil), call 911911. You should not take tadalafil if you are allergic to it, or:if you take other medicines to treat pulmonary arterial hypertension, such as riociguat (Adempas). Do not take tadalafil if you are also using a nitrate drug for chest pain or heart problems.

Cialis is not for use in women. Tadalafil is not approved for use by anyone younger than 18 years old. BBased on FDA pregnancy categoriesInteractionsWhat drugs and food should I avoid while taking Cialis (Tadalafil). It may increase your risk of dizziness or fainting. Do not break or split a Cialis tablet. Take the medicine at the same time each day, with or without food.