CIALIS/ADCIRCA (Tadalafil)
CIALIS/ADCIRCA (Tadalafil)
CIALIS/ADCIRCA (Tadalafil)
CIALIS/ADCIRCA (Tadalafil)
CIALIS/ADCIRCA (Tadalafil)
CIALIS/ADCIRCA (Tadalafil)
CIALIS/ADCIRCA (Tadalafil)
CIALIS/ADCIRCA (Tadalafil)
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CIALIS/ADCIRCA (Tadalafil)

Vendor
ELI LILLY
Regular price
$159.99 USD
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$159.99 USD
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prescription

What is this medication?

CIALIS/ADCIRCA (Tadalafil)
Phosphodiesterase-5-Inhibitor

CIALIS/ADCIRCA (Tadalafil) is officially indicated for the treatment of erectile dysfunction or organic, psychogenic, or mixed etiology.

How does this medication work?

CIALIS/ADCIRCA (Tadalafil) enhances the physiological erectile response following sexual arousal through the potentiation of nitric oxide effects on vascular smooth muscle.  Nitric oxide is released into the corpus cavernosum in response to sexual stimulation.  This stimulates the production of cGMP, leading to smooth muscle relaxation and subsequently vasodilation and erection of the penis.  Tadalafil/Cialis/Adcirca selectively inhibits cGMP for PDE5 which is main enzyme that metabolizes cGMP in the penis, thus enhancing the erectile response of the penis.

How should I take this medication?

Benign prostatic hyperplasia (with or without concomitant erectile dysfunction) – CIALIS/Tadalafil
Oral: Take 5mg once daily.

Note: When CIALIS/Tadalafil is used with finasteride to initiate BPH therapy, the recommended duration of therapy is ≤26 weeks.

Erectile dysfunction – CIALIS/Tadalafil
As needed dosing:
Oral:
Take 5mg to 20mg at least 30 minutes prior to anticipated sexual activity as a single dose and not more than once daily over 24 hours.  Improvement in the strength and response of erectile function to sexual activity can last up to 36 hours following a single dose. 

Once daily dosing: 
Oral: Take 2.5mg to 5mg daily at approximately the same time each day without regards to the timing of sexual activity.

Pulmonary artery hypertension – ADCIRCA/Tadalafil
Oral: Take 40mg once daily.

Raynaud’s disease – CIALIS/Tadalafil
Oral: Take 20mg every other day.

How to Take: Do not split the tablet; take the entire tablet and swallow whole.  When used as needed, take at least 30 minutes prior to sexual activity.  When used as once daily basis, try to take the same time each day regardless of sex. 

What should I watch for while using this medication?

Use CIALIS/ADCIRCA (Tadalafil) with caution or avoid in persons with increased susceptibility to vasodilators including those with aortic stenosis, cardiomyopathy, and impaired autonomic control of blood pressure. Use Tadalafil with caution in persons who have suffered a myocardial infarction, stroke, or life-threatening arrhythmia within the last six months. Use Tadalafil with caution in persons with resting hypotension (blood pressure under 90/50) or hypertension (blood pressure 170/110). Use Tadalafil with caution in persons with heart failure or coronary artery disease. If you experience chest pain when using Tadalafil, seek medical attention immediately.

Painful erections lasting > 6 hours is known as priapism and is rare.  However, if your erection lasts longer than > 4 hours, seek medical condition.  Certain medical conditions such as sickle cell anemia, multiple myeloma and leukemia have been associated with a higher risk of priapism.

Vision loss is rare but may be a sign of non-arteritic anterior ischemic optic neuropathy (NAION).  Please seek medical attention immediately for any sudden loss of vision in one or both eyes.  Risk factors for NAION include coronary artery disease (CAD), diabetes, hypertension, hyperlipidemia, smoking and > 50 years of age.

What if I miss a dose?

If you forget to take a once-daily dose of CIALIS/ADCIRCA (Tadalafil), try to take it as soon as you remember. However, if it is almost time for your next dose, take only that scheduled dose. Do not take more than one Tadalafil dose per day.

It’s important that you do not take more Tadalafil than your doctor prescribes for you. Doing so may lead to serious side effects from the drug.

How should I store this medication?

Keep out of the reach of children at all times.  Store at room temperature, 59 to 86° F (15 to 30° C).  Protect from light.  Keep the container tightly closed.  Properly dispose of any unused medication after the expiration date.

What are the possible side effects of using this medication?

Flushing, headache, nausea, myalgia, limb pain, respiratory tract infection, nasopharyngitis.

Note this is not a complete list of side effects for CIALIS/ADCIRCA (Tadalafil), only common ones.