What is this medicine?
TADALAFIL (tah DA la fil) is used to treat erection problems in men. It is also used for enlargement of the prostate gland in men, a condition called benign prostatic hyperplasia or BPH. This medicine improves urine flow and reduces BPH symptoms. This medicine can also treat both erection problems and BPH when they occur together.
What should I tell my health care provider before I take this medicine?
They need to know if you have any of these conditions:
-eye or vision problems, including a rare inherited eye disease called retinitis pigmentosa
-anatomical deformation of the penis, Peyronie's disease, or history of priapism (painful and prolonged erection)
-heart disease, angina, a history of heart attack, irregular heart beats, or other heart problems
-high or low blood pressure
-history of blood diseases, like sickle cell anemia or leukemia
-history of stomach bleeding
-an unusual or allergic reaction to tadalafil, other medicines, foods, dyes, or preservatives
-pregnant or trying to get pregnant
How should I use this medicine?
Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. You may take this medicine with or without meals. When this medicine is used for erection problems, your doctor may prescribe it to be taken once daily or as needed. If you are taking the medicine as needed, you may be able to have sexual activity 30 minutes after taking it and for up to 36 hours after taking it. Whether you are taking the medicine as needed or once daily, you should not take more than one dose per day. If you are taking this medicine for symptoms of benign prostatic hyperplasia (BPH) or to treat both BPH and an erection problem, take the dose once daily at about the same time each day. Do not take your medicine more often than directed.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
What if I miss a dose?
If you are taking this medicine as needed for erection problems, this does not apply. If you miss a dose while taking this medicine once daily for an erection problem, benign prostatic hyperplasia, or both, take it as soon as you remember, but do not take more than one dose per day.
What may interact with this medicine?
Do not take this medicine with any of the following medications:
-nitrates like amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin
-other medicines for erectile dysfunction like avanafil, sildenafil, vardenafil
-other tadalafil products (Adcirca)
This medicine may also interact with the following medications:
-certain drugs for high blood pressure
-certain drugs for the treatment of HIV infection or AIDS
-certain drugs used for fungal or yeast infections, like fluconazole, itraconazole, ketoconazole, and voriconazole
-certain drugs used for seizures like carbamazepine, phenytoin, and phenobarbital
-macrolide antibiotics like clarithromycin, erythromycin, troleandomycin
-medicines for prostate problems
-rifabutin, rifampin or rifapentine