Tadalafil (oral route)
It is important that you tell all of your doctors that you take tadalafil. Open communication with your healthcare team ensures they have all the necessary information regarding your treatment. If you require emergency medical attention for any heart-related issues, your healthcare provider must know when you last administered tadalafil to make informed decisions regarding your care.
If you will be taking this medicine for pulmonary arterial hypertension, it is very important that your doctor check your progress at regular visits. Regular monitoring during scheduled appointments will allow your healthcare provider to assess the effectiveness of the medication and determine whether you should continue this treatment regimen. Additionally, your doctor may perform blood and urine tests to monitor any potential adverse effects associated with tadalafil.
If you take tadalafil for pulmonary arterial hypertension, be aware that you should not take Cialis® or other PDE5 inhibitors, including sildenafil (Revatio® or Viagra®) or vardenafil (Levitra®). It's crucial to remember that Cialis® contains tadalafil, and combining these medications can significantly elevate the risk of experiencing side effects, which could be detrimental to your health.
If you experience a prolonged erection for more than 4 hours or a painful erection for more than 6 hours, contact your doctor immediately. These symptoms could indicate a serious condition that may require urgent medical intervention to avoid severe and irreversible damage to your penis.
This medicine does not protect you against sexually transmitted diseases (including HIV or AIDS). It is essential to employ protective measures during sexual activity and consult your healthcare provider if you have any questions or concerns regarding sexual health and safety.
It is important to tell your doctor about any heart problems you have now or may have had in the past. This medication can potentially lead to serious side effects for individuals with pre-existing heart conditions, and your doctor must be aware of your medical history to ensure your safety while using tadalafil.
Do not use this medicine if you are also using riociguat (Adempas®) or a nitrate medicine, often prescribed to treat angina (chest pain). Nitrate medications encompass a wide variety of drugs including nitroglycerin, isosorbide, Imdur®, Nitro-Bid®, Nitrostat®, Nitro-Dur®, Transderm Nitro®, Nitrol® Ointment, and Nitrolingual® Spray. Some illegal ('street') drugs referred to as 'poppers' (for example, amyl nitrate, butyl nitrate, or nitrite) are also nitrate-containing substances. If you need to use a nitrate medicine, it is imperative to wait a minimum of 48 hours post your last dose of tadalafil to mitigate any potential complications.
Do not drink excessive amounts of alcohol (e.g., 5 or more glasses of wine or 5 or more shots of whiskey) when taking tadalafil. High intake of alcohol can notably elevate the likelihood of experiencing adverse effects such as headaches, dizziness, increased heart rate, or lowered blood pressure, which may complicate your overall health status.
If you experience sudden loss of vision in one or both eyes, contact your doctor immediately. Such occurrences can be indicative of serious medical issues that require prompt attention.
Check with your doctor right away if you experience a sudden decrease in hearing or loss of hearing, which may be accompanied by dizziness and ringing in the ears. These symptoms could also signal urgent medical concerns needing thorough evaluation.
Do not take any additional medicines unless they have been thoroughly discussed with your doctor. This encompasses both prescription and nonprescription (over-the-counter [OTC]) medications, as well as herbal or vitamin supplements, to prevent potential interactions or adverse reactions.