Tadalafil (oral route)
It is crucial that you inform every one of your healthcare providers that you are taking tadalafil. In circumstances where you require urgent medical assistance for a heart-related issue, it is vital for your doctor to be aware of the last time you consumed tadalafil, as this information can significantly influence the treatment you receive.
If you are prescribed this medication for pulmonary arterial hypertension, it is of utmost importance that your healthcare professional evaluates your condition during routine follow-up appointments. These check-ups will help your physician determine the effectiveness of the treatment and whether your medication regimen should be adjusted or maintained. Routine blood and urine analyses may be required to monitor for any adverse effects that could arise from the treatment.
When taking tadalafil for pulmonary arterial hypertension, be sure to avoid taking Cialis® or other phosphodiesterase type 5 (PDE5) inhibitors, which include medications like sildenafil (Revatio® or Viagra®) and vardenafil (Levitra®). Remember that Cialis® also contains tadalafil, and combining these medications can heighten the risk of experiencing unwanted side effects.
If you notice a prolonged erection lasting over 4 hours or experience a painful erection persisting for more than 6 hours, you should seek immediate medical attention. Delaying treatment for such a condition may lead to serious and irreversible damage to your penis, making prompt intervention essential.
This medication does not provide any protection against sexually transmitted infections, including HIV or AIDS. It is important to adopt protective measures and consult your healthcare provider if you have any queries regarding this aspect of sexual health.
Be sure to discuss with your doctor any current heart conditions or past diagnoses that may be relevant. Tadalafil can pose significant risks for individuals with existing heart problems, hence transparency about your medical history is essential.
Refrain from using this medication if you are also prescribed riociguat (Adempas®) or any nitrate medications commonly used for the treatment of angina (chest pain). Nitrate medications include nitroglycerin, isosorbide, Imdur®, Nitro-Bid®, Nitrostat®, Nitro-Dur®, Transderm Nitro®, Nitrol® Ointment, and Nitrolingual® Spray. Additionally, be aware that some illicit drugs known as "poppers" (including amyl nitrate, butyl nitrate, or nitrite) can also contain nitrates. If you must use any nitrate medication, ensure that a minimum of 48 hours has passed since your last dose of tadalafil.
Limit your alcohol consumption while taking tadalafil, as excessive intake (for example, 5 or more glasses of wine or 5 or more shots of whiskey) can result in heightened risks such as headaches, dizziness, increased heart rate, or decreased blood pressure.
If you experience a sudden loss of vision in one or both eyes, contact your healthcare provider without delay. Immediate attention can help evaluate the situation and determine if any action is required.
Should you notice a sudden decrease in hearing or a loss of hearing accompanied by symptoms like dizziness and ringing in the ears, reach out to your doctor immediately. These symptoms may represent serious side effects that warrant urgent evaluation.
Refrain from taking any additional medications unless they have been discussed and approved by your healthcare provider. This includes both prescription and over-the-counter (OTC) medications, as well as any herbal or vitamin supplements that you may be considering.