Tadalafil (oral route)
It is crucial that you inform every healthcare provider involved in your care that you are taking tadalafil. In the event of needing urgent medical attention for a cardiovascular issue, it is essential for your doctor to be aware of the latest time you ingested tadalafil. This information could be vital in managing your condition effectively and safely.
If you are prescribed this medication for pulmonary arterial hypertension, it is imperative that your healthcare provider conducts regular evaluations of your treatment. These follow-up visits enable your physician to assess whether the medication is achieving the desired effects and to determine if continued use is warranted. Blood tests and urine analyses may be necessary to monitor for any potential adverse reactions that might arise during your treatment.
When using tadalafil for pulmonary arterial hypertension, it is strictly advised to refrain from taking Cialis® or any other phosphodiesterase type 5 (PDE5) inhibitors, which include medications like sildenafil (Revatio® or Viagra®) or vardenafil (Levitra®). Since Cialis® contains tadalafil as well, combining these medications can increase the risk of side effects significantly.
If you experience an erection lasting more than 4 hours or a painful erection persisting longer than 6 hours, seek immediate medical assistance. This serious condition could lead to irreversible damage to your genital tissues if not treated promptly.
This particular medication does not offer protection against sexually transmitted infections (STIs), including HIV or AIDS. It is advised to utilize adequate protective measures and consult your healthcare provider should you have any inquiries about safe practices.
It is vital to discuss your complete medical history with your healthcare provider, especially if you have any current or past heart problems. The use of this medication can lead to severe side effects for individuals with cardiovascular conditions, making transparent communication essential.
Avoid using tadalafil concurrently with riociguat (Adempas®) or any nitrate medications, which are commonly prescribed for angina (chest pain). Nitrate medications encompass substances such as nitroglycerin, isosorbide, Imdur®, Nitro-Bid®, Nitrostat®, Nitro-Dur®, Transderm Nitro®, Nitrol® Ointment, and Nitrolingual® Spray. Additionally, certain illegal substances, often referred to as "poppers" (like amyl nitrate, butyl nitrate, or nitrite), may also contain nitrates. If a nitrate treatment is necessary, ensure it is at least 48 hours after your last dose of tadalafil.
Refrain from consuming excessive alcohol (for example, five or more glasses of wine or five or more shots of whiskey) while taking tadalafil. Overindulgence in alcohol can elevate the likelihood of experiencing headaches or dizziness and could also lead to an increased heart rate or decreased blood pressure.
If you notice abrupt loss of vision in one or both eyes, it is critical to contact your healthcare provider without delay.
Seek immediate medical advice if you experience a sudden decrease in hearing or any loss of hearing, particularly if accompanied by sensations of dizziness or ringing in the ears. These symptoms can indicate serious conditions that require prompt evaluation.
Do not commence any additional medications unless you have consulted with your doctor first. This includes over-the-counter (OTC) products, prescription drugs, herbal remedies, or vitamin supplements, as interactions may occur.