Tadalafil (oral route)
It is essential to inform every healthcare provider you consult that you are currently taking tadalafil. This is particularly vital during emergency situations where you might require immediate medical attention for any heart-related issues, as your physician must be aware of the timing of your last tadalafil intake to provide the most effective care possible.
When prescribed for pulmonary arterial hypertension, it becomes increasingly critical for your doctor to monitor your health through regular follow-up appointments. These frequent evaluations enable your healthcare professional to assess the effectiveness of the medication over time and determine whether ongoing treatment is necessary. In certain cases, blood and urine examinations might be essential to identify any potential adverse reactions to the treatment.
If you're utilizing tadalafil specifically for pulmonary arterial hypertension, refrain from taking Cialis® or any other PDE5 inhibitors, including sildenafil (available as Revatio® or Viagra®) or vardenafil (found in Levitra®). It’s important to note that Cialis® contains the same active ingredient, tadalafil. Taking an excessive amount of tadalafil or combining it with these other medications significantly elevates the risk of experiencing side effects.
Should you encounter an erection lasting more than 4 hours or experience pain during an erection lasting beyond 6 hours, it is crucial to contact your healthcare provider without delay. This medical emergency necessitates immediate attention to avert severe and irreversible injury to your penis.
This medication does not shield you from sexually transmitted infections, such as HIV or AIDS. It’s vital to engage in safe practices and discuss any concerns with your healthcare provider.
Be sure to disclose any current or historical heart conditions to your physician. The use of this medication can lead to grave side effects, particularly in individuals with underlying heart issues.
Avoid the use of tadalafil in conjunction with riociguat (Adempas®) or any nitrate medications commonly prescribed for treating angina (chest pain). Examples of nitrate medications include nitroglycerin, isosorbide, Imdur®, Nitro-Bid®, Nitrostat®, Nitro-Dur®, Transderm Nitro®, Nitrol® Ointment, and Nitrolingual® Spray. Additionally, be aware that certain illegal drugs referred to as "poppers" (such as amyl nitrate, butyl nitrate, or nitrite) also contain nitrates. It's advisable to wait a minimum of 48 hours after your last tadalafil dose before using any nitrate medication.
Limit alcohol consumption while taking tadalafil; consuming excessive drinks (for example, 5 or more glasses of wine or 5 or more shots of whiskey) can exacerbate side effects. High levels of alcohol intake can lead to increased headaches, dizziness, elevated heart rate, or a drop in blood pressure.
If you suddenly lose vision in one or both eyes, it's imperative to seek medical attention immediately.
Be vigilant for any rapid decline in hearing or complete hearing loss, which may come with dizziness and tinnitus, and report these changes to your healthcare provider promptly.
Always consult with your doctor before taking any additional medications, whether they are prescription drugs, over-the-counter medications (OTC), or herbal/vitamin supplements. This cautious approach is vital to ensure your health and safety when using tadalafil.