4 CONTRAINDICATIONS
Before taking Cialis, tell your healthcare provider about all your medical problems, particularly if you have or ever had: heart problems such as chest pain (angina), heart failure, irregular heartbeats, or have had a heart attack high or low blood pressure or have high blood pressure that is not controlled retinitis pigmentosa, a rare genetic (runs in families) eye disease severe vision loss, including a condition called NAION a deformed penis shape or Peyronie's disease an erection that lasted more than 4 hours blood cell problems such as sickle cell anemia, multiple myeloma, or leukemia Tell your healthcare provider about all the medicines you take especially if you take: medicines called "nitrates" which are often prescribed for chest pain alpha-blockers often prescribed for prostate problems medicines for HIV or some types of oral antifungal medications some types of antibiotics such as clarithromycin, telithromycin, erythromycin (several brand names exist, please contact your healthcare provider to determine if you are taking this medicine) other medicines or treatments for erectile dysfunction (ED) Cialis is also marketed as Adcirca for the treatment of pulmonary arterial hypertension. Do not take sildenafil citrate (Revatio®)* with Cialis.
| Parameter | Value | Notes |
|---|---|---|
| Absorption Rate | Peak plasma levels in 2 hours | |
| Half-life | Approximately 17.5 hours | Duration of action |
| Metabolism | Liver via CYP3A4 enzymes | |
| Excretion | Mainly in feces; minor in urine |
The most common side effects with Cialis are: headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose.
- Cialis 5 mg daily can be taken long term if effective and tolerated.
- Periodic reassessment of need and response is recommended.
- No evidence of tolerance buildup or dependency.
- Discontinuation does not cause withdrawal symptoms.
- Erectile function may return to baseline after stopping.
- For BPH, symptoms may recur if treatment is stopped.
- Consult doctor before stopping or changing dose.
- Maintain regular follow-up appointments.
An erection that won't go away: If you get an erection lasting more than 4 hours, seek immediate medical help to avoid long-term injury.
- Cialis 5 mg is manufactured by Eli Lilly and Company.
- First approved by FDA in 2003 for ED (as needed dosing).
- Daily dosing approved later for ED and BPH.
- Patent expired in 2017, allowing generics.
- Eli Lilly also produces Adcirca for PAH.
- Cialis brand remains widely recognized and prescribed.
- Generic tadalafil is often available at lower cost.
- Check with pharmacy for brand vs. generic availability.
In rare instances, men taking prescription ED tablets, including Cialis, reported a sudden decrease or loss of vision or hearing (sometimes with ringing in the ears and dizziness).
| Side Effect | Severity | Frequency | Notes |
|---|---|---|---|
| Headache | Mild | Common | Usually subsides in a few hours |
| Indigestion | Mild | Common | May occur if taken with fatty meals |
| Muscle Pain | Mild | Less common | Typically temporary |
| Flushing | Mild | Common | Facial redness |
| Nasal Congestion | Mild | Less common | Temporary |
It's not possible to determine if these events are related directly to the ED tablets or to other factors. If you have a sudden decrease or loss of vision or hearing, stop taking any ED tablet, including Cialis and call a healthcare provider right away.
17.1 Nitrates
Important Safety Information for Cialis® (tadalafil) tablets What Is The Most Important Information I Should Know About Cialis? take medicines called "nitrates" such as isosorbide dinitrate or isosorbide mononitrate which are often prescribed for chest pain as the combination may cause an unsafe drop in blood pressure use recreational drugs called "poppers" like amyl nitrite and butyl nitrite are allergic to Cialis or Adcirca® (tadalafil), or any of its ingredients. Call your healthcare provider or get help right away if you experience any symptoms of an allergic reaction, such as rash, hives, swelling of the lips, tongue or throat, or difficulty breathing or swallowing After taking a single tablet, some of the active ingredient of Cialis remains in your body for more than 2 days. The active ingredient can remain longer if you have problems with your kidneys or liver, or you are taking certain other medications. Ask your healthcare provider if your heart is healthy enough cialis 10mg prescription for you to have sexual activity. You are encouraged to report negative side effects of prescription drugs to the FDA.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Cialis Generic | 20mg | 30 + 4 Pills | 68.05€ 64.81€ | |
| Cialis Professional | 40mg | 60 + 2 Pills | 262.32€ 249.83€ | |
| Cialis Generic | 20mg | 270 + 10 Pills | 335.21€ 319.25€ | |
| Cialis Super Active | 20mg | 90 + 10 Pills | 314.14€ 299.18€ | |
| Cialis Generic | 5mg | 30 + 4 Pills | 53.56€ 51.01€ | |
| Cialis Professional | 40mg | 120 + 4 Pills | 436.68€ 415.89€ | |
| Cialis Generic | 20mg | 60 + 6 Pills | 117.76€ 112.15€ | |
| Cialis Original | 20mg | 22 + 2 Pills | 129.20€ 123.05€ | |
| Cialis Original | 20mg | 8 Pills | 61.70€ 58.76€ | |
| Cialis Original | 20mg | 34 + 2 Pills | 183.99€ 175.23€ |
protect a man or his partner from sexually transmitted diseases, including HIV serve as a male form of birth control For additional information, talk to your doctor and see full Patient Information at and Prescribing Information at or visit for more information.
5.13 Counseling Patients About Sexually Transmitted Diseases
The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses. At GNH India, we aim to provide information that is expert-reviewed, accurate, and reliable. However, all content on this platform is intended for general informational purposes only and does not constitute professional medical advice, diagnosis, or treatment. While efforts are made to maintain accuracy and currency, the information may contain errors, omissions, or may not reflect the latest developments.
Professional resources
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What if I miss a dose?
Information provided herein does not constitute promotion, advertising, or an offer for sale of any medicinal product and is intended solely for general informational purposes. All trademarks and brand names displayed on this website are used strictly in accordance with the provisions of the Trade Marks Act, 1999, specifically Sections 30 and 30(1) governing fair use. Trademark ownership has been accurately attributed under the "Manufacturer/ TM Owner" section in compliance with statutory requirements. The opinion is now referred for final action to the European Commission, which has the authority to approve medicines for the EU. The Commission usually decides on CHMP recommendations within one to two months. * The brand listed is a trademark of its respective owner and is not a trademark of Eli Lilly and Company.
- Daily Cialis 5 mg can be combined with other treatments for ED.
- For example, penile injections or vacuum devices may still be used.
- Do not combine with other oral PDE5 inhibitors.
- Talk to doctor about multimodal therapy options.
- Psychological counseling may enhance outcomes.
- Lifestyle changes (exercise, weight loss) improve response.
- Smoking cessation and reduced alcohol intake are beneficial.
- Healthy diet supports erectile function.
The maker of this brand is not affiliated with and does not endorse Eli Lilly and Company or its products. About Eli Lilly and Company Lilly, a leading innovation-driven corporation, is developing a growing portfolio of pharmaceutical products by applying the latest research from its own worldwide laboratories and from collaborations with eminent scientific organizations.
What Are the Differences Between Tadalafil and Cialis?
About Cialis Cialis is currently approved for ED in more than 100 countries throughout the world. In the United States, Cialis provides men with ED two different dosing options Cialis for once daily use (2.5 mg and 5 mg) and Cialis for use as needed (5 mg, 10 mg and 20 mg). Cialis is not to be taken more than one time each day. Cialis for once daily use is approved to treat ED, the signs and symptoms of BPH, and ED and the signs and symptoms of BPH in men who have both conditions (ED+BPH). Cialis 5 buy cialis with priligy online mg for once daily use is the recommended dose to treat BPH and ED+BPH.
Pulmonary arterial hypertension
Cialis for once daily use can help men with ED be ready anytime between doses*, so they do not have to plan sexual activity around taking a pill. It can also treat the signs and symptoms of BPH. Cialis for once daily use is the only medication approved to treat both ED and the signs and symptoms of BPH. Cialis for use as needed is approved to treat erectile dysfunction (ED). Cialis for use as needed should be taken before sexual activity.
Side effects and risks
It may go to work quickly (in as little as 30 minutes in some men) and can work up to 36 hours.*+ The most common side effects with Cialis are headache, indigestion, back pain, muscle aches, flushing and stuffy or runny nose. Back pain and muscle aches usually go away within two days. Not studied for multiple attempts per dose. +In clinical trials, Cialis for use as needed started to work in 30 minutes for some men who took 20 mg of Cialis for use as needed. When taken as needed, Cialis was shown to improve, up to 36 hours after dosing, the ability of men with ED to have a single successful intercourse attempt. Headquartered in Indianapolis, Ind., Lilly provides answers through medicines and information for some of the world's most urgent medical needs.
4. Bottom Line
Cialis was approved for erectile dysfunction (ED) in the EU in 2002. Cialis for once daily use was approved for the treatment of ED in the EU in 2007. "If approved by the European Commission, Cialis will be the only medication 10mg cialis price in the EU to provide a single treatment option for men with both ED and BPH," said Anthony Beardsworth, senior medical director at Lilly. "The CHMP positive opinion for Cialis marks an important regulatory milestone for Eli Lilly and Company and our commitment to bringing new treatment options to the millions of men who experience ED and BPH." Cialis 5 mg for once daily use was approved by the U.S. Food and Drug Administration (FDA) in October 2011 for the treatment of the signs and symptoms of BPH.
Where to buy Cialis 5mg?
The FDA also approved Cialis 5 mg for once daily use to treat men who have both erectile dysfunction and the signs and symptoms of benign prostatic hyperplasia (ED+BPH). It is important to note that Cialis is not to be taken with medicines called "nitrates" such as isosorbide dinitrate or isosorbide mononitrate, which are often prescribed for chest pain, or with recreational drugs called "poppers" like amyl or butyl nitrite, as the combination may cause an unsafe drop in blood pressure. It also should not be taken by those who are allergic to Cialis or Adcirca® (tadalafil), or any of its ingredients. Anyone who experiences any symptoms of an allergic reaction, such as rash, hives, swelling of the lips, tongue or throat, or difficulty breathing or swallowing should call their healthcare provider or get help right away. In addition to the U.S., Cialis for once daily use has been approved to treat the signs and symptoms of BPH in Canada, Mexico, Brazil, South Korea, Russia, Panama, Argentina, Honduras, Ecuador, Costa Rica, Colombia and Israel.
Alternatives for benign prostatic hyperplasia (BPH)
About ED and BPH ED is a condition where the penis does not fill with enough blood to harden and expand when a man is sexually excited, or when he cannot keep an erection. Approximately 50 percent of men between 40-70 years old have ED. BPH is a condition where the prostate enlarges, which can cause urinary symptoms. ED and BPH are conditions that may occur in the same patient. Several studies have shown that many men with ED also experience the symptoms of BPH. This press release contains forward-looking statements about the potential of Cialis for the treatment of benign prostatic hyperplasia and reflects Lilly's current beliefs.
- Before starting, discuss medical history: kidney, liver, heart, blood pressure.
- Also inform about history of peptic ulcers or bleeding disorders.
- Sickle cell anemia or multiple myeloma may increase priapism risk.
- Penile anatomical deformities (Peyronie’s disease) require caution.
- Allergies to tadalafil or any inactive ingredients.
- Blood disorders like leukemia may increase priapism risk.
- Doctor may need to adjust dose based on individual risk.
- Honest disclosure ensures safe and effective treatment.