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    Cialis (tadalafil) relaxes muscles and increases blood flow to particular areas of the body.
    Cialis (tadalafil) is used to treat erectile dysfunction (impotence).
    Cialis (tadalafil) may also be used for purposes other than those listed in this medication guide.

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    Do not take Cialis (tadalafil) if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite («poppers»). Taking tadalafil with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack.

    A small number of patients have had a sudden loss of eyesight after taking tadalafil. This type of vision loss is caused by decreased blood flow to the optic nerve of the eye. It is not clear whether tadalafil is the actual cause of such vision loss. Sudden vision loss with tadalafil use has occurred most often in people with heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old.

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    heart disease or heart rhythm problems;
    a recent history of heart attack (within the past 90 days);
    a recent history of stroke or congestive heart failure (within the past 6 months);
    angina (chest pain);
    high or low blood pressure;
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    Since tadalafil is used as needed, you are not likely to be on a dosing schedule.

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    Avoid drinking alcohol, which can increase some of the side effects of tadalafil.
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    Do not use any other drug to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others), unless your doctor tells you to.

    What are the possible side effects of tadalafil?

    If you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity, stop and call your doctor right away. You could be having a serious side effect of tadalafil.
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    Stop using tadalafil and call your doctor at once if you have any of these serious side effects:
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    shortness of breath;
    vision changes;
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    What drug(s) may interact with Cialis (tadalafil)?

    Do not take tadalafil if you are taking the following medications:
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    Cialis (tadalafil) may also interact with the following medications:
    alpha blockers, such as alfuzosin (UroXatral), doxazosin (Cardura), prazosin (Minipress), or terazosin (Hytrin), used to treat high blood pressure or an enlarged prostate.
    bosentan
    certain antibiotics such as clarithromycin, erythromycin, troleandomycin
    certain drugs used for seizures such as carbamazepine, phenytoin, and phenobarbital
    cimetidine
    cisapride
    diltiazem
    grapefruit juice
    medicines for fungal infections (fluconazole, itraconazole, ketoconazole, voriconazole)
    mibefradil
    nicardipine
    certain medicines for the treatment of HIV infection or AIDS
    quinidine
    rifabutin, rifampin or rifapentine
    some drugs for treating depression, anxiety or other mood problems (examples: fluoxetine, fluvoxamine, nefazodone)
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