Cialis®

Cialis® - IMPORTANT SAFETY INFORMATION

Do not take Cialis® if you:

• take any medicines called nitrates, often prescribed for chest pain, or guanylate cyclase stimulators like Adempas® (riociguat) for pulmonary hypertension, or any other similar ED medication. Your blood pressure could drop to an unsafe level

• are allergic to Cialis® or any of the ingredients in Cialis®

Discuss your health with your doctor to ensure that you are healthy enough for sex. If you experience chest pain, dizziness, or nausea during sex, seek immediate medical attention.

Cialis® can cause serious side effects. Rarely reported side effects include:

• an erection that will not go away (priapism). If you have an erection that lasts more than 4 hours, get medical help right away. If it is not treated right away, priapism can permanently damage your penis

• sudden vision loss in one or both eyes. Sudden vision loss in one or both eyes can be a sign of a serious eye problem called non-arteritic anterior ischemic optic neuropathy (NAION). Stop taking Cialis® and call your healthcare provider right away if you have any sudden vision loss

• sudden hearing decrease or hearing loss. Some people may also have ringing in their ears (tinnitus) or dizziness. If you have these symptoms, stop taking Cialis® and contact a doctor right away

Before you take Cialis®, tell your healthcare provider if you:

• have or have had heart problems such as a heart attack, irregular heartbeat, angina, chest pain, narrowing of the aortic valve, or heart failure

• have taken a nitrate medication in the last 48 hours

• have had heart surgery within the last 6 months

• have pulmonary hypertension

• have had a stroke

• have low blood pressure, or high blood pressure that is not controlled

• have a deformed penis shape

• have had an erection that lasted for more than 4 hours

• have problems with your blood cells such as sickle cell anemia, multiple myeloma, or leukemia

• have retinitis pigmentosa, a rare genetic (runs in families) eye disease

• have ever had severe vision loss, including an eye problem called NAION

• have bleeding problems

• have or have had stomach ulcers

• have liver problems

• have kidney problems or having kidney dialysis, 

• have any other medical conditions

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

Cialis® may affect the way other medicines work, and other medicines may affect the way Cialis® works, causing side effects. Especially tell your healthcare provider if you take any of the following:

• medicines called nitrates

• medicines called guanylate cyclase stimulators such as Adempas (riociguat)

• medicines called alpha-blockers such as Hytrin® (terazosin HCl), Flomax® (tamsulosin HCl), Cardura® (doxazosin mesylate), Minipress® (prazosin HCl), Uroxatral® (alfuzosin HCl), Jalyn® (dutasteride and tamsulosin HCl), or Rapaflo® (silodosin). Alpha-blockers are sometimes prescribed for prostate problems or high blood pressure. In some patients, the use of Cialis® with alpha-blockers can lead to a drop in blood pressure or to fainting

• medicines called HIV protease inhibitors, such as ritonavir (Norvir®), indinavir sulfate (Crixivan®), saquinavir (Fortovase® or Invirase®), atazanavir sulfate (Reyataz®), or cobicistat (Tybost®)

• some types of oral antifungal medicines, such as ketoconazole (Nizoral®) and itraconazole (Sporanox®)

• some types of antibiotics, such as clarithromycin (Biaxin®, telithromycin (Ketek®), or erythromycin

• other medicines that treat high blood pressure

• other medicines or treatments for ED

• Cialis® should not be used with Revatio® or with other PAH treatments containing PDE5 inhibitors.

Cialis® does not protect against sexually transmitted diseases, including HIV.

The most common side effects of Cialis®; headache, flushing, upset stomach, abnormal vision, such as changes in color vision ( like having a blue color tinge) and blurred vision, stuffy or runny nose, back pain, muscle pain, nausea, dizziness, and rash.