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Patient package insert in accordance
Please read package insert carefully in its entirety before using this medicine.

BRAND NAME: Cialis
GENERIC NAME: Tadalafil

Generic Cialis
Is taken orally and helps men suffering from erectile dysfunction achieve and maintain an erection. Generic Cialis works in much the same way as Viagra, but is much faster. The effects of Generic Cialis last much longer than Viagra, up to 36 hours. Tadalafil was initially into Europe with, and is now available in the USA.

TADALAFIL - ORAL

USES:
This medication is used to treat male impotence ? Erectile Dysfunction

HOW TO USE:
This drug is taken orally up to a minimum half an hour before sexual activity. Its effects can last up to 36 hours and it works together with sexual stimulation. No more than one dose should be taken per day, with or without meals.

SIDE EFFECTS:
The most common side effects are headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose. These side effects usually go away after a few hours. Patients who get back pain and muscle aches usually get them 12 to 24 hours after taking the drug. Back pain and muscle aches usually go away by themselves within 48 hours.

PRECAUTIONS:
Before using this drug, tell your doctor your medical history, including: allergies ( especially drug allergies ),heart problems such as angina, heart failure, irregular heartbeats Ask your doctor if it is safe for you to have sexual activity. Let him know if you have a history of low blood pressure, high blood pressure, stroke, liver problems, kidney problems or dialysis, retinitis pigmentosa, a rare genetic (runs in families) eye disease, stomach ulcers, a bleeding problem, 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. If you have kidney problems, your doctor may start you on a lower dose. If you have kidney or liver problems or you are taking certain medications, your doctor may limit your highest dose to 10 mg and may also limit you to one tablet in 48 hours (2 days) or one tablet in 72 hours (3 days). Do not change your dose without talking to your doctor. Your doctor may lower your dose or raise your dose, depending on how your body reacts to the drug. Do not drink alcohol to excess when taking CIALIS (for example, 5 glasses of wine or 5 shots of whiskey). When taken in excess, alcohol can increase your chances of getting a headache or getting dizzy, increasing your heart rate, or lowering your blood pressure.

DRUG INTERACTIONS:
Tell your doctor of all nonprescription and prescription medications you are or may take, especially nitrate medications. Nitrates are commonly used to treat angina. Angina is a symptom of heart disease and can cause pain in your chest, jaw, or down your arm. Medicines called nitrates include nitroglycerin that is found in tablets, sprays, ointments, pastes, or patches. Nitrates can also be found in other medicines such as isosorbide dinitrate or isosorbide mononitrate. Some recreational drugs called "poppers" also contain nitrates, such as amyl nitrate and butyl nitrate. Do not take this drug if you are using medicines commonly known as "alpha blockers ", which are sometimes prescribed for prostate problems or high blood pressure.

Do not use this drug if you are using the above drugs. Ask your doctor or pharmacist if you are not sure if any of your medicines are nitrates. If you suspect that you have taken an overdose, call your doctor or emergency room right away.

OVERDOSE:
If you suspect that you have taken an overdose, call your doctor or emergency room right away.

NOTES:
Do not share this drug with others, since they may have a problem that is not effectively treated by this drug. Use of this drug does not protect against sexually transmitted diseases ( e.g., HIV, Hepatitis B, gonorrhea, syphilis )

MISSED DOSE:
Not applicable.

STORAGE:
Store at room temperature between 59 and 86 degrees F ( 15 - 30 degrees C ) away from light and moisture. KEEP THIS DRUG AND ALL MEDICATIONS OUT OF THE REACH OF CHILDREN.

IMPORTANT NOTE:
The above information is intended to supplement, not substitute for, the expertise and judgment of you physician, pharmacist or other healthcare professional. It should not be construed that the taking of the medication is safe, appropriate or effective for you.

* Illustrations are for graphic purposes only.

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