Comparing Tadalafil (Generic Cialis) and Sildenafil (Generic Viagra)

Store it at room temperature and away from excess heat and moisture (not in the bathroom).

• Tadalafil is generally considered effective, with success rates around 70-80%.
• The medication helps improve quality of life for men with ED.
• Some men report quick onset within 30 minutes of taking tadalafil.
• It is important to use tadalafil as part of a healthy lifestyle.
• Regular exercise and proper diet can enhance erectile function.

Dispose of unneeded medications in a way so that pets, children, and other people cannot take them.

So, How Do I Know I’m Getting a Good Non-brand Ed Drug?

You should only be treated with one of these products at a time. tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins, and nutritional supplements you are taking or plan to take. Your doctor may need to change the doses of your medications or monitor you carefully for side effects. tell your doctor what herbal products you are taking, especially St. John's wort.

Special dosage considerations

tell your doctor if you smoke; if you have ever had an erection that lasted more than 4 hours; and if you have recently had diarrhea, vomiting, not been drinking enough fluids, or sweating a lot which may have caused dehydration (loss of a large amount of body fluids. Also tell your doctor if you have or have ever had pulmonary veno-occlusive disease (PVOD; blockage of veins in the lungs); any condition that affects the shape of the penis; diabetes; high cholesterol; high or low blood pressure; irregular heartbeat; a heart attack or heart failure; angina (chest pain); a stroke; ulcers in the stomach; a bleeding disorder; blood circulation problems; blood cell problems such as sickle cell anemia (a disease of the red blood cells), multiple myeloma (cancer of the plasma cells), or leukemia (cancer of the white blood cells); or heart, kidney, or liver disease. Also tell your doctor if you or any of your family members have or have ever had an eye disease such as retinitis pigmentosa (an inherited eye condition that causes loss of vision) or if you have ever had sudden severe vision loss, especially if you were told that the vision loss was caused by a blockage of blood flow to the nerves that help you see. if you are a woman and tadalafil daily you are taking tadalafil to treat PAH, tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. If you become pregnant while taking tadalafil, call your doctor.

Does Cialis work and is it safe?

if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking tadalafil. talk to your doctor about the safe use of alcoholic beverages during your treatment with tadalafil. If you drink a large amount of alcohol (more than five glasses of wine or five shots of whiskey) while you are taking tadalafil you are more likely to experience certain side effects of tadalafil such as dizziness, headache, fast heartbeat, and low blood pressure. if you are taking tadalafil to treat erectile dysfunction, tell your doctor if you have ever been advised by a health care professional to avoid sexual activity for medical reasons or if you have ever experienced chest pain during sexual activity. Sexual activity may be a strain on your heart, especially if you have heart disease. Do not flush this medication down the toilet. Talk to your pharmacist about take-back programs in your community. Visit the FDA's Safe Disposal of Medicines website for more information. Keep all medication out of sight and reach of children as many containers are not child-resistant. Place the medication in a safe location – one that is up and away and out of their sight and reach.

In case of overdose, call the poison control helpline at 1-800-222-1222.

The Pharmacy

If you experience chest pain, dizziness, or nausea during sexual activity, call your doctor immediately or get emergency medical treatment, and avoid sexual activity until your doctor tells you otherwise. tell all your health care providers that you are taking tadalafil. If you ever need emergency medical sublingual tadalafil treatment for a heart problem, the health care providers who treat you will need to know when you last took tadalafil. Talk to your doctor about eating grapefruit and drinking grapefruit juice while taking this medicine. If you are taking tadalafil for erectile dysfunction on a regular schedule, take the missed dose as soon as you remember it.

Missed Dose

However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose or more than one dose per day to make up for a missed one. If you are taking tadalafil for PAH or BPH, take the missed dose as soon as you remember it. Do not take a double dose to make up for a missed one. pain in the stomach, back, muscles, arms, or legs sudden decrease or loss of vision (see below for more information) changes in color vision (seeing a blue tinge on objects or having difficulty telling the difference between blue and green) sudden decrease or loss of hearing (see below for more information) erection that lasts longer than 4 hours swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs Some patients experienced a sudden loss of some or all of their vision after they took tadalafil or other medications that are similar to tadalafil.

Allergy warning

The vision loss was permanent in some cases. It is not known if the vision loss was caused by the medication. If you experience a sudden loss of vision while you are taking tadalafil, call your doctor immediately or get emergency medical treatment. Do not take any more doses of tadalafil or similar medications such as sildenafil (Revatio, Viagra) or vardenafil (Levitra) until you talk to your doctor. Some patients experienced a sudden decrease or loss of hearing after they took tadalafil or other medications that are similar to tadalafil. Information is also available online at If 10mg tadalafil the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at 911.

• Tadalafil can be effective for men with ED caused by diabetes, spinal cord injury, or prostate surgery.
• It does not increase sexual desire; its function is purely physiological to aid in achieving an erection.
• A sudden loss of vision or hearing while taking tadalafil is a rare but serious side effect to report immediately.

Do not let anyone else take your medication.

• Storage in its original container protects the medication from light and helps maintain its potency.
• Taking tadalafil with water is sufficient; no other liquids are required for administration.
• If an erection lasts longer than 4 hours, seek immediate emergency medical attention.

Ask your pharmacist any questions you have about refilling your prescription. Keep a written list of all of the prescription and nonprescription (over-the-counter) medicines, vitamins, minerals, and dietary supplements you are taking.

Bring this list with you each time you visit a doctor or if you are admitted to the hospital.

• There is no evidence that long-term use of tadalafil leads to tolerance or reduced effectiveness.
• It is important to distinguish between organic (physical) and psychological causes of ED for proper treatment.
• Driving and operating machinery are generally safe, but caution is advised if experiencing dizziness.

You should carry the list with you in case of emergencies. Entadfi® (as a combination product containing Finasteride, Tadalafil) Tadalafil is a low cost generic prescription drug that is used to treat several conditions, namely erectile dysfunction (impotence), as well as enlarged prostate (benign prostatic hyperplasia or BPH), and high blood pressure in the lungs (pulmonary arterial hypertension).

What special precautions should I follow?

The hearing loss usually involved only one ear and did not always improve when the medication was stopped. It is not known if the hearing loss was caused by the medication. If you experience a sudden loss of hearing, sometimes with ringing in the ears or dizziness, while you are taking tadalafil, call your doctor immediately. Call your doctor if you have any unusual problems while taking this medication If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online ( or by phone (1-800-332-1088). Keep this medication in the container it came in, tightly closed, and out of reach of children. Tadalafil (like its brand-name counterparts, Cialis® and Adcirca®) belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors or PDE5 inhibitors. These medicines prevent the enzyme PDE5 from working too quickly and help blood flow more freely through blood vessels in the body. The penis is one of the body parts where this enzyme works. When tadalafil (the lowest price generic version of Cialis®) is taken as needed for ED, it can start working within 30-45 minutes, but reaches peak effect in most men 2 hours after it’s taken. Like other ED drugs that are taken as needed for ED, it must be taken in advance of when you plan to be sexually active to give it time to start working. Tadalafil can also be taken at a lower prescribed dose at the same time every day. When taken in this way over time, you may find an increased ability to achieve an erection anytime you experience sexual stimulation. After beginning a daily regimen of tadalafil, you may be able to have successful intercourse in as early as 4 to 5 days.

Are All Tadalafil Prescriptions the Same?

Tell your doctor if tadalafil is not working well or if you are experiencing side effects. If you are taking tadalafil for PAH, you should know that tadalafil controls PAH but does not cure it. Continue to take tadalafil even if you feel well. Do not stop taking tadalafil without talking to your doctor. Ask your pharmacist or doctor for a copy of the manufacturer's information for the patient.

It increases your chances of side effects

This medication may be prescribed for other uses; ask your doctor or pharmacist for more information. tell your doctor and pharmacist if you are allergic to tadalafil, any other medications, or any of the ingredients in tadalafil tablets. Ask your pharmacist for a list of the ingredients. tell your doctor if you are taking or have recently taken riociguat (Adempas) or nitrates such as isosorbide dinitrate (Isordil), isosorbide mononitrate (Monoket), and nitroglycerin (Minitran, Nitro-Dur, Nitromist, Nitrostat, others). Nitrates come as tablets, sublingual (under the tongue) tablets, sprays, patches, pastes, and ointments.

Duration of action

Ask your doctor if you are not sure whether any of your medications contain nitrates. Your doctor will probably tell you not to take tadalafil if you are taking nitrates. tell your doctor if you are taking street drugs containing nitrates ('poppers') such as amyl nitrate, butyl nitrate, or nitrite while taking tadalafil. Your doctor will probably tell you not to take tadalafil if you are taking street drugs containing nitrates. you should know that tadalafil is available under the brand names Adcirca and Cialis. One dose of tadalafil taken as needed for sexual activity can remain effective for up to 36 hours, however peak concentration of tadalafil in the bloodstream usually occurs between 30 minutes and 6 hours with a median time of 2 hours. Since the effectiveness of tadalafil lasts for a long time, it can be taken well in advance to allow for more spontaneous sexual activity over the course of a day or night.