11 DESCRIPTION

Heart attack and stroke have also been reported rarely in men taking CIALIS. Most of these men had known heart problems before taking this medicine. Partial, temporary, or permanent decrease or loss of vision in one or both eyes has been rarely reported. Some additional rare side effects have been reported in men taking CIALIS that were not seen in clinical trials.

other ED treatments

Talk to your doctor before taking CIALIS. Be aware that sexual activity carries a possible risk to patients with heart disease because it puts an extra strain on your heart. If you have a heart problem you should tell your doctor. Before taking the tablets, tell your doctor if you have: sickle cell anaemia (an abnormality of red blood cells). multiple myeloma (cancer of the bone marrow).

Related medical questions

It is not known if CIALIS is effective in patients who have had: removal of all or part of the prostate gland in which nerves of the prostate are cut (radical non-nerve-sparing prostatectomy). If you experience sudden decrease or loss of vision or your vision is distorted, dimmed while you are taking CIALIS, stop taking CIALIS and contact your doctor immediately. Decreased or sudden hearing loss has been noted in some patients taking tadalafil. Although it is not known if the event is directly related to tadalafil, if you experience decreased or sudden hearing loss, stop taking CIALIS and contact your doctor immediately. CIALIS is not intended for use by women. migraine, swelling of the face, serious allergic reaction which causes swelling of the face or throat, serious skin rashes, some disorders affecting blood flow to the eyes, irregular heartbeats, angina and sudden cardiac death. distorted, dimmed, blurred central vision or sudden decrease of vision (frequency not known). The side effect dizziness has been reported more frequently in men over 75 years of age taking CIALIS. Diarrhoea has been reported more frequently in men over 65 years of age taking CIALIS. If you get any side effects, talk to your doctor or pharmacist.

Product	Dosage	Quantity + Bonus	Price
Cialis Generic	10mg	60 + 6 Pills	105.81€ 100.77€	Buy
Cialis Generic	20mg	270 + 10 Pills	335.21€ 319.25€	Buy
Cialis Professional	20mg	90 + 2 Pills	241.49€ 229.99€	Buy
Cialis Generic	40mg	20 Pills	59.47€ 56.64€	Buy
Cialis Professional	40mg	180 + 4 Pills	618.23€ 588.79€	Buy
Cialis Original	20mg	4 Pills	41.99€ 39.99€	Buy
Cialis Original	20mg	76 + 4 Pills	319.19€ 303.99€	Buy
Cialis Professional	20mg	30 Pills	104.57€ 99.59€	Buy
Cialis Generic	40mg	30 + 4 Pills	74.97€ 71.40€	Buy
Cialis Original	20mg	92 + 4 Pills	377.99€ 359.99€	Buy
Cialis Generic	10mg	90 + 6 Pills	146.17€ 139.21€	Buy
Cialis Generic	60mg	60 + 4 Pills	145.06€ 138.15€	Buy
Cialis Black	80mg	360 + 20 Pills	639.78€ 609.31€	Buy
Cialis Generic	40mg	120 + 8 Pills	206.98€ 197.12€	Buy
Cialis Generic	60mg	30 + 2 Pills	85.33€ 81.27€	Buy
Cialis Professional	40mg	270 + 6 Pills	898.37€ 855.59€	Buy

You can also report side effects directly via the Yellow Card Scheme; Website: or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.

8.3 Nursing Mothers

The tablets can be taken with or without food. The recommended starting dose is one 10 mg tablet before sexual activity. However, you have been given the dose of one 20mg tablet as your doctor has decided that the recommended dose of 10mg is too weak. You may take a CIALIS tablet at least 30 minutes before sexual activity. CIALIS may still be effective up to 36 hours after taking the tablet.

Grapefruit interaction warning

Do not take CIALIS more than once a day. CIALIS 10 mg and 20 mg is intended for use prior to anticipated sexual activity and is not recommended for continuous cialis for sale ireland daily use. Drinking alcohol may affect your ability to get an erection and may temporarily lower your blood pressure. If you have taken or are planning to take CIALIS, avoid excessive drinking (blood alcohol level of 0.08 % or greater), since this may increase the risk of dizziness when standing up. You may experience side effects described in section 4. Keep this medicine out of the sight and reach of children. Do not use this medicine after the expiry date which is stated on the carton and blister after ‘EXP’.

8.1 Pregnancy

If you have any further questions on the use of this medicine, ask your doctor or pharmacist. Like all medicines, this medicine can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature. chest pain - do not use nitrates but seek immediate medical assistance (frequency uncommon). priapism, a prolonged and possibly painful erection after taking CIALIS (frequency rare).

How tadalafil is used

If you have such an erection, which lasts continuously for more than 4 hours you should contact a doctor immediately. sudden loss of vision (frequency rare), distorted, dimmed, blurred central vision or sudden decrease of vision (frequency not known). Common (seen in 1 to 10 in every 100 patients) headache, back pain, muscle aches, pain in arms and legs, facial flushing, nasal congestion and indigestion. Uncommon (seen in 1 to 10 in every 1,000 patients) dizziness, stomach ache, feeling sick, being sick (vomiting), reflux, blurred vision, eye pain, difficulty in breathing, presence of blood in urine, prolonged erection, pounding heartbeat sensation, a fast heart rate, high blood pressure, low blood pressure, nose bleeds, ringing in the ears, swelling of the hands, feet or ankles and feeling tired. Rare (seen in 1 to 10 in every 10,000 patients) fainting, seizures and passing memory loss, swelling of the eyelids, red eyes, sudden decrease or loss of hearing, hives (itchy red welts on the surface of the skin), penile bleeding, presence of blood in semen and increased sweating. The expiry date refers to the last day of that month. Store in the original package in order to protect from moisture. Do not throw away any medicines via wastewater buy cialis 60mg or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment. CIALIS 20 mg is a yellow film-coated tablet in the shape of an almond and has "C 20" marked on one side. CIALIS 20 mg is available in blister packs containing 2, 4, 8, 10 or 12 tablets. Not all pack sizes may be marketed.

Storage and disposal

A reduction in sperm was seen in some men. These effects are unlikely to lead to a lack of fertility. Some men taking cialis vidalista 60mg CIALIS in clinical studies have reported dizziness. Check carefully how you react to the tablets before driving or using machines. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.

Why Online Now

This medicine contains less than 1 mmol sodium (23 mg) per tablet, that is to say essentially ‘sodium-free’. Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure. CIALIS tablets are for oral use in men only. Swallow the tablet whole with some water. Eli Lilly Nederland B.V.Orteliuslaan 10003528 BD UtrechtThe Netherlands For any information about this medicine, please contact the local representative of the Marketing Authorisation Holder: This leaflet was last revised in January 2026. Cialis is a brand-name oral tablet that’s prescribed for erectile dysfunction (ED) and benign prostatic hyperplasia (BPH). The Food and Drug Administration (FDA) has approved Cialis for use in adults to treat ED, BPH, and ED and BPH symptoms together. You’ll find key information about Cialis below.

• May cause mild, temporary color vision changes
• Difficulty distinguishing blue and green shades
• Vision issues usually resolve after drug clears system
• Avoid driving if vision is affected
• Report persistent vision problems to doctor
• Hearing loss is rare but serious side effect
• Tinnitus (ringing in ears) may occur
• Sudden hearing loss requires immediate medical attention
• Balance issues or vertigo should be evaluated
• Eye pain or swelling needs prompt care
• Protect eyes from bright lights if sensitive
• Use caution with night driving

Cialis can work for up to 36 hours in your body. To treat erectile dysfunction (ED), your doctor may have you take Cialis only as needed before sexual activity. (See the “Cialis dosage” section below to learn more.) In this case, Cialis may keep working for up to 36 hours in helping you have and maintain erections during that time. However, if you take Cialis each day for either benign prostatic hyperplasia (BPH) or ED, you’ll consistently have medication in your system.

Precautions and Warnings

CIALIS is not intended for use by children and adolescents under the age of 18. Tell your doctor if you are taking, have recently taken or might take any other medicines Do not take CIALIS if you are already taking nitrates. Some medicines may be affected by CIALIS or they may affect how well CIALIS will work. Tell your doctor or pharmacist if you are already taking: an alpha blocker (used to treat high blood pressure or urinary symptoms associated with benign prostatic hyperplasia). other medicines to treat high blood pressure.

Your expert team

medicines such as ketoconazole tablets (to treat fungal infections) and protease inhibitors for treatment of AIDS or HIV infection. Information on the effect of alcohol is in section 3. Grapefruit juice may affect how well CIALIS will work and should be taken with caution. Talk to your doctor for further information. When dogs were treated there was reduced sperm development in the testes. Therefore, it will continue to work throughout the day.

Drug Category	Potential Interaction	Effect
Nitrates	Dangerous hypotension	Should not be combined
Alpha-blockers	Increased risk of hypotension	Use with caution
CYP3A4 inhibitors	Increased plasma levels of Tadalafil	Adjust dosage accordingly
Other PDE5 inhibitors	Increased side effects	Avoid concurrent use

You may wonder how Cialis compares with other medications that are prescribed for similar uses. Here we look at how Cialis and Viagra are alike and different.

UK DOCTORS AND CLINICIANS

This is a group of medicines (“nitrates”) used in the treatment of angina pectoris (“chest pain”). CIALIS has been shown to increase the effects of these medicines. If you are taking any form of nitrate or are unsure tell your doctor. have serious heart disease or recently had a heart attack within the last 90 days. recently had a stroke within the last 6 months.

Clinical monitoring

have low blood pressure or uncontrolled high blood pressure. ever had loss of vision because of non-arteritic anterior ischemic optic neuropathy (NAION), a condition described as “stroke of the eye”. This drug is used to treat pulmonary arterial hypertension (i.e., high blood pressure in the lungs) and chronic thromboembolic pulmonary hypertension (i.e., high blood pressure in the lungs secondary to blood clots). PDE5 inhibitors, such as CIALIS, have been shown to increase the hypotensive effects of this medicine. If you are taking riociguat or are unsure tell your doctor. Use of the term “male” in this article refers to sex assigned at birth. Both Cialis and Viagra belong to a group of medications called phosphodiesterase 5 (PDE5) inhibitors. The FDA has approved Cialis and Viagra to treat erectile dysfunction (ED) in males. ED is a condition in which you can’t get or maintain an erection.

• Do not consume alcohol excessively with Cialis 20mg.
• Alcohol can increase side effects like dizziness.
• Always follow your healthcare provider’s instructions.

Cialis is also FDA-approved to treat: symptoms of benign prostatic hyperplasia (BPH), a prostate condition that may cause problems with urination Both Cialis and Viagra come as tablets that you swallow. Cialis may be taken once a day or just when needed for sexual activity. Usually, Viagra is taken only as needed for sexual activity. Cialis and Viagra both contain medications to treat ED. Therefore, these medications can cause very similar side effects, but some different ones as well. Below are examples of these side effects.