Label: CIALIS- tadalafil tablet, film coated

ketoconazole, ritonavir) increase CIALIS exposure (2.7, 5.10, 7.2) requiring dose adjustment: CIALIS for use as needed: no more than 10 mg every 72 hoursCIALIS for once daily use: dose not to exceed 2.5 mgCYP3A4 inducers (e.g. rifampin) decrease CIALIS exposure (7.2).USE IN SPECIFIC POPULATIONSHepatic Impairment (2.6, 5.8, 8.6):Mild or Moderate: Dosage adjustment may be needed.Severe: Use is not recommended.Renal Impairment (2.6, 5.7, 8.7):Patients with creatinine clearance 30 to 50 mL/min: Dosage adjustment may be needed.Patients with creatinine clearance less than 30 mL/min or on hemodialysis: For use as needed: Dose should not exceed 5 mg every 72 hours. Once daily use is not recommended.See 17 for PATIENT COUNSELING INFORMATION and FDA-approved patient labeling.Revised: 3/2026 CIALIS® is a phosphodiesterase 5 (PDE5) inhibitor indicated for the treatment of: the signs and symptoms of benign prostatic hyperplasia (BPH) (1.2) ED and the signs and symptoms of BPH (ED/BPH) (1.3) If CIALIS is used with finasteride to initiate BPH treatment, such use is recommended for up to 26 weeks (1.4).

• Overdose symptoms may include severe headache, nausea, and dizziness.
• Priapism (a painful, prolonged erection) is a medical emergency.
• If an erection lasts more than 4 hours, seek immediate medical help.
• Standard supportive care is used for overdose; dialysis is not effective.
• Contact a poison control center or emergency room immediately.
• Have the medication container or label available for identification.
• Never take extra doses to increase the effect.

CIALIS for use as needed: ED: Starting dose: 10 mg as needed prior to sexual activity.

14.1 CIALIS for Use as Needed for ED

Avanafil and Spedra kick in a little quicker, making them suitable for “on-demand” use shortly prior to anticipated sexual intercourse. But they also don’t last as long as Tadalafil — which is a major drawback for some men. Vardenafil (Levitra) and Sildenafil both have the downside of being effective for less time than Tadalafil. That said, they work well and if you’re looking for something for less than 36 hours, they’re good options for most men. Tadalafil also takes the same amount of time to take effect as some shorter-acting options, but it provides support for much longer.

Dive Insight:

Over a weekend away, that would mean potentially as little as 30 minutes of waiting time for a stronger erection. As opposed to at least twice that on daily medicine. Among the non-pharmaceutical measures are a lot of good common sense ideas that are great to combine with some medical support. As we’ve outlined in other articles, taking care of yourself with a balanced diet and getting enough rest and exercise can only help you in the battle against ED. They will also give medicines like Tadalafil a strong base to build upon. Not to be taken more than once per day (2.1). ED: Starting dose: 10 mg as needed prior to sexual activity.

Product	Dosage	Quantity + Bonus	Price
Cialis Generic	10mg	90 + 6 Pills	146.17€ 139.21€	Buy
Cialis Generic	2.5mg	120 + 6 Pills	128.93€ 122.79€	Buy
Cialis Super Active	20mg	90 + 10 Pills	314.14€ 299.18€	Buy
Cialis Original	20mg	76 + 4 Pills	319.19€ 303.99€	Buy
Cialis Generic	60mg	270 + 10 Pills	443.96€ 422.82€	Buy
Cialis Soft Tabs	20mg	90 + 6 Pills	216.71€ 206.39€	Buy
Cialis Black	80mg	270 + 10 Pills	502.88€ 478.93€	Buy
Cialis Original	20mg	34 + 2 Pills	183.99€ 175.23€	Buy
Cialis Generic	60mg	60 + 4 Pills	145.06€ 138.15€	Buy
Cialis Super Active	20mg	30 + 6 Pills	128.09€ 121.99€	Buy
Cialis Generic	40mg	20 Pills	59.47€ 56.64€	Buy
Cialis Professional	40mg	20 Pills	110.24€ 104.99€	Buy
Cialis Generic	40mg	90 + 6 Pills	171.35€ 163.19€	Buy
Cialis Black	80mg	360 + 20 Pills	639.78€ 609.31€	Buy
Cialis Generic	2.5mg	360 + 10 Pills	260.03€ 247.65€	Buy
Cialis Generic	60mg	10 Pills	41.22€ 39.26€	Buy

CIALIS may be taken without regard to food (2.5). Administration of CIALIS to patients using any form of organic nitrate is contraindicated.

8.4 Pediatric Use

Approval: 2003INDICATIONS AND USAGECIALIS® is a phosphodiesterase 5 (PDE5) inhibitor indicated for the treatment of:erectile dysfunction (ED) (1.1)the signs and symptoms of benign prostatic hyperplasia (BPH) (1.2)ED and the signs and symptoms of BPH (ED/BPH) (1.3)If CIALIS is used with finasteride to initiate BPH treatment, such use is recommended for up to 26 weeks (1.4).DOSAGE AND ADMINISTRATION CIALIS for use as needed: ED: Starting dose: 10 mg as needed prior to sexual activity. Increase to 20 mg or decrease to 5 mg based upon efficacy/tolerability. Improves erectile function compared to placebo up to 36 hours post dose. Not to be taken more than once per day (2.1).CIALIS for once daily use:CIALIS may be taken without regard to food (2.5).DOSAGE FORMS AND STRENGTHSTablets: 5 mg, 10 mg, 20 mg (3).CONTRAINDICATIONSAdministration of CIALIS to patients using any form of organic nitrate is contraindicated. CIALIS was shown to potentiate the hypotensive effect of nitrates (4.1).History of known serious hypersensitivity reaction to CIALIS or ADCIRCA® (4.2).Administration with guanylate cyclase (GC) stimulators, such as riociguat (4.3).WARNINGS AND PRECAUTIONSPatients should not use CIALIS if sex is inadvisable due to cardiovascular status (5.1).Use of CIALIS with alpha-blockers, antihypertensives or substantial amounts of alcohol (≥5 units) may lead to hypotension (5.6, 5.9).CIALIS is not recommended in combination with alpha-blockers for the treatment of BPH because efficacy of the combination has not been adequately studied and because of the risk of blood pressure lowering.

Frequently asked questions

Caution is advised when CIALIS is used as a treatment for ED in men taking alpha-blockers. (2.7, 5.6, 7.1, 12.2)Patients should seek emergency treatment if an erection lasts >4 hours. Use CIALIS with caution in patients predisposed to priapism (5.3).Patients should stop CIALIS and seek medical care if a sudden loss of vision occurs in one or both eyes, which could be a sign of non-arteritic anterior ischemic optic neuropathy (NAION). CIALIS should be used with caution, and only when the anticipated benefits outweigh the risks, in patients with a history of NAION. Patients with a "crowded" optic disc may also be at an increased risk of NAION (5.4, 6.2).Patients should stop CIALIS and seek prompt medical attention in the event of sudden decrease or loss of hearing (5.5).Prior to initiating treatment with CIALIS for BPH, consideration should be given to other urological conditions that may cause similar symptoms (5.14).ADVERSE REACTIONSMost common adverse reactions (≥2%) include headache, dyspepsia, back pain, myalgia, nasal congestion, flushing, and pain in limb (6.1).To report SUSPECTED ADVERSE REACTIONS, contact Eli Lilly and Company at 1-800-LillyRx (1-800-545-5979) or FDA at 1-800-FDA-1088 or INTERACTIONSCIALIS can potentiate the hypotensive effects of nitrates, alpha-blockers, antihypertensives or alcohol (7.1).CYP3A4 inhibitors (e.g. CIALIS was shown to potentiate the hypotensive effect of nitrates (4.1).

Drug Label Information

Any side effects you had with Cialis would be repeated with the Tadalafil, because they’re not just the same class of drugs – they have an identical active ingredient. Well, Cialis comes in a more attractive package; it has motivational slogans printed on the pill sleeve; the pill has been manufactured so that it’s shaped in a special way. And if the overall appearance of a product matters to you, or you tend to feel a strong emotional attachment to a brand, then that might be a good enough reason to consider Cialis over Tadalafil. Otherwise, you’ll find far greater value opting for the generic version. They are all approved for treatment of erectile dysfunction.

Comparison with actions of other PDE5 inhibitors

All of these Phosphodiesterase 5 inhibitors work in a similar way: the relaxation of the penile blood vessels to support expansion, which gives a stronger erection during arousal. What varies between them is the dosage, bioavailability, the length of time their effect takes to kick in, the amount of time they last for, and the side effect profiles. The main benefit of Tadalafil is how long it can last — up to 36 hours, as opposed to the roughly 4-6 hours for Sildenafil or Viagra. It also has the most variable possible dosage, making it quite a versatile treatment. A lower dose could be taken every day, for example. History of known serious hypersensitivity reaction to CIALIS or ADCIRCA® (4.2).

• Legal and regulatory history includes patent litigation and FDA reviews.
• Eli Lilly and ICOS received FDA approval for Cialis in November 2003.
• Key patents expired in the 2010s, allowing generic competition.
• There were numerous legal battles over patent extensions and challenges.
• The FDA has issued safety communications regarding PDE5 inhibitors.
• Regulations govern direct-to-consumer advertising of prescription drugs.
• The medication is a controlled prescription item in all countries.

Administration with guanylate cyclase (GC) stimulators, such as riociguat (4.3). Patients should not use CIALIS if sex is inadvisable due to cardiovascular status (5.1). Use of CIALIS with alpha-blockers, antihypertensives or substantial amounts of alcohol (≥5 units) may lead to hypotension (5.6, 5.9). CIALIS is not recommended in combination with alpha-blockers for the treatment of BPH because efficacy of the combination has not been adequately studied and because of the risk of blood pressure lowering. (2.7, 5.6, 7.1, 12.2) Patients should seek emergency treatment if an erection lasts >4 hours. Use CIALIS with caution in patients predisposed to priapism (5.3). Patients should stop CIALIS and seek medical care if a sudden loss of vision occurs in one or both eyes, which could be a sign of non-arteritic anterior ischemic optic neuropathy (NAION).

Lily Species	Native Regions	Habitat Type	Conservation Status
Asiatic Lily	Japan, Korea, China	Forested valleys, meadows	Least Concern
Easter Lily	Eastern North America	Wetlands, riverbanks	Near Threatened
Trumpet Lily	Western North America	Mountain slopes, woodlands	Least Concern
Oriental Lily	Japan, China	Humid forests, gardens	Least Concern

Patients with a "crowded" optic disc may also be at an increased risk of NAION (5.4, 6.2). Patients should stop CIALIS and seek prompt medical attention in the event of sudden decrease or loss of hearing (5.5).

2.4 CIALIS for Once Daily Use for Erectile Dysfunction and Benign Prostatic Hyperplasia

You may have heard of the Cialis brand first, but that doesn’t mean it should necessarily be your first port of call. For those of you who are looking for a medication you can simply take and forget about for the weekend, Tadalafil offers this benefit for the most competitive price. Order from a reputable and accredited supplier, and follow the advice in the medication leaflet. Each individual is different, but now you can be sure that Tadalafil and Cialis are medical equivalents. While we've ensured that everything you read on the Health Centre is medically reviewed and approved, information presented here is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

American Pharmacists Association (APhA)

It should never be relied upon for specific medical advice. If you have any questions or concerns, please talk to your doctor. If you are a consumer or patient please visit this version. HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed cialis for sale ireland to use CIALIS safely and effectively. See full prescribing information for CIALIS.CIALIS (tadalafil) tablets, for oral useInitial U.S. Prior to initiating treatment with CIALIS for BPH, consideration should be given to other urological conditions that may cause similar symptoms (5.14).

Tip	Explanation	Additional Advice
Consult a doctor beforehand	Especially if taking other medications or health conditions	Essential for safety
Follow recommended dosage	Avoid overdose, which can cause adverse effects	Check label instructions
Do not combine with nitrates	Can cause dangerous drops in blood pressure	Seek medical advice
Monitor for side effects	Report any severe reactions to a healthcare provider	Immediate consultation

Most common adverse reactions (≥2%) include headache, dyspepsia, back pain, myalgia, nasal congestion, flushing, and pain in limb (6.1). To report SUSPECTED ADVERSE REACTIONS, contact Eli Lilly and Company at 1-800-LillyRx (1-800-545-5979) or FDA at 1-800-FDA-1088 or CIALIS can potentiate the hypotensive effects of nitrates, alpha-blockers, antihypertensives or alcohol (7.1).

• Lifestyle factors can influence the effectiveness of Cialis.
• Maintaining a healthy weight and exercising can improve ED.
• Smoking cessation and reducing alcohol intake are beneficial.
• Managing stress, anxiety, and underlying health conditions is important.
• A high-fat meal may delay the onset of the "as-needed" dose slightly.
• The daily dose is less affected by dietary timing.
• Overall cardiovascular health is closely linked to erectile function.

ketoconazole, ritonavir) increase CIALIS exposure (2.7, 5.10, 7.2) requiring dose adjustment: CIALIS for use as needed: no more than 10 mg every 72 hoursCIALIS for once daily use: dose not to exceed 2.5 mg CIALIS for use as needed: no more than 10 mg every 72 hours CIALIS for once daily use: dose not to exceed 2.5 mg Hepatic Impairment (2.6, 5.8, 8.6): Mild or Moderate: Dosage adjustment may be needed.