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CialisĀ® (tadalafil)

  • To treat erectile dysfunction
  • Available on prescription only

About Cialis (Tadalafil)

  
What Is Cialis and What Is It Used For?

Cialis (Tadalafil) is a prescription only treatment for adult men over 18 years of age with erectile dysfunction (ED), also known as impotence. Erectile Dysfunction is a condition when a man cannot get, or keep a hard, erect penis suitable for sexual activity. Cialis contains the active substance Tadalafil, which belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors. Following sexual stimulation Cialis works by helping the blood vessels in your penis to relax, allowing the flow of blood into your penis. Cialis may help a man with erectile dysfunction get and keep an erection when he is sexually excited. Cialis comes in tablet form and is taken orally.

Cialis does not:

  • Cure Erectile Dysfunction
  • Increase a man’s sexual desire
  • Protect a man or his partner from sexually transmitted diseases, including HIV. Speak to your healthcare professional medical specialists about ways to guard against sexually transmitted diseases
  • Serve as a male form of birth control
     
  • Cialis is only for men with Erectile Dysfunction. 
  • Cialis is not for women or children. 
  • Cialis must be used only under a healthcare professional’s care.

 

Who Should Not Take Cialis?

Do not take Cialis if you:

  • Take any medicines called “nitrates”.
  • Use recreational drugs called “poppers” like amyl nitrate and butyl nitrate.
  • Have been told by your healthcare professional to not have sexual activity because of health problems.
  • Have serious heart disease or recently had a heart attack within the last 90 days.
  • Recently had a stroke within the last 6 months.
  • Have low blood pressure or uncontrolled high blood pressure.
  • Ever had loss of vision because of non-arteritic anterior ischemic optic neuropathy (NAION).

What are The Risks?

The following are the major possible risks and side effects of Cialis therapy. This list is not complete. Cialis can cause your blood pressure to drop suddenly to an unsafe level if it is taken with certain other medicines such as nitrates and alpha-blockers, and recreational drugs that contain nitrates called “poppers.” A sudden drop in your blood pressure could cause you to become dizzy, faint, or have a heart attack or stroke Tell all your healthcare professionals that you take Cialis. If you need emergency medical care for a heart problem, it will be important for your healthcare professionals to know when you last took Cialis.
More information can be found in the manufacturers information leaflet.

Cialis may uncommonly cause:

  • Dizziness
  • Stomach ache
  • Eye pain
  • Increased sweating
  • Difficulty in breathing
  • Vision changes, such as seeing a blue tinge to objects or having difficulty telling the difference between the colors blue and green

Some common side effects with Cialis include:

  • Headache
  • Indigestion
  • Back pain
  • Muscle aches
  • Facial flushing
  • Stuffy or runny nose
  • Reflux
  • Pain in arms and legs

What Should I Tell My Healthcare Professional?

Tell your healthcare professional if you:

  • Have or had heart problems
  • Have low blood pressure or have high blood pressure that is not controlled
  • Have had a stroke
  • Have liver problems
  • Have kidney problems or require dialysis
  • Have ever had severe vision loss
  • Have retinitis pigmentosa, a rare genetic (runs in families) eye disease
  • Have stomach ulcers
  • Have a bleeding problem
  • Have a deformed penis shape or Peyronie’s disease
  • Have had an erection that lasted more than 4 hours (priapism)
  • Have blood cell problems such as sickle cell anemia, multiple myeloma, or leukemia
  • Take medicines called “alpha blockers” (alpha blockers are sometimes prescribed for prostate problems or high blood pressure)
  • Have an intolerance to some sugars

Can Other Medicines Affect Cialis?

Do not take Cialis with other treatments for Erectile Dysfunction. Tell your healthcare professional about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements. Know the medicines you take. Keep a list of them with you to show your healthcare professional. Do not take Cialis if you are already taking nitrates. Some other medicines may be affected by Cialis, please read the manufacturers information leaflet.

 

Can Food, Drink and Alcohol Affect Cialis?

Grapefruit juice may affect how well Cialis will work and should be taken with caution. 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% of greater), since this may increase the risk of dizziness when standing up.
 

More information can be found in the manufacturers information leaflet.

 

Genuine UK Cialis Is A Prescription Only Medication (POM)

You cannot legally buy Cialis in the UK "over the counter" without a prescription, as Cialis is classed as a "Prescription Only Medication" (or "POM") in the UK. Therefore, you'll need a UK-issued prescription to Buy Cialis in the UK (either a Private Prescription for Cialis or an NHS Prescription forCialis ). We do not process NHS Prescriptions for Cialis, this means that in order to buy Cialis from UKMeds4U.com, you must first have a private consultation with one of our registered UK doctors about erectile dysfunction and a potential treatment for you (sush as Cialis). All of our doctors who perform private consultations for Cialis are registered with the UK General Medical Council (GMC). Once you've had the private consultation for Cialis, our doctor will have to decide if Cialis is suitable for you or not. If our doctor determines that Cialis is suitable for you, they will issue you a Private Prescription for Cialis so that you can then legally buy Cialis from UKMeds4U.com. Please keep in mind that there is the possibility that our doctor may determine that Cialis is not suitable for you, and will then not issue you with a Private Prescription for Cialis. If our doctor does issue a Private Prescription for genuine UK Cialis to you, we will automatically inform our dispencing pharmacy that you have successfully obtained a Private Prescription for Cialis. Our pharmacy will then dispense your genuine Cialis and despatch it to you by signed-for next-working-day delivery (either by Royal Mail Special Delivery or DPD), this ensures that will you receive your genuine Cialis order the next working day.

Cialis (tadalafil) 10mg Tablets and 20mg Tablets

Cialis 2-5mg
Cialis 5mg
Cialis 10mg
Cialis 20mg

Pills Price
28 Pills Cialis 2.5mg £116.99
56 Pills Cialis 2.5mg £195.99
84 Pills Cialis 2.5mg £257.99
28 Pills Cialis 5mg £127.99
56 Pills Cialis 5mg £216.99
84 Pills Cialis 5mg £286.99
4 Pills Cialis 10mg £67.99
8 Pills Cialis 10mg £124.99
16 Pills Cialis 10mg £201.99
32 Pills Cialis 10mg £373.99
64 Pills Cialis 10mg £698.99
4 Pills Cialis 20mg £76.99
8 Pills Cialis 20mg £130.99
16 Pills Cialis 20mg £233.99
32 Pills Cialis 20mg £401.99
64 Pills Cialis 20mg £715.99

* Special Offer Price

 

Cialis 10mg and 20 mg film-coated tablets

Package leaflet: Information for the user

CIALIS 10mg and 20 mg film-coated tablets

Tadalafil

Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.

  • Keep this leaflet. You may need to read it again.

  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
  • If you get any side effects talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

What is in this leaflet:

1. What CIALIS is and what it is used for
2. What you need to know before you take CIALIS
3. How to take CIALIS
4. Possible side effects
5 How to store CIALIS
6. Contents of the pack and other information

1. What CIALIS is and what it is used for

CIALIS is a treatment for adult men with erectile dysfunction. This is when a man cannot get, or keep a hard, erect penis suitable for sexual activity. CIALIS has been shown to significantly improve the ability of obtaining a hard erect penis suitable for sexual activity.

CIALIS contains the active substance tadalafil which belongs to a group of medicines called phosphodiesterase type 5 inhibitors. Following sexual stimulation CIALIS works by helping the blood vessels in your penis to relax, allowing the flow of blood into your penis. The result of this is improved erectile function. CIALIS will not help you if you do not have erectile dysfunction.

It is important to note that CIALIS does not work if there is no sexual stimulation. You and your partner will need to engage in foreplay, just as you would if you were not taking a medicine for erectile dysfunction.

2. What you need to know before you take CIALIS

Do not take CIALIS if you:

  • are allergic to tadalafil or any of the other ingredients of this medicine (listed in section 6).
  • are taking any form of organic nitrate or nitric oxide donors such as amyl nitrite. 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.
  • 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”.
  • are taking riociguat. 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.

Warnings and precautions

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).
  • leukaemia (cancer of the blood cells).
  • any deformation of your penis.
  • a serious liver problem.
  • a severe kidney problem.

It is not known if CIALIS is effective in patients who have had:

  • pelvic surgery.
  • 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, 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.

Children and adolescents

CIALIS is not intended for use by children and adolescents under the age of 18.

Other medicines and CIALIS

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.
  • riociguat.
  • a 5- alpha reductase inhibitor (used to treat benign prostatic hyperplasia).
  • medicines such as ketoconazole tablets (to treat fungal infections) and protease inhibitors for treatment of AIDS or HIV infection.
  • phenobarbital, phenytoin and carbamazepine (anticonvulsant medicines).
  • rifampicin, erythromycin , clarithromycin or itraconazole.
  • other treatments for erectile dysfunction.

CIALIS with drink and alcohol

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.

Fertility

When dogs were treated there was reduced sperm development in the testes. A reduction in sperm was seen in some men. These effects are unlikely to lead to a lack of fertility.

Driving and using machines

Some men taking CIALIS in clinical studies have reported dizziness. Check carefully how you react to the tablets before driving or using machines.

CIALIS contains lactose:

If you have an intolerance to some sugars, contact your doctor before taking this medicine.

3. How to take CIALIS

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. 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.

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 daily use.

It is important to note that CIALIS does not work if there is no sexual stimulation. You and your partner will need to engage in foreplay, just as you would if you were not taking a medicine for erectile dysfunction.

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.

If you take more CIALIS than you should

Contact your doctor. You may experience side effects described in section 4.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature.

If you experience any of the following side effects stop using the medicine and seek medical help immediately:

  • allergic reactions including rashes (frequency uncommon).
  • 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). 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).

Other side effects have been reported:

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.

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. These include:

  • 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.

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.

Reporting of side effects

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the national reporting system

United Kingdom:

Yellow Card Scheme

website:www.mhra.gov.uk/yellowcard

or Ireland:

HPRA Pharmacovigilance
Earlsfort Terrace
IRL - Dublin 2

Tel: +353 1 6764971

Fax: +353 1 6762517

Website: www.hpra.ie

E-mail:medsafety@hpra.ie

Malta:

ADR Reporting

Website: www.medicinesauthority.gov.mt/adrportal

By reporting side effects you can help provide more information on the safety of this medicine.

5. How to store CIALIS

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’. The expiry date refers to the last day of that month.

Store in the original package in order to protect from moisture. Do not store above 30°C.

Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.

6. Contents of the pack and other information

What CIALIS contains

  • The active substance is tadalafil. Each tablet contains 10 mg or 20mg of tadalafil.
  • The other ingredients are: 
    Tablet core: lactose monohydrate (see end of section 2), croscarmellose sodium, hydroxypropylcellulose, microcrystalline cellulose, sodium laurilsulfate, magnesium stearate. 
    Film-coat: lactose monohydrate, hypromellose, triacetin, titanium dioxide (E171), iron oxide yellow (E172), talc.

What CIALIS looks like and contents of the pack

CIALIS 20 mg is a yellow film-coated tablet in the shape of an almond and has "C 20" marked on one side.
CIALIS 10 mg is a yellow film-coated tablet in the shape of an almond and has "C 10" marked on one side.

CIALIS 20 mg and 10mg are available in blister packs containing 2, 4, 8, 10 or 12 tablets.

Not all pack sizes may be marketed.

Marketing Authorisation Holder and Manufacturer

Marketing Authorisation Holder:

Eli Lilly Nederland B.V.
Papendorpseweg 83
3528 BJ Utrecht
The Netherlands

Manufacturer:

Lilly S.A.
Avda. de la Industria 30
28108 Alcobendas
Madrid
Spain

For any information about this medicine, please contact the local representative of the Marketing Authorisation Holder.

United Kingdom

Eli Lilly and Company Limited

Tel: + 44-(0) 1256 315000

This leaflet was last revised in February 2017.

Detailed information on this medicine is available on the European Medicines Agency web site: http://www.ema.europa.eu

Cialis 2.5mg and 5mg film-coated tablets

Package leaflet: Information for the user

CIALIS 2.5 mg and 5mg film-coated tablets

Tadalafil

Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.

  • Keep this leaflet. You may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
  • If you get any side effects talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

What is in this leaflet:

1. What CIALIS is and what it is used for
2. What you need to know before you take CIALIS
3. How to take CIALIS
4. Possible side effects
5 How to store CIALIS
6. Contents of the pack and other information

1. What CIALIS is and what it is used for

CIALIS is a treatment for adult men with erectile dysfunction. This is when a man cannot get, or keep a hard, erect penis suitable for sexual activity. CIALIS has been shown to significantly improve the ability of obtaining a hard erect penis suitable for sexual activity.

CIALIS contains the active substance tadalafil which belongs to a group of medicines called phosphodiesterase type 5 inhibitors. Following sexual stimulation CIALIS works by helping the blood vessels in your penis to relax, allowing the flow of blood into your penis. The result of this is improved erectile function. CIALIS will not help you if you do not have erectile dysfunction.

It is important to note that CIALIS does not work if there is no sexual stimulation. You and your partner will need to engage in foreplay, just as you would if you were not taking a medicine for erectile dysfunction.

2. What you need to know before you take CIALIS

Do not take CIALIS if you:

  • are allergic to tadalafil or any of the other ingredients of this medicine (listed in section 6).
  • are taking any form of organic nitrate or nitric oxide donors such as amyl nitrite. 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.
  • 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”.
  • are taking riociguat. 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.

Warnings and precautions

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).
  • leukaemia (cancer of the blood cells).
  • any deformation of your penis.
  • a serious liver problem.
  • a severe kidney problem.

It is not known if CIALIS is effective in patients who have had:

  • pelvic surgery.
  • 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, 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.

Children and adolescents

CIALIS is not intended for use by children and adolescents under the age of 18.

Other medicines and CIALIS

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.
  • riociguat.
  • a 5- alpha reductase inhibitor (used to treat benign prostatic hyperplasia).
  • medicines such as ketoconazole tablets (to treat fungal infections) and protease inhibitors for treatment of AIDS or HIV infection.
  • phenobarbital, phenytoin and carbamazepine (anticonvulsant medicines).
  • rifampicin, erythromycin , clarithromycin or itraconazole.
  • other treatments for erectile dysfunction.

CIALIS with drink and alcohol

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.

Fertility

When dogs were treated there was reduced sperm development in the testes. A reduction in sperm was seen in some men. These effects are unlikely to lead to a lack of fertility.

Driving and using machines

Some men taking CIALIS in clinical studies have reported dizziness. Check carefully how you react to the tablets before driving or using machines.

CIALIS contains lactose:

If you have an intolerance to some sugars, contact your doctor before taking this medicine.

3. How to take CIALIS

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. The tablets can be taken with or without food.

The recommended dose is one 5 mg tablet taken once a day at approximately the same time of the day. Your doctor may adjust the dose to 2.5 mg based on your response to CIALIS. This will be given as a 2.5mg tablet.

Do not take CIALIS more than once a day.

Once a day dosing of CIALIS may be useful to men who anticipate having sexual activity two or more times per week.

When taken once a day CIALIS allows you to obtain an erection, when sexually stimulated, at any time point during the 24 hours of the day.

It is important to note that CIALIS does not work if there is no sexual stimulation. You and your partner will need to engage in foreplay, just as you would if you were not taking a medicine for erectile dysfunction.

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.

If you take more CIALIS than you should

Contact your doctor. You may experience side effects described in section 4.

If you forget to take CIALIS

Take your dose as soon as you remember but do not take a double dose to make up for a forgotten tablet. You should not take CIALIS more than once a day.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature.

If you experience any of the following side effects stop using the medicine and seek medical help immediately:

  • allergic reactions including rashes (frequency uncommon).
  • chest pain - do not use nitrates but seek immediate medical assistance (frequency uncommon).
  • priapsim, a prolonged and possibly painful erection after taking CIALIS (frequency rare). 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).

Other side effects have been reported:

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.

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. These include:

  • 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.

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.

Reporting of side effects

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the national reporting system

United Kingdom:

Yellow Card Scheme

website: www.mhra.gov.uk/yellowcard

or

Ireland:

HPRA Pharmacovigilance
Earlsfort Terrace
IRL - Dublin 2

Tel: +353 1 6764971

Fax: +353 1 6762517

Website: www.hpra.ie

E-mail: medsafety@hpra.ie

By reporting side effects you can help provide more information on the safety of this medicine.

5. How to store CIALIS

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’. The expiry date refers to the last day of that month.

Store in the original package in order to protect from moisture. Do not store above 30°C.

Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.

6. Contents of the pack and other information

What CIALIS contains

  • The active substance is tadalafil. Each tablet contains 2.5 mg or 5mg of tadalafil.
  • The other ingredients are:
    Tablet core: lactose monohydrate (see end of section 2), croscarmellose sodium, hydroxypropylcellulose, microcrystalline cellulose, sodium laurilsulfate, magnesium stearate. 
    Film-coat: lactose monohydrate, hypromellose, triacetin, titanium dioxide (E171), iron oxide yellow (E172), iron oxide red (E172), talc.

What Cialis looks like and contents of the pack

CIALIS 2.5 mg is a light orange-yellow film-coated tablet in the shape of an almond and has "C 2 ½" marked on one side.
CIALIS 5 mg is a light orange-yellow film-coated tablet in the shape of an almond and has "C 5" marked on one side.

CIALIS 2.5 mg is available in blister packs containing 28 tablets.

CIALIS 5 mg is available in blister packs containing 14, 28 or 84 tablets

Marketing Authorisation Holder and Manufacturer

Marketing Authorisation Holder:

Eli Lilly Nederland B.V.
Papendorpseweg 83
3528 BJ Utrecht
The Netherlands

Manufacturer:

Lilly S.A.
Avda. de la Industria 30
28108 Alcobendas
Madrid
Spain

For any information about this medicine, please contact the local representative of the Marketing Authorisation Holder.

United Kingdom

Eli Lilly and Company Limited

Tel: + 44-(0) 1256 315000

This leaflet was last revised in February 2017.

Detailed information on this medicine is available on the European Medicines Agency web site: http://www.ema.europa.eu