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Tadalafil is used to treat male sexual function problems (impotence or erectile dysfunction-ED). In combination with sexual stimulation, tadalafil works by increasing blood flow to the penis to help a man get and keep an erection.

Tadalafil is also used to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). It helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate frequently or urgently (including during the middle of the night). Tadalafil is thought to work by relaxing the smooth muscle in the prostate and bladder.

This drug does not protect against sexually transmitted diseases (such as HIV, hepatitis B, gonorrhea, syphilis). Practice “safe sex” such as using latex condoms. Consult your doctor or pharmacist for more details.

Use Cialis as directed by your doctor.

  • Take Cialis by mouth with or without food.
  • For use as needed: Take Cialis at least 30 minutes before sexual activity, as directed by your doctor. Cialis may work for up to 36 hours after you take it.
  • For daily use: Take Cialis regularly at about the same time each day.
  • Check with your doctor before you eat grapefruit or drink grapefruit juice while you are taking Cialis.

Store Cialis at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Cialis out of the reach of children and away from pets.

Side effects

Cialis can cause mild or serious side effects. The following lists contain some of the key side effects that may occur while taking Cialis. These lists don’t include all possible side effects.

Mild side effects of Cialis can include:

  • headache
  • heartburn
  • back pain
  • muscle pain
  • stuffy nose
  • flushing (warmth and redness in your skin)
  • pain in your arms or legs

Most of these side effects may go away within a few days or a couple of weeks. But if they become more severe or don’t go away, talk with your doctor or pharmacist.

Serious side effects

Serious side effects from Cialis aren’t common, but they can occur. Call your doctor right away if you have serious side effects. Call 911 if your symptoms feel life threatening or if you think you’re having a medical emergency.

Serious side effects and their symptoms can include:

  • Changes in hearing. Symptoms can include:
    • trouble hearing
    • hearing loss
    • ringing in your ears
    • dizziness

Other serious side effects, explained in more detail below in “Side effect details,” include:

  • allergic reaction
  • changes in blood pressure
  • loss of vision
  • prolonged erection (an erection that lasts more than 4 hours)

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