Generic Formulary
Genito Urinary System
Sub Group: 
International Brand Name: 
10 MG/20 mg
Unit of Packing: 
In treatment of: 
Mgt of Erectile Dysfunction
Adverse Effects: 
1. Facial flushing 2. Headaches 3. Stomach upset 4. Diarrhea 5. Flu-like symptoms 6. Nausea 7. Back pain 8. Muscle aches 9. Low blood pressure 10. Blurred vision 11. Abnormal ejaculation 12. Prolonged erections 13. Sweating 14. General ill feeling 15. Irregular heartbeat 16. Swelling in hands, ankles, or feet 17. Shortness of breath 18. Lightheadedness 19. Fainting In pre-existing heart disease: 1. Chest pain 2. Heart attacks 3. Death 4. Strokes 5. Palpitations and increased heart rate 6. Vision changes
1. Patient on nitrate therapy
Special Precaution: 
1. Do not take Tadalafil more than once a day 2. Contact doctor if erection is painful or lasts longer than 4 hours 3. Heart disease 4. Recent history a heart attack (within the past 90 days) 5. Recent history of stroke or congestive heart failure, (within the past 6 months) 6. Angina 7. Hypotension 8. Hypertension 9. Liver disease 10. Kidney disease 11. Sickle cell anemia 12. Multiple myeloma 13. Leukemia 14. Haemophilia 15. Stomach ulcer 16. Retinitis pigmentosa 17. Peyronie`s disease (physical deformity of the penis) 18. Diabetes 19. High cholesterol 20. Pre-existing eye problems 21. One who smoke or are over 50 years old
Nitrates: Tadalafil increases the effect of these drugs.
Initial dose: 10 mg / day taken 30minutes - 12 hours before sexual activity. Depending on the adequacy of the response or side effects, the dose may be increased to 20 mg or decreased to 5 mg a day.

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