Tadalafil 20 mg. 4 tablets
What Tadalafil is and what it is used for
Tadalafil is for the treatment of elderly men with erectile dysfunction. This is a condition where the male can not reach or hold a hard, erect penis suitable for sexual activity. Tadalafil shows a significant improvement in the ability to produce a hard, erect penis suitable for sexual activity.
Tadalafil KB contains the active substance tadalafil, which belongs to the group of medicines called phosphodiesterase type 5 inhibitors. After sexual stimulation Tadalafil KB works by helping the blood vessels in your penis relax and allow the blood flow to your penis. The result is an improved erectile function. Tadalafil Q will not help if you do not have erectile dysfunction.
It is important to note that tadalafil does not work if there is no sexual stimulation. You and your partner will have to engage in the love game as you would if you did not take a medicine for erectile dysfunction.
2. What you need to know before you take Tadalafil Q.
Do not take Tadalafil Q:
if you are allergic to the active substance or to any of the other ingredients of this medicine (listed in section 6);
if you are taking some kind of organic nitrate or nitric oxide donors like amyl nitrite. These are a group of drugs (“nitrates”) used in the treatment of angina pectoris (“chest pain”). Tadalafil has been shown to increase the effects of these medicines. If you are taking any form of nitrate or are unsure, talk to your doctor;
if you have a serious heart disease or have had a recent heart attack in the last 90 days;
if you have had a recent stroke (stroke) in the last 6 months;
if you have low blood pressure or uncontrolled high blood pressure;
if you have ever had loss of vision due to non-arterial anterior ischemic optic neuropathy (NAION), a condition described as “eye stroke.”
Warnings and precautions
Talk to your doctor before taking Tadalafil Q.
Note that sexual activity carries possible risks for patients with heart disease because it adds more to your heart. If you have heart problems, you should tell your doctor.
Before taking the tablets talk to your doctor if you have:
sickle-cell anemia (red blood cell anomaly);
multiple myeloma (bone marrow tumor);
leukemia (blood cell tumor);
some deformation of the penis;
serious liver problem;
serious kidney problem.
It is not known whether tadalafil is effective in patients who have:
removal of all or part of the prostate gland, in which the nerve of the prostate is broken (radical, non-conservative nerve prostatectomy).
If you experience sudden decrease or loss of vision, stop taking Tadalafil UK and contact your doctor immediately.
Tadalafil is not intended for use in women.
Children and adolescents
Tadalafil is not intended for use by children and adolescents under 18 years of age.
Other medicines and Tadalafil
Tell your doctor if you are taking, have recently taken or might take any other medicines.
Do not take Tadalafil if you are already taking nitrates.
Some medicines may be affected by Tadalafil® or they may affect how well Tadalafil® will work. Tell your doctor or pharmacist if you are already taking:
alpha blocker (used to treat high blood pressure or urinary symptoms associated with benign prostatic hyperplasia);
other medicines to treat high blood pressure;
5-alpha reductase inhibitor (used to treat benign prostatic hyperplasia);
medicines such as ketoconazole tablets (for the treatment of fungal infections) and protease inhibitors for the treatment of AIDS or HIV infection;
phenobarbital, phenytoin and carbamazepine (anti-inflammatory drugs);
rifampicin, erythromycin, clarithromycin or itraconazole;
other types of erectile dysfunction treatments.
Tadalafil KV with food, beverages and alcohol
The information on the effect of alcohol is in section 3. Grapefruit juice may have an impact on how well Tadalafil Q will work and should be taken with caution. Talk to your doctor for more information.
Pregnancy, breastfeeding and fertility
Tadalafil is not for use in women.
In dog treatment, decreased sperm formation in the testicles was observed. Reduction of sperm is seen in some men. These effects are unlikely to result in a lack of fertility.
Driving and using machines
In clinical trials, some men taking tadalafil reported having a dizziness. Check carefully how you are taking the tablets before driving or using machines.
Tadalafil KB contains lactose:
If you have an intolerance to some sugars, contact your doctor before taking this medicine.
3. How to take Tadalafil Q.
Always take this medicine exactly as your doctor has told you. If you are not sure, ask your doctor or pharmacist.
Tadalafil KB tablets are for oral use only in males. Swallow the tablet whole with some water. You can take the tablets with or without food.
The recommended starting dose is 10 mg before sexual activity. However, you may be given a dose of one 20 mg tablet because your doctor has decided that the recommended dose of 10 mg is too weak.
You can take Tadalafil LB at least 30 minutes before sexual activity. Tadalafil may still be effective until 36 hours after taking the tablet.
Do not take Tadalafil LV more than once a day. Tadalafil KB 20 is intended for use before expected sexual activity and is not recommended for prolonged daily use.
It is important to note that Tadalafil Q does not work without sexual stimulation. You and your partner will have to join a pre-game as you would if you did not take a medicine for erectile dysfunction.
Alcohol use may affect your ability to erect and may temporarily reduce your blood pressure. If you have taken or plan to take Tadalafil, avoid excessive alcohol consumption (blood alcohol levels above and above 0.08%), as this may increase the risk of dizziness when you get up.
If you take more Tadalafil than you should
Contact your doctor. You may experience the side effects described in section 4.
If you forget to take Tadalafil Q.
Take your dose as soon as you remember, but do not take a double dose to make up for the missed tablet. You should not take Tadalafil QB 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 everyone gets them. These effects are usually mild to moderate in nature.
If you get any of the following side effects, stop using the medicine and seek immediate medical attention:
allergic reactions including rash (frequency – uncommon);
chest pain – do not use nitrates but seek immediate medical attention (frequency – uncommon);
prolonged and possibly painful erection after receiving tadalafil (frequency – rare). If you have a similar erection that lasts for more than 4 hours, you should contact your doctor immediately;
sudden loss of vision (frequency – rare).
Other reported side effects:
Common (may affect up to 1 in 10 people):
headache, back pain, muscle aches, pain in the arms and legs, flushing, nose obstruction, indigestion and heartburn.
Uncommon (may affect up to 1 in 100 people):
dizziness, abdominal pain, blurred vision, eye pain, increased sweating, difficulty in breathing, bleeding from the penis, blood in the seminal fluid and / or urine, feeling of palpitations, increased heart rate, increased blood pressure, bleeding from the nose and tinnitus.
Rare (may affect up to 1 in 1,000 people):
weakness, seizures and transient loss of memory, swelling of the eyelids, redness of the eyes, sudden decrease or loss of hearing and urticaria (itchy red spots on the surface of the skin).
In men receiving tadalafil, infarction and stroke were also rarely reported. Most of these men had known heart problems before taking this medicine.
Rarely, temporary or permanent decrease or loss of vision on one or both eyes has been reported rarely.
Some additional rare side effects have been reported in men taking tadalafil that have not been seen in clinical trials. They include:
migraine, facial swelling, serious allergic reaction causing facial or throat edema, severe skin rashes, some disorders affecting the flow of blood to the eyes, irregular heartbeats, angina, and sudden cardiac death
Reporting of side effects
If any of the side effects gets serious, tell your doctor or pharmacist.
How to store Tadalafil Q.
Keep out of the reach and sight of children.
Do not use this medicine after the expiry date (month, year) noted on the carton. The expiry date refers to the last day of that month.
This medicine does not require any special storage conditions.
Do not dispose of medicines in the sewage system or in the household waste container. Ask your pharmacist how to dispose of medicines you no longer use. These measures will help to protect the environment.
6. Package Contents and Additional Information
What Tadalafil contains
The active substance is tadalafil. Each tablet contains 20 mg tadalafil.
The other ingredients are:
Tablet core: lactose monohydrate (see section 2 “Tadalafil KB contains lactose”), microcrystalline cellulose, poloxamer, povidone, croscarmellose sodium, sodium lauryl sulphate, colloidal anhydrous, silica, magnesium stearate.
Film coating: polyvinyl alcohol, macrogol, talc, titanium dioxide (E171), yellow iron oxide (E172), red iron oxide (E172).
What Tadalafil looks like and contents of the pack
Tadalafil KB 20 mg are pale pink, oblong, biconvex film-coated tablets scored on one side of the tablets. The score line is only to facilitate breakage to make it easier to swallow, not to divide into equal doses.
Tadalafil KB 20 mg is available in PVC / PVDC / Al foil blisters containing 2, 4, 8 or 12 tablets.
Not all pack sizes may be marketed.