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    Excipient with known effect: Each coated tablet contains 87 mg of lactose (as monohydrate). Excipient with known effect: Each coated tablet contains 121 mg of lactose (as monohydrate). Excipient with known effect: Each coated tablet contains 170 mg of lactose (as monohydrate). Excipient with known effect: Each coated tablet contains 233 mg of lactose (as monohydrate). The 5 mg tablets are light yellow and almond shaped tablets, marked 'C 5' on one side. The 2.5 mg tablets are light orange-yellow and almond shaped tablets, marked 'C 2 ½' on one side. The 10 mg tablets are light yellow and almond shaped tablets, marked 'C 10' on one side. The 20 mg tablets are yellow and almond shaped tablets, marked 'C 20' on one side. In order for tadalafil to be effective for the treatment of erectile dysfunction, sexual stimulation is required. 5 mg only: Treatment of the signs and symptoms of benign prostatic hyperplasia in adult males. Erectile dysfunction in adult Men In general, the recommended dose is 10 mg taken prior to anticipated sexual activity and with or without food. In those patients in whom tadalafil 10 mg does not produce an adequate effect, 20 mg might be tried. It may be taken at least 30 minutes prior to sexual activity. Tadalafil 10 and 20 mg is intended for use prior to anticipated sexual activity and it is not recommended for continuous daily use. fluconazole vs itraconazole Indicated for treatment of erectile dysfunction (ED) Cialis or generic equivalent only PRN use: 10 mg PO initially before sexual activity, with or without food; may be increased to 20 mg or reduced to 5 mg on basis of efficacy and tolerability; in most patients, maximum dosing frequency is once daily Once-daily use: 2.5 mg/day PO in single daily dose, without regard to timing of sexual activity, with or without food; may be increased to 5 mg/day on basis of efficacy and tolerability Indicated for treatment of signs and symptoms of benign prostatic hyperplasia (BPH); daily use also indicated for treatment of patients with both BPH and erectile dysfunction Cialis or generic equivalent only BPH: 5 mg PO once daily BPH with ED: 5 mg PO once daily, taken at approximately same time each day without regard to timing of sexual activity Coadministration with finasteride for BPH: Tadalafil 5 mg plus finasteride 5 mg PO once daily for ≤26 weeks; incremental benefit of tadalafil decreases from 4 weeks until 26 weeks, and the benefit beyond 26 weeks is unknown Indicated for pulmonary arterial hypertension (PAH) (WHO Group 1) to improve exercise ability; studies establishing effectiveness included predominately patients with NYHA Functional Class II – III symptoms and etiologies of idiopathic or heritable PAH (61%) or PAH associated with connective tissue diseases (23%) Adcirca, Alyq, or generic equivalent only 40 mg PO once daily; dividing dose for more frequent dosing is not recommended Patients also taking ritonavir: 20 mg PO once daily initially for ≥1 week; may be increased to 40 mg/day on basis of tolerability Use caution in patients with anatomic deformation of penis, cardiovascular disease, left ventricular outflow obstruction, myocardial infarction in preceding 90 days, unstable angina, angina occurring during sexual intercourse, NYHA class 2 or greater heart failure in preceding 6 months, uncontrolled arrhythmias, hypotension, uncontrolled hypertension, cerebrovascular accident in preceding 6 months, bleeding disorders, active peptic ulcer disease, liver disease, renal impairment, conditions predisposing to priapism, concomitant use of CYP3A4 inhibitors May cause dose-related impairment of color discrimination; use caution in patients with retinitis pigmentosa Evaluate underlying causes of erectile dysfunction or BPH before initiating therapy May increase risk of sudden vision loss attributed to nonarteritic ischemic optic neuropathy; if vision problems arise, discontinue, and contact physician Risk of sudden hearing loss CYP3A4 inhibitors (eg, erythromycin, ketoconazole, itraconazole, indinavir, ritonavir) may significantly increase tadalafil serum levels CYP3A4 inducers (eg, rifampin, St John’s wort) may decrease tadalafil serum levels Potentiates hypotensive effect of nitrates (see Contraindications) Concomitant use with alpha blockers (other than tamsulosin 0.4 mg/day) should be stabilized before initiation of phosphodiesterase (PDE)-5 inhibitors; patients with instability on alpha-blocker therapy alone are at increased risk for symptomatic hypotension with concurrent PDE-5 inhibitor therapy Not to be taken with other PDE-5 inhibitors (eg, sildenafil, vardenafil) Not recommended in patients with pulmonary veno-occlusive disease Advise patients to seek emergency treatment if an erection lasts Not indicated for use in females; there are no data in pregnant women to inform any drug-associated risks for adverse developmental outcomes; in animal reproduction studies, no adverse developmental effects observed with oral administration of tadalafil to pregnant rats or mice during organogenesis at exposures up to 11 times the maximum recommended human dose (MRHD) of 20 mg/day Not indicated for use in females; there is no information on presence of tadalafil and/or metabolites in human milk; effects on breastfed child, or on milk production; drug and/or its metabolites are present in milk of lactating rats at concentrations approximately 2.4-fold greater than found in plasma Erectile dysfunction: Inhibits PDE-5, increasing cyclic guanosine monophosphate (c GMP) to allow smooth-muscle relaxation and inflow of blood into corpus cavernosum Pulmonary arterial hypertension (PAH): Inhibits PDE-5, increasing c GMP to allow relaxation of pulmonary vascular smooth-muscle cells and vasodilation of pulmonary vasculature The above information is provided for general informational and educational purposes only. Individual plans may vary and formulary information changes. Contact the applicable plan provider for the most current information.

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    Cialis Tadalafil drug is used to treat erectile dysfunction. It is also prescribed under the name Adcirca for treatment of pulmonary arterial. trusted website to purchase viagra Detailed dosage guidelines and administration information for Cialis tadalafil. Includes dose adjustments, warnings and precautions. Brand and Other NamesAdcirca, Cialis, more. Dosage Forms & Strengths. Indicated for treatment of erectile dysfunction ED; Cialis or generic equivalent.

    Cialis is available in four different dosages of 2.5mg, 5mg, 10mg and 20mg. When you get a prescription for Cialis, your doctor or online doctor will recommend the dosage that is best for you. As with many medications, the effectiveness of Cialis differs between men. While most men find that a 10mg dosage suits them well, others find that the 20mg dosage works better for them.10mg is the recommended starting dose for Cialis. If you have never taken Cialis before, it is likely that your doctor will prescribe this dosage. If you find that the 10mg tablet is too weak, you can ask your doctor if you can take the 20mg dose instead. When you get your prescription, your doctor will ask you a range of questions about your health to determine which dose you can take. So, you got over your embarrassment or perhaps it is your desperation to save the relationship that has finally pushed you to seek help from your doctor about your impotence, which is also known as erectile dysfunction. While the risk of developing erectile dysfunction increases the older you get, approximately 50% of men between the ages of 40 and 70 years are estimated to have experienced it. Click HERE to View Cialis Prices People with erectile dysfunction may often have other emotional or physical health problems. Sometimes these health problems may even have contributed to the development of erectile dysfunction. For example, you may have diabetes, neurological conditions such as multiple sclerosis or stroke, conditions of the heart affecting blood flow such as high cholesterol or high blood pressure, or even emotional conditions such as anxiety and depression. Certain medications used to treat these, and other health conditions may affect blood flow through your body and contribute to causing or worsening erectile dysfunction. This includes drugs used to treat heart conditions, mental health conditions, cancer chemotherapy or certain hormones. However, it is not just prescribed drugs that can cause erectile dysfunction.

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