IMPORTANT NOTE: The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug.

(SILDENAFIL - ORAL)

Uses
This medication is used to treat male sexual function problems (erection problems). Cialis works by enhancing the effects of one of the chemicals the body normally releases into the penis during sexual arousal. This allows an increase of blood flow into the penis. An erection is the result of an increase in blood flow into certain internal areas of the penis.

How to take Cialis
Cialis is taken orally before sexual activity, with or without food, not more than once daily. In some patients, the dose strength and maximum frequency of use may be adjusted. For more detailed information consult with your health care provider.

Possible Side effects
As with any prescription drug, there may be side effects. The most commonly reported side effects in patients treated with Cialis during the testing of the product were headache, indigestion, back pain, muscle pain, flushing and stuffy nose. Patients who get back pain and muscle aches usually get them 12 to 24 hours after taking Cialis and these usually go away by themselves within 48 hours. A small number of patients taking Cialis also reported abnormal vision.

Precautions
Because sexual activity can increase the work of the heart, your doctors should talk to you about your heart’s general condition and if Cialis is right for you. Patients who have a condition called "left ventricular outlet obstruction" from valvular problems or heart muscle enlargement may get side effects such as fainting or light-headedness. Because patients with recent heart attacks or stroke, heart pains (angina), heart failure, uncontrolled blood pressure or uncontrolled irregular heart beats, severe liver disease, and retinal eye problems were not studied with Cialis, Cialis is not recommended for these patients. There may be rare occurrences of priapism or painful, prolonged erections. This is a serious condition that requires immediate medical attention. Patients should seek prompt medical attention if their erection lasts longer than four hours.

Drug interactions
Always discuss with your health care practitioner ALL of the medications you are taking (prescription and over-the-counter). Cialis is not recommended for people taking any form of nitroglycerin and most alpha-blockers, other than FLOMAX, because the combination may lower blood pressure to an unsafe level.

Storage
Keep Cialis and all medications out of the reach of children.