Tadalafil

How and when to take tadalafil

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How and when to take tadalafil - Brand names: Cialis, Adcirca

Tadalafil is a medication primarily indicated for treating erectile dysfunction and benign prostate enlargement (BPH), among several other medical conditions. It is imperative to adhere strictly to the prescribed dosage and instructions provided by your healthcare provider to ensure the medication works effectively.

For those with private prescriptions for tadalafil, it is essential to closely review the information that accompanies your medicine, as variations in strength and dosage recommendations can occur. This adherence is vital for the medication’s effectiveness and your overall safety.

Dosage and Strength

Tadalafil comes in various strengths, including 2.5mg, 5mg, 10mg, and 20mg tablets, allowing customization based on individual needs and circumstances.

Dose for Erectile Dysfunction

The standard starting dose for treating erectile dysfunction is 10mg, which should ideally be taken prior to anticipated sexual activity. It is generally advised against taking more than one tablet within a 24-hour period to minimize the risk of adverse effects.

Patients may find that their healthcare provider adjusts the dosage depending on how well they respond to the medication and their frequency of use.

It’s important to remember that the effects of tadalafil can extend beyond 24 hours, so daily doses of 10mg or 20mg are discouraged in favor of a non-daily regimen.

For optimal therapeutic results, sexual stimulation is essential for the tablet to function effectively in enhancing erectile function.

Dose for Benign Prostate Enlargement

When prescribed for benign prostate enlargement, tadalafil is normally available in 2.5mg and 5mg strengths. The usual recommendation for this condition is a 5mg dose, to be taken once daily for the best results.

In cases where patients are treated for both benign prostatic enlargement and erectile dysfunction, the recommended dosage still typically remains at 5mg.

Dose for Pulmonary Hypertension

For pulmonary hypertension, tadalafil is often prescribed in 20mg tablets, with a common dosage being 40mg per day (two 20mg tablets) given as a single daily dose.

Patients with pre-existing kidney or liver conditions may require a reduced starting dose of either 10mg or 20mg to avoid potential side effects.

When taking tadalafil, it is advised to swallow the tablets whole with a glass of water or juice, however, grapefruit juice should be avoided due to possible interactions.

For erectile dysfunction, it is best to take one tablet at least 30 minutes prior to planned sexual activity to allow for maximum effectiveness.

If you are taking tadalafil for prostate enlargement, you may choose to take it at either morning or evening; however, maintaining a consistent routine is encouraged.

Be aware that the tablets used for pulmonary hypertension are larger and may present difficulties for some individuals when swallowing.

If You Forget to Take It

In case you miss a dose:

  • For benign prostatic enlargement – take the missed dose as soon as you recall, then return to your regular dosing schedule.
  • For pulmonary hypertension – if you remember the missed dose within 8 hours, take it; if after this time, skip the missed dose and proceed with your routine regimen.

Do not take two doses simultaneously, nor should you take an extra dose to make up for a missed one.

If forgetting doses is a common occurrence for you, consider setting reminders or consult your pharmacist for effective strategies to manage your medication schedule.

If You Take Too Much

Consuming too much tadalafil may lead to side effects that can include:

  • headache
  • dizziness
  • indigestion
  • stuffy nose
  • vision changes, including blurred vision or sensitivity to light

Urgent advice: Contact 111 for immediate support if you:

  • have ingested more than your prescribed dose of tadalafil

For further information, visit 111.nhs.uk or contact 111 directly.

Important information:

Should a visit to the Accident and Emergency department be necessary, do not drive yourself. Seek assistance from someone else to drive you or call 999 for an ambulance if needed.

Bring along the tadalafil packaging, any remaining doses, and a list of all other medications you are currently taking for reference.

Page last reviewed: 11 November 2022
Next review due: 11 November 2025

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