Tadalafil (oral route)
It is crucial that you inform all of your healthcare providers that you are taking tadalafil. This information is vital if you require emergency medical treatment for a heart issue, as your doctor needs to be aware of the last time you ingested tadalafil to ensure your safety. Accurate knowledge of your medication history will help manage your care effectively during such critical times.
If you have been prescribed this medication for pulmonary arterial hypertension, regular follow-up appointments with your healthcare provider are essential. These appointments enable your doctor to monitor your condition and the effectiveness of the treatment. By closely observing your progress, your physician can evaluate whether you should continue using tadalafil and may perform blood and urine tests to detect any potential adverse effects that may arise from the medication.
When utilizing tadalafil for pulmonary arterial hypertension, it is imperative not to combine this medication with Cialis® or any other PDE5 inhibitors like sildenafil (Revatio® or Viagra®) or vardenafil (Levitra®). Since Cialis® contains tadalafil as well, using them together can significantly increase the risk of side effects, which could become problematic and even dangerous.
Should you encounter an erection lasting longer than 4 hours or a painful erection persisting beyond 6 hours, seek immediate medical attention. These conditions may necessitate urgent medical intervention to avert severe and potentially irreversible damage to your penis. Timely action is critical in preserving your health in these circumstances.
It is important to remember that this medication does not provide any protection against sexually transmitted infections (including HIV or AIDS). To safeguard your sexual health, it is advisable to utilize appropriate protective measures and consult your doctor for any inquiries or concerns you may have regarding safe practices.
Be sure to inform your healthcare provider of any existing or past heart conditions you may have experienced. Taking tadalafil can pose severe risks to patients who have a history of heart problems, so full disclosure is necessary for the proper management of your treatment.
Avoid using tadalafil concurrently with riociguat (Adempas®) or any nitrate medications commonly prescribed for angina (chest pain). Nitrate medications include, but are not limited to, nitroglycerin, isosorbide, Imdur®, Nitro-Bid®, Nitrostat®, Nitro-Dur®, Transderm Nitro®, Nitrol® Ointment, and Nitrolingual® Spray. Additionally, illegal substances known as “poppers,” such as amyl nitrate and butyl nitrate, also contain nitrates. If you must take a nitrate medication, ensure that it is at least 48 hours after your last dose of tadalafil.
It is advisable to limit alcohol intake while taking tadalafil, as excessive consumption (for instance, five or more glasses of wine or five or more shots of whiskey) can exacerbate side effects. Alcohol abuse can lead to an increased likelihood of headaches, dizziness, rapid heart rate, or a significant drop in blood pressure, all of which can complicate your overall health.
In the event of sudden vision loss in either one or both eyes, it is critical to contact your healthcare provider immediately. This could be a sign of serious complications requiring swift intervention.
Should you experience a sudden decline in hearing or complete loss of hearing, particularly if accompanied by dizziness and tinnitus (ringing in the ears), reach out to your doctor without delay. These symptoms can be indicative of a serious condition that warrants immediate evaluation.
Do not take any other medications without first discussing them with your healthcare provider. This includes both prescription and over-the-counter (OTC) medicines, as well as herbal and vitamin supplements. Proper communication regarding your medication regimen is essential to avoid unwanted interactions and to maintain your health.