Tadalafil (oral route)
It is crucial that you inform all of your healthcare providers that you are taking tadalafil. Whether you have a scheduled visit or require emergency medical services for a heart-related issue, your physician must be aware of the timing of your last dose of tadalafil. This information can significantly impact your treatment and safety.
Should you be prescribed this medication for pulmonary arterial hypertension, it is vital for your doctor to monitor your progress during regular check-ups. These evaluations are essential in determining the effectiveness of the medication and in making informed decisions regarding your ongoing treatment. Routine blood and urine tests may be necessary to identify any adverse reactions and ensure your health is being properly managed while on this therapy.
If you are using tadalafil for pulmonary arterial hypertension, do not simultaneously take Cialis® or other PDE5 inhibitors, which include sildenafil (known as Revatio® or Viagra®) and vardenafil (marketed as Levitra®). It is important to note that Cialis® also contains tadalafil, and combining these medications can significantly heighten the risk of experiencing side effects.
If you experience an erection that lasts longer than 4 hours, or if you encounter a painful erection lasting more than 6 hours, you should reach out to your doctor without delay. This condition, known as priapism, requires immediate medical attention to avoid the potential for lasting damage to your penis.
This medication does not provide protection against sexually transmitted infections, including HIV or AIDS. It is advisable to use appropriate protective measures, and if you have any uncertainties or questions regarding sexual health, do not hesitate to consult your healthcare provider.
Ensure that you provide your doctor with comprehensive information about any current or previous heart conditions. Tadalafil can lead to severe side effects in individuals with cardiovascular issues, which is why open communication about your health history is essential.
It is imperative that you do not take this medicine alongside riociguat (Adempas®) or any nitrate medications often prescribed for angina (chest pain). Nitrate drugs include nitroglycerin, isosorbide, Imdur®, Nitro-Bid®, Nitrostat®, Nitro-Dur®, Transderm Nitro®, Nitrol® Ointment, and Nitrolingual® Spray. Moreover, certain illicit substances known as "poppers" (like amyl nitrate, butyl nitrate, or nitrite) also contain nitrates. Should you require a nitrate treatment, ensure that a minimum of 48 hours has passed since your last tadalafil dose.
Avoid excessive alcohol consumption (for example, 5 or more glasses of wine or 5 or more shots of whiskey) while taking tadalafil. High intake levels of alcohol can exacerbate side effects, such as headaches, dizziness, increased heart rate, or lowered blood pressure, which can further complicate your condition.
Should you encounter a sudden loss of vision in either one or both eyes, seek medical assistance immediately. This is a serious condition that needs prompt evaluation by a healthcare professional.
Notify your doctor right away if you experience a sudden drop in hearing or any hearing loss, particularly if accompanied by dizziness and tinnitus. These symptoms could indicate a significant adverse reaction to the medication.
Do not commence or discontinue any medications without first discussing them with your doctor. This includes both prescription and over-the-counter (OTC) medications, as well as any herbal or vitamin supplements you may be considering.