Tadalafil (oral route)
It is crucial to inform all of your healthcare providers that you are taking tadalafil. This information is vital, especially in the event that you seek emergency medical attention for any heart-related issues. Your doctor must be aware of the most recent dosage of tadalafil you have taken to provide you with the appropriate care and treatment.
In cases where tadalafil is being prescribed for pulmonary arterial hypertension, regular check-ups with your healthcare provider are essential. These routine visits will allow your doctor to monitor your response to the medication and determine its effectiveness over time. They may require blood and urine tests to identify any potential adverse effects or complications arising from its use.
For patients using tadalafil specifically for pulmonary arterial hypertension, it is imperative to avoid taking Cialis® or other PDE5 inhibitors, such as sildenafil (commonly known as Revatio® or Viagra®) or vardenafil (referred to as Levitra®). Cialis® contains tadalafil as an active ingredient; thus, concurrent use could significantly heighten the risk of side effects.
Should you encounter an erection lasting more than 4 hours or experience pain during an erection lasting longer than 6 hours, seek medical assistance immediately. Timely intervention is crucial to mitigate the risk of serious and lasting damage to your penis, which could result from prolonged erection.
This medication does not provide protection against sexually transmitted infections, including HIV or AIDS. It is important to practice safe sex by using protective measures, and you should consult your healthcare provider with any questions or concerns regarding this.
Be sure to disclose to your doctor any current or past heart conditions you may have. The use of this medication can elicit serious side effects, particularly in individuals with pre-existing heart issues. Open communication about your health history is necessary for your safety.
Avoid using tadalafil if you are concurrently taking riociguat (marketed as Adempas®) or any form of nitrate medication, which is typically prescribed for angina (chest pain). Examples of nitrate medications include nitroglycerin, isosorbide, Imdur®, Nitro-Bid®, Nitrostat®, Nitro-Dur®, Transderm Nitro®, Nitrol® Ointment, and Nitrolingual® Spray. Additionally, illicit substances known as "poppers," such as amyl nitrate and butyl nitrate, contain nitrates as well. If you find it necessary to use a nitrate medication, ensure that at least 48 hours have passed since your last dose of tadalafil.
Be cautious with alcohol consumption while on tadalafil; excessive intake (defined as five or more glasses of wine or five or more shots of whiskey) can exacerbate side effects. High alcohol consumption may lead to headaches, dizziness, elevated heart rate, or reduced blood pressure.
If you notice a sudden decline in vision in one or both eyes, reach out to your healthcare provider immediately. Preserving your eyesight is crucial, and sudden changes require prompt evaluation.
Seek immediate medical attention if you experience a sudden reduction in hearing or complete loss of hearing, which may be accompanied by symptoms such as dizziness and tinnitus (ringing in the ears). These symptoms could indicate a serious underlying issue that needs to be addressed.
Before taking any other medications, including prescription drugs, non-prescription (over-the-counter) medications, as well as herbal or vitamin supplements, consult with your doctor. This thorough discussion is vital to prevent harmful drug interactions and ensure your safety while using tadalafil.