Tadalafil (oral route)
It is crucial that you inform all of your healthcare providers about your use of tadalafil. This information is essential, particularly if you require emergency medical intervention for any heart-related issues. Your doctor must be aware of the timing of your last dose of tadalafil to ensure your safety and receive appropriate care.
In cases where you are prescribed this medication for pulmonary arterial hypertension, maintaining regular follow-up appointments with your doctor is very important. Through these visits, your doctor can monitor your condition, assess the efficacy of the treatment, and make informed decisions on whether you should continue with the therapy. They might recommend blood and urine tests in order to evaluate for any potential adverse effects that may arise due to the medication.
For those taking tadalafil specifically for pulmonary arterial hypertension, it is critical to avoid the use of Cialis® or other phosphodiesterase type 5 (PDE5) inhibitors, such as sildenafil (found in Revatio® and Viagra®) or vardenafil (marketed as Levitra®). Remember, Cialis® contains tadalafil as well, which can lead to an increased risk of side effects if taken simultaneously or in excess.
Should you experience an erection lasting longer than 4 hours, or experience pain during an erection that lasts more than 6 hours, seek immediate medical assistance. This situation could necessitate urgent intervention to avert serious and irreversible damage to the penis.
It is vital to note that this medication does not provide protection against sexually transmitted infections (like HIV or AIDS). Always practice safe sex, and consult your healthcare provider if you have further queries about safe practices.
You should communicate with your healthcare provider about any cardiovascular conditions you currently have, or any history of heart problems. This medication can lead to significant and potentially severe side effects in individuals with pre-existing heart conditions.
Do not use tadalafil if you are currently taking riociguat (Adempas®) or any nitrate medications, commonly prescribed for angina (chest pain). Examples of nitrate medications include nitroglycerin, isosorbide, Imdur®, Nitro-Bid®, Nitrostat®, Nitro-Dur®, Transderm Nitro®, and Nitrol® Ointment, as well as Nitrolingual® Spray. Be aware that some illicit substances, commonly referred to as "poppers"—such as amyl nitrate, butyl nitrate, or nitrite—also contain nitrates. If you must utilize a nitrate medication, ensure at least 48 hours have passed after your last tadalafil dose before resuming usage.
Limit alcohol consumption while taking tadalafil; consuming large quantities (such as 5 or more glasses of wine or shots of whiskey) can heighten your likelihood of experiencing side effects like headaches or dizziness and may also affect your heart rate or lower your blood pressure.
If you notice a sudden loss of vision in either eye, contact your healthcare provider without delay.
Be vigilant for any sudden changes in your hearing, including decreased hearing or a possible loss, especially if accompanied by symptoms like dizziness and ringing in the ears. Consult your doctor immediately for guidance.
Consult with your healthcare provider before starting any additional medications, whether prescription or over-the-counter (OTC), as well as any herbal or vitamin supplements. This precaution is essential to avoid any potential interactions or complications related to your use of tadalafil.