Package leaflet warnings - Cialis (Tadalafil)

Do not take CIALIS

* If you are allergic (hypersensitive) to tadalafil or any of the other ingredients of CIALIS.

* If you are taking any form of organic nitrate or nitric oxide donors such as amyl nitrite. This is a group of medicines (“nitrates”) used in the treatment of angina pectoris (“chest pain”). CIALIS has been shown to increase the effects of these medicines. If you are taking any form of nitrate or are unsure tell your doctor.

* If you have serious heart disease or have had a recent heart attack.

* If you have had a recent stroke.

* If you have low blood pressure or uncontrolled high blood pressure.

* If you have ever had loss of vision because of non-arteritic anterior ischemic optic neuropathy (NAION), a condition sometimes described as “stroke of the eye”.

Take special care with CIALIS
Be aware that sexual activity carries a possible risk to patients with heart disease because it puts an extra strain on your heart. If you have a heart problem you should tell your doctor.

The following are reasons why CIALIS may also not be suitable for you. If any of them apply to you, talk to your doctor before you take the medicine:

* You have sickle cell anaemia (an abnormality of red blood cells), multiple myeloma (cancer of the bone marrow), leukaemia (cancer of the blood cells) or any deformation of your penis.

* You have a serious liver problem.

* You have a severe kidney problem.

It is not known if CIALIS is effective in patients who have undergone pelvic surgery or radical non-nerve-sparing prostatectomy.

If you experience sudden decrease or loss of vision, stop taking CIALIS and contact your doctor immediately.


Extracted from European Medicines Agency package leaflet information. (EMEA/H/C/436, November 2008)