Warnings

Warnings

Do not take Tadalafil 5mg Tablets:
– if you are allergic to tadalafil or any of the other ingredients of this medicine.
– 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”). Tadalafil 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 recently had a heart attack within the last 90 days.
– if you had a stroke within the last 6 months.
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– if you have low blood pressure or uncontrolled high blood pressure.
– if you ever had loss of vision because of non-arteritic anterior ischemic optic neuropathy (NAION), a condition described as “stroke of the eye”.
– if you are taking riociguat. This drug is used to treat pulmonary arterial hypertension (i.e., high blood pressure in the lungs) and chronic thromboembolic pulmonary hypertension (i.e., high blood pressure in the lungs secondary to blood clots). PDE5 inhibitors, such as Tadalafil 5mg tablets, have been shown to increase the hypotensive effects of this medicine. If you are taking riociguat or are unsure tell your doctor.
Warnings and precautions
Talk to your doctor before taking Tadalafil 5mg tablets.
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.
Since benign prostatic hyperplasia and prostate cancer may have the same symptoms, your doctor will check
you for prostate cancer before starting treatment with tadalafil for benign prostatic hyperplasia. Tadalafil does not treat prostate cancer.
Before taking the tablets, tell your doctor if you have:
– sickle cell anaemia (an abnormality of red blood cells).
– multiple myeloma (cancer of the bone marrow).
– leukaemia (cancer of the blood cells).
– any deformation of your penis.
– a serious liver problem.
– a severe kidney problem.
It is not known if tadalafil is effective in patients who have had:
– pelvic surgery.
– removal of all or part of the prostate gland in which nerves of the prostate are cut (radical non nervesparing prostatectomy).
If you experience sudden decrease or loss of vision, stop taking Tadalafil Mylan and contact your doctor
immediately.
Decreased or sudden hearing loss has been noted in some patients taking tadalafil. Although it is not known
if the event is directly related to tadalafil, if you experience decreased or sudden hearing loss, stop taking Tadalafil tablets and contact your doctor immediately.
5mg Tadalafil tablets is not intended for use by women.
Children and adolescents
Tadalafil is not intended for use by children and adolescents under the age of 18.
Other medicines and Tadalafil 5mg tablets
Tell your doctor if you are taking, have recently taken or might take any other medicines.
Do not take Tadalafil 5mg tablet if you are already taking nitrates.
Some medicines may be affected by Tadalafil  or they may affect how well Tadalafil will work.
Tell your doctor or pharmacist if you are already taking:
– an alpha blocker (used to treat high blood pressure or urinary symptoms associated with benign
prostatic hyperplasia).
– other medicines to treat high blood pressure.
– riociguat.
– a 5-alpha reductase inhibitor (used to treat benign prostatic hyperplasia).
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– medicines such as ketoconazole tablets (to treat fungal infections) and protease inhibitors for treatment
of AIDS or HIV infection.
– phenobarbital, phenytoin and carbamazepine (anticonvulsant medicines).
– rifampicin, erythromycin, clarithromycin or itraconazole.
– other treatments for erectile dysfunction.
Tadalafil 5 with drink and alcohol
Information on the effect of alcohol is in section 3. Grapefruit juice may affect how well Tadalafil will work and should be taken with caution. Talk to your doctor for further information.
Fertility
When dogs were treated there was reduced sperm development in the testes. A reduction in sperm was seen
in some men. These effects are unlikely to lead to a lack of fertility.
Driving and using machines
Some men taking tadalafil in clinical studies have reported dizziness. Check carefully how you react to the tablets before driving or using machines.
Tadalafil contains lactose
If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before
taking this medicine.

Always check the label before purchasing and using this product.