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Package leaflet: Information for the user
CIALIS® 2.5 mg film-coated tablets

Read all of this leaflet carefully before you start taking this medicine because it contains
important information for you.
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Keep this leaflet. You may need to read it again. If you have any further questions, ask your doctor or pharmacist. This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours. If you get any side effects talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet.
What is in this leaflet:
1.
What you need to know before you take CIALIS Contents of the pack and other information What CIALIS is and what it is used for

CIALIS is a treatment for adult men with erectile dysfunction. This is when a man cannot get, or keep
a hard, erect penis suitable for sexual activity. CIALIS has been shown to significantly improve the
ability of obtaining a hard erect penis suitable for sexual activity.
CIALIS contains the active substance tadalafil which belongs to a group of medicines called
phosphodiesterase type 5 inhibitors. Following sexual stimulation CIALIS works by helping the blood
vessels in your penis to relax, allowing the flow of blood into your penis. The result of this is
improved erectile function. CIALIS will not help you if you do not have erectile dysfunction.
It is important to note that CIALIS does not work if there is no sexual stimulation. You and your
partner will need to engage in foreplay, just as you would if you were not taking a medicine for
erectile dysfunction.
2.
What you need to know before you take CIALIS

Do not take CIALIS if you:

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are allergic to tadalafil or any of the other ingredients of this medicine (listed in section 6). 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. have serious heart disease or recently had a heart attack within the last 90 days. recently had a stroke within the last 6 months. - have low blood pressure or uncontrolled high blood pressure. ever had loss of vision because of non-arteritic anterior ischemic optic neuropathy (NAION), a condition described as “stroke of the eye”.
Warnings and precautions
Talk to your doctor before taking 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.
Before taking the tablets, tell your doctor if you have:
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sickle cell anaemia (an abnormality of red blood cells). multiple myeloma (cancer of the bone marrow). It is not known if CIALIS is effective in patients who have had: - removal of all or part of the prostate gland in which nerves of the prostate are cut (radical non-nerve-sparing prostatectomy).
If you experience sudden decrease or loss of vision, stop taking CIALIS and contact your doctor
immediately.
CIALIS is not intended for use by women.
Children and adolescents
CIALIS is not intended for use by children and adolescents under the age of 18.
Other medicines and CIALIS
Tell your doctor if you are taking, have recently taken or might take any other medicines
Do not take CIALIS if you are already taking nitrates.
Some medicines may be affected by CIALIS or they may affect how well CIALIS will work. Tell your
doctor or pharmacist if you are already taking:
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an alpha blocker (used to treat high blood pressure or urinary symptoms associated with benign prostatic hyperplasia). other medicines to treat high blood pressure. a 5- alpha reductase inhibitor (used to treat benign prostatic hyperplasia). 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.
CIALIS with drink and alcohol
Information on the effect of alcohol is in section 3. Grapefruit juice may affect how well CIALIS 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 CIALIS in clinical studies have reported dizziness. Check carefully how you react to
the tablets before driving or using machines.
CIALIS contains lactose:
If you have an intolerance to some sugars, contact your doctor before taking this medicine.
3.
How to take CIALIS

Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist
if you are not sure.
CIALIS tablets are for oral use in men only. Swallow the tablet whole with some water. The tablets
can be taken with or without food.
The recommended dose is one 5 mg tablet taken once a day at approximately the same time of the
day. Your doctor may adjust the dose to 2.5 mg based on your response to CIALIS. This will be given
as a 2.5mg tablet.
Do not take CIALIS more than once a day.
Once a day dosing of CIALIS may be useful to men who anticipate having sexual activity two or more
times per week.
When taken once a day CIALIS allows you to obtain an erection, when sexually stimulated, at any
time point during the 24 hours of the day.
It is important to note that CIALIS does not work if there is no sexual stimulation. You and your
partner will need to engage in foreplay, just as you would if you were not taking a medicine for
erectile dysfunction.
Drinking alcohol may affect your ability to get an erection and may temporarily lower your blood
pressure. If you have taken or are planning to take CIALIS, avoid excessive drinking (blood alcohol
level of 0.08 % or greater), since this may increase the risk of dizziness when standing up.
If you take more CIALIS than you should
Contact your doctor. You may experience side effects described in section 4.
If you forget to take CIALIS
Take your dose as soon as you remember but do not take a double dose to make up for a forgotten
tablet. You should not take CIALIS more than once a day.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
4.
Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them. These
effects are normally mild to moderate in nature.

If you experience any of the following side effects stop using the medicine and seek medical help
immediately:
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allergic reactions including rashes (frequency uncommon). chest pain - do not use nitrates but seek immediate medical assistance (frequency uncommon). prolonged and possibly painful erection after taking CIALIS (frequency rare). If you have such an erection, which lasts continuously for more than 4 hours you should contact a doctor immediately. Other side effects have been reported:
Common (seen in 1 to 10 in every 100 patients)
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headache, back pain, muscle aches, pain in arms and legs, facial flushing, nasal congestion, indigestion and reflux.
Uncommon (seen in 1 to 10 in every 1,000 patients)
- dizziness, stomach ache, blurred vision, eye pain, increased sweating, difficulty in breathing,
penile bleeding, presence of blood in semen and/or urine, pounding heartbeat sensation, a fast heart rate, high blood pressure, low blood pressure, nose bleeds and ringing in the ears.
Rare (seen in 1 to 10 in every 10,000 patients)
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fainting, seizures and passing memory loss, swelling of the eyelids, red eyes, sudden decrease or loss of hearing and hives (itchy red welts on the surface of the skin).
Heart attack and stroke have also been reported rarely in men taking CIALIS. Most of these men had
known heart problems before taking this medicine.
Partial, temporary, or permanent decrease or loss of vision in one or both eyes has been rarely
reported.
Some additional rare side effects have been reported in men taking CIALIS that were not seen in
clinical trials. These include:
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migraine, swelling of the face, serious allergic reaction which causes swelling of the face or throat, serious skin rashes, some disorders affecting blood flow to the eyes, irregular heartbeats, angina and sudden cardiac death.
The side effects dizziness and diarrhoea have been reported more frequently in men over 75 years of
age taking CIALIS.

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side
effects not listed in this leaflet.

5.
How to store CIALIS

Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the carton and blister after ‘EXP’.
The expiry date refers to the last day of that month.
Store in the original package in order to protect from moisture. Do not store above 30 C.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to
throw away medicines you no longer use. These measures will help protect the environment.

6.
Contents of the pack and other information

What CIALIS contains
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The active substance is tadalafil. Each tablet contains 2.5 mg of tadalafil.
The other ingredients are:
Tablet core: lactose monohydrate (see end of section 2), croscarmellose sodium,
hydroxypropylcellulose, microcrystalline cellulose, sodium laurilsulfate, magnesium stearate.
Film-coat: lactose monohydrate, hypromellose, triacetin, titanium dioxide (E171), iron oxide
yellow (E172), iron oxide red (E172), talc.

What Cialis looks like and contents of the pack
CIALIS 2.5 mg is an orange-yellow film-coated tablet in the shape of an almond and has "C 2 ½"
marked on one side.
CIALIS 2.5 mg is available in blister packs containing 28 tablets.
Marketing Authorisation Holder and Manufacturer
Marketing Authorisation Holder: Eli Lilly Nederland B.V., Grootslag 1-5, NL-3991 RA, Houten, The
Netherlands

Manufacturer: Lilly S.A., Avda. de la Industria 30, 28108 Alcobendas, Madrid, Spain.
For any information about this medicine, please contact the local representative of the Marketing
Authorisation Holder.

Belgique/België/Belgien
Luxembourg/Luxemburg
Magyarország
eská republika
Nederland
Deutschland
Österreich
Eli Lilly Holdings Limited Eesti filiaal Portugal
Produtos Farmacêuticos, Lda. Tel: +351-21-4126600 România
Slovenija
Eli Lilly and Company (Ireland) Limited. Slovenská republika
Suomi/Finland
United Kingdom
Tel: +371 67364000
Lietuva
Eli Lilly Holdings Limited atstovyb
Tel. +370 (5) 2649600

This leaflet was last revised in January 2013.
Detailed information on this medicine is available on the European Medicines Agency web site:
http://www.ema.europa.eu

Source: http://mecindo.co.uk/image/data/PDF/CIALIS/2_5Cialis.pdf