How to use

Cialis Super Active (Tadalafil) should be taken orally, as needed, before sexual intercourse. It should be taken with a full glass of water at least half an hour before having sex. Cialis Super Active (Tadalafil) can be used with or without meals, but it is recommended not to take these pills with fatty foods as they may delay the effects of the medication.

Talk with your doctor first before taking Cialis Super Active (Tadalafil) as you specific situation or health pattern may require you to have a dosage adjustment or you may not be able to take this medication at all.

Overdose

Symptoms of a Cialis Super Active (Tadalafil) overdose may include:

• Severe dizziness
• Fainting
• Prolonged erection

If you suspect you have taken too much of this medication, you should seek contact your local poison center or alert the emergency medical services immediately.

Missed dose
Cialis Super Active (Tadalafil) is only taken when needed before sexual intercourse. Therefore, you are unlikely to miss a dose.

Notes
Only take Cialis Super Active (Tadalafil) when prescribed to you by your physician.

Do not share this medication with others, since they may have a problem that is not effectively treated by Cialis Super Active (Tadalafil).

Using this medication does not protect you against sexually transmitted diseases (e.g. HIV, Hepatitis B, gonorrhea, syphilis).

Storage
Store Cialis Super Active (Tadalafil) at room temperature between 59 and 86 degrees F (15-30 degrees C), away from light and moisture. KEEP THIS AND ALL MEDICATIONS OUT OF REACH OF CHILDREN. 

Important note
The above information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed that the taking of this medication is safe, appropriate or effective for you.

Precautions
Talk to your doctor about your medical history before taking Cialis Super Active (Tadalafil). Especially include:

• Any allergies
• Severe liver problems
• Certain hereditary degenerative eye problems (e.g. retinitis pigmentosa)
• Certain heart problems (e.g. unstable angina, angina during sexual intercourse, severe heart failure, uncontrolled irregular heartbeat)
• Low blood pressure or uncontrolled high blood pressure
• Heart attacks and strokes, especially recent ones

If you suffer or have suffered from any of the above conditions, you may not be able to take Cialis Super Active (Tadalafil) or you may need a dosage adjustment.

Elderly people should use Cialis Super Active (Tadalafil) with caution as they may be more sensitive to its side effects.

Cialis Super Active (Tadalafil) may cause dizziness or drowsiness. It is therefore recommended you do not drive or perform any activities that require alertness until you are sure you can do those things safely.

Drug Interactions

Inform your doctor before taking Cialis Super Active (Tadalafil), if you are using any of the following medications:

• Nitrates such as Nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Minitran, Deponit, Transderm-Nitro and others), Isosorbide Dinitrate (Dilatrate-SR, Isordil, Sorbitrate), Isosorbide Mononitrate (Imdur, ISMO, Monoket) and others
• Alpha blockers (other than Tamsulosin (Flomax) 0.4 mg once a day), such as Doxazosin (Cardura), Guanadrel (Hylorel), Prazosin (Minipress), Terazosin (Hytrin), Alfuzosin (Uroxatral) and others
• Certain recreational drugs called poppers (e.g., Amyl Nitrate, Butyl Nitrate)
• Other medications to treat erectile dysfunction

Taking Cialis Super Active (Tadalafil) with any of these medications may cause very low blood pressure, which could result in dizziness, fainting, a stroke, or a heart attack.

This list is not complete and there may be other drugs that can interact with Cialis Super Active (Tadalafil). Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

The following mild, common side effects may occur, especially when Cialis Super Active (Tadalafil) is taken in combination with alcohol or certain other medications:

• Dizziness
• Drowsiness
• Fainting
• Blurred vision
• Headache
• Facial flushing
• Upset stomach

Should the following less likely but serious side effects occur, you should seek immediate medical attention:

• An allergic reaction (difficulty breathing, closing of the throat, swelling of the lips, tongue or face, hives)
• Chest pain or irregular heartbeat
• Dizziness, nausea or angina (pain, tightness, discomfort, numbness or tingling in the chest, arms, neck or jaw)
• Swelling of the ankles or legs
• Shortness of breath
• Prolonged or severe dizziness
• A prolonged (longer than 4 hours) or painful erection

This is only a partial list of possible side effects and others may occur. Contact your doctor immediately if you experience any other side effects than the ones mentioned above, especially if they are bothersome.