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TADALAFIL (tah DA la fil) treats erectile dysfunction (ED). It works by increasing blood flow to the penis, which helps to maintain an erection. It may also be used to treat symptoms of an enlarged prostate (benign prostatic hyperplasia).

How should you use this medication?

Take this medication by mouth with a glass of water. Follow the directions on the prescription label. You may take this medication with or without meals. When this medication is used for erection problems, your care team may prescribe it to be taken once daily or as needed. If you are taking the medication as needed, you may be able to have sexual activity 30 minutes after taking it and for up to 36 hours after taking it. Whether you are taking the medication as needed or once daily, you should not take more than one dose per day. If you are taking this medication for symptoms of benign prostatic hyperplasia (BPH) or to treat both BPH and an erection problem, take the dose once daily at about the same time each day. Do not take your medication more often than directed. Talk to your care team about the use of this medication in children. Special care may be needed.

What are the possible side effects of this medicine?

Side effects that you should report to your care team as soon as possible:

• Allergic reactions--skin rash, itching, hives, swelling of the face, lips, tongue, or throat
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• Hearing loss or ringing in ears
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• Heart attack--pain or tightness in the chest, shoulders, arms, or jaw, nausea, shortness of breath, cold or clammy skin, feeling faint or lightheaded
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• Low blood pressure--dizziness, feeling faint or lightheaded, blurry vision
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• Prolonged or painful erection
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• Redness, blistering, peeling, or loosening of the skin, including inside the mouth
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• Stroke--sudden numbness or weakness of the face, arm, or leg, trouble speaking, confusion, trouble walking, loss of balance or coordination, dizziness,
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• severe headache, change in vision
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• Sudden vision loss in one or both eyes Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome):
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• Back pain
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• Facial flushing or redness
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• Headache
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• Muscle pain
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• Runny or stuffy nose
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• Upset stomach