How to take tadalafil?
• Before you take tadalafil, read the manufacturer’s printed information leaflet from inside your pack. It will give you more information about the tablets and will provide you with a full list of the side-effects which you could experience from taking them.
• Take tadalafil exactly as your doctor tells you to. There are several strengths of tablet.
• If you are taking tadalafil 10 mg or 20 mg tablets for erectile dysfunction: these tablets should only be taken before sexual activity – they are NOT for continuous daily use. You should take one tablet at least half an hour before you plan to have sex (it may still be effective up to 36 hours after taking the tablet). Do not take more than one dose in 24 hours.
• If you are taking tadalafil 2.5 mg or 5 mg tablets for erectile dysfunction: take one tablet a day. Take the tablet at the same time of day each day.
• If you are taking tadalafil 5 mg because of an enlarged prostate gland: take one tablet daily. Take the tablet at the same time of day each day.
• You can take tadalafil either with or without food. Swallow the tablet with a drink of water.
• Each time you collect a prescription, check to make sure it contains the strength of tablet you are expecting.

How do you maximize it?
• It is recommended that you do not drink grapefruit juice with tadalafil. This is because there is a chemical in grapefruit juice which can increase the amount of tadalafil in your bloodstream. This could make side-effects more likely.
• Keep your regular appointments with your doctor so your progress can be monitored.
• You and your partner will still need to engage in foreplay, just as you would if you were not taking a medicine for erectile dysfunction. Tadalafil will not cause an erection unless you are sexually aroused.
• Do not drink large amounts of alcohol before you plan to take tadalafil. Drinking too much alcohol can reduce your ability to get an erection and this may prevent you from getting the maximum benefit from the tablets.
• If you do not get an erection after taking tadalafil, or if it does not last long enough for you to have sex, discuss this with your doctor – do not take more tablets than you have been told to. Alternatively, if you feel the tablets are too strong for you, you should discuss this with your doctor too.
• You should not take tadalafil if you are using any other products or taking any other medicines to treat erectile dysfunction.

What are the possible side effects?
Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the more common ones associated with tadalafil. The best place to find a full list of the side-effects which can be associated with your medicine, is from the manufacturer’s printed information leaflet supplied with the medicine. Alternatively, you can find an example of a manufacturer’s information leaflet in the reference section below. Speak with your doctor or pharmacist if any of the following continue or become troublesome.

Common tadalafil side-effects (these affect less than 1 in 10 people) What can I do if I experience this?
Headache, muscle aches and pains Ask your pharmacist to recommend a suitable painkiller. If the headache continues, speak with your doctor
Indigestion, flushing, feeling sick, blocked nose These should soon pass
Feeling dizzy, problems with vision Do not drive and do use tools or machines until your reactions/vision have returned to normal

Important: If you get an erection which lasts for longer than four hours, or if you get chest pains or a sudden loss of vision, contact a doctor for medical attention straightaway.

If you experience any other symptoms which you think may be due to the tablets, speak with your doctor or pharmacist for further advice.

How to store tadalafil?

• Keep all medicines out of the reach and sight of children.
• Store in a cool, dry place, away from direct heat and light.