Hanarongjeong 20mg (Tadalafil)

Adult dose

For oral administration. The recommended dose of this medicine is 10mg, taken regardless of meals before anticipated sexual activity. For patients who do not achieve a sufficient effect with tadalafil 10mg, 20 mg may be tried. This medicine may be taken at least 30 minutes before sexual activity. The maximum recommended dosing frequency is once daily. Long-term safety after extended daily dosing has not been established, and because the effect of this medicine usually lasts for more than one day, continuous daily administration of this medicine is strongly not recommended. [See Sections 1. Warnings and 11.1) Pharmacodynamic properties] Dose adjustments are not required in elderly patients. Dose adjustment is not required in patients with mild to moderate renal impairment. The maximum recommended dose in patients with severe renal impairment is 10mg. [See Section 11.2) Pharmacokinetic properties]. The recommended dose of this medicine is 10mg, taken regardless of meals before anticipated sexual activity. Since clinical data on the safety of this medicine in patients with severe hepatic impairment (Child-Pugh Class C) are limited, if prescribing it, the physician should carefully assess the individual benefit/risk. There are no data on administering doses higher than 10mg to patients with hepatic impairment. [See Sections 3. Patients Requiring Caution in Administration and 11.2) Pharmacokinetic properties]. Dose adjustment is not required in patients with diabetes.

Child dose

Must not be used in persons under 18 years of age.

This medication is for the treatment of erectile dysfunction, and it is essential to confirm the underlying cause through a physician's diagnosis and physical examination before use. Sexual activity can put a strain on the heart, so patients with cardiovascular disease should take particular caution, and should stop immediately and consult a doctor if they experience heart-related symptoms during sexual activity. This medication can rarely cause priapism lasting more than 4 hours or associated with pain, so seek medical assistance immediately if these symptoms occur. Taking this medication in combination with nitrate compounds or NO donor drugs can lower blood pressure to dangerous levels, so it should not be used if you are taking these medications. Patients with severe cardiovascular diseases such as myocardial infarction, cardiac arrest, unstable angina, or stroke should not use this medication, and those with a history of such conditions are also prohibited from using it. Patients with genetic retinal disease or specific allergies should not take this medication. Using it in conjunction with other erectile dysfunction treatments is not recommended as safety has not been established. Patients with severely impaired kidney or liver function should have their dosage adjusted or the use of this medication carefully determined by a physician. Caution is needed when taking this medication with alpha-blockers, as symptoms of low blood pressure may occur when used together. This medication may cause side effects such as headaches, dyspepsia, back pain, myalgia, flushing, and may cause other adverse reactions which are generally mild or temporary. Serious side effects such as cardiovascular adverse reactions, sudden loss of vision, or hearing loss are rare; seek immediate medical attention if these symptoms occur. Pregnant women, nursing mothers, and children should not take this medication. While it does not significantly affect driving or operating machinery, some individuals may experience dizziness, so caution is advised. In cases of overdose, standard treatment should be sought; hemodialysis has little effect on the elimination of this medication. This medication should be kept out of the reach of children and should preferably be stored in its original packaging.

Priapism, headache, dyspepsia, low back pain, muscle pain, congestion, flushing, limb pain, nasopharyngitis, upper respiratory tract infection, cough, diarrhea, gastroesophageal reflux disease, abdominal pain, dizziness, urinary tract infection, gastroenteritis, hypertension, adverse reactions related to benign prostatic hyperplasia, facial flushing, itching, paresthesia, visual impairment, palpitations, facial swelling, angioedema, urticaria, Stevens-Johnson syndrome, exfoliative dermatitis, migraine, seizures, transient global amnesia, visual field defects, retinal vein occlusion, retinal artery occlusion, decreased vision, sudden hearing loss or decrease, tinnitus, increased erection, spontaneous penile erection, angioedema, myocardial infarction, sudden cardiac death, stroke, chest pain, palpitations, ventricular arrhythmia, tachycardia, hypotension, orthostatic hypotension, angina, heart failure, arrhythmia, anxiety, sleep disorders, decreased hemoglobin, thrombocytopenia, dry mouth, dysphagia, esophagitis, gastritis, increased GGTP, loose stools, nausea, epigastric pain, vomiting, gastroesophageal reflux, hemorrhoidal bleeding, rectal bleeding, arthralgia, neck pain, dizziness, sensory loss, insomnia, paresthesia, drowsiness, vertigo, renal impairment, dyspnea, nosebleed, pharyngitis, chest pressure, vomiting, nausea, increased alkaline phosphatase, fatigue, neck stiffness, urethral pain, renal colic, heartburn, gastrointestinal disease, drowsiness, leukocytosis, thrombocytopenia, anxiety, sleep disorders, decreased hemoglobin, ocular pain, chest pain, arthralgia, hyperventilation, eye bleeding, eyelid swelling, conjunctival bleeding, dry eyes, abdominal cramps, increased bilirubin, ejaculatory dysfunction, pain in the external genitalia, erythema, itching, penile dysfunction, flushing, paronychia, myocardial infarction, tinnitus, nosebleed, nasal dryness, increased serum creatinine, hiccups, weakness, abdominal discomfort, abdominal pain, allergic reaction, facial swelling, fever, increased SGOT, increased hemoglobin, chills, skeletal pain

This medication should be stored in a tightly closed container to prevent exposure to air or moisture, at a temperature between 1 and 30 degrees Celsius. Proper storage will help maintain the medication’s effectiveness for a longer period.

Appearance

Yellow triangular film-coated tablet

Package unit

4 tablets (2 tablets/PTP X 2)