Heros 20mg (Tadalafil)

Adult dose

The recommended dose of this medicine is 10mg, taken regardless of meals before anticipated sexual activity. For patients in whom tadalafil 10mg does not provide an adequate effect, 20 mg may be tried. This medicine may be administered 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 discouraged. [See Sections 1. Warnings and 11.1) Pharmacodynamic properties] No dosage adjustment is required in elderly patients. No dosage adjustment is 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. Because clinical data on the safety of this medicine in patients with severe hepatic impairment (Child-Pugh Class C) are limited, the physician should carefully assess the individual benefit/risk when prescribing it. There are no data on administering doses higher than 10mg to patients with hepatic impairment. [See Sections 3. Use with caution in the following patients and 11.2) Pharmacokinetic properties]. No dosage adjustment is required in patients with diabetes.

Child dose

Should not be used in people under 18 years of age.

This medication is used for the treatment of erectile dysfunction, and before use, it is essential to confirm the underlying cause through medical history and physical examination. Sexual activity can put strain on the heart, so patients with cardiovascular diseases should use it only after evaluation by a physician. If an erection lasts more than 4 hours, immediate medical assistance should be sought, as untreated prolonged erection can lead to penile tissue damage and loss of erectile ability. This medication should not be used in patients taking nitrate medications or NO donors, as it can dangerously lower blood pressure. It should not be administered to patients who have recently experienced severe cardiovascular diseases such as heart attack, cardiac arrest, unstable angina, or stroke. This medication may affect sperm production in some animal studies; however, it has not shown significant issues in clinical studies involving humans. Patients at high risk for cardiovascular disease need special caution when using this medication and should be administered under appropriate medical supervision. Co-administration with antihypertensive medications or alpha-blockers may cause symptoms of hypotension, so patients taking such medications should consult their physician. This medication contains lactose, and patients with lactose intolerance should not take it. It is not recommended to use this medication with other erectile dysfunction treatments. While using this medication, side effects such as headaches, dyspepsia, back pain, muscle pain, flushing, limb pain, rhinitis, upper respiratory infections, cough, diarrhea, gastroesophageal reflux disease, abdominal pain, dizziness, generalized muscle weakness, facial swelling, fatigue, pain, peripheral edema, angina, chest pain, hypotension, orthostatic hypotension, palpitations, syncope, tachycardia, abnormal liver function test results, dry mouth, dysphagia, esophagitis, gastritis, increased GGTP, loose stools, and nausea may occur, most of which are mild or transient. Rarely, serious cardiovascular adverse reactions or loss of vision and hearing have been reported; therefore, if any abnormal symptoms occur, immediate reporting to medical staff is necessary. This medication is not intended for use in women, children, or neonates, and its safety in pregnant women has not been established. It does not significantly affect driving or operating machinery, but caution should be exercised as dizziness may occur in some individuals. In case of overdose, standard supportive treatment should be provided, and blood dialysis does not significantly affect the removal of this medication.

• Prolonged erection
• priapism
• headache
• indigestion
• low back pain
• muscle pain
• congestion
• flushing
• limb pain
• nasopharyngitis

This medication can be sensitive to air and moisture, so it must be stored in a tightly closed container. It is recommended to maintain a storage temperature between 1 to 30 degrees Celsius at room temperature. Proper storage will help maintain the drug's effectiveness and stability for a longer period.

Appearance

(Domestic) Yellow triangular film-coated tablet, (Export) Yellow oval film-coated tablet

Package unit

4 tablets/PTP (2 tablets × 2)