Longtime Tablets 20mg (Tadalafil)

Adult dose

Use in adult men The recommended dose of this medicine is 10mg, taken with or without food 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 taken at least 30 minutes before sexual activity. The maximum recommended frequency of use is once daily. Long-term safety after extended daily dosing has not been established, and because the effect of this medicine usually lasts longer than one day, continuous daily use of this medicine is strongly discouraged. [See sections 1. Warnings and 11.1) Pharmacodynamic properties] Use in elderly men No dosage adjustment is required in elderly patients. Use in men with renal impairment 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]. Use in men with hepatic impairment The recommended dose of this medicine is 10mg, taken with or without food 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, the physician should carefully assess the individual benefit/risk when prescribing it. There are no data on administration of doses higher than 10mg to patients with hepatic impairment. [See sections 3. Use with caution in the following patients and 11.2) Pharmacokinetic properties]. Use in men with diabetes No dosage adjustment is required in patients with diabetes.

Child dose

Do not use in persons under 18 years of age.

This medication is used for treating erectile dysfunction, and it is essential to identify the underlying causes through a medical history and physical examination prior to use. Sexual activity may place stress on the heart, hence patients with cardiovascular diseases should consult a doctor prior to using this medication. If an erection lasts for more than 4 hours after taking the medication, seek medical attention immediately, as untreated cases may lead to penile tissue damage and loss of erectile function. This medication should not be taken with nitrates as it may dangerously lower blood pressure, so patients taking nitrate medications should not use it. It is not recommended for patients with serious cardiovascular diseases such as myocardial infarction, cardiac arrest, unstable angina, or stroke. This medication may affect sperm count and concentration in men, but significant changes in sperm motility or morphology have not been reported. Patients with certain heart conditions may also be sensitive to this medication, so caution is required. This medication is contraindicated for patients regularly taking organic nitrates and should not be used in cases where sexual activity is not recommended due to cardiovascular diseases. It is not recommended for patients with genetic retinal diseases such as pigmentary retinopathy. Patients hypersensitive to this medication or its components should not use it, and combining it with other erectile dysfunction treatments has not been proven safe. It should not be administered to patients who are lactose intolerant. It is advisable not to use this medication in patients with a history of vision loss due to non-arteritic anterior ischemic optic neuropathy. Patients with penile deformities or certain blood disorders should use this with caution and it is not recommended for those with severe kidney or liver impairment. Caution is necessary as co-administration with alpha-blockers may cause hypotension. This medication may have side effects such as headache, dyspepsia, back pain, muscle pain, flushing, and limb pain, most of which are mild to moderate. Rarely, severe cardiovascular adverse reactions and vision or hearing loss have been reported; hence if any unusual symptoms occur, consult healthcare professionals immediately. Alcohol consumption with this medication may increase the risk of low blood pressure or dizziness, so caution is advised. It is not for use in pregnant women, nursing mothers, or children; although there is generally no significant impact on driving or machinery operation, individuals may experience dizziness, so caution is required. In case of overdose, standard treatment should be administered; blood dialysis is not effective in removing the drug. This medication should be kept out of reach of children and stored in its original packaging to maintain integrity.

Prolonged erection, priapism, symptoms related to cardiovascular disease, chest pain, palpitations, tachycardia, hypertension, hypotension, headache, dyspepsia, low back pain, myalgia, congestion, flushing, limb pain, nasopharyngitis, upper respiratory infection, cough, diarrhea, urinary tract infection, gastroesophageal reflux disease, abdominal pain, hypertension, dizziness, generalized weakness, facial edema, fatigue, pain, peripheral edema, angina, myocardial infarction, orthostatic hypotension, syncope, increased blood urea nitrogen, conjunctival injection, increased SGPT, chest pressure, vomiting, nausea, increased alkaline phosphatase, fatigue, neck stiffness, urethral pain, kidney pain, dry mouth, heartburn, gastrointestinal disease, drowsiness, increased white blood cell count, thrombocytopenia, anxiety, sleep disorders, decreased hemoglobin, eye pain, chest pain, arthralgia, hyperventilation, retinal hemorrhage, eyelid swelling, conjunctival hemorrhage, dry eye syndrome, abdominal cramping, increased bilirubin, sexual dysfunction, pain in external genitalia, erythema, itching, penile disorders, tinnitus, epistaxis, dry nose, increased serum creatinine, hiccups, weakness, abdominal discomfort, allergic reactions, facial swelling, fever, increased SGOT, increased hemoglobin, urticaria, Stevens-Johnson syndrome, exfoliative dermatitis, migraine, seizures, transient global amnesia, visual field defects, retinal vein occlusion, retinal artery occlusion, decreased vision, non-arteritic anterior ischemic optic neuropathy, sudden hearing loss or decrease, tinnitus, angioedema

This medication may be sensitive to air or moisture, so it should be stored in a tightly sealed container. It is advisable to maintain a storage temperature between 1 and 30 degrees Celsius. This will help preserve the medication's effectiveness for a longer period.

Appearance

Yellow rectangular film-coated tablet

Package unit

4 tablets ((2 tablets/PTP) x 2)