Tadalafil 20 mg Tablets

Adult dose

For oral administration. 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 administered starting at least 30 minutes before sexual activity. The maximum recommended dosing frequency is once daily. Long-term safety following extended daily dosing has not been established, and because the effect of this medicine usually lasts for more than one day, continuous daily administration is strongly discouraged. [See section 1. Warnings and section 11.1) Pharmacodynamic Properties] Dosage adjustments are not 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 product is 10mg, taken with or without food before anticipated sexual activity. Since clinical data on the safety of this product 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 section 3. Use with Caution in the Following Patients and section 11.2) Pharmacokinetic Properties]. No dosage adjustment is required in patients with diabetes.

Child dose

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

This medication is used for the treatment of erectile dysfunction and requires a doctor's diagnosis and physical examination before use. There may be cardiovascular risks associated with sexual activity, so cardiovascular status must be checked. If an erection persists for more than 4 hours, immediate medical help should be sought, as neglecting this can result in penile tissue damage and permanent loss of erectile function. Taking alongside nitrate or NO donors can lead to dangerously low blood pressure, so this medication should not be used by individuals on such medications. Patients who have had recent cardiovascular conditions such as myocardial infarction, angina pectoris, heart failure, or stroke should not take this medication. Patients with genetic retinal diseases or certain eye conditions are also advised against using this medication. The use of other erectile dysfunction treatments in conjunction with this medication is not recommended. It should be administered with caution in patients with severe renal or liver impairment, as symptoms of hypotension may occur when combined with certain antihypertensives. Severe side effects include headache, dyspepsia, back pain, muscle pain, flushing, and rarely reported serious cardiovascular adverse reactions or vision and hearing loss. Caution should be exercised when taking this medication with alcohol, as it may exacerbate blood pressure lowering and dizziness. In case of overdose, immediate medical attention should be sought, and blood dialysis is not effective. Keep out of reach of children, and it is advisable to maintain the original packaging state. This medication cannot be used by women, newborns, or children, and the safety of use during pregnancy has not been established. There is no special influence when driving or operating machinery, but individual differences may warrant caution.

• prolonged erection
• priapism
• headache
• dyspepsia
• back pain
• muscle pain
• congestion
• flushing
• limb pain
• nasopharyngitis

This medication should be stored in a tightly closed container to prevent air or moisture ingress, at temperatures between 1 and 30 degrees Celsius. This will help maintain the medication's efficacy.

Appearance

Film-coated tablet in a yellow color with a rounded triangular shape and a score line.

Package unit

8 tablets (8 tablets/PTP packaging x 1)