Mstrong Tablet 20 Milligrams (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 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] Use in elderly men Dosage adjustments are not 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 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]. Use in men with diabetes 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 to treat erectile dysfunction, and a medical diagnosis and examination are necessary before use. Sexual activity may impose strain on the heart, so caution is especially needed for patients with cardiovascular diseases. If an erection lasts more than 4 hours, medical assistance should be sought immediately, otherwise there is a risk of penile tissue damage and permanent erectile dysfunction. This medication should not be taken with nitrate compounds as it can cause dangerously low blood pressure. Patients with severe cardiovascular conditions such as myocardial infarction, angina, heart failure, or stroke should not take this medication, and the physician must carefully evaluate the patient's condition. Patients with penile deformities or specific blood disorders should use this medication cautiously. For patients with severely impaired liver or kidney functions, careful consideration should be made regarding dose adjustment or administration. Co-administration with other erectile dysfunction medications is not recommended as safety and efficacy are not proven. This medication may cause side effects such as headaches, dyspepsia, back pain, muscle pain, flushing, and these symptoms should be discussed with a doctor if they occur. Rarely, serious cardiovascular issues or vision and hearing impairments have been reported, so if sudden changes in vision or hearing occur, the medication should be discontinued immediately and a hospital visit is necessary. Caution is needed when taken with alcohol as it may cause lowered blood pressure and dizziness. In case of overdose, immediate medical treatment should be sought, and dialysis is not effective in removing this medication. Store in a place out of reach of children and maintain the original packaging.

• Priapism
• headache
• dyspepsia
• low back pain
• myalgia
• congestion
• flushing
• limb pain
• nasopharyngitis
• upper respiratory infection

This medication should be stored in a sealed container to protect it from air or moisture. It is recommended to keep a room temperature between 1 degree Celsius and 30 degrees Celsius.

Appearance

Yellow film-coated tablet in a rounded triangular shape with a score line

Package unit

8 tablets (8 tablets/PTP x 1)