Tadalafil 20 mg Tablets

Adult dose

Use in adult men The recommended dose of this medicine is 10mg, taken before anticipated sexual activity, regardless of meals. Patients in whom tadalafil (tadalafil) 10mg does not provide an adequate effect may try 20 mg. This medicine may be taken at least 30 minutes before sexual activity. The maximum recommended frequency of administration is once daily. Long-term safety following prolonged 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 No dosage adjustments are 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 for 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 before anticipated sexual activity, regardless of meals. 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 benefit/risk for each patient if prescribing it. There are no data on administration of 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

Use in children and adolescents This product should not be used in people under 18 years of age.

This medication is for the treatment of erectile dysfunction, and prior to use, it is essential to confirm the underlying cause through a doctor's diagnosis and physical examination. Sexual activity can impose a burden on the heart, so patients with cardiovascular diseases should be particularly cautious, and if any heart-related symptoms arise during sexual activity, they should stop immediately and consult a doctor. If an erection lasts more than 4 hours after taking this medication, seek healthcare immediately, as untreated prolonged erection can lead to penile tissue damage and permanent erectile dysfunction. Concurrent use with nitrate preparations may pose a risk of dangerously low blood pressure, so nitrate medications must never be used while taking this drug. Patients with a history of cardiovascular diseases such as myocardial infarction, angina, or stroke should consult a doctor before taking this medication, as some cardiovascular adverse reactions have been reported. Long-term use may affect sperm production, leading to changes in sperm count or concentration, necessitating consultation with a physician. Patients with specific heart conditions, those taking organic nitrates, patients with certain retinal diseases, or those allergic to any ingredient in this product should not use this medication. Combining with other erectile dysfunction treatments is not recommended as safety and efficacy have not been established. There is a risk of side effects when taken with alpha-blockers or strong CYP3A4 inhibitors, so consultation with a physician is necessary, and patients with severely impaired kidney or liver function should also exercise caution. Clinical trials and post-marketing surveys have reported side effects such as headache, dyspepsia, back pain, muscle pain, flushing, limb pain, nasopharyngitis, upper respiratory tract infection, cough, diarrhea, gastroesophageal reflux disease, abdominal pain, dizziness, drowsiness, lightheadedness, itching, rash, sweating, blurred vision, color vision disturbances, conjunctivitis, eye pain, increased tear production, eyelid swelling, sudden hearing decrease or loss, tinnitus, increased erections, spontaneous penile erection, facial edema, fatigue, pain, speech difficulties. This medication should not be used in women, children, or pregnant women, and while it has minimal effects on driving or operating machinery, it may cause dizziness in some individuals, so caution is advised. In cases of overdose, standard emergency treatment should be administered, and blood dialysis is not significantly helpful in removing this medication. Store this medication out of reach of children and maintain its original packaging for safety.

Headache, dyspepsia, low back pain, muscle pain, congestion, flushing, limb pain, nasopharyngitis, upper respiratory tract infection, cough, diarrhea, gastroesophageal reflux disease, abdominal pain, gastritis, hypertension, dizziness, urinary tract infection, gastroesophageal reflux disease, hypertension, dizziness, urticaria, Stevens-Johnson syndrome, exfoliative dermatitis, migraine, seizure, transient global amnesia, visual field defect, retinal vein occlusion, retinal artery occlusion, reduced vision, non-arteritic anterior ischemic optic neuropathy, sudden hearing loss, hearing loss, tinnitus, increased erection, spontaneous penile erection, angioedema, myocardial infarction, sudden cardiac death, stroke, chest pain, palpitations, ventricular arrhythmia, tachycardia, increased blood urea nitrogen, conjunctival injection, increased SGPT, chest pressure, vomiting, nausea, increased alkaline phosphatase, fatigue, neck stiffness, urethral pain, renal pain, dry mouth, heartburn, gastrointestinal disease, drowsiness, increased white blood cell count, thrombocytopenia, anxiety, sleep disorder, decreased hemoglobin, eye pain, chest pain, joint pain, hyperventilation, eye hemorrhage, eyelid swelling, conjunctival hemorrhage, dry eye syndrome, abdominal cramping, increased bilirubin, ejaculation disorder, pain in external genitalia, erythema, itching, penile dysfunction, nasal dryness, increased serum creatinine, hiccups, weakness, abdominal discomfort, abdominal pain, allergic reaction, facial edema, fever, increased SGOT, increased hemoglobin, chills, musculoskeletal pain

This medication should be stored in a sealed container to prevent air or moisture ingress, with a storage temperature maintained between 1°C and 30°C room temperature. Storing it this way helps maintain the drug's efficacy and prevent degradation.

Appearance

Yellow triangular film-coated tablet

Package unit

4 tablets/box [(2 tablets/PTP * 2)]