Cial 20 mg (Tadalafil)

Adult dose

Use in adult men The recommended dose of this drug is 10mg, taken regardless of food before anticipated sexual activity. For patients in whom tadalafil 10mg does not produce a sufficient effect, 20 mg may be tried. This drug 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 drug usually lasts for more than one day, continuous daily administration of this drug is strongly discouraged. [See section 1. Warnings and section 11.1) Pharmacodynamic Properties] Use in elderly men Dose adjustments are not required in elderly patients. Use in men with renal impairment Dose adjustment is not 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 drug is 10mg, taken regardless of food before anticipated sexual activity. Because clinical data on the safety of this drug 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. Administration with caution in the following patients and section 11.2) Pharmacokinetic Properties]. Use in men with diabetes Dose adjustment is not required in patients with diabetes.

Child dose

This drug should not be used in people under 18 years of age.

This medication is used for the treatment of erectile dysfunction and it is essential to confirm the underlying cause through a doctor's diagnosis and physical exam before use. Sexual activity may place a strain on the heart, so patients with cardiovascular disease should exercise caution. If you experience heart-related symptoms during or after sexual activity, stop immediately and consult a physician. If an erection lasts longer than 4 hours or is accompanied by pain, contact a medical institution immediately, as untreated conditions could result in penile tissue damage and loss of erectile function. Taking this medication with nitrate formulations can dangerously lower blood pressure; therefore, patients taking nitrates should not use this medication. Patients with severe cardiovascular diseases such as myocardial infarction, unstable angina, heart failure, or stroke are prohibited from using this medication. Use is also restricted based on other specific conditions or medications. Co-administration with alpha-blockers or potent CYP3A4 inhibitors can increase the risk of side effects, so caution is needed when used together. This medication is not for use in women, children, or neonates, and its safety in pregnant women has not been established. Side effects such as dizziness, headache, dyspepsia, back pain, muscle pain, flushing, limb pain, nasopharyngitis, diarrhea, cough, gastroesophageal reflux disease, abdominal pain, upper respiratory infections, dizziness, facial swelling, itching, visual disturbances, palpitations, drowsiness, lightheadedness, low hemoglobin, insomnia, abnormal sensations, vomiting, nausea, fatigue, thrombocytopenia, increased blood urea nitrogen, increased alkaline phosphatase, increased hemoglobin, neck stiffness, urethral pain, kidney pain, and dry mouth may occur, so consult a physician if symptoms are severe or persistent. This medication does not significantly affect driving or machine operation, but caution is advised as dizziness may occur in some individuals. In case of overdose, seek medical attention immediately for appropriate treatment, and blood dialysis does not significantly affect the excretion of this medication. For storage, keep out of reach of children and maintain the original packaging.

• Prolonged erection
• priapism
• headache
• dyspepsia
• lumbago
• myalgia
• congestion
• flushing
• limb pain
• nasopharyngitis

This medication should be stored in a tightly sealed container to prevent exposure to air or moisture. The recommended storage temperature is between 1 to 30 degrees Celsius (room temperature). Proper storage helps maintain the effectiveness of the medication for a longer period.

Appearance

Yellow ribbon-shaped film-coated tablets

Package unit

8 tablets/PTP