Cialis Daily (Tadalafil) 5mg (One-a-Day) Tablets (UK) 28

Each tablet contains 5 mg of tadalafil.

Cialis daily tablets are to be swallowed by mouth. Swallow the tablet whole with some water. You may take Cialis with or without food.

Drinking alcohol may affect your ability to develop an erection. Drinking alcohol may temporarily lower your blood pressure. If you have taken Cialis daily, avoid excessive drinking (blood alcohol level of 0.08% or greater), since this may increase the risk of dizziness when standing up.

You should not take Cialis daily more than once a day.

If you take more Cialis than you should:

Tell your doctor.

If you have any further questions on the use of this product, ask your UK doctor or pharmacist.

Package leaflet: Information for the user

Cialis 5 mg film-coated tablets
tadalafil
Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.
- Keep this leaflet. You may need to read it again.
- If you have any further questions, ask your doctor or pharmacist.
- This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
- If you get any side effects talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet.
What is in this leaflet:
1. What Cialis is and what it is used for
2. What you need to know before you take Cialis

3. How to take Cialis

4. Possible side effects
5 How to store Cialis

6. Contents of the pack and other information
1. What Cialis is and what it is used for
Cialis contains the active substance tadalafil which belongs to a group of medicines called phosphodiesterase type 5 inhibitors.
Cialis 5 mg is used to treat adult men with:
- erectile dysfunction. This is when a man cannot get, or keep a hard, erect penis suitable for sexual activity. Cialis has been shown to significantly improve the ability of obtaining a hard erect penis suitable for sexual activity. Following sexual stimulation Cialis works by helping the blood vessels in your penis to relax, allowing the flow of blood into your penis. The result of this is improved erectile function. Cialis will not help you if you do not have erectile dysfunction. It is important to note that Cialis for the treatment of erectile dysfunction does not work if there is no sexual stimulation. You and your partner will need to engage in foreplay, just as you would if you were not taking a medicine for erectile dysfunction.
- urinary symptoms associated with a common condition called benign prostatic hyperplasia. This is when the prostate gland gets bigger with age. Symptoms include difficulty in starting to pass water, a feeling of not completely emptying the bladder and a more frequent need to pass water even at night. Cialis improves blood flow to, and relaxes the muscles of, the prostate and bladder which may reduce symptoms of benign prostatic hyperplasia. Cialis has been shown to improve these urinary symptoms as early as 1-2 weeks after starting treatment.
2. What you need to know before you take Cialis.

Do not take Cialis if you:
- are allergic to tadalafil or any of the other ingredients of this medicine (listed in section 6).
- are taking any form of organic nitrate. This is a group of medicines ("nitrates") used in the treatment of angina pectoris ("chest pain"). Cialis has been shown to increase the effects of these medicines. If you are taking any form of nitrate or are unsure tell your doctor.
- have serious heart disease or recently had a heart attack within the last 90 days.
- recently had a stroke within the last 6 months.
- have low blood pressure or uncontrolled high blood pressure.
- ever had loss of vision because of non-arteritic anterior ischemic optic neuropathy (NAION), a condition described as "stroke of the eye".
Warnings and precautions
Talk to your doctor before taking Cialis.
Be aware that sexual activity carries a possible risk to patients with heart disease because it puts an extra strain on your heart. If you have a heart problem you should tell your doctor.
Since benign prostatic hyperplasia and prostate cancer may have the same symptoms, your doctor will check you for prostate cancer before starting treatment with Cialis for benign prostatic hyperplasia. Cialis does not treat prostate cancer.
Before taking the tablets, tell your doctor if you have:
- sickle cell anaemia (an abnormality of red blood cells).
- multiple myeloma (cancer of the bone marrow).
- leukaemia (cancer of the blood cells).
- any deformation of your penis.
- a serious liver problem.
- a severe kidney problem.
It is not known if Cialis is effective in patients who have had:
- pelvic surgery.
- removal of all or part of the prostate gland in which nerves of the prostate are cut (radical non-nerve-sparing prostatectomy).
If you experience sudden decrease or loss of vision, stop taking Cialis and contact your doctor immediately.
Cialis is not intended for use by women.
Children and adolescents
Cialis is not intended for use by children and adolescents under the age of 18.

Other medicines and Cialis:

Tell your doctor if you are taking, have recently taken or might take any other medicines
Do not take Cialis if you are already taking nitrates.
Some medicines may be affected by Cialis or they may affect how well Cialis will work. Tell your doctor or pharmacist if you are already taking:
- an alpha blocker (used to treat high blood pressure or urinary symptoms associated with benign prostatic hyperplasia).
- other medicines to treat high blood pressure.
- a 5- alpha reductase inhibitor (used to treat benign prostatic hyperplasia). 

medicines such as ketoconazole tablets (to treat fungal infections) and protease inhibitors.
- phenobarbital, phenytoin and carbamazepine (anticonvulsant medicines).
- rifampicin, erythromycin , clarithromycin or itraconazole.
- other treatments for erectile dysfunction.

Cialis with drink and alcohol:

Information on the effect of alcohol is in section 3. Grapefruit juice may affect how well Cialis will work and should be taken with caution. Talk to your doctor for further information.
Fertility
When dogs were treated there was reduced sperm development in the testes. A reduction in sperm was seen in some men. These effects are unlikely to lead to a lack of fertility.
Driving and using machines
Some men taking Cialis in clinical studies have reported dizziness. Check carefully how you react to the tablets before driving or using machines.
Cialis contains lactose:
If you have an intolerance to some sugars, contact your doctor before taking this medicine.

3. How to take Cialis

Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.
Cialis tablets are for oral use in men only. Swallow the tablet whole with some water. The tablets can be taken with or without food.
Drinking alcohol may temporarily lower your blood pressure. If you have taken or are planning to take Cialis, avoid excessive drinking (blood alcohol level of 0.08% or greater), since this may increase the risk of dizziness when standing up.
For the treatment of erectile dysfunction
The recommended dose is one 5 mg tablet taken once a day at approximately the same time of the day. Your doctor may adjust the dose to 2.5 mg based on your response to Cialis. This will be given as a 2.5mg tablet.
Do not take Cialis more than once a day.
When taken once a day Cialis allows you to obtain an erection, when sexually stimulated, at any time point during the 24 hours of the day. Once a day dosing of Cialis may be useful to men who anticipate having sexual activity two or more times per week.
It is important to note that Cialis does not work if there is no sexual stimulation. You and your partner will need to engage in foreplay, just as you would if you were not taking a medicine for erectile dysfunction.
Drinking alcohol may affect your ability to get an erection.
For the treatment benign prostatic hyperplasia
The dose is one 5 mg tablet taken once a day at approximately the same time of the day. If you have benign prostatic hyperplasia and erectile dysfunction, the dose remains one 5 mg tablet taken once a day.
Do not take Cialis more than once a day.

If you take more Cialis than you should:

Contact your doctor. You may experience side effects described in section 4.

If you forget to take Cialis:

Take your dose as soon as you remember but do not take a double dose to make up for a forgotten tablet. You should not take Cialis more than once a day.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature.
If you experience any of the following side effects stop using the medicine and seek medical help immediately:
- allergic reactions including rashes (frequency uncommon).
- chest pain - do not use nitrates but seek immediate medical assistance (frequency uncommon).
- prolonged and possibly painful erection after taking Cialis (frequency rare). If you have such an erection, which lasts continuously for more than 4 hours you should contact a doctor immediately.
- sudden loss of vision (frequency rare).
Other side effects have been reported:
Common (seen in 1 to 10 in every 100 patients)
- headache, back pain, muscle aches, pain in arms and legs, facial flushing, nasal congestion, indigestion and reflux.
Uncommon (seen in 1 to 10 in every 1,000 patients)
- dizziness, stomach ache, blurred vision, eye pain, increased sweating, difficulty in breathing, penile bleeding, presence of blood in semen and/or urine, pounding heartbeat sensation, a fast heart rate, high blood pressure, low blood pressure, nose bleeds and ringing in the ears.
Rare (seen in 1 to 10 in every 10,000 patients)
- fainting, seizures and passing memory loss, swelling of the eyelids, red eyes, sudden decrease or loss of hearing and hives (itchy red welts on the surface of the skin).
Heart attack and stroke have also been reported rarely in men taking Cialis. Most of these men had known heart problems before taking this medicine.
Partial, temporary, or permanent decrease or loss of vision in one or both eyes has been rarely reported.
Some additional rare side effects have been reported in men taking Cialis that were not seen in clinical trials. These include:
- migraine, swelling of the face, serious allergic reaction which causes swelling of the face or throat, serious skin rashes, some disorders affecting blood flow to the eyes, irregular heartbeats, angina and sudden cardiac death.
The side effects dizziness and diarrhoea have been reported more frequently in men over 75 years of age taking Cialis.

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet.

5. How to store Cialis:

Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the carton and blister after ˜EXP'. The expiry date refers to the last day of that month.
Store in the original package in order to protect from moisture. Do not store above 25°C.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.
6. Contents of the pack and other information
What Cialis contains
- The active substance is tadalafil. Each tablet contains 5 mg of tadalafil.
- The other ingredients are: Tablet core: lactose monohydrate (see end of section 2), croscarmellose sodium, hydroxypropylcellulose, microcrystalline cellulose, sodium laurilsulfate, magnesium stearate. Film-coat: lactose monohydrate, hypromellose, triacetin, titanium dioxide (E171), iron oxide yellow (E172), talc.
What Cialis looks like and contents of the pack
Cialis 5 mg is a light yellow film-coated tablet in the shape of an almond and has "C 5" marked on one side.
Cialis 5 mg is available in blister packs containing 14, 28 or 84 tablets.
Not all pack sizes may be marketed.
Marketing Authorisation Holder and Manufacturer
Marketing Authorisation Holder: Eli Lilly Nederland B.V., Grootslag 1-5, NL-3991 RA, Houten, The Netherlands
Manufacturer: Lilly S.A., Avda. de la Industria 30, 28108 Alcobendas, Madrid, Spain.
For any information about this medicine, please contact the local representative of the Marketing Authorisation Holder.
Belgique/Belgi«/Belgien
Eli Lilly Benelux S.A/N.V.
Tél/Tel: +32-(0) 2 548 84 84
Luxembourg/Luxemburg
Eli Lilly Benelux S.A/N.V.
Tél/Tel: +32-(0)2 548 84 84
България
ТП "Ели Лили Недерланд" Б.В. - България
тел. + 359 2 491 41 40
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Lilly Hungária Kft
Tel: + 36 1 328 5100
Česká republika
ELI LILLY ČR, s.r.o.
Tel: + 420 234 664 111
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Charles de Giorgio Ltd.
Tel: + 356 25600 500
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Eli Lilly Danmark A/S
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Eli Lilly Nederland B.V. 

 Tlf: +45 45 26 60 00
Tel: + 31-(0) 30 60 25 800
Deutschland
Lilly Deutschland GmbH Tel. + 49-(0) 6172 273 2222
Norge
Eli Lilly Norge A.S.
Tlf: + 47 22 88 18 00
Eesti
Eli Lilly Holdings Limited Eesti filiaal
Tel: +372 68 17 280
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Eli Lilly Ges.m.b.H.
Tel: +43-(0) 1 711 780
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Tel: + 34 91 663 5000
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Produtos Farmacêuticos, Lda.
Tel: +351-21-4126600
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Tél.: +33-(0)1 55 49 34 34
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Tel: + 40 21 4023000
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Tel: +353-(0) 1 661 4377
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Tel: +386 (0)1 580 00 10
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Icepharma hf.
Simi: + 354 540 8000
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Eli Lilly Slovakia, s.r.o.
Tel: +421 220 663 111
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Eli Lilly Italia S.p.A.
Tel: + 39- 055 42571
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Oy Eli Lilly Finland Ab.
Puh/Tel: + 358-(0) 9 85 45 250
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Phadisco Ltd
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Tel: +46 (0) 8 737 88 00
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Eli Lilly Holdings Limited
pārstāvniecība Latvijā
Tel: +371 67364000
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Eli Lilly and Company Limited
Tel: +44-(0) 1256 315000
Lietuva
Eli Lilly Holdings Limited atstovybė
Tel. +370 (5) 2649600
This leaflet was last revised in March 2013.
Detailed information on this medicine is available on the European Medicines Agency web site: http://www.ema.europa.eu