INDICATIONS

Cialis Extra Dosage is indicated for the treatment of erectile dysfunction. Cialis Extra Dosage is a phosphodiesterase type 5 (PDE5) inhibitor. It works by helping to increase blood flow into the penis during sexual stimulation. This helps you to achieve and maintain an erection.

Cialis Extra Dosage has an increased dosage to achieve better results.

INSTRUCTIONS 

Use Cialis Extra Dosage as directed by your doctor.

• Take Cialis Extra Dosage by mouth with or without food.
• For use as needed: Take Cialis Extra Dosage at least 30 minutes before sexual activity, as directed by your doctor. Cialis Extra Dosage may work for up to 36 hours after you take it.
• For daily use: Take Cialis Extra Dosage regularly at about the same time each day.
• Check with your doctor before you eat grapefruit or drink grapefruit juice while you are taking Cialis Extra Dosage.
• For use as needed: If you miss a dose of Cialis Extra Dosage and you still intend to engage in sexual activity, take it as soon as you remember. Continue to take it as directed by your doctor. For daily use: If you miss a dose of Cialis Extra Dosage, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

DOSAGE

For Use As Needed

• The recommended starting dose of Cialis Extra Dosage for use as needed in most patients is 10 mg, taken prior to anticipated sexual activity.
• The dose may be increased to 20 mg or decreased to 5 mg, based on individual efficacy and tolerability. The maximum recommended dosing frequency is once per day in most patients.
• Cialis Extra Dosage for use as needed was shown to improve erectile function compared to placebo up to 36 hours following dosing. Therefore, when advising patients on optimal use of Cialis Extra Dosage, this should be taken into consideration.

 For Once Daily Use

• The recommended starting dose of Cialis Extra Dosage for once daily use is 2.5 mg, taken at approximately the same time every day, without regard to timing of sexual activity.
• The Cialis Extra Dosage dose for once daily use may be increased to 5 mg, based on individual efficacy and tolerability.

Ask your health care provider any questions you may have about how to use Cialis Extra Dosage.

STORAGE

Store Cialis Extra Dosage at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Cialis Extra Dosage out of the reach of children and away from pets.

MORE INFO:

Active Ingredient: Tadalafil.

Inactive Ingredients: Croscarmellose sodium, hydroxypropyl cellulose, hypromellose, iron oxide, lactose monohydrate, magnesium stearate, microcrystalline cellulose, sodium lauryl sulfate, talc, titanium dioxide, and triacetin

Do NOT use Cialis Extra Dosage if:

• you are allergic to any ingredient in Cialis Extra Dosage
• you have severe kidney problems and will be taking Cialis Extra Dosage daily
• you have severe liver problems or certain hereditary degenerative eye problems (eg, retinitis pigmentosa)
• you have certain heart problems (eg, unstable angina, angina during sexual intercourse, uncontrolled irregular heartbeat), low blood pressure, or uncontrolled high blood pressure
• you have had a heart attack within the past 90 days or you have had severe heart failure or a stroke within the past 6 months
• you are taking a nitrate (eg, isosorbide, nitroglycerin) in any form (eg, tablet, capsule, patch, ointment), or nitroprusside
• you have been advised by your doctor to avoid sexual activity because of heart problems
• you use certain recreational drugs called "poppers" (eg, amyl nitrate or nitrite, butyl nitrate or nitrite)
• you take another PDE5 inhibitor (eg, sildenafil, vardenafil) or another medicine that contains tadalafil.

Contact your doctor or health care provider right away if any of these apply to you.

Some medical conditions may interact with Cialis Extra Dosage. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have a deformed penis (eg, Peyronie disease, cavernosal fibrosis), blood cell problems (eg, sickle cell anemia, leukemia, multiple myeloma), or any other condition that may increase the risk of a prolonged erection (priapism)
• if you have a history of a prolonged (more than 4 hours) or painful erection (priapism)
• if you have a history of certain eye problems (eg, retinitis pigmentosa, sudden vision loss, optic neuropathy, macular degeneration) or hearing problems (eg, ringing in the ears, decreased hearing, hearing loss)
• if you have a history of liver or kidney problems, dialysis, lung problems (eg, pulmonary veno-occlusive disease), high or low blood pressure, ulcers, bleeding problems, heart problems (eg, heart failure, irregular heartbeat, aortic stenosis, angina), or blood vessel problems
• if you have a history of heart attack, stroke, or life-threatening irregular heartbeat.

Some medicines may interact with Cialis Extra Dosage. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Alpha-blockers (eg, doxazosin), medicines for high blood pressure, nitrates (eg, isosorbide, nitroglycerin), or nitroprusside because severe low blood pressure with dizziness, lightheadedness, and fainting may occur
• Azole antifungals (eg, itraconazole), HIV protease inhibitors (eg, ritonavir), macrolide antibiotics (eg, erythromycin), or telithromycin because they may increase the risk of Cialis's side effects
• Barbiturates (eg, phenobarbital), carbamazepine, phenytoin, or rifampin because they may decrease Cialis's Extra Dosage effectiveness.

This may not be a complete list of all interactions that may occur. Ask your health care provider if Cialis Extra Dosage may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

Important safety information:

• Cialis Extra Dosage may cause dizziness, drowsiness, fainting, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Cialis Extra Dosage with caution. Do not drive or perform other possible unsafe tasks until you know how you react to it.
• Cialis Extra Dosage may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.
• Do not drink large amounts of alcohol (eg, 5 drinks or more) while you take Cialis Extra Dosage. Doing so may increase your risk of dizziness, headache, fast heartbeat, and low blood pressure.
• Patients with heart problems who take Cialis Extra Dosage may be at increased risk for heart-related side effects, including heart attack or stroke. Symptoms of a heart attack may include chest, shoulder, neck, or jaw pain; numbness of an arm or leg; severe dizziness, headache, nausea, stomach pain, or vomiting; fainting; or vision changes. Symptoms of a stroke may include confusion; vision or speech changes; one-sided weakness; or fainting. Contact your doctor or seek medical attention right away if you experience these symptoms.
• Cialis Extra Dosage may rarely cause a prolonged (eg, more than 4 hours) or painful erection. This could happen even when you are not having sex. If this is not treated right away, it could lead to permanent sexual problems such as impotence. Contact your doctor right away if this happens.
• Cialis Extra Dosage does not stop the spread of HIV or other sexually transmitted diseases (STDs) to others through sexual contact. Use barrier methods of birth control (eg, condoms) if you have HIV infection or an STD.
• Cialis Extra Dosage will not prevent pregnancy. If your partner may become pregnant and you wish to avoid pregnancy, be sure to use an effective form of birth control.
• Cialis Extra Dosage may uncommonly cause mild, temporary vision changes (eg, blurred vision, sensitivity to light, blue/green color tint to vision). Contact your doctor if vision changes persist or are severe.
• Rarely, an eye problem called nonarteritic anterior ischemic optic neuropathy (NAION) has been reported in patients who took Cialis Extra Dosage. This may lead to decreased vision or permanent loss of vision in some cases. If you notice a sudden decrease in vision or loss of vision in one or both eyes, contact your doctor right away.
• Sudden decreases in hearing and loss of hearing have been reported in some patients who have taken Cialis Extra Dosage. Sometimes they also noticed ringing in the ears or dizziness. If you notice a sudden decrease or loss of hearing, contact your doctor right away.
• Do not use other medicines or treatments for ED while you are taking Cialis Extra Dosage without first checking with your doctor.
• Use Cialis Extra Dosage with caution in the elderly; they may be more sensitive to its effects.
• Cialis Extra Dosage is not recommended for use in children younger 18 years. 

All medicines may cause side effects, but many people have no, or minor, side effects.

Check with your doctor if any of these most common side effects persist or become bothersome:

Dizziness; flushing; headache; heartburn; mild back or muscle pain; stomach upset; stuffy or runny nose.

Seek medical attention right away if any of these severe side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; fainting; fast or irregular heartbeat; memory loss; numbness of an arm or leg; one-sided weakness; prolonged, painful erection; red, swollen, blistered, or peeling skin; ringing in the ears; seizures; severe or persistent back or muscle pain; severe or persistent dizziness; severe or persistent vision changes; sudden decrease or loss of hearing; sudden decrease or loss of vision in one or both eyes.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider.