Before taking Adcirca (Tadalafil) 20mg, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
Before using Adcirca (Tadalafil) 20mg, tell your doctor or pharmacist your medical history, especially of: heart problems (such as heart attack or life-threatening irregular heartbeat in the past 6 months, chest pain/angina, heart failure), stroke in the past 6 months, kidney disease, liver disease, high or low blood pressure, a severe loss of body water (dehydration), penis conditions (such as angulation, fibrosis/scarring, Peyronie's disease), history of painful/prolonged erection (priapism), conditions that may increase the risk of priapism (such as sickle cell anemia, leukemia, multiple myeloma), eye problems (such as retinitis pigmentosa, sudden decreased vision, NAION), bleeding disorders, active stomach ulcers, other lung conditions (such as pulmonary veno-occlusive disease).
Adcirca (Tadalafil) 20mg may make you dizzy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Limit alcoholic beverages.
Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).
During pregnancy, Adcirca (Tadalafil) 20mg should be used only when clearly needed. Discuss the risks and benefits with your doctor.
It is unknown if Adcirca (Tadalafil) 20mg passes into breast milk. Consult your doctor before breast-feeding.
Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.
Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.
Adcirca (Tadalafil) 20mg is used to treat high blood pressure in the lungs (pulmonary hypertension). It works by relaxing and widening the blood vessels in your lungs which allows the blood to flow more easily. Decreasing high blood pressure in the lungs allows your heart and lungs to work better and improves your ability to exercise.
Read the Patient Information Leaflet provided by your pharmacist before you start taking Adcirca (Tadalafil) 20mg and each time you get a refill. If you have any questions, ask your doctor or pharmacist.
To treat high blood pressure in the lungs, take Adcirca (Tadalafil) 20mg by mouth as directed by your doctor, with or without food, usually once daily.
The dosage is based on your medical condition, response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).
Take Adcirca (Tadalafil) 20mg regularly to get the most benefit from it. To help you remember, take it at the same time each day.
Tell your doctor if your condition does not improve or if it worsens.
Dizziness, lightheadedness, headache, muscle pain, flushing, nausea, stuffy nose, or stomach upset may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.
To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.
Remember that your doctor has prescribed Adcirca (Tadalafil) 20mg because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using Adcirca (Tadalafil) 20mg do not have serious side effects.
Rarely, sudden decreased vision in one or both eyes (NAION) may occur. This effect may or may not be caused by Adcirca (Tadalafil) 20mg. If this serious problem occurs, stop taking Adcirca (Tadalafil) 20mg and get medical help right away. You have a slightly greater chance of developing NAION if you have heart disease, diabetes, high cholesterol, certain other eye problems ("crowded disk"), high blood pressure, if you are over 50, or if you smoke.
Rarely, a sudden decrease or loss of hearing, sometimes with ringing in the ears and dizziness, may occur. Stop taking Adcirca (Tadalafil) 20mg and get medical help right away if these effects occur.
Rarely, males may have a painful or prolonged erection lasting 4 or more hours. If this occurs, stop using Adcirca (Tadalafil) 20mg and get medical help right away, or permanent problems could occur.
Get medical help right away if you have any very serious side effects, including: increased shortness of breath or trouble breathing.
A very serious allergic reaction to Adcirca (Tadalafil) 20mg is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
Click here to view a more detailed list of Adcirca side effects.
If you miss a dose of Adcirca (Tadalafil) 20mg, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.
Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.
A product that may interact with Adcirca (Tadalafil) 20mg is: riociguat.
Adcirca (Tadalafil) 20mg can cause a serious drop in your blood pressure when used with nitrates, which can lead to dizziness, fainting, and rarely heart attack or stroke. Do not use Adcirca (Tadalafil) 20mg with any of the following: certain drugs used to treat chest pain/angina (nitrates such as nitroglycerin, isosorbide), recreational drugs called "poppers" containing amyl or butyl nitrite.
If you are also taking an alpha blocker medication (such as doxazosin, tamsulosin) to treat an enlarged prostate/BPH or high blood pressure, your blood pressure may get too low which can lead to dizziness or fainting. Your doctor may adjust your medications to minimize your risk of low blood pressure.
Other medications can affect the removal of Adcirca (Tadalafil) 20mg from your body, which may affect how Adcirca (Tadalafil) 20mg works. Examples include azole antifungals (such as itraconazole, ketoconazole), macrolide antibiotics (such as clarithromycin, erythromycin), HIV protease inhibitors (such as lopinavir, ritonavir), hepatitis C virus protease inhibitors (such as boceprevir, telaprevir), rifampin, among others.
Do not take Adcirca (Tadalafil) 20mg with any other product that contains Adcirca (Tadalafil) 20mg or other similar medications for erectile dysfunction-ED or pulmonary hypertension (such as sildenafil, vardenafil).