cialis multiple attempts per dose

CIALIS for ED (erectile dysfunction)

2 CIALIS options for ED

CIALIS for daily use and CIALIS for use as needed

If your doctor decides that CIALIS is right for you, there are 2 dosing options to consider.

Learn about the 2 CIALIS options

1 low-dose tablet, once a day You can attempt sex anytime between doses* No need to plan around a pill

1 week to help improve ED You may be able to have successful intercourse in as early as 4 to 5 days

Take only as needed One 20-mg tablet works in as little as 30 minutes in some men* † One dose can work for up to 36 hours* ‡

Both CIALIS for daily use (2.5 mg, 5 mg) and CIALIS for use as needed (5 mg, 10 mg, 20 mg):
Let you choose the moment that’s right for you and your partner*Are approved to treat EDCan be effective: Regardless of age В§ For mild, moderate, or severe ED In men with health problems such as diabetes or controlled high blood pressure Do not need to be planned around mealsShould not be taken if drinking too much alcohol (for example, 5 glasses of wine
or 5 shots of whiskey) This may cause headache or dizziness, increase in heart rate, or drop in blood pressure Should not be taken with medicines called“nitrates” A type of medicine commonly used to treat heart problems. These medicines relax and widen blood vessels. This allows more blood to flow to the heart, which makes the heart work less hard. Some recreational drugs called "poppers", like amyl nitrite and butyl nitrite, also contain nitrates. or recreational drugs
known as“poppers,” A slang term for various chemical compounds, including amyl nitrite and butyl nitrite, that are used for recreational purposes. The chemical compound is inhaled to increase sexual desire. or with medicines called“guanylate cyclase stimulators,” Medications used to treat pulmonary hypertension. such as riociguat (Adempas В® ) || The combination can cause a sudden, unsafe drop in blood pressure Should not be taken with other ED medicinesShould not be taken more than one time each day

This information should not take the place of having a complete evaluation, including a physical examination and medical history, before starting any type of ED treatment.

* Individual results may vary. Not studied for multiple attempts per dose.

† In clinical trials, CIALIS for use as needed started to work in 30 minutes for some men who took 20 mg
of CIALIS.

‡ In clinical trials, CIALIS for use as needed was shown to improve, up to 36 hours after dosing, the ability
of men with ED to have a single successful intercourse attempt.

В§ CIALIS is only for men aged 18 or older.

|| The brand listed is a trademark of its respective owner and is not a trademark of Eli Lilly and Company. The maker of this brand is not affiliated with and does not endorse Eli Lilly and Company or its products.

The most important information
to know about CIALIS

Do not take CIALIS if you:Take medicines called“nitrates” A type of medicine commonly used to treat heart problems. These medicines relax and widen blood vessels. This allows more blood to flow to the heart, which makes the heart work less hard. Some recreational drugs called "poppers," like amyl nitrite and butyl nitrite, also contain nitrates. such as nitroglycerin or other medications like isosorbide dinitrate or isosorbide mononitrate, which are often prescribed for chest pain, as the combination may cause an unsafe drop in blood pressure; or use recreational
drugs called “poppers” A slang term for various chemical compounds, including amyl nitrite and butyl nitrite, that are used for recreational purposes. The chemical compound is inhaled to increase sexual desire. like amyl nitrite and butyl nitrite Take medicines called“guanylate cyclase stimulators” Medications used to treat pulmonary hypertension. such as riociguat (Adempas ® ),* a medicine used to treat pulmonary hypertension, as the combination may cause an unsafe drop in blood pressure Are allergic to CIALIS or ADCIRCA ® (tadalafil), or any of its ingredients. Call your healthcare provider or get help right away if you experience any symptoms of an allergic reaction, such as: RashHives Swelling of the lips, tongue, or throat Difficulty breathing or swallowing

After taking a single tablet, some of the active ingredient of CIALIS remains in your body for more than 2 days. The active ingredient can remain longer if you have problems with your kidneys or liver, or you are taking certain other medications.

Stop sexual activity and get medical help right away if you get symptoms such as chest pain, dizziness, or nausea during sex. Sexual activity can put an extra strain on your heart, especially if it is already weak from a heart attack or heart disease.

*The brand listed is a trademark of its respective owner and is not a trademark of Eli Lilly and Company. The maker of this brand is not affiliated with and does not endorse Eli Lilly and Company or its products.

Remembering to take CIALIS

If you take CIALIS for daily use, make it part of your routine by taking it with your favorite morning beverage or evening meal

If you take CIALIS for use as needed, remember to take it when the moment is right,* at least 30 minutes before sex †

Keep track of your doseDo not take CIALIS more than one time each day

Don’t wait until the last minute to get a refill Sign up for refill notices if your local pharmacy offers a prescription reminder program

* Individual results may vary. Not studied for multiple attempts per dose.

† In clinical trials, 36-hour CIALIS started to work in 30 minutes for some men who took 20 mg of 36-hour CIALIS.

Side effects with CIALIS

There may be some side effects when taking CIALIS. The most common side effects with CIALIS are: headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose. These side effects usually go away after a few hours. Men who get back pain and muscle aches usually get it 12 to 24 hours after taking CIALIS. Back pain and muscle aches usually go away within 2 days.

Uncommon but serious side effects include:

An erection that won’t go away: If you get an erection lasting more than 4 hours, seek immediate medical help to avoid long-term injury.

In rare instances, men taking prescription ED tablets, including CIALIS, reported a sudden decrease or loss of vision or hearing (sometimes with ringing in the ears and dizziness). It’s not possible to determine if these events are related directly to the ED tablets or to other factors. If you have a sudden decrease or loss of vision or hearing, stop taking any ED tablet, including CIALIS and call a healthcare provider right away.

These are not all the possible side effects of CIALIS.

Call your healthcare provider if you experience any side effects that bother you or don't go away. And please see Important Safety Information and full Patient Information for additional information.

Indications: CIALIS is approved to treat erectile dysfunction (ED), the signs and symptoms of benign prostatic hyperplasia (BPH), and both ED and the signs and symptoms of BPH. Taking CIALIS with finasteride when starting BPH treatment has been studied for 26 weeks. CIALIS is not for women or children.

IMPORTANT SAFETY INFORMATION FOR CIALIS

What Is The Most Important Information I Should Know About CIALIS?

Do not take CIALIS if you:take medicines called “nitrates” such as nitroglycerin or other medications like isosorbide dinitrate or isosorbide mononitrate, which are often prescribed for chest pain as the combination may cause an unsafe drop in blood pressure; or use recreational drugs called “poppers” like amyl nitrite and butyl nitrite. take medicines called guanylate cyclase stimulators such as riociguat (Adempas ® ),* a medicine used to treat pulmonary hypertension as the combination may cause an unsafe drop in blood pressure. are allergic to CIALIS or ADCIRCA ® (tadalafil), or any of its ingredients. Call your healthcare provider or get help right away if you experience any symptoms of an allergic reaction, such as rash, hives, swelling of the lips, tongue or throat, or difficulty breathing or swallowing.

After taking a single tablet, some of the active ingredient of CIALIS remains in your body for more than 2 days. The active ingredient can remain longer if you have problems with your kidneys or liver, or you are taking certain other medications.

Stop sexual activity and get medical help right away if you get symptoms such as chest pain, dizziness, or nausea during sex. Sexual activity can put an extra strain on your heart, especially if it is already weak from a heart attack or heart disease.

What Should I Tell My Healthcare Provider Before Taking CIALIS?

CIALIS is not right for everyone. Only your healthcare provider and you can decide if CIALIS is right for you. Ask your healthcare provider if your heart is healthy enough for you to have sexual activity. Do not take CIALIS if your healthcare provider has told you not to have sexual activity because of your health problems. Before taking CIALIS, tell your healthcare provider about all your medical problems, particularly if you have or ever had: heart problems such as chest pain (angina), heart failure, irregular heartbeats, or heart attack pulmonary hypertensionlow blood pressure or high blood pressure that is not controlled strokeliver or kidney problems or require dialysisretinitis pigmentosa. a rare genetic (runs in families) eye disease severe vision loss, including a condition called NAIONstomach ulcers or a bleeding problema deformed penis shape or Peyronie’s disease an erection that lasted more than 4 hoursblood cell problems such as sickle cell anemia, multiple myeloma, or leukemia

Can Other Medicines Affect CIALIS?

Tell your healthcare provider about all the medicines you take, especially: medicines called "nitrates" which are often prescribed for chest pain medicines called guanylate cyclase stimulators, such as riociguat (Adempas ® ), used to treat pulmonary arterial hypertension and chronic-thromboembolic hypertension alpha-blockers often prescribed for prostate problems blood pressure medications medicines for HIV or some types of oral antifungal medications some types of antibiotics such as clarithromycin, telithromycin, erythromycin (several brand names exist, please contact your healthcare provider to determine if you are taking this medicine) other medicines or treatments for erectile dysfunction (ED) CIALIS is also marketed as ADCIRCA for the treatment of pulmonary arterial hypertension. Do not take both CIALIS and ADCIRCA. Do not take sildenafil citrate (Revatio ® )* with CIALIS.

How Should I Take CIALIS?

CIALIS should not be taken more than one time each day. If you miss a dose, you may take it when you remember but do not take more than one dose per day. Take CIALIS exactly as your healthcare provider prescribes it.

What Should I Avoid While Taking CIALIS?

Do not use other ED medicines or ED treatments. Do not drink too much alcohol (for example, 5 glasses of wine or 5 shots of whiskey). Drinking too much alcohol can increase your chances of getting a headache or getting dizzy, increasing your heart rate, or lowering your blood pressure.

What Are The Possible Side Effects Of CIALIS?

The most common side effects with CIALIS are: headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose. These side effects usually go away after a few hours. Men who get back pain and muscle aches usually get it 12 to 24 hours after taking CIALIS. Back pain and muscle aches usually go away within 2 days. Call your healthcare provider if you get any side effect that bothers you or one that does not go away.

Uncommon but serious side effects include:
An erection that won’t go away: If you get an erection lasting more than 4 hours, seek immediate medical help to avoid long-term injury.

In rare instances, men taking prescription ED tablets, including CIALIS, reported a sudden decrease or loss of vision or hearing (sometimes with ringing in the ears and dizziness). It’s not possible to determine if these events are related directly to the ED tablets or to other factors. If you have a sudden decrease or loss of vision or hearing, stop taking any ED tablet, including CIALIS and call a healthcare provider right away.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call
1-800-FDA-1088 .

CIALIS does not:
Cure ED, increase a man's sexual desire, protect a man or his partner from sexually transmitted diseases, including HIV or serve as a male form of birth control.

CIALIS is available by prescription only.

*The brand listed is a trademark of its respective owner and is not a trademark of Eli Lilly and Company. The maker of this brand is not affiliated with and does not endorse Eli Lilly and Company or its products.

TD CON ISI 16SEP2015

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Cialis Multiple Attempts Per Dose

Cialis Multiple Attempts Per Dose in Snow Hill, Maryland is small town living at its best. Nestled on the south banks of the Pocomoke River Snow Hill is a place where people know each other. From the people who call it home to the business owners and those in city government, we have built a community where life is gentle, fun, and prosperous. Home to a quaint downtown retail area and a broad spectrum of recreational activities, Cialis Multiple Attempts Per Dose is the perfect place to spend a relaxing weekend or a lifetime.

Whether you are interested in researching your genealogy in the Worcester Room of the Worcester County Library. renting a kayak from the Pocomoke River Canoe Company to paddle on an undeveloped natural river, or studying the architecture of historic homes and beautiful churches while taking the Historic Walking Tour, Cialis Multiple Attempts Per Dose has something for everyone. You will find recreational opportunities in Byrd Park and Sturgis Park, artifacts at the Julia A. Purnell Museum. and treasures in the shops and art galleries.

The beautiful rural setting boasts rich farmland that has been the mainstay of the economy of the county seat of Worcester County for centuries. The rich heritage of this area is celebrated daily at Furnace Town Living Heritage Museum and during a summer festival every August with The Blessing of the Combines.

The town of Cialis Multiple Attempts Per Dose welcomes you as you explore our small town steeped in history and tradition but alive with charm and activities.

Common questions

What is erectile dysfunction (ED)?

ED is a medical condition that causes problems getting or maintaining an erection.

Approximately 18 million men in the United States alone have ED ED is more common in older men, but can happen at almost any age—even to those who have never had issues with sexual activity before ED is treatable in most cases Talk to your doctor if you are experiencing any kind of ED

What factors increase the risk for ED?

High blood pressure (hypertension) Diabetes (high blood sugar) High cholesterolNerve diseases (such as Parkinson's disease A disorder that kills or damages nerve cells in a part of the brain that controls how muscles move. Symptoms may include shaking, stiffness, slow movement, and poor balance and coordination. or multiple sclerosis) Surgery or injury (especially prostate A gland in a man’s body located near the base of his penis. The prostate secretes a fluid that makes up the main portion of the fluid (semen) that a man ejaculates during an orgasm. bladder, or rectal surgery) Abnormal hormone levels (testosterone or thyroid) Lifestyle factors (like smoking, drinking alcohol in excess, being overweight, not being physically active, or using recreational drugs) Side effect of some medications (including high blood pressure medication and antihistamines) Emotional or personal issues (such as ongoing stress or relationship problems, depression, or anxiety about sexual performance)

Does age play a role in ED?

As men get older, sexual function is more likely to decrease, making ED more common.

Getting older by itself does not lead to ED ED can be treated no matter your age* ED is often caused by other health problems that your doctor should know about, like heart disease or diabetes—which are also more common with age

* CIALIS is only for men aged 18 or older.

How does CIALIS treat ED?

You should not get an erection just by taking CIALIS. Sexual stimulation The act of sexually arousing a person through touch and/or emotional excitement. is required for CIALIS to work When you get an erection, blood flows into your penis and is temporarily trapped there, creating pressure in the surrounding chambers that causes your penis to expand. When you have ED, this process is interrupted CIALIS increases blood flow to your penis and may improve the ability to get erections and maintain them until sexual intercourse is successfully completed CIALIS may also improve the overall satisfaction with the hardness of erections After sexual intercourse is completed, the erection should go away. But in the rare event of an erection lasting more than 4 hours, seek immediate medical help to avoid permanent damage

Please see full Patient Information and talk to your doctor to learn more.

For the treatment of ED, how do the 2 CIALIS options differ?

CIALIS offers 2 options to treat ED. CIALIS for daily use (2.5 mg, 5 mg) A low-dose tablet taken once a day so you can attempt sex anytime between doses* You may be able to have successful intercourse in as early as 4 to 5 days, or you may get results earlier Your doctor may adjust your dose, depending on how your body responds to the medicine For the treatment of ED, the recommended starting dose of CIALIS for daily use is
2.5 mg Do not take CIALIS more than one time each day

CIALIS for use as needed (5 mg, 10 mg, 20 mg) A tablet that you take as needed One 20-mg tablet works in as little as 30 minutes in some men* † One dose can work for up to 36 hours* ‡ The recommended starting dose for CIALIS for use as needed in most patients is
10 mg Do not take CIALIS more than one time each day

* Individual results may vary. Not studied for multiple attempts per dose.

† In clinical trials, CIALIS for use as needed started to work in 30 minutes for some men who took
20 mg of CIALIS.

‡ When taken as needed, CIALIS was shown to improve, up to 36 hours after dosing, the ability of men with ED to have a single successful intercourse attempt.

When treating my ED, what can I expect with CIALIS?

CIALIS for daily use (2.5 mg, 5 mg) 1 week to help improve ED You may be able to have successful intercourse in as early as 4 to 5 days, or you may get results earlier If you are not satisfied, talk to your doctor, who may recommend an adjustment to your CIALIS dosage

Do not take CIALIS more than one time each day.

CIALIS for use as needed (5 mg, 10 mg, 20 mg)

One 20 mg tablet works in as little as 30 minutes in some men* † One dose can work for up to 36 hours* ‡

Do not take CIALIS more than one time each day.

* Individual results may vary. Not studied for multiple attempts per dose.

† In clinical trials, CIALIS for use as needed started to work in 30 minutes for some men who took
20 mg of CIALIS.

‡ When taken as needed, CIALIS was shown to improve, up to 36 hours after dosing, the ability of men with ED to have a single successful intercourse attempt.

Can I take both CIALIS for daily use and CIALIS for use as needed at the same time to treat my ED?

Do not take CIALIS for daily use (2.5 mg, 5 mg) and CIALIS for use as needed (5 mg,
10 mg, 20 mg) at the same time. If you are taking one of the CIALIS dosing options and would like to start taking the other, talk to your doctor before discontinuing use You should not take any other ED treatment while taking CIALIS. Do not take CIALIS more than one time each day

Can CIALIS for use as needed treat men with ED and the symptoms of BPH?

Only CIALIS for daily use (5 mg) is approved to treat both ED and symptoms of BPH Enlargement of the prostate gland that can lead to urination and bladder problems if the enlarged gland begins to press on the urethra. Do not take CIALIS more than one time each day.

CIALIS for use as needed is not approved to treat the symptoms of BPH

What should I do if I miss a dose of CIALIS for daily use (2.5 mg, 5 mg)?

If you miss a dose, take it when you remember. However, do not take CIALIS more than one time each day.

Can I split CIALIS tablets in half?

Do not split CIALIS tablets in half.

CIALIS tablets are not scored down the middle, so you may not be able to break one exactly in half If a CIALIS tablet is not split exactly in half, you may not receive an adequate dose If you do not get the proper dose, you may not get the results you are hoping for If your doctor thinks CIALIS is right for you, he or she will prescribe the recommended dosing option

Your doctor may adjust your dose depending on how your body responds to the medicine. Do not take CIALIS more than one time each day.

What is the most important information I should know about CIALIS?

Do not take CIALIS if you:

Take medicines called“nitrates” A type of medicine commonly used to treat heart problems. These medicines relax and widen blood vessels. This allows more blood to flow to the heart, which makes the heart work less hard. Some recreational drugs called "poppers," like amyl nitrite and butyl nitrite, also contain nitrates. such as nitroglycerin or other medications like isosorbide dinitrate or isosorbide mononitrate, which are often prescribed for chest pain, as the combination may cause an unsafe drop in blood pressure; or use recreational drugs called “poppers” A slang term for various chemical compounds, including amyl nitrite and butyl nitrite, that are used for recreational purposes. The chemical compound is inhaled to increase sexual desire. like amyl nitrite and butyl nitrite Take medicines called“guanylate cyclase stimulators” Medications used to treat pulmonary hypertension. such as riociguat (Adempas ® ),* a medicine used to treat pulmonary hypertension, as the combination may cause an unsafe drop in blood pressure Are allergic to CIALIS or ADCIRCA В® (tadalafil), or any of its ingredients. Call your healthcare provider or get help right away if you experience any symptoms of an allergic reaction, such as: RashHives Swelling of the lips, tongue, or throat Difficulty breathing or swallowing

After taking a single tablet, some of the active ingredient of CIALIS remains in your body for more than 2 days. The active ingredient can remain longer if you have problems with your kidneys or liver, or you are taking certain other medications.

Stop sexual activity and get medical help right away if you get symptoms such as chest pain, dizziness, or nausea during sex. Sexual activity can put an extra strain on your heart, especially if it is already weak from a heart attack or heart disease.

*The brand listed is a trademark of its respective owner and is not a trademark of Eli Lilly and Company. The maker of this brand is not affiliated with and does not endorse Eli Lilly and Company or its products.

Who should not take CIALIS?

Do not take CIALIS if you:

take any medicines called“nitrates” A type of medicine commonly used to treat heart problems. These medicines relax and widen blood vessels. This allows more blood to flow to the heart, which makes the heart work less hard. Some recreational drugs called "poppers," like amyl nitrite and butyl nitrite, also contain nitrates. use recreational drugs called “poppers” A slang term for various chemical compounds, including amyl nitrite and butyl nitrite, that are used for recreational purposes. The chemical compound is inhaled to increase sexual desire. like amyl nitrite and butyl nitrite take any medicines called “guanylate cyclase stimulators” Medications used to treat pulmonary hypertension. such as riociguat are allergic to CIALIS or ADCIRCA В® (tadalafil), or any of its ingredients. Symptoms of an allergic reaction may include: RashHives Swelling of the lips, tongue, or throat Difficulty breathing or swallowing

Call your healthcare provider or get help right away if you have any of the symptoms of an allergic reaction listed above.

What should I tell my doctor or healthcare provider before taking CIALIS?

CIALIS is not right for everyone.Only your healthcare provider and you can decide if CIALIS is right for you. Ask your healthcare provider if your heart is healthy enough for you to have sexual activity. Do not take CIALIS if your healthcare provider has told you not to have sexual activity because of your health problems. Before taking CIALIS, tell your healthcare provider about all your medical problems, particularly if you have or ever had:

Heart problems such as chest pain (angina), heart failure, irregular heartbeats, or heart attack Pulmonary hypertensionLow blood pressure or high blood pressure that is not controlledStrokeLiver or kidney problems or require dialysisRetinitis pigmentosa. a rare genetic (runs in families) eye disease Severe vision loss, including a condition called NAIONStomach ulcers or a bleeding problemA deformed penis shape or Peyronie’s disease A condition in which a hard lump (plaque) forms on the penis. Sometimes the lump makes the penis less flexible, which can be painful. It can also cause the penis to bend or arc during an erection. An erection that lasted more than 4 hoursBlood cell problems such as sickle cell anemia, multiple myeloma, or leukemia

Can other medicines affect CIALIS?

Tell your healthcare provider about all the medicines you take, especially:

Medicines called “nitrates,” A type of medicine commonly used to treat heart problems. These medicines relax and widen blood vessels. This allows more blood to flow to the heart, which makes the heart work less hard. Some recreational drugs called "poppers," like amyl nitrite and butyl nitrite, also contain nitrates. which are often prescribed for chest pain Medicines called “guanylate cyclase stimulators” Medications used to treat pulmonary hypertension. such as riociguat (Adempas ® ),* used to treat pulmonary arterial hypertension and chronic-thromboembolic hypertension Alpha-blockers Also called alpha-adrenergic antagonists. A kind of medicine that treats a variety of health conditions, including high blood pressure, an enlarged prostate, and some circulation problems. Alpha-blockers relax certain muscles and help small blood vessels stay open and relaxed. This improves blood flow and lowers blood pressure. often prescribed for prostate problems Blood pressure medications Medicines for human immunodeficiency virus (HIV) or some types of oral antifungal medications Some types of antibiotics such as clarithromycin, telithromycin, erythromycin (several brand names exist; please contact your healthcare provider to determine if you are taking this medicine) Other medicines or treatments for ED CIALIS is also marketed as ADCIRCA for the treatment of pulmonary arterial hypertension. Do not take both CIALIS and ADCIRCA. Do not take sildenafil citrate (Revatio В®  )* with CIALIS

* The brand listed is a trademark of its respective owner and is not a trademark of Eli Lilly and Company. The maker of this brand is not affiliated with and does not endorse Eli Lilly and Company or its products.

What are the possible side effects of CIALIS?

The most common side effects of CIALIS are: headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose. These side effects usually go away after a few hours. Men who get back pain and muscle aches usually get it 12 to 24 hours after taking CIALIS. Back pain and muscle aches usually go away within 2 days. Call your healthcare provider if you get any side effect that bothers you or one that does not go away.

Uncommon but serious side effects include:

An erection that won’t go away: If you get an erection lasting more than 4 hours, seek immediate medical help to avoid long-term injury.

In rare instances, men taking prescription ED tablets, including CIALIS, reported a sudden decrease or loss of vision or hearing (sometimes with ringing in the ears and dizziness). It’s not possible to determine if these events are related directly to the ED tablets or to other factors. If you have a sudden decrease or loss of vision or hearing, stop taking any ED tablet, including CIALIS, and call a healthcare provider right away.

These are not all of the possible side effects of CIALIS. For more information, ask your healthcare provider or pharmacist.

How much does CIALIS cost?

Please check local pharmacies for actual retail prices, which may vary. Be sure to contact your health plan's member services to find out if you're covered for a full month's prescription of CIALIS. Member services information is typically found on your insurance card.

How do I talk about ED with my partner?

Talking with your partner about ED may not be easy, but it can be helpful—for both of you. Remember that ED is treatable for most men If you and your partner avoid the conversation, neither of you can know what the other is thinking and feeling

You should be open and honest, as well as sensitive, about your partner’s needs and questions.

Remember to stick to the facts and to talk about ED as the medical problem it is Reassure your partner that your ED is not her fault, but likely a medical issue

How do I talk about BPH with my partner?

Talking with your partner about BPH may not be easy, but it can be helpful—for both of you.

Keep your partner in the loop about what you’re experiencing Explain that BPH Enlargement of the prostate gland that can lead to urination and bladder problems if the enlarged gland begins to press on the urethra. symptoms are likely caused by a medical issue Remember—BPH symptoms are treatable

My partner has ED. What should I know?

You may be thinking, “It’s me.” But you should know that ED is a real, treatable medical condition often caused by another health problem (like diabetes or heart disease) or by certain medicines.

Learn everything you can about ED and available treatment options. and share that information with your partner Once you both have all the facts, your partner can work with his doctor to make a better informed decision about what to do next Talk with your partner about what’s going on and encourage him to visit his doctor to see if he has ED Offer to make an appointment for him or go to the doctor with him

My partner also has BPH symptoms. What should I know?

You may be wondering why your partner has to urinate frequently or urgently many times a day. Or why, even after going to the bathroom, he needs to go again soon. These frustrating BPH Enlargement of the prostate gland that can lead to urination and bladder problems if the enlarged gland begins to press on the urethra. symptoms are likely caused by a medical issue.

Learn everything you can about BPH and available treatment options. and share that information with your partner Once you both have all the facts, your partner can work with his doctor to make a better informed decision about what to do next Talk with your partner about what’s going on and encourage him to visit his doctor to see if he has BPH symptoms Offer to make an appointment for him or to go to the doctor with him

CIALIS Promise ™ Program

Can I still use the Promise Program?

For patients who have used a FREE TRIAL voucher and want to participate in the Promise Program, you can download your redemption form here Program will expire on January 31, 2017. Redemption forms will not be honored after the program expiration date If you have any questions about the Promise Program, please call 1-800-LILLY-Rx
(1-800-545-5979) If you have used a CIALIS $200 Savings Card, you are not eligible for the Promise Program

Indications: CIALIS is approved to treat erectile dysfunction (ED), the signs and symptoms of benign prostatic hyperplasia (BPH), and both ED and the signs and symptoms of BPH. Taking CIALIS with finasteride when starting BPH treatment has been studied for 26 weeks. CIALIS is not for women or children.

IMPORTANT SAFETY INFORMATION FOR CIALIS

What Is The Most Important Information I Should Know About CIALIS?

Do not take CIALIS if you:take medicines called “nitrates” such as nitroglycerin or other medications like isosorbide dinitrate or isosorbide mononitrate, which are often prescribed for chest pain as the combination may cause an unsafe drop in blood pressure; or use recreational drugs called “poppers” like amyl nitrite and butyl nitrite. take medicines called guanylate cyclase stimulators such as riociguat (Adempas ® ),* a medicine used to treat pulmonary hypertension as the combination may cause an unsafe drop in blood pressure. are allergic to CIALIS or ADCIRCA ® (tadalafil), or any of its ingredients. Call your healthcare provider or get help right away if you experience any symptoms of an allergic reaction, such as rash, hives, swelling of the lips, tongue or throat, or difficulty breathing or swallowing.

After taking a single tablet, some of the active ingredient of CIALIS remains in your body for more than 2 days. The active ingredient can remain longer if you have problems with your kidneys or liver, or you are taking certain other medications.

Stop sexual activity and get medical help right away if you get symptoms such as chest pain, dizziness, or nausea during sex. Sexual activity can put an extra strain on your heart, especially if it is already weak from a heart attack or heart disease.

What Should I Tell My Healthcare Provider Before Taking CIALIS?

CIALIS is not right for everyone. Only your healthcare provider and you can decide if CIALIS is right for you. Ask your healthcare provider if your heart is healthy enough for you to have sexual activity. Do not take CIALIS if your healthcare provider has told you not to have sexual activity because of your health problems. Before taking CIALIS, tell your healthcare provider about all your medical problems, particularly if you have or ever had: heart problems such as chest pain (angina), heart failure, irregular heartbeats, or heart attack pulmonary hypertensionlow blood pressure or high blood pressure that is not controlled strokeliver or kidney problems or require dialysisretinitis pigmentosa. a rare genetic (runs in families) eye disease severe vision loss, including a condition called NAIONstomach ulcers or a bleeding problema deformed penis shape or Peyronie’s disease an erection that lasted more than 4 hoursblood cell problems such as sickle cell anemia, multiple myeloma, or leukemia

Can Other Medicines Affect CIALIS?

Tell your healthcare provider about all the medicines you take, especially: medicines called "nitrates" which are often prescribed for chest pain medicines called guanylate cyclase stimulators, such as riociguat (Adempas ® ), used to treat pulmonary arterial hypertension and chronic-thromboembolic hypertension alpha-blockers often prescribed for prostate problems blood pressure medications medicines for HIV or some types of oral antifungal medications some types of antibiotics such as clarithromycin, telithromycin, erythromycin (several brand names exist, please contact your healthcare provider to determine if you are taking this medicine) other medicines or treatments for erectile dysfunction (ED) CIALIS is also marketed as ADCIRCA for the treatment of pulmonary arterial hypertension. Do not take both CIALIS and ADCIRCA. Do not take sildenafil citrate (Revatio ® )* with CIALIS.

How Should I Take CIALIS?

CIALIS should not be taken more than one time each day. If you miss a dose, you may take it when you remember but do not take more than one dose per day. Take CIALIS exactly as your healthcare provider prescribes it.

What Should I Avoid While Taking CIALIS?

Do not use other ED medicines or ED treatments. Do not drink too much alcohol (for example, 5 glasses of wine or 5 shots of whiskey). Drinking too much alcohol can increase your chances of getting a headache or getting dizzy, increasing your heart rate, or lowering your blood pressure.

What Are The Possible Side Effects Of CIALIS?

The most common side effects with CIALIS are: headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose. These side effects usually go away after a few hours. Men who get back pain and muscle aches usually get it 12 to 24 hours after taking CIALIS. Back pain and muscle aches usually go away within 2 days. Call your healthcare provider if you get any side effect that bothers you or one that does not go away.

Uncommon but serious side effects include:
An erection that won’t go away: If you get an erection lasting more than 4 hours, seek immediate medical help to avoid long-term injury.

In rare instances, men taking prescription ED tablets, including CIALIS, reported a sudden decrease or loss of vision or hearing (sometimes with ringing in the ears and dizziness). It’s not possible to determine if these events are related directly to the ED tablets or to other factors. If you have a sudden decrease or loss of vision or hearing, stop taking any ED tablet, including CIALIS and call a healthcare provider right away.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call
1-800-FDA-1088 .

CIALIS does not:
Cure ED, increase a man's sexual desire, protect a man or his partner from sexually transmitted diseases, including HIV or serve as a male form of birth control.

CIALIS is available by prescription only.

*The brand listed is a trademark of its respective owner and is not a trademark of Eli Lilly and Company. The maker of this brand is not affiliated with and does not endorse Eli Lilly and Company or its products.

TD CON ISI 16SEP2015

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