Tadora-20

Tadora-20 is a medicine used in the treatment of erectile dysfunction (impotence). Tadalafil is called a phosphodiesterase type 5 inhibitor, and works by preventing the action of a chemical in the body called phosphodiesterase type 5.

The dose should be taken at least 2 hours before intended intercourse, and it may produce an erection in response to sexual stimulation for up to 36 hours after taking the dose.

Warning!

Unless your doctor or pharmacist tells you otherwise, you should avoid drinking grapefruit juice while taking this medicine, as it may increase the level of this medicine in your blood and hence increase the risk of side effects.
If your erection lasts longer than 4 hours (priapism), consult a doctor immediately. Treatment of this condition should not be delayed more than 6 hours, as this can cause damage to the erectile tissue in the penis and irreversible erectile dysfunction.
This Tadora-20 may cause dizziness and so may affect your ability to drive or operate machinery safely. Do not drive or operate machinery until you know how this medicine affects you and you are sure it won't affect your performance.
If this medicine is taken with alcohol there is an increased risk of a drop in blood pressure that might make you feel dizzy. In addition, alcohol can impair sexual performance.
This medicine should not be taken more than once a day, and it is strongly recommended that you don't use it every day. This is because the long-term safety of using this medicine every day for long periods of time has not been established, and also because the effect usually lasts for longer than one day.

Use with caution in:
Decreased kidney function
Decreased liver function
Disease involving the heart and blood vessels (cardiovascular disease)
Conditions such as sickle cell disease, bone cancer or leukaemia in which there is an increased risk of prolonged erections (priapism)
Physical abnormality of the penis, such as severe curvature, scarring or Peyronie's disease

Not to be used in:
Women
Children and adolescents under 18 years of age
Conditions in which sexual activity is not advisable, for example severe heart disorders
Angina not well controlled by medical treatment (unstable angina)
People with angina that occurs during sex
People who have had a heart attack in the last three months
People who have had a stroke in the last six months
People with mild to severe heart failure in the last six months
Abnormal heart beats (arrhythmias) not controlled by treatment
Uncontrolled high blood pressure (hypertension)
Low blood pressure (hypotension)
Rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption
People taking any form of nitrate medications, eg glyceryl trinitrate
This medicine is not recommended for people who have ever experienced an eye condition called non-arteritic anterior ischemic optic neuropathy (NAION). This condition causes a sudden, partial decrease or loss of vision in one or both eyes due to damage to the optic nerve. It can be temporary or permanent. Talk to your doctor if you have ever experienced this.

Tadora-20 should not be used if you are allergic to one or any of its ingredients. Please inform your doctor or pharmacist if you have previously experienced such an allergy.

Side effects Tadora-20:
Headache
Indigestion (dyspepsia)
Dizziness
Flushing
Nasal congestion
Back pain
Pain in the muscles (myalgia)
Eye pain
Red eye due to excess blood supply (hyperaemia)
Swelling of the eyelids
Visual disturbances
High blood pressure (hypertension)
Low blood pressure (hypotension)
Fainting (syncope)
Chest pain
Awareness of your heart beat (palpitations)
Increased heart rate (tachycardia)
Sweating
Prolonged or painful erections