Cialis for men will NOT:

• Work if you do not have Erectile Dysfunction (ED)
• Increase the size of your penis
• Help with premature ejaculation

Do NOT take if you:

• Take molsidomine, amyl/butyl nitrate (also known as “poppers”) or any other medicines belonging to nitric oxide donors.
• Have been advised by your doctor to avoid sexual activity because of a problem with your heart or blood vessels, such as recent heart attack (within the last 90 days) or stroke (within the last 6 months), unstable angina or severe cardiac failure
• Have low blood pressure or uncontrolled high blood pressure
• Have ever had loss of vision because of non-arteritic anterior ischaemic optic neuropathy (NAION), a condition described as “stroke of the eye”
• Take riociguat or other medicines belonging to a group called guanylate cyclase stimulators
• Have a deformed penis (such as angulation, cavernosal fibrosis or Peyronie's disease)

Before taking Cialis for men tablets, in order to ensure this medicine is suitable for you and that you are fit enough to have sex, tell your doctor if you:

• Get very breathless or feel any pain in the chest with light or moderate activity (e.g. walking briskly for 20 minutes or climbing two flights of stairs). Your doctor may need to check whether your heart can take the additional strain of having sex
• Have or have ever had any heart disease or heart surgery e.g. valvular heart disease (damaged or diseased heart valve), cardiomyopathy (disease of the heart muscle), arrhythmia (irregular heart beat)
• Have high blood pressure that is not controlled
• Have an abnormal or impaired left lower heart chamber
• Have a restriction of the blood flow from the heart e.g. aortic stenosis
• Have Multiple System Atrophy (a rare condition causing severe loss of control of blood pressure due to shrinkage of muscle or nerve tissue)

Other risk factors

Talk to your doctor before taking Cialis for men if you:

• Have ever had an erection that lasted more than 4 hours (called priapism) or have any condition which can cause priapism, which includes sickle cell anaemia (an abnormality of red blood cells), leukaemia (cancer of blood cells), or multiple myeloma (cancer of bone marrow)
• Take any other medicines listed here
• Have any deformation of your penis
• Have a serious liver problem
• Have a severe kidney problem

Speak to your doctor if you have:

• Undergone pelvic surgery or removal of all or part of the prostate gland in which nerves of the prostate are cut (radical non-nerve-sparing prostatectomy) as it is not known if Cialis for men tablets will be effective for you
• Known hereditary degenerative retinal disorders such as retinitis pigmentosa (a genetic disorder that causes loss of vision) as it is unknown whether tadalafil is safe for you to use

STOP using and SEEK medical help immediately if you experience:

• An allergic reaction: this occurs uncommonly. Symptoms include sudden wheeziness, difficulty breathing or dizziness, swelling of the eyelids, face, lips or throat, rashes
• Chest pains: this occurs uncommonly. If this occurs before, during or after intercourse, get in a semi-sitting position and try to relax. DO NOT use nitrates to treat chest pain. Seek immediate medical help
• Persistent and sometimes painful erection lasting longer than 4 hours: this occurs rarely
• A sudden decrease or loss of vision: this occurs rarely
• Stevens-Johnson Syndrome (SJS), which is a rare, serious disorder of the skin causing flu-like symptoms and a painful rash that spreads and blisters