About Tadalafil (the legal generic version of Cialis)

BEACAUSE OF LONG-TERM DELAYS AND ONGOING SUPPLY CHAIN ISSUES, WE NO LONGER OFFER BRANDED "CIALIS" PRODUCTS, AND ONLY OFFER THE LEGAL GENERIC EQUIVALENT VERSIONS, AS "TADALAFIL".

The equivalent generic versions have THE EXACT SAME ACTIVE INGREDIENTS and chemical composition as the branded products, and are thus EQUALLY AS EFFECTIVE. They are MANUFACTURED IN THE UK or EU by several different pharmaceutical companies (so the packaging may vary from what is pictured), and they are SIGNIFICANTLY CHEAPER than the branded equivalents.

What Is Tadalfil and What Is It Used For?

Tadalafil is a prescription only treatment for adult men over 18 years of age with erectile dysfunction (ED), also known as impotence. Erectile Dysfunction is a condition when a man cannot get, or keep a hard, erect penis suitable for sexual activity. Tadalafil contains the active substance Tadalafil, which belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors. Following sexual stimulation, Tadalafil works by helping the blood vessels in your penis to relax, allowing the flow of blood into your penis. Tadalafil may help a man with erectile dysfunction get and keep an erection when he is sexually excited. Tadalafil comes in tablet form and is taken orally.

Tadalafil does not:

• Cure Erectile Dysfunction
• Increase a man’s sexual desire
• Protect a man or his partner from sexually transmitted diseases, including HIV. Speak to your healthcare professional medical specialists about ways to guard against sexually transmitted diseases
• Serve as a male form of birth control
   
• Tadalafil is only for men with Erectile Dysfunction. 
• Tadalafil is not for women or children. 
• Tadalafil must be used only under a healthcare professional’s care.

 

Who Should Not Take Tadalafil?

Do not take Tadalafil if you:

• Take any medicines called “nitrates”.
• Use recreational drugs called “poppers” like amyl nitrate and butyl nitrate.
• Have been told by your healthcare professional to not have sexual activity because of health problems.
• Have serious heart disease or recently had a heart attack within the last 90 days.
• Recently had a stroke within the last 6 months.
• Have low blood pressure or uncontrolled high blood pressure.
• Ever had loss of vision because of non-arteritic anterior ischemic optic neuropathy (NAION).

What are The Risks of taking Tadalafil?

The following are the major possible risks and side effects of Tadalafil therapy. This list is not complete. Tadalafil can cause your blood pressure to drop suddenly to an unsafe level if it is taken with certain other medicines such as nitrates and alpha-blockers, and recreational drugs that contain nitrates called “poppers.” A sudden drop in your blood pressure could cause you to become dizzy, faint, or have a heart attack or stroke Tell all your healthcare professionals that you take Tadalafil. If you need emergency medical care for a heart problem, it will be important for your healthcare professionals to know when you last took Tadalafil.
More information can be found in the manufacturers information leaflet.

Tadalafil may uncommonly cause:

• Dizziness
• Stomach ache
• Eye pain
• Increased sweating
• Difficulty in breathing
• Vision changes, such as seeing a blue tinge to objects or having difficulty telling the difference between the colors blue and green

Some common side effects with Tadalafil include:

• Headache
• Indigestion
• Back pain
• Muscle aches
• Facial flushing
• Stuffy or runny nose
• Reflux
• Pain in arms and legs

What Should I Tell My Healthcare Professional?

Tell your healthcare professional if you:

• Have or had heart problems
• Have low blood pressure or have high blood pressure that is not controlled
• Have had a stroke
• Have liver problems
• Have kidney problems or require dialysis
• Have ever had severe vision loss
• Have retinitis pigmentosa, a rare genetic (runs in families) eye disease
• Have stomach ulcers
• Have a bleeding problem
• Have a deformed penis shape or Peyronie’s disease
• Have had an erection that lasted more than 4 hours (priapism)
• Have blood cell problems such as sickle cell anemia, multiple myeloma, or leukemia
• Take medicines called “alpha blockers” (alpha blockers are sometimes prescribed for prostate problems or high blood pressure)
• Have an intolerance to some sugars

Can Other Medicines Affect Tadalafil?

Do not take Tadalafil with other treatments for Erectile Dysfunction. Tell your healthcare professional about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements. Know the medicines you take. Keep a list of them with you to show your healthcare professional. Do not take Tadalafil if you are already taking nitrates. Some other medicines may be affected by Tadalafil, please read the manufacturers information leaflet.

 

Can Food, Drink and Alcohol Affect Tadalafil?

Grapefruit juice may affect how well Tadalafil will work and should be taken with caution. Drinking alcohol may affect your ability to get an erection and may temporarily lower your blood pressure. If you have taken or are planning to take Tadalafil, avoid excessive drinking (blood alcohol level of 0.08% of greater), since this may increase the risk of dizziness when standing up.
 

More information can be found in the manufacturers information leaflet.

 

Tadalafil Is A Prescription Only Medication (POM)

 

E-Consultation

To have your private e-consultation for Tadalafil online, just click on the "Dosage & Prices" tab above, and select the dosage strength and quantity you prefer. (Please note that the dosage strength and quantity you have selected my not be what the doctor prescribes, or even that you will successfully obtain a private prescription. This will be determined by the doctor.) Then follow the on-screen instructions for completeing your private online e-consultation for Tadalafil.

Even though you are required to provide payment details (for the medication) before your e-consultation information can be submitted to our doctor, if our doctor determines that it is not suitable to issue you a private prescription for Tadalafil, then your card will NOT be charged, and we will inform you of the doctor's decision.

If our doctor determines that it's OK to issue you a private prescription for Tadalafil, then they will electronically submit your prescription to our pharmacy supplier. Our pharmacy supplier will then dispense and despatch your medication directly to you via Royal Mail Special Delivery.

 

TADALAFIL 10mg and 20 mg film-coated tablets

Tadalafil

Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.

• Keep this leaflet. You may need to read it again.

• If you have any further questions, ask your doctor or pharmacist.
• This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
• If you get any side effects talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

What is in this leaflet:

1. What TADALAFIL is and what it is used for
2. What you need to know before you take TADALAFIL
3. How to take TADALAFIL
4. Possible side effects
5 How to store TADALAFIL
6. Contents of the pack and other information

TADALAFIL is a treatment for adult men with erectile dysfunction. This is when a man cannot get, or keep a hard, erect penis suitable for sexual activity. TADALAFIL has been shown to significantly improve the ability of obtaining a hard erect penis suitable for sexual activity.

TADALAFIL contains the active substance tadalafil which belongs to a group of medicines called phosphodiesterase type 5 inhibitors. Following sexual stimulation TADALAFIL works by helping the blood vessels in your penis to relax, allowing the flow of blood into your penis. The result of this is improved erectile function. TADALAFIL will not help you if you do not have erectile dysfunction.

It is important to note that TADALAFIL does not work if there is no sexual stimulation. You and your partner will need to engage in foreplay, just as you would if you were not taking a medicine for erectile dysfunction.

Do not take TADALAFIL if you:

• are allergic to tadalafil or any of the other ingredients of this medicine (listed in section 6).
• are taking any form of organic nitrate or nitric oxide donors such as amyl nitrite. This is a group of medicines (“nitrates”) used in the treatment of angina pectoris (“chest pain”). TADALAFIL has been shown to increase the effects of these medicines. If you are taking any form of nitrate or are unsure tell your doctor.
• have serious heart disease or recently had a heart attack within the last 90 days.
• recently had a stroke within the last 6 months.
• have low blood pressure or uncontrolled high blood pressure.
• ever had loss of vision because of non-arteritic anterior ischemic optic neuropathy (NAION), a condition described as “stroke of the eye”.
• are taking riociguat. This drug is used to treat pulmonary arterial hypertension (i.e., high blood pressure in the lungs) and chronic thromboembolic pulmonary hypertension (i.e., high blood pressure in the lungs secondary to blood clots). PDE5 inhibitors, such as TADALAFIL, have been shown to increase the hypotensive effects of this medicine. If you are taking riociguat or are unsure tell your doctor.

Warnings and precautions

Talk to your doctor before taking TADALAFIL.

Be aware that sexual activity carries a possible risk to patients with heart disease because it puts an extra strain on your heart. If you have a heart problem you should tell your doctor.

Before taking the tablets, tell your doctor if you have:

• sickle cell anaemia (an abnormality of red blood cells).
• multiple myeloma (cancer of the bone marrow).
• leukaemia (cancer of the blood cells).
• any deformation of your penis.
• a serious liver problem.
• a severe kidney problem.

It is not known if TADALAFIL is effective in patients who have had:

• pelvic surgery.
• removal of all or part of the prostate gland in which nerves of the prostate are cut (radical non-nerve-sparing prostatectomy).

If you experience sudden decrease or loss of vision, stop taking TADALAFIL and contact your doctor immediately.

Decreased or sudden hearing loss has been noted in some patients taking TADALAFIL. Although it is not known if the event is directly related to TADALAFIL, if you experience decreased or sudden hearing loss, stop taking TADALAFIL and contact your doctor immediately.

TADALAFIL is not intended for use by women.

Children and adolescents

TADALAFIL is not intended for use by children and adolescents under the age of 18.

Other medicines and TADALAFIL

Tell your doctor if you are taking, have recently taken or might take any other medicines

Do not take TADALAFIL if you are already taking nitrates.

Some medicines may be affected by TADALAFIL or they may affect how well TADALAFIL will work. Tell your doctor or pharmacist if you are already taking:

• an alpha blocker (used to treat high blood pressure or urinary symptoms associated with benign prostatic hyperplasia).
• other medicines to treat high blood pressure.
• riociguat.
• a 5- alpha reductase inhibitor (used to treat benign prostatic hyperplasia).
• medicines such as ketoconazole tablets (to treat fungal infections) and protease inhibitors for treatment of AIDS or HIV infection.
• phenobarbital, phenytoin and carbamazepine (anticonvulsant medicines).
• rifampicin, erythromycin , clarithromycin or itraconazole.
• other treatments for erectile dysfunction.

TADALAFIL with drink and alcohol

Information on the effect of alcohol is in section 3. Grapefruit juice may affect how well TADALAFIL will work and should be taken with caution. Talk to your doctor for further information.

Fertility

When dogs were treated there was reduced sperm development in the testes. A reduction in sperm was seen in some men. These effects are unlikely to lead to a lack of fertility.

Driving and using machines

Some men taking TADALAFIL in clinical studies have reported dizziness. Check carefully how you react to the tablets before driving or using machines.

TADALAFIL contains lactose:

If you have an intolerance to some sugars, contact your doctor before taking this medicine.

Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.

TADALAFIL tablets are for oral use in men only. Swallow the tablet whole with some water. The tablets can be taken with or without food.

The recommended starting dose is one 10 mg tablet before sexual activity. However, you have been given the dose of one 20mg tablet as your doctor has decided that the recommended dose of 10mg is too weak.

You may take a TADALAFIL tablet at least 30 minutes before sexual activity.

TADALAFIL may still be effective up to 36 hours after taking the tablet.

Do not take TADALAFIL more than once a day. TADALAFIL 10 mg and 20 mg is intended for use prior to anticipated sexual activity and is not recommended for continuous daily use.

It is important to note that TADALAFIL does not work if there is no sexual stimulation. You and your partner will need to engage in foreplay, just as you would if you were not taking a medicine for erectile dysfunction.

Drinking alcohol may affect your ability to get an erection and may temporarily lower your blood pressure. If you have taken or are planning to take TADALAFIL, avoid excessive drinking (blood alcohol level of 0.08 % or greater), since this may increase the risk of dizziness when standing up.

If you take more TADALAFIL than you should

Contact your doctor. You may experience side effects described in section 4.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

Like all medicines, this medicine can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature.

If you experience any of the following side effects stop using the medicine and seek medical help immediately:

• allergic reactions including rashes (frequency uncommon).
• chest pain - do not use nitrates but seek immediate medical assistance (frequency uncommon).
• priapism, a prolonged and possibly painful erection after taking TADALAFIL (frequency rare). If you have such an erection, which lasts continuously for more than 4 hours you should contact a doctor immediately.
• sudden loss of vision (frequency rare).

Other side effects have been reported:

Common (seen in 1 to 10 in every 100 patients)

• headache, back pain, muscle aches, pain in arms and legs, facial flushing, nasal congestion, and indigestion.

Uncommon (seen in 1 to 10 in every 1,000 patients)

• dizziness, stomach ache, feeling sick, being sick (vomiting), reflux, blurred vision, eye pain, difficulty in breathing, presence of blood in urine, prolonged erection, pounding heartbeat sensation, a fast heart rate, high blood pressure, low blood pressure, nose bleeds, ringing in the ears, swelling of the hands, feet or ankles and feeling tired.

Rare (seen in 1 to 10 in every 10,000 patients)

• fainting, seizures and passing memory loss, swelling of the eyelids, red eyes, sudden decrease or loss of hearing, hives (itchy red welts on the surface of the skin), penile bleeding, presence of blood in semen and increased sweating.

Heart attack and stroke have also been reported rarely in men taking TADALAFIL. Most of these men had known heart problems before taking this medicine.

Partial, temporary, or permanent decrease or loss of vision in one or both eyes has been rarely reported.

Some additional rare side effects have been reported in men taking TADALAFIL that were not seen in clinical trials. These include:

• migraine, swelling of the face, serious allergic reaction which causes swelling of the face or throat, serious skin rashes, some disorders affecting blood flow to the eyes, irregular heartbeats, angina and sudden cardiac death.

The side effect dizziness has been reported more frequently in men over 75 years of age taking TADALAFIL. Diarrhoea has been reported more frequently in men over 65 years of age taking TADALAFIL.

Reporting of side effects

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the national reporting system

United Kingdom:

Yellow Card Scheme

website:www.mhra.gov.uk/yellowcard

or Ireland:

HPRA Pharmacovigilance
Earlsfort Terrace
IRL - Dublin 2

Tel: +353 1 6764971

Fax: +353 1 6762517

Website: www.hpra.ie

E-mail:medsafety@hpra.ie

Malta:

ADR Reporting

Website: www.medicinesauthority.gov.mt/adrportal

By reporting side effects you can help provide more information on the safety of this medicine.

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date which is stated on the carton and blister after ‘EXP’. The expiry date refers to the last day of that month.

Store in the original package in order to protect from moisture. Do not store above 30°C.

Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.

What TADALAFIL contains

• The active substance is tadalafil. Each tablet contains 10 mg or 20mg of TADALAFIL.
• The other ingredients are: 
  Tablet core: lactose monohydrate (see end of section 2), croscarmellose sodium, hydroxypropylcellulose, microcrystalline cellulose, sodium laurilsulfate, magnesium stearate. 
  Film-coat: lactose monohydrate, hypromellose, triacetin, titanium dioxide (E171), iron oxide yellow (E172), talc.

This leaflet was last revised in February 2017.

Detailed information on this medicine is available on the European Medicines Agency web site: http://www.ema.europa.eu

 

 

TADALAFIL 2.5 mg and 5mg film-coated tablets

TADALAFIL

Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.

• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor or pharmacist.
• This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
• If you get any side effects talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

What is in this leaflet:

1. What TADALAFIL is and what it is used for
2. What you need to know before you take TADALAFIL
3. How to take TADALAFIL
4. Possible side effects
5 How to store TADALAFIL
6. Contents of the pack and other information

TADALAFIL is a treatment for adult men with erectile dysfunction. This is when a man cannot get, or keep a hard, erect penis suitable for sexual activity. TADALAFIL has been shown to significantly improve the ability of obtaining a hard erect penis suitable for sexual activity.

TADALAFIL contains the active substance tadalafil which belongs to a group of medicines called phosphodiesterase type 5 inhibitors. Following sexual stimulation TADALAFIL works by helping the blood vessels in your penis to relax, allowing the flow of blood into your penis. The result of this is improved erectile function. TADALAFIL will not help you if you do not have erectile dysfunction.

It is important to note that TADALAFIL does not work if there is no sexual stimulation. You and your partner will need to engage in foreplay, just as you would if you were not taking a medicine for erectile dysfunction.

Do not take TADALAFIL if you:

• are allergic to tadalafil or any of the other ingredients of this medicine (listed in section 6).
• are taking any form of organic nitrate or nitric oxide donors such as amyl nitrite. This is a group of medicines (“nitrates”) used in the treatment of angina pectoris (“chest pain”). TADALAFIL has been shown to increase the effects of these medicines. If you are taking any form of nitrate or are unsure tell your doctor.
• have serious heart disease or recently had a heart attack within the last 90 days.
• recently had a stroke within the last 6 months.
• have low blood pressure or uncontrolled high blood pressure.
• ever had loss of vision because of non-arteritic anterior ischemic optic neuropathy (NAION), a condition described as “stroke of the eye”.
• are taking riociguat. This drug is used to treat pulmonary arterial hypertension (i.e., high blood pressure in the lungs) and chronic thromboembolic pulmonary hypertension (i.e., high blood pressure in the lungs secondary to blood clots). PDE5 inhibitors, such as TADALAFIL, have been shown to increase the hypotensive effects of this medicine. If you are taking riociguat or are unsure tell your doctor.

Warnings and precautions

Talk to your doctor before taking TADALAFIL.

Be aware that sexual activity carries a possible risk to patients with heart disease because it puts an extra strain on your heart. If you have a heart problem you should tell your doctor.

Before taking the tablets, tell your doctor if you have:

• sickle cell anaemia (an abnormality of red blood cells).
• multiple myeloma (cancer of the bone marrow).
• leukaemia (cancer of the blood cells).
• any deformation of your penis.
• a serious liver problem.
• a severe kidney problem.

It is not known if TADALAFIL is effective in patients who have had:

• pelvic surgery.
• removal of all or part of the prostate gland in which nerves of the prostate are cut (radical non-nerve-sparing prostatectomy).

If you experience sudden decrease or loss of vision, stop taking TADALAFIL and contact your doctor immediately.

Decreased or sudden hearing loss has been noted in some patients taking tadalafil. Although it is not known if the event is directly related to tadalafil, if you experience decreased or sudden hearing loss, stop taking TADALAFIL and contact your doctor immediately.

TADALAFIL is not intended for use by women.

Children and adolescents

TADALAFIL is not intended for use by children and adolescents under the age of 18.

Other medicines and TADALAFIL

Tell your doctor if you are taking, have recently taken or might take any other medicines

Do not take TADALAFIL if you are already taking nitrates.

Some medicines may be affected by TADALAFIL or they may affect how well TADALAFIL will work. Tell your doctor or pharmacist if you are already taking:

• an alpha blocker (used to treat high blood pressure or urinary symptoms associated with benign prostatic hyperplasia).
• other medicines to treat high blood pressure.
• riociguat.
• a 5- alpha reductase inhibitor (used to treat benign prostatic hyperplasia).
• medicines such as ketoconazole tablets (to treat fungal infections) and protease inhibitors for treatment of AIDS or HIV infection.
• phenobarbital, phenytoin and carbamazepine (anticonvulsant medicines).
• rifampicin, erythromycin , clarithromycin or itraconazole.
• other treatments for erectile dysfunction.

TADALAFIL with drink and alcohol

Information on the effect of alcohol is in section 3. Grapefruit juice may affect how well TADALAFIL will work and should be taken with caution. Talk to your doctor for further information.

Fertility

When dogs were treated there was reduced sperm development in the testes. A reduction in sperm was seen in some men. These effects are unlikely to lead to a lack of fertility.

Driving and using machines

Some men taking TADALAFIL in clinical studies have reported dizziness. Check carefully how you react to the tablets before driving or using machines.

TADALAFIL contains lactose:

If you have an intolerance to some sugars, contact your doctor before taking this medicine.

Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.

TADALAFIL tablets are for oral use in men only. Swallow the tablet whole with some water. The tablets can be taken with or without food.

The recommended dose is one 5 mg tablet taken once a day at approximately the same time of the day. Your doctor may adjust the dose to 2.5 mg based on your response to TADALAFILTADALAFIL. This will be given as a 2.5mg tablet.

Do not take TADALAFIL more than once a day.

Once a day dosing of TADALAFIL may be useful to men who anticipate having sexual activity two or more times per week.

When taken once a day TADALAFIL allows you to obtain an erection, when sexually stimulated, at any time point during the 24 hours of the day.

It is important to note that TADALAFIL does not work if there is no sexual stimulation. You and your partner will need to engage in foreplay, just as you would if you were not taking a medicine for erectile dysfunction.

Drinking alcohol may affect your ability to get an erection and may temporarily lower your blood pressure. If you have taken or are planning to take TADALAFIL, avoid excessive drinking (blood alcohol level of 0.08 % or greater), since this may increase the risk of dizziness when standing up.

If you take more TADALAFIL than you should

Contact your doctor. You may experience side effects described in section 4.

If you forget to take TADALAFIL

Take your dose as soon as you remember but do not take a double dose to make up for a forgotten tablet. You should not take TADALAFIL more than once a day.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

Like all medicines, this medicine can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature.

If you experience any of the following side effects stop using the medicine and seek medical help immediately:

• allergic reactions including rashes (frequency uncommon).
• chest pain - do not use nitrates but seek immediate medical assistance (frequency uncommon).
• priapsim, a prolonged and possibly painful erection after taking TADALAFIL (frequency rare). If you have such an erection, which lasts continuously for more than 4 hours you should contact a doctor immediately.
• sudden loss of vision (frequency rare).

Other side effects have been reported:

Common (seen in 1 to 10 in every 100 patients)

• headache, back pain, muscle aches, pain in arms and legs, facial flushing, nasal congestion, and indigestion.

Uncommon (seen in 1 to 10 in every 1,000 patients)

• dizziness, stomach ache, feeling sick, being sick (vomiting), reflux, blurred vision, eye pain, difficulty in breathing, presence of blood in urine, prolonged erection, pounding heartbeat sensation, a fast heart rate, high blood pressure, low blood pressure, nose bleeds, ringing in the ears, swelling of the hands, feet or ankles and feeling tired.

Rare (seen in 1 to 10 in every 10,000 patients)

• fainting, seizures and passing memory loss, swelling of the eyelids, red eyes, sudden decrease or loss of hearing, hives (itchy red welts on the surface of the skin), penile bleeding, presence of blood in semen and increased sweating.

Heart attack and stroke have also been reported rarely in men taking TADALAFIL. Most of these men had known heart problems before taking this medicine.

Partial, temporary, or permanent decrease or loss of vision in one or both eyes has been rarely reported.

Some additional rare side effects have been reported in men taking TADALAFIL that were not seen in clinical trials. These include:

• migraine, swelling of the face, serious allergic reaction which causes swelling of the face or throat, serious skin rashes, some disorders affecting blood flow to the eyes, irregular heartbeats, angina and sudden cardiac death.

The side effect dizziness has been reported more frequently in men over 75 years of age taking TADALAFIL. Diarrhoea has been reported more frequently in men over 65 years of age taking TADALAFIL.

Reporting of side effects

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the national reporting system

United Kingdom:

Yellow Card Scheme

website: www.mhra.gov.uk/yellowcard

or

Ireland:

HPRA Pharmacovigilance
Earlsfort Terrace
IRL - Dublin 2

Tel: +353 1 6764971

Fax: +353 1 6762517

Website: www.hpra.ie

E-mail: medsafety@hpra.ie

By reporting side effects you can help provide more information on the safety of this medicine.

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date which is stated on the carton and blister after ‘EXP’. The expiry date refers to the last day of that month.

Store in the original package in order to protect from moisture. Do not store above 30°C.

Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.

What TADALAFIL contains

• The active substance is TADALAFIL. Each tablet contains 2.5 mg or 5mg of TADALAFIL.
• The other ingredients are:
  Tablet core: lactose monohydrate (see end of section 2), croscarmellose sodium, hydroxypropylcellulose, microcrystalline cellulose, sodium laurilsulfate, magnesium stearate. 
  Film-coat: lactose monohydrate, hypromellose, triacetin, titanium dioxide (E171), iron oxide yellow (E172), iron oxide red (E172), talc.

This leaflet was last revised in February 2017.

Detailed information on this medicine is available on the European Medicines Agency web site: http://www.ema.europa.eu