Tadalafil

Common side effects of tadalafil:

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

Uncommon side effects of tadalafil:

• dizziness
• nausea
• vomiting
• stomach ache
• reflux
• eye pain
• blurred vision
• difficulty breathing
• blood in your urine
• prolonged erection
• fast heartbeat
• pounding heartbeat
• changes in blood pressure
• tiredness
• swelling
• nose bleeds

For a full list of the possible side effects of tadalafil, you can read the patient information leaflet.

If you experience any side effects when taking tadalafil, please see your doctor as soon as possible.

You can take tadalafil if you’re over 18 years old and have erectile dysfunction.

Do not take tadalafil if you:

• are genetically female
• are allergic to any of the ingredients
• are under 18 years old
• are taking a medication called nitrates, for example, to treat angina
• have had a heart attack in the past 90 days
• have had a stroke in the past 6 months
• have serious heart disease
• have low blood pressure
• have uncontrolled high blood pressure
• have ever had vision loss from non-arteritic anterior ischemic optic neuropathy (NAION)
• are taking a medicine called riociguat

Speak to your doctor before taking tadalafil if you have:

• a heart problem
• sickle cell anaemia
• multiple myeloma
• leukaemia
• a deformation of your penis
• persistent erections which last longer than 4 hours (priapism)
• a serious liver or kidney problem
• an intolerance to some sugars

If you’re not sure whether you can take tadalafil, speak to your doctor beforehand.

For further information, please read the patient information leaflet.

Some other medications can interact with how tadalafil works. So tell your doctor if you’re taking, or have recently taken, any other medications.

Some of these medications include:

• alpha blockers
• high blood pressure medications
• riociguat
• 5 alpha reductase inhibitors for benign prostatic hyperplasia
• ketoconazole
• some HIV medications such as protease inhibitors
• epilepsy medications such as phenobarbital, phenytoin and carbamazepine
• rifampicin
• erythromycin
• clarithromycin
• itraconazole
• other erectile dysfunction medications

For more information about tadalafil interactions, you can read the patient information leaflet.

Alternative treatments to tadalafil include:

• Viagra
• Cialis
• Spedra
• Sildenafil
• Levitra

If you do not think tadalafil is right for you, speak to your doctor and they can give you advice on an alternative treatment that might work better for you.