The text only version may be available in large print, Braille or audio CD. For further information call emc accessibility on 0800 198 5000. The product code(s) for this leaflet is: PL 53886/0076.
Cialis Together 10mg Tablets
Cialis Together 10mg tablets
Always take this medicine exactly as described in this leaflet or as your pharmacist or doctor has told you.
1. What Cialis Together tablets are and what they are used for
2. What you need to know before you take Cialis Together tablets
3. How to take Cialis Together tablets
4. Possible side effects
5. How to store Cialis Together tablets
6. Contents of the pack and other information
Cialis Together tablets are a treatment for adult men who have erection problems (erectile dysfunction). This is when a man cannot get, or keep an erection hard enough for satisfactory sexual activity.
Cialis Together tablets contain the active substance tadalafil. It belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors.
It works by relaxing the blood vessels in your penis, allowing blood flow into your penis.
It is important to know that you will not get an erection just by taking Cialis Together tablets. This medicine works with your body’s natural function to get an erection only when you are sexually stimulated.
Talk to your pharmacist or doctor before taking Cialis Together tablets.
Sexual activity can put extra strain on your heart.
If you have a heart problem or think you might have a heart problem you should tell your pharmacist or doctor.
It is important to have a check-up with your doctor as soon as possible within the first 6 months of using Cialis Together tablets to ensure that your erection problems are not caused by another serious health condition.
Even if you feel healthy, your erection problems may be linked to other serious health conditions. Erectile dysfunction may be an early sign of:
You should discuss your symptoms and these conditions with your doctor if you have not already done so.
Cardiovascular risk factors
Before taking Cialis Together 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:
Other risk factors
Talk to your doctor before taking Cialis Together if you:
Speak to your doctor if you have:
If you experience sudden decrease or loss of vision, stop taking Cialis Together tablets 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 Cialis Together tablets and contact your doctor immediately.
Cialis Together tablets are not intended for use by children and adolescents under the age of 18.
Tell your pharmacist or doctor if you are taking, have recently taken or might take any other medicines.
Some medicines may be affected by Cialis Together tablets or they may affect how well Cialis Together tablets will work. Tell your pharmacist or doctor if you are already taking:
Grapefruit juice may affect how well Cialis Together tablets will work and must be avoided.
Drinking excessive alcohol can temporarily reduce your ability to get an erection. To get the maximum benefit from your medicine, you are advised not to drink large amounts of alcohol before sexual activity.
Talk to your pharmacist or doctor for further information
Do not take amyl nitrite (also known as “poppers”) as recreational drugs, as the combination may lead to a dangerous fall in blood pressure.
Avoid the use of Cialis Together with other recreational drugs (including but not limited to nitrous oxide, GHB/GBL, methamphetamines, MDMA/ecstasy, ketamine, flunitrazepam, cannabis, opioids, cocaine, etc.), as it may lead to side effects such as dizziness, decrease of blood pressure, stroke or heart attack, seizures, priapism, and coma.
This medicine should not be used by women.
Some men taking Cialis Together tablets in clinical studies have reported dizziness. Check carefully how you react to the tablets before driving or using machines.
If you have an intolerance to some sugars, contact your doctor before taking this medicine.
This medicine contains less than 1 mmol sodium (23 mg) per tablet, that is to say essentially ‘sodium free’.
Always take this medicine exactly as described in this leaflet or as your pharmacist or doctor has told you. Check with your pharmacist or doctor if you are not sure.
You can get an erection, when sexually stimulated, in 30 minutes and for up to 36 hours after taking one Cialis Together tablet.
The tablets can be taken with or without food.
This medicine is intended for use prior to anticipated sexual activity. It is not recommended for continuous daily use. Talk to your doctor if you feel you need to take this medicine every day.
You will not get an erection just by taking Cialis Together tablets. This medicine will only help you get an erection if you are sexually aroused.
You and your partner will need to engage in foreplay, just as you would if you were not taking a medicine for erectile dysfunction.
Remember to relax and be patient. There is no rush. If you are not successful the first time, try to have sex again, but remember you can only take one tablet a day. For most men, Cialis Together tablets will work the first or second time they try it.
If it has been some time since you were able to get or keep an erection, it may take several attempts before you are able to achieve an erection. If you feel the effect of Cialis Together tablets is too strong or too weak, talk to your pharmacist or doctor.
Talk to your pharmacist or doctor if you have taken Cialis Together tablets as directed and are still not able to get and keep an erection.
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 pharmacist or doctor.
Like all medicines, this medicine can cause side effects, although not everybody gets them.
These effects are normally mild to moderate in nature.
Other side effects have been reported:
Common (may affect up to 1 in 10 people)
Uncommon (may affect up to 1 in 100 people)
Rare (may affect up to 1 in 1000 people)
Heart attack and stroke have also been reported rarely in men taking Cialis Together tablets. 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 Cialis Together tablets that were not seen in clinical trials. These include:
The side effect dizziness has been reported more frequently in men over 75 years of age taking Cialis Together tablets. Diarrhoea has been reported more frequently in men over 65 years of age taking Cialis Together tablets.
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 Yellow Card Scheme at: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store.
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.
Cialis Together tablets are a light yellow film-coated tablet in the shape of an almond and have “C 10” marked on one side.
Cialis Together tablets are available in blister packs containing 2, 4 or 8 tablets. Not all pack sizes may be marketed.
Marketing Authorisation Holder:
This leaflet was last revised in January 2023