What is a Patient Information Leaflet and why is it useful?

The Patient Information Leaflet (PIL) is the leaflet included in the pack with a medicine. It is written for patients and gives information about taking or using a medicine. It is possible that the leaflet in your medicine pack may differ from this version because it may have been updated since your medicine was packaged.

Below is a text only representation of the Patient Information Leaflet. The original can be viewed in PDF format using the link above.

The text only version may be available from RNIB in large print, Braille or audio CD. For further information call RNIB Medicine Leaflet Line on 0800 198 5000. The product code(s) for this leaflet is: PL35533/0067 .

Tadalafil 10mg film-coated tablets

Package leaflet: Information for the patient

Tadalafil 10mg 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

1 What Tadalafil is and what it is used for

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.

2 What you need to know before you take Tadalafil

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 or pharmacist 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.

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 or itraconazole tablets (used to treat fungal infections)
  • protease inhibitors for treatment of AIDS or HIV infection.
  • phenobarbital, phenytoin and carbamazepine (anticonvulsant medicines used to treat epilepsy).
  • rifampicin, erythromycin or clarithromycin (antibiotics used to treat bacterial infections).
  • 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

A reduction in sperm was seen in some men and reduced sperm development was seen during testing, in dogs. 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. If you experience side effects which may affect your ability to drive or operate machinery safely, then do not do either of these activities until the effects have completely disappeared.

Tadalafil contains lactose

If you have been told by your doctor you have an intolerance to some sugars, contact your doctor before taking this medicinal product.

3 How to take Tadalafil

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 10mg tablet before sexual activity. If the effect of this dose is too weak your doctor may increase the dose to 20mg. Tadalafil tablets are for oral use.

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 10mg and 20mg 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, which equates to approximately 4 units of alcohol for a man of average weight), 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.

4 Possible side effects

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 taking 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 (may affect up to 1 in 10 people)

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

Uncommon (may affect up to 1 in 100 people)

  • dizziness
  • stomach ache, feeling sick, being sick (vomiting) and 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
  • feeling tired

Rare (may affect up to 1 in 1000 people)

  • 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
  • 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 (may affect up to 1 in 1000 people) 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
  • 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 Yellow Card Scheme (website: www.mhra.gov.uk/yellowcard).

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

5 How to store Tadalafil

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. This medicine does not require any special temperature storage conditions.

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.

6 Contents of the pack and other information

What Tadalafil contains

  • The active substance is tadalafil. Each tablet contains 10mg of tadalafil.
  • The other ingredients are:
    Tablet core: lactose monohydrate (see end of section 2), hydroxypropyl cellulose (E463), croscarmellose sodium (E468), sodium lauryl sulfate, povidone K-25, silica colloidal anhydrous, magnesium stearate (E572).
    Film-coat: hypromellose (E464), titanium dioxide (E171), macrogol, talc, iron oxide yellow (E172).

What Tadalafil looks like and contents of the pack

Tadalafil 10mg is a yellow to light yellow round film-coated tablet with ‘338’ imprinted on one side.

Tadalafil 10mg is available in blister packs containing 2, 4, 8, 10 or 12 tablets.

Not all pack sizes may be marketed

Marketing Authorisation Holder and Manufacturer

Aspire Pharma Ltd
Unit 4, Rotherbrook Court
Bedford Road
Petersfield
Hampshire
GU32 3QG
United Kingdom

Alternative manufacturer

Pharmadox Healthcare Limited
KW20A Kordin Industrial Park
Paola
PLA 3000
Malta

This leaflet was last revised in 04/2017.

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