Cialis contraindications and warnings

Contraindications

In the following, you will receive information on the use of Tadalafil in general in pregnancy, breastfeeding and children. Please note that the counter-indications may vary depending on the dosage of a medication (tablet, syringe, ointment, etc.).

When can not Tadalafil be used?

The active substance should not be used in case of hypersensitivity to tadalafil, or when alpha-adrenoceptor antagonists (alpha-sympatholytic drugs) or nitro-based vasodilators (nitrates) are used, as this may lead to a severe blood pressure drop.

Also, the drug should not be administered to patients with severe cardiovascular disease such as unstable angina pectoris, cardiac arrhythmia, or severe heart muscle weakness (heart failure NYHA II and III), after a stroke that is less than six months, or heart attack (myocardial infarction within the first three months).

Tadalafil should also not be used in cases of severe renal or hepatic impairment, low blood pressure (hypotonia with a systole value below 90 mmHg) or the hereditary disorder of the retinal pigment (retinitis pigmentosa).

The active substance may only be taken after careful medical benefit-risk assessment in cases of severe arterial blood flow disturbances, in particular a constriction in the area of the main aortic stenosis (aortic stenosis), a disturbance of the blood pressure control (multisystem atrophy) and gastric and duodenal ulcers >
Patients with disorders of blood clotting, sickle cell anemia, or certain forms of blood cancer (eg leukemia, plasmocytoma), anatomical malformations of the penis, or even painful endocarditis (priapism) may use Tadalafil only after consultation with their doctor / p>

In patients with renal insufficiency or hepatic impairment (eg cirrhosis of the liver) a reduction in the dose of tadalafil is recommended by the doctor.

What should you watch out for during pregnancy and lactation?

Against erectile dysfunction, the active substance is only approved for use in men.

There is only limited knowledge of the use of tadalafil in pregnant women for use with pulmonary hypertension. Animal experiments do not suggest direct or indirect adverse effects on the course of pregnancy and the development of offspring. However, the doctor will be careful not to use Tadalafil during pregnancy.

Available studies show an excretion of tadalafil in the milk of animals. A risk for the infant in humans can therefore not be ruled out. Tadalafil should not be taken during lactation.

What should be considered in children?

The active substance is not suitable for children and adolescents under 18 years of age.

Warnings and Precautions

    • Taking the medication causes a temporary, slight blood pressure drop.
    • There may be an increased risk of a heart attack, cardiac arrhythmias, and other, sometimes life-threatening cardiovascular disorders, in connection with sexual activity when taking the drug.
    • If vision problems occur, the patients should consult an ophthalmologist.
    • The use of the medication should not be combined with other treatment methods for erectile dysfunction.
    • If you stop taking the medication, the stiffness of your limb is unusually long, seek medical advice, as it may cause permanent damage to your swelling.
    • Before taking the medication, the patient and especially his cardiovascular system should be physically examined.
    • The medication should not be taken with grapefruit juice, as this will increase the effect and side effects.

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  • This medicine can cause dizziness, drowsiness and dizziness
  • The ability to react can be altered by the medication so that driving or operating machinery is dangerous. This is especially true in alcohol.

Sometimes medicinal drugs cause allergic reactions.
If you experience signs of an allergic reaction, contact your doctor or pharmacist immediately.