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Read this important information before you start taking CIALIS and each time you get a refill. There
may be new information. You may also find it helpful to share this information with your partner. This
information does not take the place of talking with your healthcare provider. You and your healthcare
provider should talk about CIALIS when you start taking it and at regular checkups. If you do not
understand the information, or have questions, talk with your healthcare provider or pharmacist.
What Is The Most Important Information I Should Know About CIALIS?
CIALIS can cause your blood pressure to drop suddenly to an unsafe level if it is taken with
certain other medicines. You could get dizzy, faint, or have a heart attack or stroke. Never take
CIALIS with any nitrate or guanylate cyclase stimulator medicines.
Do not take CIALIS if you take any medicines called “nitrates.” Nitrates are commonly used to
treat angina. Angina is a symptom of heart disease and can cause pain in your chest, jaw, or down
your arm.
Do not take CIALIS if you take medicines called guanylate cyclase stimulators which include:
• Riociguat (Adempas®
) a medicine that treats pulmonary arterial hypertension and chronicthromboembolic pulmonary hypertension.
Ask your healthcare provider or pharmacist if you are not sure if any of your medicines are nitrates or
guanylate cyclase stimulators, such as riociguat.
(See “Who Should Not Take CIALIS?”)
Tell all of your healthcare providers that you take CIALIS. If you need emergency medical care for a
heart problem, it will be important for your healthcare provider to know when you last took CIALIS.
After taking a single tablet, some of the active ingredient of CIALIS remains in your body for
more than 2 days. The active ingredient can remain longer if you have problems with your kidneys or
liver, or you are taking certain other medications (see “Can Other Medicines Affect CIALIS?”).
Stop sexual activity and get medical help right away if you get symptoms such as chest pain,
dizziness, or nausea during sex. Sexual activity can put an extra strain on your heart, especially if
your heart is already weak from a heart attack or heart disease.
See also “What Are The Possible Side Effects Of CIALIS?”