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Introduction About TADAFLO
TADAFLO contains Tadalafil which belongs to the group of medicines called Phosphodiesterase type 5 (PDE 5) inhibitors. It helps in relaxing the blood vessels and allows more blood flow to the penis. It is also used for pulmonary arterial hypertension (PAH).
Avoid consuming alcohol or grapefruit juice while taking TADAFLO as it may lead to unwanted side effects. Before taking TADAFLO, inform your doctor if you have any liver, kidney or heart problems. You must also inform your doctor if you have any deformity in your penis or have undergone surgical removal of the whole or a part of the prostate gland. TADAFLO is not recommended for use in patients with severely low or high blood pressure and in patients who recently had a stroke. It is also not suitable for use in pregnant or breastfeeding women unless considered necessary by the physician.
The most common side effects of taking TADAFLO are flushing, headache, dizziness, blurred vision and muscle pain. Consult your doctor if any of these side effects troubles you. You must also inform your doctor if you experience any pain after taking TADAFLO.
Uses Of TADAFLO
It is used:
- To improve blood flow and oxygen supply to the penis
- For Pulmonary Arterial Hypertension (PAH)
How TADAFLO Works
TADAFLO works by blocking the effects of certain enzymes (PDE5) which limits blood flow to the penis. Therefore, it relaxes the blood vessels supplying the penis and improves blood flow and oxygen supply. For Pulomonary arterial hypertension, TADAFLO relaxes the blood vessels supplying the lungs which enable the blood to flow more smoothly within them with less pressure, leading to reduction in the signs of pulmonary arterial hypertension.
How to use TADAFLO
Take TADAFLO as advised by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine. Your doctor will decide the correct dose and duration of therapy for you depending on your age, body weight and disease condition.
Side Effects Of TADAFLO
Common
- Headache
- Back pain, muscle pain
- Pain in arms and legs
- Flushing of the face
- Nasal congestion
- Indigestion
- Swelling of the face
- Uterine bleeding
- Nausea, indigestion, stomach pain, acidity
Uncommon
- Dizziness
- Vomiting
- Blurred vision, eye pain
- Difficulty in breathing
- Blood in urine
- Palpitation (racing heartbeat)
- Changes in blood pressure (high/low)
- Nasal bleeds
- Tinnitus (ringing in ears)
- Tiredness
Rare
- Bleeding from penis
- Blood in semen
Stop taking TADAFLO and contact your doctor immediately if you experience any of the following side effects:
- Severe allergic reaction (such as wheeziness, difficulty in breathing or dizziness, swelling of the face, lips, eyelids or throat)
- Priapism
- Chest pain
- Sudden decline or loss of vision
- Decreased hearing or sudden hearing loss
How To Manage Side Effects
Dizziness Or Drowsiness
Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or machines completely while you are feeling dizzy. Do not consume excessive alcohol, as it could aggravate your dizziness. Consult your doctor if your dizziness worsens.
Headache
Rest and relax. Keep yourself hydrated by drinking plenty of fluids such as water or electrolytes. Applying a pain-relieving balm on your forehead can be beneficial. Do not consume excessive alcohol, as it could aggravate your headache. Consult your doctor if your headache worsens.
Nausea And Vomiting
Take TADAFLO with or just after meals. Stick to simple meals. Avoid eating oil-rich or spicy foods. Consult your doctor if your symptom worsens.
Warning & Precautions
Pregnancy
Monitoring requiredTADAFLO is not recommended for use in pregnant women unless considered necessary by the physician. Therefore, consult your doctor before taking it.
Breastfeeding
ContraindicatedTADAFLO is not recommended for use in breastfeeding women. Therefore, consult your doctor before taking it.
Driving and Using Machines
Use with CautionDo not drive or operate any machines if you experience dizziness or blurred vision after taking TADAFLO.
Alcohol
Consult your doctorAvoid consumption of alcohol while taking TADAFLO.
Kidney
Use with CautionTADAFLO should be used with caution in patients with kidney problems. Therefore, consult your doctor before taking it.
Liver
Use with CautionTADAFLO should be used with caution in patients with liver problems. Therefore, consult your doctor before taking it.
Allergy
ContraindicatedDo not take TADAFLO if you are allergic to Tadalafil.
Lungs
Use with CautionTADAFLO should be used with caution in patients with pulmonary arterial hypertension. Therefore, consult your doctor before taking it.
Heart Disease
Consult your doctorTADAFLO is not recommended for use in patients with severe heart diseases. It should be used with caution in patients with other heart diseases. Therefore, consult your doctor before taking it.
Use In Pediatrics
ContraindicatedTADAFLO is not recommended for use in children and adolescents (aged below 18 years). Therefore, consult your doctor before taking it.
Use In Geriatrics
Use with CautionTADAFLO should be used with caution in elderly patients. Therefore, consult your doctor before taking it.
Others
TADAFLO is not recommended for use if you:
- Recently had a stroke (within the last 3 months)
- Have severe low blood pressure
- Have uncontrollably high blood pressure
- Previously had vision loss due to non-arteritic anterior ischaemic optic neuropathy (nerve damage caused due to lack of blood and oxygen supply to the eye)
Before taking TADAFLO, inform your doctor if you:
- Have sickle cell anemia
- Have cancers of the blood (leukemia) or bone marrow (multiple myeloma)
- Have penile deformation
- Had any pelvis surgery in the past
- Had any surgical removal of all or part of the prostate gland (radical non-nerve-sparing prostatectomy)
- Have stomach ulcers or bleeding disorders such as haemophilia
- Have any type of rare inherited eye disease (such as retinitis pigmentosa)
Interactions
A. Drug-Drug Interactions:
Before taking TADAFLO, inform your doctor if you are taking any of the following medicines such as:
- Bosentan, riociguat (other medicines used for pulmonary arterial hypertension)
- Nitrates or amyl nitrites (used for relieving chest pain) Ex. nitroglycerin, isosorbide dinitrate
- Alpha-blockers (used to manage high blood pressure or benign prostatic hyperplasia) Ex. prazosin, terazosin, tamsulosin
- Other medicines used to manage high blood pressure (such as atenolol, propranolol, enalapril, lisinopril)
- Ketoconazole, itraconazole (used to manage fungal infection)
- Protease inhibitors (used to manage HIV infection) Ex. ritonavir, lopinavir
- Phenobarbital, phenytoin, carbamazepine (medicines used for fits)
- Rifampicin, erythromycin, clarithromycin (medicines used for bacterial infections)
- Other medicines used to improve blood flow to the penis (Ex. sildenafil)
B. Drug-Food Interactions:
Avoid consuming grapefruit juice while taking TADAFLO, as it may increase the risk of side effects.
Overdosage:
If you or anyone else accidentally took more TADAFLO, consult your doctor or visit the nearby hospital.
Synopsis
| Drug | : | Tadalafil |
| Pharmacological Category | : | Phosphodiesterase-5 inhibitors |
| Therapeutic Indication | : | Improve blood flow and oxygen supply to the penis, Pulmonary Arterial Hypertension |
| Dosage Forms | : | Tablet, Oral disintegrating strips, Granules |
More Information
Storage
- Keep TADAFLO out of sight and reach of children
- Store TADAFLO below 30°C
FAQs About TADAFLO
Q: How TADAFLO works?
A: TADAFLO works by blocking the effects of certain enzymes (PDE5) which limits blood flow to the penis. Therefore, it relaxes the blood vessels supplying the penis and improves blood flow and oxygen supply. TADAFLO also relaxes the smooth muscles surrounding the bladder and prostate gland which improves the flow of urine thereby reducing the unpleasant signs of Benign Prostatic Hyperplasia.
Q: What is the use of TADAFLO?
A: TADAFLO helps in relaxing the blood vessels and allows more blood flow to the penis. It is also used for urinary symptoms associated with benign prostatic hyperplasia (prostate enlargement causing painful or frequent urination or unintentional passing of urine).
Q: Can I take TADAFLO daily?
A: TADAFLO is generally prescribed as one dose per day. However, your doctor will decide the number of doses per day depending upon your age, body weight and disease condition. Do not take TADAFLO more than once a day without consulting your doctor.
Q: What will happen if I consume a high dose of TADAFLO than prescribed by my doctor?
A: Do not consume a higher dose of TADAFLO than the one prescribed by your doctor, as it may lead to unwanted side effects. Your doctor will decide the correct dose for you, depending on your age and disease condition.
Q: Is TADAFLO safe?
A: TADAFLO is considered safe at doses prescribed by the physician. However, it may cause few side effects such as headache dizziness, flushing or muscle pain in some individuals. Contact your doctor if they bother you.
Q: Can I consume alcohol while taking TADAFLO?
A: Combining TADAFLO with alcohol is not recommended, as both substances can independently lower blood pressure. It may increase the risk of experiencing dizziness, lightheadedness, and an increased heart rate. Additionally, alcohol could also counteract the effects of TADAFLO and makes it less effective. If you have concerns or questions about consuming alcohol while taking this medicine, consult your doctor.
Q: What should I do if I miss a dose of TADAFLO?
A: If you miss a dose of TADAFLO, take it as soon as possible. However, if it is time to take the next dose, skip the missed dose and take the next one at regular times. Do not take a double dose of TADAFLO to compensate the missed dose.
Q: Can TADAFLO helps to urinate easily?
A: TADAFLO helps to regulate the flow of urine by relaxing the smooth muscles surrounding the bladder and prostate. It improves urine flow and reduces pain and discomfort while passing urine.
Q: Can TADAFLO stop urine?
A: In patients with urinary problems (such as unintentional passing of urine or frequent urination), TADAFLO regulates the flow of urine by relaxing the smooth muscles surrounding the bladder and prostate. Therefore, it controls abnormal urinary symptoms (such as difficulty in passing urine or frequent urination).
Q: Does TADAFLO affect fertility?
A: Studies have shown that TADAFLO is not having any impact on fertility. However, if this is your concern, check with your doctor.
References
1. KD. Tripathi. Androgens and Drugs for Erectile Dysfunction. Essentials of medical pharmacology. Seventh edition. 2013. Page-304.
2. Adam M Henrie, James J Nawarskas, and Joe R Anderson. Clinical utility of tadalafil in the treatment of pulmonary arterial hypertension: an evidence-based review. NIH. National Library of Medicine. National Center for Biotechnology Information. PMC. PubMed Central. November 2015. [Accessed on November 08th, 2023] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4636095/
3. Accord Healthcare Limited. Electronic Medicines Compendium (EMC). [Revised in October 2021] [Accessed on November 08th, 2023] https://www.medicines.org.uk/emc/files/pil.8637.pdf
4. Leeford Healthcare Private Ltd. Bigfun-36. [Accessed on November 08th, 2023] https://www.leeford.in/product/556/bigfun-36
5. Central Drugs Standard Control Organization. Tadalafil tablet 20 mg (Additional Indication). [Revised in November 2009]. Tadalafil 10mg/20mg Tablets. [Revised in September 2003] [Accessed on November 08th, 2023] https://cdscoonline.gov.in/CDSCO/Drugs
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