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If you cannot get erections because of a hormonal problem, your doctor may refer you to an endocrinologist (a doctor who specialises in the treatment of hormonal problems).

a small pellet placed inside your urethra (the tube that carries pee from your bladder to the tip of your penis).

This is a man-made hormone that helps to stimulate blood flow to the penis. You could also try a medicine called alprostadil (only available with a prescription). Eating a meal which is high in fat may delay the effect of vardenafil. However, you should take sildenafil and avanafil on an empty stomach for fastest effects. You can take tadalafil and vardenafil with or without food. Only sildenafil (Viagra) is available without prescription. If tadalafil does not work, there are other tablets you could try that work in a similar way, such as: If you take tadalafil, it can be effective for up to 36 hours. On average, the alternatives to tadalafil work for up to 4 hours. Other medicines are usually taken on demand, 30 to 60 minutes before sexual activity.

In rare cases, tadalafil can cause a serious allergic reaction (anaphylaxis).

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a serious skin reaction – symptoms may include red raised patches on your skin or red spots (hives), a swollen face and swelling around the eyes.

a sudden problem with your eyesight or hearing.

prolonged and sometimes painful erections – if you have an erection that lasts for more than 4 hours, contact a doctor immediately.

chest pains – if this happens during or after sex, get into a semi-sitting position and try to relax (remember do not use nitrates for chest pain while taking tadalafil).

Stop taking tadalafil and call a doctor straight away if you get: Serious side effects are rare and happen in less than 1 in 1,000 people. If you get these side effects, keep taking the medicine, but tell a doctor or pharmacist if they bother you or do not go away: The side effects may increase with an increasing dose. Common side effectsĬommon side effects happen in more than 1 in 100 people. Many people have no side effects or only minor ones. Like all medicines, tadalafil can cause side effects in some people. Talk to a doctor if you have taken too much tadalafil and you're worried about these side effects. Side effects will usually go away when you stop taking the tablets.

problems with your vision (such as blurred vision).

Taking too much tadalafil by accident can cause unpleasant side effects, including: You could also ask a pharmacist for advice on other ways to help you remember to take your medicine. If you often forget doses, it may help to set an alarm to remind you. Never take an extra dose to make up for a forgotten one. If you remember after 8 hours, skip the missed dose and take the next dose as usual.

pulmonary hypertension – take it within 8 hours if you can.

benign prostatic enlargement – take it as soon as you remember and then continue as usual.

If you have kidney or liver problems your doctor might decrease the starting dose to 10mg or 20mg. These tablets are large, so take the tablets one after the other. The usual dose is 40mg – two 20mg tablets, taken once a day. Tadalafil tablets for pulmonary hypertension come in 20mg strength. How much will I take for pulmonary hypertension? If you are being treated for both benign prostatic enlargement and erectile dysfunction, the dose is 5mg. Your doctor might give you a low dose of 2.5mg if you are having any problems, such as side effects. You can take your tablet in the morning or evening, but it’s best to take it at the same time each day. Tadalafil tablets for an enlarged prostate come as 2.5mg or 5mg.

How much will I take for benign prostate enlargement? The strength and dosage instructions can vary. If you have a private prescription for tadalafil, read the information that comes with your medicine carefully. The effects may last longer than 24 hours, so you're not recommended to take the 10mg or 20mg tablets every day.įor the tablet to work properly, you’ll need to be sexually excited. Your doctor may increase or decrease your dose, depending on how well it works and how often you take it. Take 1 tablet at least 30 minutes before you want to have sex. You usually take tadalafil before having sex. How much will I take for erectile dysfunction? The tablets can be taken with or without food. Swallow your tablets whole, with a drink of water.

Tadalafil tablets come in different strengths. It's important to take this medicine as advised by a doctor or pharmacist.

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