Important Safety Information for Tadalafil

Contraindications:

Do not take tadalafil if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs such as "poppers". Taking tadalafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure.

Some medicines can cause unwanted or dangerous effects when used with tadalafil. Tell your doctor about all your current medicines, especially riociguat (Adempas). Do not take tadalafil with riociguat.
Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.

Before taking this medication:

You should not use tadalafil if you are allergic to it, or:

If you take other medicines to treat pulmonary arterial hypertension, such as riociguat (Adempas).
If you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate. Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking tadalafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure.

To make sure tadalafil is safe for you, tell your doctor if you have ever had:

Heart problems (chest pain, a heart rhythm disorder, heart attack)
Pulmonary hypertension
High or low blood pressure
Previous stroke
Blood circulation problems
Retinitis pigmentosa (an inherited condition of the eye)
Severe vision problems (including NAION)
Blindness in one or both eyes
Bleeding problems
A stomach ulcer
Pulmonary veno-occlusive disease (PVOD)
Liver or kidney disease or require dialysis
A blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia
A physical deformity of the penis (such as Peyronie's disease)
If you have been told you should not have sexual intercourse for health reasons
If you have ever had an erection lasting 4 hours or longer

Drug Interactions:

Nitrates: Nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs such as "poppers". Taking a nitrate medicine with tadalafil can cause a dangerous decrease in blood pressure.
Guanylate cyclase stimulators: Adempas® (riociguat)
Alpha-blockers: Hytrin® (terazosin HCl), Flomax® (tamsulosin HCl), Cardura® (doxazosin mesylate), Minipress® (prazosin HCl), Uroxatral® (alfuzosin HCl), Jalyn® (dutasteride and tamsulosin HCl), or Rapaflo® (silodosin)
HIV protease inhibitors: ritonavir (Norvir®), indinavir sulfate (Crixivan®), saquinavir (Fortovase® or Invirase®), or atazanavir sulfate (Reyataz®)
Oral antifungal medicines: ketoconazole (Nizoral®) and itraconazole (Sporanox®)
Antibiotics: clarithromycin (Biaxin®), telithromycin (Ketek®), or erythromycin
Other medicines that treat high blood pressure
Other medicines or treatments for ED
Do not use this medication with another product containing tadalafil., Tadalafil is a PDE5 inhibitor used for erectile dysfunction and certain other indications. Do not use tadalafil with Cialis, Adcirca, or with any other PDE5 inhibitor or erectile dysfunction treatment (sildenafil).

Side Effects:

Get emergency medical help if you have signs of an allergic reaction to tadalafil:

Hives, difficulty breathing, swelling of your face, lips, tongue, or throat.

Stop taking tadalafil and get emergency medical help if you have:

heart attack symptoms - chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating
vision changes or sudden vision loss
erection is painful or lasts longer than 4 hours (prolonged erection can damage the penis)
ringing in your ears, or sudden hearing loss
irregular heartbeat
swelling in your hands, ankles, or feet
shortness of breath
seizure (convulsions)
a light-headed feeling, like you might pass out

Common tadalafil side effects may include:

flushing (warmth, redness, or tingly feeling)
headache, dizziness
heartburn, nausea, or upset stomach
abnormal vision (blurred vision, changes in color vision, vision with a blue tinge)
runny or stuffy nose, nosebleeds
Rash
Nausea
muscle pain, back pain

Heart attack, irregular heartbeat, stroke, and death have occurred rarely in men taking tadalafil. The majority of these men had severe cardiac problems beforehand.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Additional Resources

The following links provide further information on the potential risks and benefits of this medication:

‍

All prescription medications require a valid and complete online consultation prior to approval and final pricing is determined. All compounded medications in the U.S. are considered off-label use. Our licensed doctors have the ability to prescribe compounds for off-label treatment, if they believe that it is an appropriate course of treatment.

The drug and medical information provided on this website, is not meant to cover all adverse effects, drug interactions, warnings, medical uses, directions and precautions. The information provided is a medical resource and the judgment of your physician and/or healthcare practitioner should not be substituted. Strut has made every effort to ensure the information on the website is accurate and current based on present medical literature. Strut does not make any guarantees regarding the drug and medical information, and does not assume responsibility regarding the content. The drug safety and drug information contained on the website may be time sensitive and should not be utilized as a medical reference beyond the date hereof. The deficiency of a warning for prescription medications and vitamins provided on this website in no way should be construed to indicate safety, effectiveness, or appropriateness for any given patient. If you have questions or concerns about your medications, please do not hesitate to contact us and/or your medical practitioner, including your pharmacist. Compound prescription products have not been tested or approved by the FDA for their intended use. No claims are made as to the safety, efficacy or use of this compound. Compounded medications are not FDA-approved. This compound has not been evaluated by the FDA for safety or efficacy.

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Important Safety Information for Tadalafil

Contraindications:

Do not take tadalafil if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs such as "poppers". Taking tadalafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure.

Some medicines can cause unwanted or dangerous effects when used with tadalafil. Tell your doctor about all your current medicines, especially riociguat (Adempas). Do not take tadalafil with riociguat.
Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.

Before taking this medication:

You should not use tadalafil if you are allergic to it, or:

If you take other medicines to treat pulmonary arterial hypertension, such as riociguat (Adempas).
If you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate. Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking tadalafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure.

To make sure tadalafil is safe for you, tell your doctor if you have ever had:

Heart problems (chest pain, a heart rhythm disorder, heart attack)
Pulmonary hypertension
High or low blood pressure
Previous stroke
Blood circulation problems
Retinitis pigmentosa (an inherited condition of the eye)
Severe vision problems (including NAION)
Blindness in one or both eyes
Bleeding problems
A stomach ulcer
Pulmonary veno-occlusive disease (PVOD)
Liver or kidney disease or require dialysis
A blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia
A physical deformity of the penis (such as Peyronie's disease)
If you have been told you should not have sexual intercourse for health reasons
If you have ever had an erection lasting 4 hours or longer

Drug Interactions:

Nitrates: Nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs such as "poppers". Taking a nitrate medicine with tadalafil can cause a dangerous decrease in blood pressure.
Guanylate cyclase stimulators: Adempas® (riociguat)
Alpha-blockers: Hytrin® (terazosin HCl), Flomax® (tamsulosin HCl), Cardura® (doxazosin mesylate), Minipress® (prazosin HCl), Uroxatral® (alfuzosin HCl), Jalyn® (dutasteride and tamsulosin HCl), or Rapaflo® (silodosin)
HIV protease inhibitors: ritonavir (Norvir®), indinavir sulfate (Crixivan®), saquinavir (Fortovase® or Invirase®), or atazanavir sulfate (Reyataz®)
Oral antifungal medicines: ketoconazole (Nizoral®) and itraconazole (Sporanox®)
Antibiotics: clarithromycin (Biaxin®), telithromycin (Ketek®), or erythromycin
Other medicines that treat high blood pressure
Other medicines or treatments for ED
Do not use this medication with another product containing tadalafil., Tadalafil is a PDE5 inhibitor used for erectile dysfunction and certain other indications. Do not use tadalafil with Cialis, Adcirca, or with any other PDE5 inhibitor or erectile dysfunction treatment (sildenafil).

Side Effects:

Get emergency medical help if you have signs of an allergic reaction to tadalafil:

Hives, difficulty breathing, swelling of your face, lips, tongue, or throat.

Stop taking tadalafil and get emergency medical help if you have:

heart attack symptoms - chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating
vision changes or sudden vision loss
erection is painful or lasts longer than 4 hours (prolonged erection can damage the penis)
ringing in your ears, or sudden hearing loss
irregular heartbeat
swelling in your hands, ankles, or feet
shortness of breath
seizure (convulsions)
a light-headed feeling, like you might pass out

Common tadalafil side effects may include:

flushing (warmth, redness, or tingly feeling)
headache, dizziness
heartburn, nausea, or upset stomach
abnormal vision (blurred vision, changes in color vision, vision with a blue tinge)
runny or stuffy nose, nosebleeds
Rash
Nausea
muscle pain, back pain

Heart attack, irregular heartbeat, stroke, and death have occurred rarely in men taking tadalafil. The majority of these men had severe cardiac problems beforehand.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Additional Resources

The following links provide further information on the potential risks and benefits of this medication:

‍

All prescription medications require a valid and complete online consultation prior to approval and final pricing is determined. Compounded medications are not FDA-approved. A licensed clinician may prescribe a compounded medication when clinically appropriate.

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Frequently asked questions

What is Tadalafil?

Tadalafil is a PDE5 inhibitor used for erectile dysfunction. Strut's tadalafil is a prescription medication that requires physician evaluation.

How long does Tadalafil take to work?

Most patients will start having a response from Tadalafil 30 minutes after taking their dose, although full effects may take longer. Tadalafil may make it easier to achieve an erection for up to 36 hours after taking one dose.

How long does Tadalafil last?

In most people, the effects of Tadalafil can last up to 36 hours. Even after the effects of the medication have worn off, the medication is still in your system for up to a day after dosing - so do not take more than one dose daily. If you find your dose lasting 4+ hours, seek medical attention as this is considered priapism and could have damaging effects on the tissues.

What should I tell my doctor before starting Tadalafil?

Before taking Tadalafil make sure your doctor knows about any of the following health conditions: Heart conditions, liver, kidney, eye conditions, bleeding disorders, or penile deformities. Also make sure your doctor knows about all of your current medications, supplements, and any other conditions.

What should I avoid while taking Tadalafil?

Drinking alcohol with Tadalafil can cause side effects including low blood pressure or dizziness. Grapefruit may interact with Tadalafil and lead to unwanted side effects. Avoid the use of grapefruit products. Avoid using any other medicines to treat impotence, such as alprostadil or yohimbine, without first talking to your doctor.

What are the common side effects of Tadalafil?

The common side effects of Tadalafil are: headache, indigestion, back pain, muscle aches, flushing, and a stuffy or runny nose. For a full list of possible side effects see the important safety information.

What if I take too much Tadalafil?

Taking too much Tadalafil can increase adverse side effects of the medication including severe side effects including extremely low blood pressure or having an erection for longer than 4 hours (priapism). If you have taken more than prescribed by your doctor, or you took the directed amount but you are still having these side effects, seek emergency medical attention.

What is the important safety information about this product?

See the detailed safety information under the Safety Info tab for the product.

How much does the online visit cost?

The online doctor’s visits are typically complementary. With Strut, you will only pay for the prescription if you qualify after your medical consultation. If after checking out, the doctor identifies that you are not a good candidate for treatment, you will not be charged. If you decide to transfer your prescription at any time to a non-preferred pharmacy of Strut Health, then you will be charged a $40 physician consultation fee to your credit card on file. Customer service can provide additional details on our pharmacy network.

How much does the medication cost?

The cost varies, the price is listed on the product page of the website. Prices at local pharmacies or online are often higher than what we offer. We keep our prices very competitive, as well as offering free visits and shipping.