What Tadalafil Maxigra is and what it is used for
Tadalafil Maxigra is a drug intended for adult men with erectile dysfunction. This is a condition where a man cannot get or keep a hard erect penis suitable for sexual activity. Tadalafil Maxigra has been shown to significantly improve the ability to obtain an erection suitable for sexual activity.
Tadalafil Maxigra contains the active substance tadalafil, which belongs to a group of medicines called phosphodiesterase type 5 inhibitors. After sexual stimulation, Tadalafil Maxigra helps the blood vessels in your penis to dilate, allowing blood to flow to your penis. As a result, your erection improves. Tadalafil Maxigra does not help patients who do not have erectile dysfunction.
It is important to know that Tadalafil Maxigra will not work in the absence of sexual stimulation. It is also important to arrange foreplay, as it would in the case when the patient is not taking the erectile dysfunction drug.
Tadalafil Maxigra is not intended for use by women.
If there is no improvement or the patient feels worse after taking the medicine, see your doctor.
Before using the medicine, read the leaflet carefully and read the “Patient Information Guide” included in the package. For safe use of the medicine, please answer all the questions in the questionnaire.
What you need to know before taking Tadalafil Maxigra
Do not use Tadalafil Maxigra
if you are allergic to tadalafil or any of the other ingredients of this medicine.
if you are taking medicines containing nitrates, as taking them together can lead to a dangerous drop in blood pressure. Belongs
tell your doctor if you are taking any medicines from this group.
The following drugs belong to the group of nitrates:
nitroglycerin (Glyceroli trinitras) – e.g. Nitrocard, Nitromint, Sustonit, Nitroderm, Minitran
isosorbide mononitrate (Isosorbidi mononitras) – e.g. Effox, Isosorbide mononitrate Vitabalans, Isosorbidi mononitras Accord, Mono Mack, Mononit, Monosan, Olicard
retard
isosorbide dinitrate (Isosorbidi dinitras) – e.g. Sorbonite
pentaerythritol tetranitrate (Pentaerythrityli tetranitras) – e.g. Galpent, Pentaerythritol compositum.
These medicines are often used to relieve the symptoms of angina pectoris (“chest pain”). Tadalafil Maxigra has been shown to increase the effect of these drugs. Check with your doctor or pharmacist if you are not sure.
if you are taking medicines or other nitric oxide releasing agents (such as amyl nitrite poppers), as their simultaneous intake may also cause a dangerous drop in your blood pressure.
if you have severe heart disease or have had a heart attack in the last 90 days.
if you have had a stroke in the last 6 months.
if you have low blood pressure or uncontrolled high blood pressure.
if you have ever had a loss of vision due to a non-arterial anterior ischemic optic neuropathy (NAION) known as ‘eye palsy’.
if you are taking riociguat (eg Adempas). It is a medicine used to treat pulmonary arterial hypertension (i.e. high blood pressure in the lungs) and chronic thromboembolic pulmonary hypertension (i.e. high pressure in the lungs caused by blood clots). Phosphodiesterase type 5 (PDE5) inhibitors such as Tadalafil Maxigra have been shown to increase the blood pressure lowering effect of this drug. If you are taking riociguat or are unsure, please tell your doctor.
Warnings and Precautions
Talk to your doctor before using Tadalafil Maxigra.
It should be remembered that sexual activity carries some risk in patients with heart disease as it puts additional strain on the heart. If you have any heart problems (including the inability to use Tadalafil Maxigra due to heart problems according to the questionnaire), please inform your doctor.
Before taking the drug, the patient should inform the doctor if any of the following occur:
sickle cell anemia (the abnormal shape of red blood cells).
multiple myeloma (cancer of the bone marrow).
leukemia (cancer of the blood cells).
any distortion of the member.
severe liver disease.
severe kidney disease.
Tadalafil Maxigra must not be used if the patient is taking drugs from the nitrate group, because their simultaneous use may lead to a dangerous reduction in blood pressure.
The following drugs belong to the group of nitrates:
nitroglycerin (Glyceroli trinitras) – e.g. Nitrocard, Nitromint, Sustonit, Nitroderm, Minitran
isosorbide mononitrate (Isosorbidi mononitras) – e.g. Effox, Isosorbide mononitrate Vitabalans, Isosorbidi mononitras Accord, Mono Mack, Mononit, Monosan, Olicard retard
isosorbide dinitrate (Isosorbidi dinitras) – e.g. Sorbonite
pentaerythritol tetranitrate (Pentaerythrityli tetranitras) – e.g. Galpent, Pentaerythritol compositum.
Always tell your doctor or pharmacist if you are taking nitrates, which are used to treat angina (“chest pain”).
Do not use Tadalafil Maxigra if you are taking medications or nitric oxide releasing agents (such as amyl nitrite, so-called “poppers”), as their simultaneous use may lead to a dangerous reduction in blood pressure.
Tadalafil Maxigra may influence the action of some medications or other medicines may influence the way Tadalafil Maxigra works. Consult your doctor before taking Tadalafil Maxigra if you are taking:
alpha blockers (e.g. doxazosin, prazosin, Terazosin) used to treat high blood pressure or urinary symptoms caused by benign prostatic hyperplasia,
other medicines to treat high blood pressure
riociguat (used to treat pulmonary arterial hypertension)
5-alpha reductase inhibitors (e.g. dutasteride, finasteride) used to treat benign prostatic hyperplasia,
ketoconazole tablets (used to treat fungal infections)
protease inhibitors (e.g. ritonavir, saquinavir) used to treat AIDS or HIV infection
phenobarbital, phenytoin and carbamazepine (anticonvulsants)
rifampicin, erythromycin, clarithromycin (antibiotics)
itraconazole (used to treat fungal infections)
other treatments for erectile dysfunction.
Tadalafil Maxigra with drink and alcohol
For information on the effects of alcohol, see section 3. Grapefruit juice may affect the effectiveness of Tadalafil Maxigra and therefore you should drink it with caution.
Pregnancy, breast-feeding and fertility
Tadalafil Maxigra is not intended for use by women.
Fertility
When dogs were given the drug, the sperm production in the testes was reduced. Decreased sperm levels have been seen in some men. This is unlikely to lead to infertility.
Driving vehicles and operating machinery
Dizziness has been reported in some men taking Tadalafil Maxigra in clinical trials, so you should know how you react to the tablets before driving or using machines.
Tadalafil Maxigra contains lactose and sodium
If you have been diagnosed with an intolerance to some sugars, consult your doctor before taking the drug.
This medicine contains less than 1 mmol (23 mg) sodium per film-coated tablet, that is to say essentially ‘sodium-free’.
How to take Tadalafil Maxigra
Always take this medicine exactly as described in this leaflet or as directed by your doctor or pharmacist. Check with your doctor or pharmacist if you are not sure.
Tadalafil Maxigra tablets are intended for oral administration by men only.
Swallow the tablets whole with a little water. The tablets can be taken with or without food.
The recommended dose is one 10 mg tablet, taken before sexual activity. The drug should be taken at least 30 minutes before planned sexual activity. The drug may be effective up to 36 hours after taking the tablet.
Drug for emergency use, as needed.
Do not take more than 1 tablet. Do not use the drug more than once a week.
It is important to know that Tadalafil Maxigra will not work in the absence of sexual stimulation. It is also important to arrange foreplay, just as if the patient is not taking erectile dysfunction medication.
Tadalafil Maxigra should not be used simultaneously with other oral or topical medications used to treat erectile dysfunction.
Tadalafil Maxigra should not be used concomitantly with treatments of pulmonary arterial hypertension (PAH) with sildenafil or other PDE5 inhibitors.
Do not take other medications for erectile dysfunction, e.g. containing sildenafil (including Maxigra Go, Maxigra Max, Sildenafil Medana, Viagra) for 48 hours after taking Tadalafil Maxigra.
Tadalafil Maxigra should not be taken if there is no known erectile dysfunction.
Drinking alcohol can affect a patient’s ability to get an erection and may cause a temporary drop in blood pressure. If you have taken or are planning to take Tadalafil Maxigra, do not drink large amounts of alcohol (blood alcohol concentration of 0.08% or more), as this may increase the risk of dizziness when standing up.
You should contact your doctor if you do not get an erection after taking Tadalafil Maxigra or if the erection lasts not long enough for you to have sexual intercourse.
If you use more Tadalafil Maxigra than you should
Please tell your doctor. Side effects may occur.
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