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Tadalafil

Written By Dr. Anuj SainiReviewed By Dr. Rajeev Sharma
Last updated 20 Feb 2025 | 05:05 AM (UTC)

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How Tadalafil works

Tadalafil is a phosphodiesterase (PDE-5) inhibitor. In erectile dysfunction, it works by increasing blood flow to the penis by relaxing the muscles in penile blood vessels. In benign prostatic hyperplasia (BPH), it helps relax the muscles in the prostate gland and the bladder to relieve urinary symptoms.

Common side effects of Tadalafil

Flushing (sense of warmth in the face, ears, neck and trunk), Headache, Muscle pain, Nasal congestion (stuffy nose), Back pain, Pain in extremities, Dyspepsia
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Expert advice for Tadalafil

  • You have been prescribed Tadalafil for the treatment of erectile dysfunction.
  • It is best to take it an hour before sexual intercourse. But, you can take it anytime between 30 minutes and 4 hours before sexual activity.
  • Do not take it more than once a day.
  • It may also be used for treating the urinary symptoms of an enlarged prostate gland (benign prostatic hyperplasia).
  • It may cause dizziness or blurred vision. Do not drive or do anything requiring concentration until you know how it affects you.
  • Avoid drinking alcohol as it can reduce your ability to get an erection and can make dizziness worse.
  • Seek medical attention if the erection persists for more than 4 hours after sexual intercourse.
  • Do not use Tadalafil if you have recently taken nitrates (medicines used in angina or chest pain), if you have had a heart attack in the past 3 months, or stroke or heart failure in the past 6 months.
  • You have been prescribed Tadalafil for the treatment of erectile dysfunction.
  • It is best to take it an hour before sexual intercourse. But, you can take it anytime between 30 minutes and 1 hours before sexual activity.
  • Do not take it more than once a day.
  • Seek medical attention if the erection persists for more than 4 hours after sexual intercourse.
  • Do not use Tadalafil if you have recently taken nitrates (medicines used in angina or chest pain).
  • Do not take it if you have had a heart attack in the past 3 months, or stroke or heart failure in the past 6 months.

Frequently asked questions for Tadalafil

No, using Tadalafil does not affect fertility. It works by relaxing the muscles of penile blood vessels and has no effect on fertility.
Alcohol in small amounts may not cause any discomfort to you. However, drinking too much alcohol (5 units or greater) can increase your chances of getting a headache or feeling dizzy, increased heart rate or low blood pressure.
No, Tadalafil is not known to affect ejaculation. It is used for the treatment of erectile dysfunction.
You should immediately consult your doctor if you experience sudden vision loss in one or both eyes, sudden decrease in hearing or hearing loss, ringing in ears and dizziness. Also, contact your doctor if you experience prolonged erections greater than 4 hours and painful erections greater than 6 hours in duration.