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ED and the signs and symptoms of BPH
often coexist1 and CIALIS 5 mg treats both ED and BPH
Please see some important information to share with patients when treating ED+BPH with CIALIS 5 mg for once daily use.
Discuss the potential benefits and risks of CIALIS (refer to Patient Counseling Information in package insert). Instruct patient on proper dosing and treatment expectations:
 
Instruct patients to take CIALIS for once daily use once a day, every day at about the same time1
CIALIS may be taken with or without meals1
Counsel patients not to drink alcohol in excess with CIALIS1
Let patients know that they should avoid skipping doses or splitting tablets as they may not receive an adequate dose1
If your patient misses a dose, he may take it when he remembers. However, remind him not to take CIALIS more than once each day1
  CIALIS for once daily use is indicated for the treatment of: erectile dysfunction, or ED (2.5 mg, 5 mg), the signs and symptoms of benign prostatic hyperplasia, or BPH (5 mg), and both ED and the signs and symptoms of BPH, or ED+BPH (5 mg). The recommended starting dose of CIALIS for once daily use for the treatment of ED is 2.5 mg and may be increased to 5 mg, based on individual efficacy and tolerability. If CIALIS is used with finasteride to initiate BPH treatment, such use is recommended for up to 26 weeks, as the incremental benefit decreases from 4 to 26 weeks and is unknown beyond that time frame.  
  Select Important Safety Information Related to Contraindications  
 
CIALIS is contraindicated in patients using any form of organic nitrate, either regularly and/or intermittently, as the combination could cause a sudden, unsafe drop in blood pressure.
CIALIS is contraindicated in patients with a known serious hypersensitivity to CIALIS or ADCIRCA® (tadalafil). Hypersensitivity reactions have been reported, including Stevens-Johnson syndrome and exfoliative dermatitis.
 
  Please see additional Important Safety Information below and links to Prescribing Information and Patient Information above.  
Men may respond differently. Your patients may be able to have successful intercourse within 4 to 5 days, or they may see results earlier2-4
 
After beginning treatment, symptoms (as measured by the total International Prostate Symptom Score) may improve in as early as 2 weeks, although it could take about 4 weeks1
  Important information to share with patients (for more complete safety guidance direct patients to the Patient Information)  
 
CIALIS should not be taken with nitrates, as the combination could cause a sudden, unsafe drop in blood pressure. In case of a medical emergency due to a heart problem, patients should report when they last took CIALIS
Patients should stop sexual activity and get medical help right away if they experience symptoms such as chest pain, dizziness, or nausea during sex
The most common side effects with CIALIS are headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose. These side effects usually go away after a few hours. Back pain and muscle aches usually go away within 2 days
 
  For more information on setting treatment expectations while on CIALIS 5mg for daily use, click here
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