Adcirca: Uses, indications and notes when using

Adcirca, also known as Tadalafil, is used to treat high blood pressure in the lungs (pulmonary hypertension). It works by relaxing and widening the blood vessels in your lungs, allowing blood to flow more easily.

Read the medication usage information provided by your pharmacist when you start taking tadalafil and each time you get a refill. If you have any questions about this medicine, ask your doctor or pharmacist.
To treat high blood pressure in the lungs, take this medication by mouth as directed by your doctor, with or without food, usually once daily.
Dosage is based on your medical condition, response to treatment and other medications you are taking. You need to tell your doctor or pharmacist about all the products you use (including prescription drugs, over-the-counter medicines, and other products made with herbs).
To achieve the best effect of Adcirca, you need to use the drug regularly under the guidance of a doctor. To help you remember more easily, take your medicine at the same time each day.
Tell your doctor right away if your condition does not improve or if it gets worse.

When using Adcirca medicine may occur some side effects such as dizziness, lightheadedness, headache, muscle pain, flushing, nausea, stuffy nose or stomach pain. If any of these side effects persist or get worse, tell your doctor or pharmacist right away.
To reduce the risk of dizziness and lightheadedness, get up slowly as you get up from a sitting or lying position.
Remember that your doctor decided to prescribe this medicine for you because he or she has judged that the benefit to you outweighs the risk of side effects. The majority of people who use this drug have no serious side effects.
Although rare, there may be cases of sudden vision loss, including permanent blindness, in one or both eyes after using this medicine. If this serious problem occurs, stop taking tadalafil and get medical help right away. You are at a higher risk if you have conditions such as heart disease, diabetes, high cholesterol, certain other medical problems, high blood pressure, you are over 50, or you regularly smoke.
Rarely, sudden hearing loss or decrease, sometimes tinnitus and dizziness after using the drug. Stop taking tadalafil and get medical help right away if these side effects occur.
A small number of men may experience pain or an erection lasting 4 hours or more after taking the drug. If this happens, stop using Adcirca and get medical help right away, or these problems could get worse.
Contact a medical center right away if you have any very serious side effects caused by the medicine, including: worsening shortness of breath.

Rarely, serious side effects have occurred during the use of Adcirca. However, get medical help right away if you notice the appearance of any serious allergic reaction, including: rash, itching, swelling (especially of the face, tongue, throat) , severe dizziness, trouble breathing.
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist for help promptly.

If you are allergic to Adcirca or if you have any allergic reaction to other medicines, you should tell your doctor or pharmacist before using tadalafil. This product contains inactive ingredients, which may cause allergic reactions or other problems. Consult your doctor for more detailed information.
Before using Adcirca, tell your doctor or pharmacist your medical history, especially of: heart problems (such as heart attack or life-threatening irregular heartbeat in the past 6 months, chest pain, angina, heart failure), stroke in the last 6 months, kidney disease, liver disease, high or low blood pressure, severe dehydration, problems with the penis (such as tightness, fibrosis, aging/scarring, Peyronie's disease), history of painful/prolonged erections (foreskin stenosis), conditions that may increase the risk of priapism (such as sickle cell anemia, leukemia , multiple myeloma), eye problems (such as retinitis pigmentosa, sudden loss of vision), bleeding disorders, stomach ulcers, other conditions involving the lungs (such as obstructive pulmonary veins).
You may feel dizzy after taking Adcirca . Dizziness will get worse if you use more alcohol or marijuana. Do not drive, use machines, or do anything that requires alertness until you can do so safely. You should minimize the habit of using alcoholic beverages. If you are using marijuana, you should immediately tell your treating doctor.
Talk to your doctor or dentist about all the products you use (including prescription and over-the-counter medicines and other herbal products) before surgery.
During pregnancy, tadalafil should be used only when clearly needed. Discuss the risks and benefits you get from using this medicine with your doctor.
Consult your doctor before deciding to use this medicine if you are breast-feeding.

Interactions between drugs can change the way the medicine works or increase the risk of serious side effects. This article does not contain all information about possible drug interactions. Therefore, you need to tell your doctor about a list of all the products you use (including prescription/over-the-counter medicines and herbal products). Never start, stop, or change the dose of any medication without your doctor's approval.
One product that may interact with this drug is: riociguat. Tadalafil can cause a serious drop in blood pressure when taken with nitrates, and also cause some unwanted effects such as dizziness, fainting and rarely, but patients can have a heart attack, stroke. Do not use tadalafil with any of the following medicines: Certain medicines used to treat chest pain, angina (nitrates such as nitroglycerin, isosorbide), recreational drugs called "poppers" contain amyl or butyl nitrite.
If you are also taking certain medicines (such as doxazosin, tamsulosin) to treat an enlarged prostate/BPH or high blood pressure, blood pressure that is too low can lead to dizziness or fainting. Your doctor can adjust the amount of your medication accordingly to reduce your risk of low blood pressure.
Other drugs may affect the removal of tadalafil from your body, which affects how tadalafil works. Examples include azole antifungals (such as itraconazole, ketoconazole), macrolide antibiotics (such as clarithromycin, erythromycin), HIV protease inhibitors (such as lopinavir, ritonavir), hepatitis C virus protease inhibitors (such as boceprevir, telaprevir). ), rifampin.

Do not take this medicine with any other product containing tadalafil or other similar medicines to treat erectile dysfunction -ED or pulmonary arterial hypertension (such as sildenafil, vardenafil).
If you have overdosed and develop serious symptoms such as fainting or difficulty breathing, contact an emergency center immediately.
Do not share this medicine with others.
If you miss a dose, take it as soon as you remember. Skip the missed dose if it is almost time for your next dose. Keep in mind the correct daily dosing schedule. Do not take a double dose when you have missed it.
Store the medicine at room temperature, away from direct sunlight and moisture. Do not store in the bathroom. Keep medicines out of reach of children and pets.
Unless instructed, absolutely do not flush medicine down the toilet or down the drain. Dispose of this product properly when it has expired or you no longer need it

Reference source: webmd.com