Each film-coated tablet contains 20 mg tadalafil.

Excipients: Lactose monohydrate (bovine), croscarmellose sodium, hydroxypropylcellulose, microcrystalline cellulose, sodium laurylsulfate, magnesium stearate, hypromellose, triacetin, titanium dioxide (E171), yellow iron oxide (E172), talc

Before you start using this medicine, read this INSTRUCTIONS FOR USE carefully, because it contains important information for you.

CIALIS 20 mg is available in yellow film-coated tablets. It is almond-shaped and has a “C 20” marking on one side. It is in blister packaging of 2, 4 or 8 tablets.

CIALIS is a medicine used to treat erectile dysfunction in adult men. Erectile dysfunction is the inability to achieve or maintain the erection of the penis necessary for sexual activity. CIALIS has been shown to significantly improve the ability to achieve penile erection suitable for sexual activity.

CIALIS belongs to the group of medicines called phosphodiesterase type 5 inhibitors, which contain the active ingredient tadalafil. Following sexual stimulation, CIALIS helps the blood vessels in the penis relax, allowing blood to flow into the penis. As a result, erection occurs in the penis. CIALIS will not help if you do not have erectile dysfunction.

It should be noted that CIALIS alone will not work in the absence of sexual stimulation. Therefore, you and your partner should engage in preliminary sexual activity as if you were not taking medication to treat erectile dysfunction.

Instructions for proper use and dosage/frequency of administration

When using CIALIS, always take it as directed by your doctor. If you are not sure, be sure to consult your doctor or pharmacist.

The generally recommended dose is 10 mg (2×5 mg) taken at least 30 minutes before anticipated sexual activity. In patients where 10 mg (2×5 mg) tadalafil does not have a sufficient effect, the dose can be increased to 20 mg.

A maximum of 1 dose per day should be used.

Tadalafil doses of 10 mg (2×5 mg) or 20 mg should be taken before anticipated sexual activity and are not recommended for continuous daily use.

Like all medicines, side effects may occur in people who are sensitive to the ingredients contained in CIALIS. These effects are normally mild to moderate.

Side effects in this leaflet are listed in the categories below.

If any of the following occur, stop using CIALIS and IMMEDIATELY inform your doctor or go to the emergency department of your nearest hospital:

Common side effects (may affect less than 1 in 10 but more than 1 in 100 patients)

Headache, backache, muscle aches, pain in arms and legs, facial flushing, nasal congestion, indigestion.