| Show Patient Information f"Co I (tadalafil)tauets Read the Patient Information about CIALIS before you start taking it and again each time you gel a refill There may be new information You may also find It helpful to share this information with your partner This leaflet does not take the place of talking with your doctor You and your doctor should talk about CIALIS when you start taking it and at regular checkups If you do not understand the information or have questions talk with your doctor or pharmacist What important Information should you know about CIALIST CIALIS can cause your blood pressure to drop suddenly to an unsafe level if it is taken with certain other medicines You could get dizzy faint or have a heal attack or stroke Do not take MAUS if you: take any medicines called "nitrates" use recreational drugs called "poppers" like amyl nitrate and butyl nitrate take medicines called alpha blockers other than Flomax (tamsulosin HCI) 04 mg daily (See "Who should not take CIALIS?") Tell all your healthcare providers that you take If you need emergency medical care for a heart it will be important for your healthcare problem provider to know when you last took CIALIS After taking a single tablet some of the active ingredient of VAL'S remains in your body for more than 2 days The active ingredient can remain longer if you have problems with your kidneys or liver or you are taking certain other medications (see "Can other medications affect clAusr) CIALIS What is MAUS? CIALIS is a prescription medicine taken by mouth for the treatment of erectile dysfunction (ED) In men ED is a condition where the penis does not harden and expand when a man is sexually excited or when he cannot keep an erection A man who has trouble getting or keeping an erection should see his doctor for help if the condition bothers him CIALIS may help a man with ED get and keep an erection when he is sexually excited MAUS does not: cure ED increase a man's sexual desire protect a man or his partner from sexually transmitted diseases including HIV Speak to your doctor about ways to guard against sexually transmitted diseases serve as a male form of birth control CIALIS is only for men with ED CIALIS Is not for women or children CIAUS must be used only under a doctors care How does CIALIS work? When a man is sexually stimulated his body's normal physical response is to increase blood flow to his penis This results in an erection CIALIS helps increase blood flow to the penis and may help men with ED get and keep an erection satisfactory for sexual activity Once a man has completed sexual activity blood flow to his penis decreases and his erection goes away Who can take CIALIST Talk to your doctor to decide d CIALIS is right for you CIALIS has been shown to be effective in men over the age of 18 years who have erectile dysfunction including men with diabetes or who have undergone p rostatectomy Who should not lake MAUS? Do not take CIALIS if you: recreational drugs called 'poppers" also contain nitrates such as amyl nitrate and butyl nitrate Do not use CIALIS if you are using these drugs Ask your doctor or pharmacist if you are not sure if any of your medicines are nitrates "alpha blacken" other than Remus 04 mg daily Alpha blockers are sometimes prescribed for prostate problems or take medicines called high blood pressure If MAUS is taken with alpha blockers other than Flomaxe 04 mg daily your blood pressure could suddenly drop to an unsafe level You could get dizzy and faint you have been told by your healthcare provider to not have sexual activity because of health problems Sexual activity can put an extra strain on your heart especially if your heart is already weak from a heart attack or heart disease are allergic to CIALIS or any of its ingredients The active Ingredient in MAUS is called tadalafil See the end of this leaflet for a complete list of ingredients What should you discuu with your doctor before taking MAUS? Before taking CLAUS tell your doctor about all your medical problems Including if you: Do not change your dose of CIALIS without talking to your doctor Your doctor may lower your dose or raise your dose depending on how your body reacts to MAUS Do not drink alcohol to excess when taking CIALIS (for example 5 glasses of wine or 5 shots of whiskey) When taken in excess alcohol can increase your chances of getting a headache or getting dizzy increasing your heard rate or lowenng your blood pressure tt you take too much CIALIS call your doctor or emergency room right away What are the possible side effects of CIALIS? The most common side effects with CIALIS are back pain muscle aches Indigestion flushing and stuffy or runny nose These side effects usually go away after a few hours Patients who get back pain and muscle aches usually get it 12 to 24 hours after taking CIALIS Back pain and muscle aches usually go away by themselves within 48 hours Call your doctor if you get a side effect that bothers you headache or one that will not go away CIALIS may uncommonly cause: an erection that won't go away (priapism) If you get an erection that lasts more than 4 hours get medical help right away Priapism must be treated as soon as possible or lasting damage can have heart problems such as angina head failure irregular heartbeats or have had a heart attack Ask your doctor if it is safe for you to have sexual activity the inability to happen to your penis Including have erections low blood pressure or have high blood pressure that is not controlled have had a stroke vision changes such as seeing a blue tinge to objects or having difficulty telling the difference between the colors blue and green have liver problems have kidney problems or require dialysis have relinitis pigmentosa a rare genetic (runs in families) eye disease These are not all the side effects of CIALIS For more Information ask your doctor or pharmacist have How should CIALIS be stored? Store CIALIS at room temperature between 59 and 86F (1 5 and 30C) have stomach ulcers have a bleeding problem have a deformed penis shape or Peyronie's disease have had an erection that lasted more than 4 hours have anemia cell problems such as sickle cell multiple myeloma or leukemia blood Can other medications afoot MAUS? Tell your doctor about all the medicines you take medicines Including prescription and vitamins and herbal supplements VAL'S and other medicines may affect each other Always check with your doctor before starling or stopping any medicines Especially tell your doctor if you take any of the following: medicines called nitrates (See 'What important Information should you know about CIALIS?") medicines called alpha blockers These include Hytrins (terazosin HCI) Homaxs (tamsulosin HCI) Carduras (doxazosin mesylate) Minipresss (prazosin HCI) or Uroxatrals (alluzosin HCI) ritonavir (Norvirs) or indinavir (Crixivans) ketoconazole or itraconazole (such as Nizorall or Sporanoxs) erythromycin other medicines or treatments tor ED Keep MAUS and all medicines of children out of the reach General Information about CIALIS: Medicines are sometimes prescribed for conditions other than those described in patient information leaflets Do not use VAL'S for a condition for which It was not prescribed Do not give CIALIS to other people even d they have the same symptoms that you have It may harm them This leaflet summarizes the most important information about CIALIS If you would like more Information talk with your healthcare provider You can ask your doctor or pharmacist for information about CIALIS that Is written for health professionals For more information can also visit you wwwcialiscom or call What are the ingredients of CIALIS? Active Ingredient: ladalafil Inactive croscarmellose sodium Iron oxide lactose stearate monohydrate magnesium microcrystaltine cellulose sodium lauryl sulfate talc titanium dioxide and triacelin Ingredients: hydroxypropyl cellulose hypromellose Ax How should you take MAUS? Take CIALIS exactly as your doctor prescribes MIAS comes in different doses (5 mg 10 mg and 20 mg) For most men the recommended starting dose is 10 mg MAUS should be taken no more than once a day Some men can only take a low dose of MAUS because of medical conditions or medicines they take Your doctor will prescribe the dose that is right for you you have kidney problems your doctor may start you on a lower dose of MIAS If you have kidney or liver problems or you are taking certain medications your doctor may limit your highest dose of MIAS to 10 mo and may also limit you to one tablet in 48 hours (2 days) or one tablet In 72 hours (3 days) If take any medicines called "nitrates" (See What important information should you know about CIALIS?") Nitrates are commonly used to treat angina Angina is a symptom of heart disease and can cause pain in your chest jaw or down your arm one CIALIS tablet before sexual activity In some patients the ability to have sexual activity was improved at 30 minutes after taking MAUS when compared to a sugar pill The ability to have sexual activity was improved up to 36 hours after taking CIALIS when compared to a sugar pill You and your doctor should Medicines called nitrates include nitroglycerin that is found in tablets sprays ointments pastes or patches Nitrates can also be found in other medicines such as isosorbide dinitrate or isosorbide mononitrate Some Consider this in deciding when you should take CIALIS prior to sexual activity Some form of sexual stimulation is needed for an erection to happen with ClAUS CIALIS may be taken with or without meals Take only Norvirs (ritonavir) and Hytrins (terazosin HCI) are registered trademarks of Abbott Laboratories Crbrivans (indlnavir sulfate) is a registered trademark of Merck & Co Inc Intelligence Report® By Lyric WM Mork Winik Free Help With Eating Disorders ating disorders have the highest mortality rate ofany psychiatric - disease—but they can be treated and cured says therapist Carolyn Cos-ti- n Adolescent and young aduk women are most at risk especially those issues or Type A permith sonalities and those experiencing a family crisis such as divorce When parents place a great deal ofemphasis on physical appearance they can compound the problem "For every diagnosed eating dis-Online order there may be SOO girls now I self-estee- and on-camp- restricting their fb°d and aYing because they feel us screenings are offered this week fat" adds Costin author of Your Dieting Daughter She says parents can't ignore a disorder or give in too soon: If it goes on for a year it can take up to 10 years to recover This week at nearly 300 colleges Screening for Mental Health is offering a presentation about eating disorders a confidential and a chance to talk privately with a health professional PARADE readers can screen themselves anonymously online For details go to uuu patudecom and click on "Intelligence Nizorals (ketoconazole) and Sporanoxs (itraconazole) are registered trademarks of Janssen Pharmaceutica Inc Flomaxs (tamsulosin HCI) is a registered trademark of Boehringer Ingelheim Pharmaceuticals Inc f Carduras (doxazosin mesylate) and Minipress (prazosin HCI) are registered trademarks of Pfizer Inc Uroxatrals of (affuzosin HCI) is a registered trademark Literature revised November 24 2003 PV t 4601 AMP 147-- 1 A 611 rPRINTED IN 5 USA 4 Manufactured for Lilly ICOS Lit by Eli Lilly and Company Indianapolis IN 46285 USA VAVVIC13118COM 0 2003 Copyright All rights reserved Lilly ICOS 11C 4- I r54:01- (11C:: PAGE 12 FEBRUARY 22 2004 PARADE |
