{"id":4761,"date":"2020-11-30T10:40:23","date_gmt":"2020-11-30T10:40:23","guid":{"rendered":"https:\/\/zeepedia.com\/?p=4761"},"modified":"2021-08-21T07:26:06","modified_gmt":"2021-08-21T07:26:06","slug":"adcirca","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/adcirca\/","title":{"rendered":"Adcirca &#8211; Tadalafil uses, dose and side effects"},"content":{"rendered":"\n<p>20 mg&nbsp;film-coated tablets<br>Tadalafil<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What ADCIRCA is and what it is used for<\/h2>\n\n\n\n<p>ADCIRCA contains the active substance tadalafil.<\/p>\n\n\n\n<p>ADCIRCA belongs to a group of medicines called&nbsp;phosphodiesterase&nbsp;type 5 inhibitors (PDE5), which improve the blood flow to the lungs by affecting the blood vessels around the lungs so that they relax.&nbsp;The result is improved capacity during physical exertion.<\/p>\n\n\n\n<p>ADCIRCA is a treatment for&nbsp;pulmonary&nbsp;arterial&nbsp;hypertension&nbsp;in adults.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2. What you need to know before taking ADCIRCA<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not take ADCIRCA if you<\/h2>\n\n\n\n<p>&#8211; is allergic to tadalafil or any of the other ingredients (see section 6).<\/p>\n\n\n\n<p>&#8211; Take medicines containing nitrates, such as amyl nitrite, which are used to treat chest pain.&nbsp;ADCIRCA has been shown to increase the efficacy of these drugs.&nbsp;If you are taking any form of nitrate or are unsure, talk to your doctor.<\/p>\n\n\n\n<p>&#8211; has ever before lost sight &#8211; a condition called &#8220;stroke in the eye&#8221; (non-arteritic anterior ischemic optic neuropathy &#8211; NAION).<\/p>\n\n\n\n<p>&#8211; has had a heart attack in the last 3 months.<\/p>\n\n\n\n<p>&#8211; has low&nbsp;blood pressure.<\/p>\n\n\n\n<p>&#8211; tar riociguat.&nbsp;This medicine is used to treat&nbsp;pulmonary&nbsp;arterial&nbsp;hypertension&nbsp;(ie high&nbsp;blood pressure&nbsp;in the lungs) and&nbsp;chronic&nbsp;thromboembolic&nbsp;pulmonary&nbsp;hypertension(ie high&nbsp;blood pressure&nbsp;in the lungs due to blood clots).&nbsp;PDE5 inhibitors, such as ADCIRCA, have been shown to increase the antihypertensive effect of this medicine.&nbsp;If you are taking riociguat or if you are not sure, talk to your doctor.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor before taking ADCIRCA.<\/p>\n\n\n\n<p>Before taking the tablets, tell your doctor if you have:<\/p>\n\n\n\n<p>&#8211; heart problems other than your high&nbsp;blood pressure&nbsp;in the lungs<\/p>\n\n\n\n<p>&#8211; problems with your&nbsp;blood pressure<\/p>\n\n\n\n<p>any hereditary eye disease<\/p>\n\n\n\n<p>&#8211; abnormal&nbsp;red blood cells&nbsp;(sickle cell anemia)<\/p>\n\n\n\n<p>&#8211;&nbsp;bone marrow&nbsp;cancer&nbsp;(multiple&nbsp;myeloma&nbsp;)<\/p>\n\n\n\n<p>&#8211; blood cell cancer (&nbsp;leukemia&nbsp;)<\/p>\n\n\n\n<p>a deformed penis, or unwanted or persistent&nbsp;erection&nbsp;lasting more than 4 hours<\/p>\n\n\n\n<p>&#8211; severe liver disease<\/p>\n\n\n\n<p>&#8211; severe kidney disease.<\/p>\n\n\n\n<p>If you experience a sudden visual impairment or loss of vision, contact your doctor immediately.<\/p>\n\n\n\n<p>Impaired hearing or sudden hearing loss has been noted in some patients taking tadalafil.&nbsp;Although it is not known if the events are related to tadalafil, you should contact a doctor immediately if you experience hearing loss or sudden hearing loss.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and ADCIRCA<\/h2>\n\n\n\n<p>Tell your doctor if you are taking, have recently taken, or might take any other medicines.&nbsp;DO NOT take this medicine if you are already taking nitrates.<\/p>\n\n\n\n<p>Some medicines may be affected by ADCIRCA or they may affect the effect of ADCIRCA.&nbsp;Tell your doctor or pharmacist if you are already taking:<\/p>\n\n\n\n<p>&#8211;&nbsp;bosentan&nbsp;(new drugs used to treat&nbsp;pulmonary&nbsp;arterial&nbsp;hypertension&nbsp;)<\/p>\n\n\n\n<p>&#8211; nitrates (for chest pain)<\/p>\n\n\n\n<p>alpha-blockers used to treat high&nbsp;blood pressure&nbsp;or prostate problems.<\/p>\n\n\n\n<p>&#8211; riociguat<\/p>\n\n\n\n<p>rifampicin (to treat bacterial infections)<\/p>\n\n\n\n<p>&#8211; ketoconazole tablets (to treat fungal infections)<\/p>\n\n\n\n<p>&#8211; ritonavir (for&nbsp;HIV&nbsp;treatment)<\/p>\n\n\n\n<p>&#8211; tablets for&nbsp;erectile dysfunction&nbsp;(PDE5 inhibitors).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">ADCIRCA with alcohol<\/h2>\n\n\n\n<p>Alcohol intake can temporarily lower your&nbsp;blood pressure.&nbsp;Avoid consuming large amounts of alcohol (over 5 units of alcohol) after taking or planning to take ADCIRCA as this may increase the risk of dizziness when standing up.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<p>ADCIRCA should not be given to children or adolescents under 18 years of age.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding, and fertility<\/h2>\n\n\n\n<p>If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor for advice before using this medicine.&nbsp;Do not use ADCIRCA during pregnancy unless clearly necessary and you have discussed this with your doctor.<\/p>\n\n\n\n<p>Do not breast-feed while taking these tablets, as it is not known if the medicine passes into human breast milk.&nbsp;Ask your doctor or pharmacist for advice before taking any medicine during pregnancy or breast-feeding.<\/p>\n\n\n\n<p>Dogs that were treated had&nbsp;reduced&nbsp;sperm development in the testicles.&nbsp;A decrease in sperm concentration has been demonstrated in some men.&nbsp;Its effects are unlikely to impair&nbsp;male fertility.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Dizziness has been reported.&nbsp;Know how you react to the medicine before driving or using machines.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">ADCIRCA contains lactose<\/h2>\n\n\n\n<p>If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. How to take ADCIRCA<\/h2>\n\n\n\n<p>Always take this medicine exactly as your doctor has told you.&nbsp;Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<p>ADCIRCA is supplied as a 20 mg tablet.&nbsp;The&nbsp;<strong>usual&nbsp;<\/strong>dose&nbsp;is two 20 mg tablets once a day.&nbsp;You should take both tablets at the same time, one after the other.&nbsp;Your doctor may have prescribed you only one 20 mg tablet daily if you have mild to moderate liver or kidney problems.<\/p>\n\n\n\n<p>Swallow the tablets with a little water.&nbsp;You can take the tablets regardless of the meal.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you use more ADCIRCA than you should&nbsp;<\/h2>\n\n\n\n<p>If you or anyone else takes more tablets than you should, contact your doctor or go to the hospital immediately and take the medicine pack with you.&nbsp;You may experience some of the&nbsp;side effects&nbsp;described in section 4.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take ADCIRCA<\/h2>\n\n\n\n<p>Take a&nbsp;dose&nbsp;as soon as you remember it if it is within 8 hours of you taking your&nbsp;dose.&nbsp;DO NOT take a double&nbsp;dose&nbsp;to make up for a forgotten tablet.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop using ADCIRCA<\/h2>\n\n\n\n<p>Do not stop taking your tablets unless your doctor has told you to.<\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause&nbsp;side effects,&nbsp;although not everybody gets them.&nbsp;The side effects&nbsp;are usually mild or moderate in nature.<\/p>\n\n\n\n<p><strong>If you get any of the following&nbsp;side effects, stop using the medicine and see a doctor immediately:<\/strong><\/p>\n\n\n\n<p>&#8211; allergic reactions with a rash (uncommon).<\/p>\n\n\n\n<p>&#8211; chest pain &#8211; do not use nitrates but consult a doctor immediately (common).<\/p>\n\n\n\n<p>priapism, prolonged, and possibly painful&nbsp;erection&nbsp;after taking ADCIRCA (uncommon).&nbsp;If you get&nbsp;an erection&nbsp;that lasts continuously for more than 4 hours, you should contact a doctor immediately.<\/p>\n\n\n\n<p>&#8211; sudden loss of vision (rare).<\/p>\n\n\n\n<p>The following&nbsp;side effects&nbsp;have been reported very commonly in patients taking ADCIRCA (may affect more than 1 in 10 people): headache,&nbsp;redness, nasal congestion, and blocked sinuses, nausea, indigestion (including abdominal pain), muscle aches, back pain, and pain or discomfort in the arms and bones.<\/p>\n\n\n\n<p>Other&nbsp;side effects&nbsp;have been reported:<\/p>\n\n\n\n<p><strong>Common<\/strong>&nbsp;(may affect up to 1 in 10 users)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>blurred vision, low&nbsp;blood pressure, nosebleeds, vomiting, increased or abnormal abdominal bleeding, facial swelling, acid regurgitation,&nbsp;migraine, irregular heartbeat, and fainting.<\/li><\/ul>\n\n\n\n<p><strong>Uncommon<\/strong>&nbsp;(may affect up to 1 in 100 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>seizures, temporary memory loss,&nbsp;hives, profuse sweating, bleeding from the penis, presence of blood in semen and\/or urine, high&nbsp;blood pressure, palpitations, sudden cardiac death, and&nbsp;tinnitus&nbsp;(sound in the ears without external sound source).<\/li><\/ul>\n\n\n\n<p><strong>PDE5 inhibitors<\/strong>&nbsp;are also used to treat&nbsp;erectile dysfunction&nbsp;in men.&nbsp;Some&nbsp;side effects are reported rarely:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Partial, temporary, or permanent vision loss or loss of vision in one or both eyes and severe&nbsp;allergic reaction&nbsp;that causes swelling of the face and throat.&nbsp;Sudden deterioration or loss of hearing has also been reported.<\/li><\/ul>\n\n\n\n<p>Some&nbsp;side effects&nbsp;have been reported in men taking tadalafil for the treatment of&nbsp;erectile dysfunction.&nbsp;These&nbsp;side effects&nbsp;have not been reported in&nbsp;clinical trials&nbsp;of&nbsp;pulmonary&nbsp;arterial&nbsp;hypertension&nbsp;and therefore the frequency is unknown:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>swollen eyelids, pain in the eyes, red eyes, heart attack, and&nbsp;stroke&nbsp;.<\/li><\/ul>\n\n\n\n<p>Most but not all men who reported palpitations, irregular heartbeats, heart attacks,&nbsp;strokes,&nbsp;and sudden cardiac death had known heart problems before taking the drug.&nbsp;It is not possible to determine whether these reactions were directly related to tadalafil<\/p>\n\n\n\n<p>If you get&nbsp;any side effects, talk to your doctor or pharmacist.&nbsp;This also applies to any&nbsp;side effects&nbsp;not mentioned in this information.<\/p>\n\n\n\n<p><em>Reporting of side effects<\/em><\/p>\n\n\n\n<p>If you get any side effects, talk to your doctor, pharmacist, or nurse.&nbsp;This includes any possible side effects not listed in this leaflet.&nbsp;You can also report side effects directly to the Medical Products Agency,&nbsp;www.lakemedelsverket.se.&nbsp;By reporting side effects, you can help increase drug safety information.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store ADCIRCA<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the carton or blister after EXP.&nbsp;The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>Store in the original package.&nbsp;Moisture sensitive.&nbsp;Do not store above 30 \u00b0 C.<\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6. Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<p>The active substance is tadalafil.&nbsp;One tablet contains 20 mg of tadalafil.<\/p>\n\n\n\n<p>Other ingredients are:<\/p>\n\n\n\n<p>Tablet core:&nbsp;lactose monohydrate, croscarmellose sodium, hydroxypropyl cellulose, microcrystalline cellulose, sodium laurilsulfate, magnesium stearate.<\/p>\n\n\n\n<p>Film coating:&nbsp;lactose&nbsp;monohydrate, hypromellose, triacetin, titanium dioxide (E171), yellow iron oxide (E172), red iron oxide (E172), talc.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p>ADCIRCA 20 mg tablets are orange and film-coated.&nbsp;They are almond-shaped and marked &#8220;4467&#8221; on one side.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p>Eli Lilly Nederland BV, Papendorpseweg 83, 3528 BJ Utrecht, The Netherlands.<\/p>\n\n\n\n<p>Lilly SA, Avda.&nbsp;de la Industria 30, 28108 Alcobendas, Madrid, Spain.<\/p>\n\n\n\n<p>ADCIRCA 20 mg is supplied in blister packs containing 28 or 56 tablets.<\/p>\n\n\n\n<p>Not all pack sizes may be marketed.<\/p>\n\n\n\n<p>Contact the representative of the marketing authorization holder to find out more about this medicine<\/p>\n\n\n\n<p>Further information on this medicine is available on the European Medicines Agency web site: http:\/\/www.ema.europa.eu\/<\/p>\n","protected":false},"excerpt":{"rendered":"<p>ADCIRCA contains the active substance tadalafil.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2201,2200],"tags":[11678,11681,11683,11677,11682,7298,7300,7301,11680,11679,7299,11676],"class_list":["post-4761","post","type-post","status-publish","format-standard","hentry","category-a","category-medicines","tag-adcirca","tag-adcirca-tablet","tag-benefits-of-adcirca","tag-benefits-of-tadalafil","tag-side-effects-of-adcirca","tag-tadalafil","tag-tadalafil-side-effects","tag-tadalafil-tablet","tag-what-adcirca-is-used-for","tag-what-is-adcirca","tag-what-is-tadalafil","tag-what-tadalafil-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/4761","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=4761"}],"version-history":[{"count":6,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/4761\/revisions"}],"predecessor-version":[{"id":13124,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/4761\/revisions\/13124"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=4761"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=4761"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=4761"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}