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Tadalafil (Generic Cialis®)

886965002903201

Tadalafil (Generic Cialis)

The same active ingredient as Cialis® without the brand name pricing. Can be taken daily to avoid planning sex or as needed. Approved by Health Canada for erectile dysfunction in men.

Dosage options
- 2.5mg or 5mg (daily)
- 10 mg or 20 mg (as needed)

Important Safety Information
886965002903201

Tadalafil (Generic Cialis)

The same active ingredient as Cialis® without the brand name pricing. Can be taken daily to avoid planning sex or as needed. Approved by Health Canada for erectile dysfunction in men.

Dosage options
- 2.5mg or 5mg (daily)
- 10 mg or 20 mg (as needed)

Important Safety Information

Tadalafil

Starting from $69.99 per month

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$37.50

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*The cost indicated does not include the cost of the doctor consult or any applicable service fees
*Includes 1 year prescription if approved
*Access to our clinicians for 1 year
*100% refundable if you are declined the prescription after a medical review

What is Tadalafil?

Tadalafil is a prescription medication approved by Health Canada to help men who are suffering from ED. Tadalafil is the generic equivalent with the same active ingredient as the brand name Cialis®. Enjoy the same pill potency without burning a hole in your pocket. Men and their partners around the world use Tadalafil as their ED treatment of choice.

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How does Tadalafil work?

Tadalafil is a phosphodiesterase type 5 (PDE5) inhibitor. Like other PDE5 inhibitors, Tadalafil works by blocking the action of the PDE5 enzyme, resulting in higher blood flow to areas of the body including your penis.

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Tadalafil vs Other Treatments?

Tadalafil takes approximately 30 to 45 minutes to start working. However, it lasts longer than alternatives, up to 36 hours vs only 4 hours. Tadalafil is also the only medication in the group that can be taken daily. That means no more scheduling sex or waiting for 45 minutes before go time. As a result, surveys show tadalafil to be the overwhelming favourite for treating ED.

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Important Safety Information

What Tadalafil does:

TADALAFIL belongs to a class of medicine called phosphodiesterase type 5 (PDE5) inhibitors. Following sexual stimulation, TADALAFIL works by helping to relax the blood vessels in your penis by allowing blood to flow into your penis. This results in improved erectile function.

When Tadalafil should not be used:

  • If you are taking any medicines containing nitrates in any form (oral, sublingual [under the tongue], skin patch, or by inhalation [spray]). Although TADALAFIL is used occasionally, nitrates must never be used. Nitrates are found in many prescription medicines that are used in the treatment of angina pectoris (chest pain due to heart disease), such as nitroglycerin, isosorbide mononitrate, or isosorbide dinitrate. If you do not understand what nitrates are, or are unsure about whether a medication you are taking is a “nitrate”, ask your doctor or pharmacist.

If you take TADALAFIL with nitrate containing medicines or any other nitrates (e.g., amyl nitrite “poppers”), your blood pressure could suddenly drop to a life-threatening level. You could get dizzy, faint, or even have a heart attack or stroke.

  • If you have ever had an allergic reaction to tadalafil or the nonmedicinal ingredients in TADALAFIL.
  • TADALAFIL is not to be used in men for whom sexual activity is inadvisable.

This medicine has been prescribed for you personally and you should not pass it on to others. It may harm them, even if their symptoms are the same as yours.

BEFORE you use TADALAFIL talk to your doctor or pharmacist if you:

  • have heart problems (irregular heartbeats, angina, chest pain or had a heart attack). If you have heart problems, ask your doctor if your heart is healthy enough to handle the extra strain of having sex. If you have chest pain, dizziness or nausea during sex, stop exerting yourself. You should not use nitrates, but you should seek immediate medical assistance.
  • are 65 years of age or over
  • have had a stroke
  • have low blood pressure or uncontrolled high blood pressure
  • have liver or kidney problems
  • have sickle cell anemia (abnormality of the red blood cells), multiple myeloma (cancer of the bone marrow) or leukemia (cancer of the white blood cells)
  • are allergic to tadalafil or any of the other ingredients of TADALAFIL tablets
  • have a deformed penis or Peyronie’s disease
  • have ever had an erection that lasted more than 4 hours
  • have stomach ulcers or other bleeding problems.
  • have a rare inherited eye disease called retinitis pigmentosa
  • Ever had temporary, decrease, or permanent loss of vision, including a condition called Non-Arteritic Anterior Ischemic Optic Neuropathy (NAION). The specific type of vision decrease or loss, called non-arteritic anterior ischemic optic neuropathy (NAION), seems to occur rarely when blood flow to the optic nerve is reduced or blocked. Vision decrease or loss may be partial or complete, in one or very occasionally both eyes. While in some cases the condition may improve over time, it can also be irreversible. Rare cases of central serous chorioretinopathy (serous detachment of the macula layers of the retina) have been reported.
  • Rare but serious skin reactions of Stevens-Johnson’s Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) have been reported during the post-marketing period.

TADALAFIL is not recommended for use in children under 18 years of age and in women.

TADALAFIL does not protect against sexually transmitted diseases (STD), including Human Immunodeficiency Virus (HIV).

Alcohol consumption may decrease the ability to get an erection. Patients should know how to react to the drug before operating a motor vehicle or any machinery. If you are taking TADALAFIL and experience temporary, decrease, or permanent loss of vision, stop taking TADALAFIL and call your doctor.

In case of chest pain occurring during or after sexual activity you should not use nitrates, but you should seek immediate medical assistance. Sudden decrease or loss of hearing has been reported in a few number of post-marketing and clinical trial cases with the use of PDE5 inhibitors, including tadalafil. It has not been established whether these are related directly to the use of these medications or to other factors. If you experience these symptoms, stop taking TADALAFIL and call your doctor.

Drugs that may interact with TADALAFIL include:

  • nitrates (see previous section)
  • rifampin (an antibacterial product used against tuberculosis)
  • ketoconazole or itraconazole (used against fungal infections)
  • erythromycin (an antibacterial product)
  • protease inhibitors such as ritonavir and saquinavir (HIV treatments)

You should not use TADALAFIL together with any other treatments for erectile dysfunction or PDE5 inhibitors for treatment of pulmonary arterial hypertension (PAH), such as ADCIRCA (tadalafil) or REVATIO (sildenafil).

Tell your doctor if you are taking:

  • medicines to treat high blood pressure
  • alpha-blockers (such as doxazosin) for the treatment of prostate problems.

The combination of these medicines with TADALAFIL may add to the blood-pressure-lowering effect of these drugs.

SIDE EFFECTS AND WHAT TO DO ABOUT THEM

As with most drugs, TADALAFIL can cause some side effects. These effects are usually mild to moderate in nature and do not last for a long time.

The most common side effects are headache and facial flushing. Less commonly reported side effects are indigestion, dizziness, stuffy nose, effects on vision (including color tinge, increased brightness of light and blurred vision), seizure, seizure recurrence, sudden decrease or loss of hearing and transient global amnesia (temporary memory loss).

In extremely rare instances, a man may have an erection that lasts many hours. You should call a doctor immediately if you ever have an erection that lasts more than 4 hours.

Reports of sudden loss of vision have occurred rarely with the use of oral erectile dysfunction medications (PDE5 inhibitors). It has not been established whether these are related directly to the use of these medications or to other factors. There may be an increased risk to patients who have already experienced a condition called Non-Arteritic Anterior Ischemic Optic Neuropathy (NAION). You should stop taking TADALAFIL and consult your doctor if you experience a decrease in, or loss of, vision in one or both eyes.

Reports of serious skin reactions characterized by rash, blisters, peeling skin and pain, which require immediate medical attention, have also occurred rarely. You should stop taking TADALAFIL and consult your doctor if you experience such reactions.

If you notice any side effects not mentioned above, or any of the above-mentioned side effects persist or become bothersome, please contact your doctor or pharmacist.

Source: Mint Pharmaceuticals Inc. Product Monograph

More Erectile Dysfunction Treatments

Sildenafil (generic Viagra)

For those who can anticipate sexual activity. The famous blue pill without brand name pricing.
Learn More

Tadalafil (generic Cialis)

Taken before sex and may be effective for up to 36 hours after.
Learn More

Vardenafil (generic Levitra)

Another generic option for on demand sex.
Learn More

Tadalafil – FAQs

Tadalafil is a medication used to treat erectile dysfunction (ED). It belongs to a class of drugs known as phosphodiesterase type 5 (PDE5) inhibitors.
Tadalafil works by relaxing the muscles in the walls of blood vessels, allowing for increased blood flow to certain areas of the body. For ED, this helps to maintain an erection suitable for sexual activity.
Tadalafil can be taken as needed or on a daily basis, depending on a few factors. It’s usually taken at least 30 minutes before sexual activity. Always follow the dosage and administration instructions provided by the prescribing healthcare provider.
Common side effects may include headache, upset stomach, back pain, muscle aches, flushing, and stuffy or runny nose. These side effects usually go away after a few hours, although muscle aches and back pain can last up to two days.
Avoid taking Tadalafil if you are also using a nitrate drug for chest pain or heart problems, as this combination can cause a sudden and serious decrease in blood pressure. Inform your healthcare provider of your medical history and all other medications you are taking.
Severe side effects may include a prolonged erection lasting more than 4 hours, sudden decreased vision or loss of hearing. If you experience any of these or other severe side effects, seek medical attention immediately.
It’s essential to discuss with your healthcare provider before combining Tadalafil with other medications as certain drug interactions can occur. This is especially crucial if you are taking medications for heart problems, other PDE5 inhibitors, or alpha-blockers.

This FAQ provides general information. It’s important to consult with your healthcare provider for personalized health advice based on your specific medical conditions and medications. Gambit does not replace your existing general practitioner/ family doctor/ healthcare provider.

Important Safety Information

Read More

What Tadalafil does:

TADALAFIL belongs to a class of medicine called phosphodiesterase type 5 (PDE5) inhibitors. Following sexual stimulation, TADALAFIL works by helping to relax the blood vessels in your penis by allowing blood to flow into your penis. This results in improved erectile function.

When Tadalafil should not be used:

  • If you are taking any medicines containing nitrates in any form (oral, sublingual [under the tongue], skin patch, or by inhalation [spray]). Although TADALAFIL is used occasionally, nitrates must never be used. Nitrates are found in many prescription medicines that are used in the treatment of angina pectoris (chest pain due to heart disease), such as nitroglycerin, isosorbide mononitrate, or isosorbide dinitrate. If you do not understand what nitrates are, or are unsure about whether a medication you are taking is a “nitrate”, ask your doctor or pharmacist.

If you take TADALAFIL with nitrate containing medicines or any other nitrates (e.g., amyl nitrite “poppers”), your blood pressure could suddenly drop to a life-threatening level. You could get dizzy, faint, or even have a heart attack or stroke.

  • If you have ever had an allergic reaction to tadalafil or the nonmedicinal ingredients in TADALAFIL.
  • TADALAFIL is not to be used in men for whom sexual activity is inadvisable.

This medicine has been prescribed for you personally and you should not pass it on to others. It may harm them, even if their symptoms are the same as yours.

BEFORE you use TADALAFIL talk to your doctor or pharmacist if you:

  • have heart problems (irregular heartbeats, angina, chest pain or had a heart attack). If you have heart problems, ask your doctor if your heart is healthy enough to handle the extra strain of having sex. If you have chest pain, dizziness or nausea during sex, stop exerting yourself. You should not use nitrates, but you should seek immediate medical assistance.
  • are 65 years of age or over
  • have had a stroke
  • have low blood pressure or uncontrolled high blood pressure
  • have liver or kidney problems
  • have sickle cell anemia (abnormality of the red blood cells), multiple myeloma (cancer of the bone marrow) or leukemia (cancer of the white blood cells)
  • are allergic to tadalafil or any of the other ingredients of TADALAFIL tablets
  • have a deformed penis or Peyronie’s disease
  • have ever had an erection that lasted more than 4 hours
  • have stomach ulcers or other bleeding problems.
  • have a rare inherited eye disease called retinitis pigmentosa
  • Ever had temporary, decrease, or permanent loss of vision, including a condition called Non-Arteritic Anterior Ischemic Optic Neuropathy (NAION). The specific type of vision decrease or loss, called non-arteritic anterior ischemic optic neuropathy (NAION), seems to occur rarely when blood flow to the optic nerve is reduced or blocked. Vision decrease or loss may be partial or complete, in one or very occasionally both eyes. While in some cases the condition may improve over time, it can also be irreversible. Rare cases of central serous chorioretinopathy (serous detachment of the macula layers of the retina) have been reported.
  • Rare but serious skin reactions of Stevens-Johnson’s Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) have been reported during the post-marketing period.

TADALAFIL is not recommended for use in children under 18 years of age and in women.

TADALAFIL does not protect against sexually transmitted diseases (STD), including Human Immunodeficiency Virus (HIV).

Alcohol consumption may decrease the ability to get an erection. Patients should know how to react to the drug before operating a motor vehicle or any machinery. If you are taking TADALAFIL and experience temporary, decrease, or permanent loss of vision, stop taking TADALAFIL and call your doctor.

In case of chest pain occurring during or after sexual activity you should not use nitrates, but you should seek immediate medical assistance. Sudden decrease or loss of hearing has been reported in a few number of post-marketing and clinical trial cases with the use of PDE5 inhibitors, including tadalafil. It has not been established whether these are related directly to the use of these medications or to other factors. If you experience these symptoms, stop taking TADALAFIL and call your doctor.

Drugs that may interact with TADALAFIL include:

  • nitrates (see previous section)
  • rifampin (an antibacterial product used against tuberculosis)
  • ketoconazole or itraconazole (used against fungal infections)
  • erythromycin (an antibacterial product)
  • protease inhibitors such as ritonavir and saquinavir (HIV treatments)

You should not use TADALAFIL together with any other treatments for erectile dysfunction or PDE5 inhibitors for treatment of pulmonary arterial hypertension (PAH), such as ADCIRCA (tadalafil) or REVATIO (sildenafil).

Tell your doctor if you are taking:

  • medicines to treat high blood pressure
  • alpha-blockers (such as doxazosin) for the treatment of prostate problems.

The combination of these medicines with TADALAFIL may add to the blood-pressure-lowering effect of these drugs.

SIDE EFFECTS AND WHAT TO DO ABOUT THEM

As with most drugs, TADALAFIL can cause some side effects. These effects are usually mild to moderate in nature and do not last for a long time.

The most common side effects are headache and facial flushing. Less commonly reported side effects are indigestion, dizziness, stuffy nose, effects on vision (including color tinge, increased brightness of light and blurred vision), seizure, seizure recurrence, sudden decrease or loss of hearing and transient global amnesia (temporary memory loss).

In extremely rare instances, a man may have an erection that lasts many hours. You should call a doctor immediately if you ever have an erection that lasts more than 4 hours.

Reports of sudden loss of vision have occurred rarely with the use of oral erectile dysfunction medications (PDE5 inhibitors). It has not been established whether these are related directly to the use of these medications or to other factors. There may be an increased risk to patients who have already experienced a condition called Non-Arteritic Anterior Ischemic Optic Neuropathy (NAION). You should stop taking TADALAFIL and consult your doctor if you experience a decrease in, or loss of, vision in one or both eyes.

Reports of serious skin reactions characterized by rash, blisters, peeling skin and pain, which require immediate medical attention, have also occurred rarely. You should stop taking TADALAFIL and consult your doctor if you experience such reactions.

If you notice any side effects not mentioned above, or any of the above-mentioned side effects persist or become bothersome, please contact your doctor or pharmacist.

Source: Mint Pharmaceuticals Inc. Product Monograph