Carefill 5 mg

• Supports erection firmness during sexual stimulation

• Provides a strength used for daily erectile dysfunction treatment when prescribed

• Forms part of a treatment plan selected after clinical assessment

Tadalafil 5 mg daily is also used for symptoms of benign prostatic hyperplasia. This is a noncancerous enlargement of the prostate. Symptoms include a weak urine stream and difficulty starting urination. A clinician should investigate urinary symptoms before treatment. Confirm the specific product indication with your prescriber.

Tadalafil does not enlarge the penis or provide contraception. It does not protect against sexually transmitted infections. It is not a direct treatment for low sexual desire or a medicine for delaying ejaculation.

• Supports the natural erection response during sexual stimulation

• Provides a regular schedule when daily tadalafil is prescribed

• Reduces the need to time each dose around anticipated sexual activity

• Tadalafil 5 mg daily also helps prostate symptoms when prescribed for that condition

Daily treatment does not guarantee an erection. Kidney function and interacting medicines affect the regimen.

Sexual stimulation triggers signals that help smooth muscle in penile tissue relax. This allows more blood to enter the penis. A chemical messenger called cyclic guanosine monophosphate supports that response.

Phosphodiesterase type 5 breaks down the messenger. Tadalafil inhibits this enzyme and helps maintain the blood flow needed for an erection. Sexual stimulation remains necessary. Taking a tablet alone does not automatically create an erection.

With daily tadalafil treatment drug levels build towards a steady level over about 5 days. This does not guarantee a treatment response by a particular day. Follow the prescribed schedule and discuss an unsatisfactory response with your clinician.

For prostate symptoms tadalafil helps relax smooth muscle in the prostate and bladder. Symptom relief does not establish that every urinary problem comes from an enlarged prostate. Your clinician should confirm the diagnosis and check for other causes.

For standard daily tadalafil treatment of erectile dysfunction the usual starting dose is 2.5 mg once a day. A prescriber increases this to 5 mg according to response and tolerability. If 5 mg daily has been prescribed take it at approximately the same time each day without linking the dose to sexual activity.

Swallow the tablet with water and follow the supplied leaflet. Standard tadalafil tablets can be taken with or without food. Do not take an additional tablet before sex when you already follow a daily regimen.

Tadalafil used only before sexual activity usually starts at 10 mg. A clinician adjusts this to 5 mg or 20 mg according to response and tolerability. The standard maximum frequency is once a day. This occasional regimen is different from daily treatment. Do not switch between them yourself.

Kidney impairment and liver impairment require dose assessment. Daily tadalafil is not recommended in severe kidney impairment. Certain interacting medicines require a lower dose. The fact that a tablet contains only 5 mg does not remove these restrictions.

If you miss a prescribed daily dose take it when you remember. If it is nearly time for the next dose skip the missed dose and resume the usual schedule. Do not double the dose or take more than one dose in a day. Ask your pharmacist if the timing is unclear.

Tadalafil can cause headache and indigestion. Other reported effects include flushing and nasal congestion. Back pain and muscle aches also occur. Not everyone experiences side effects. Speak with a pharmacist or clinician about symptoms that persist or interfere with daily activities. Avoid driving or operating machinery if you feel dizzy. A lower dose still causes unwanted effects in some people. Do not increase the dose yourself to improve the response.

Stop taking tadalafil and seek urgent help for sudden loss of vision or hearing. An erection lasting more than 4 hours requires emergency treatment even without pain. Call emergency services for chest pain or a severe allergic reaction such as breathing difficulty or swelling of the face or throat. Stop sexual activity if chest pain develops. Tell the treating team when you took tadalafil. Do not take nitrate medicine yourself because the combination can dangerously lower blood pressure.

Tadalafil must not be used when a contraindication applies. Your clinician should review your medicines and medical history before treatment.

• People taking nitrate medicines for chest pain or another condition

• People using recreational nitrite products such as poppers

• People taking riociguat

• People with an allergy to tadalafil or another tablet ingredient

• People advised to avoid sexual activity because of their cardiovascular condition

A recent heart attack or stroke requires assessment. So do significant heart disease and very low blood pressure. Tell your clinician about uncontrolled high blood pressure and previous sudden vision loss.

Severe liver disease is a reason tadalafil is not recommended. Kidney disease affects dose and schedule selection. Report sickle cell disease and blood cancers associated with prolonged erections. Penile deformity also matters to treatment safety.

Give your clinician a complete medicine list before starting treatment. Include products bought without a prescription and any herbal remedies or supplements. Daily tadalafil produces ongoing exposure so interactions matter between doses as well.

• Nitrates and nitrites can dangerously lower blood pressure with tadalafil

• Riociguat must not be combined with tadalafil

• Alpha blockers and blood pressure medicines increase low blood pressure risks

• Ritonavir and some other HIV medicines increase tadalafil exposure

• Ketoconazole and itraconazole affect tadalafil breakdown

• Rifampicin reduces tadalafil exposure and affects treatment response

• Other erectile dysfunction medicines require prescriber review

Do not combine Carefill with sildenafil or another tadalafil medicine yourself. Different names sometimes contain the same ingredient. Check composition rather than relying on the brand name.

Large amounts of alcohol increase dizziness and low blood pressure risks with tadalafil. Excessive drinking also worsens erection difficulties. Discuss grapefruit and grapefruit juice with your pharmacist because they affect tadalafil handling in the body.

• Follow the temperature and storage instructions on the supplied pack

• Keep tablets in their original packaging until needed

• Protect the medicine from moisture and excessive heat

• Keep it out of the sight and reach of children

• Check the expiry date before use

• Do not use tablets from damaged or suspicious packaging