Carefill 60 mg

When tadalafil is suitable and used at the amount directed by a healthcare professional, it may:

• Improve the ability to achieve an erection

• Help maintain firmness during sexual activity

• Support the natural response to sexual stimulation

• Provide an extended period of responsiveness

• Reduce the need for precise last-minute timing

• Be taken with or without food

• Offer convenient oral administration

Carefill 60 mg manages the physical symptoms of erectile dysfunction while tadalafil is active. It does not permanently cure ED or correct every possible underlying cause.

When a man becomes sexually stimulated, nitric oxide is released in the penile tissues. This raises the level of a chemical called cGMP, which relaxes the surrounding smooth muscles and allows more blood to enter the penis.

The PDE5 enzyme breaks down cGMP. Tadalafil limits the action of this enzyme, helping cGMP remain active for longer. The improved blood flow supports a firmer erection that can be maintained during sexual activity.

Tadalafil may support erectile function for up to 36 hours in some men. This refers to the possible response period and does not mean that an erection remains continuously present.

For erectile dysfunction, the usual starting tadalafil dose is 10 mg taken before anticipated sexual activity. Depending on effectiveness and tolerability, a healthcare professional may reduce it to 5 mg or increase it to a maximum of 20 mg.

Carefill 60 mg contains three times the usual maximum single tadalafil dose for ED. It is not a routine starting or standard ED dose. The strength must be reviewed and the exact amount to be used must be clearly confirmed by a qualified healthcare professional.

Carefill 60 mg should not be treated as a daily tadalafil dose. Daily treatment for ED normally uses 2.5 mg or 5 mg. People with liver or kidney problems and those using certain interacting medicines may require substantially lower doses.

Common Side Effects: Headache, indigestion, facial flushing, nasal congestion, back pain, muscle aches and discomfort in the arms or legs may occur. These reactions are often temporary, but a healthcare professional should be contacted if they become severe, continue for a long time or interfere with normal activities.

Serious Side Effects: Seek urgent medical help for chest pain, fainting, severe dizziness, sudden vision loss, sudden hearing loss, breathing difficulty, swelling of the face or throat, or a painful erection lasting longer than four hours. Do not take another dose until the reaction has been medically assessed.

Carefill 60 mg should not be used without medical approval by:

• People allergic to tadalafil

• People taking nitrate medicines

• People using riociguat

• Men advised to avoid sexual activity

• People with serious heart conditions

• People with very low blood pressure

• People with severe liver disease

• People with serious kidney impairment

• People taking another PDE5 inhibitor

• Children and adolescents

A medical review is also necessary after a recent heart attack or stroke or when there is uncontrolled blood pressure, an irregular heartbeat or a previous serious vision problem.

Tell your healthcare provider about all medicines, supplements and recreational substances you use.

Important interactions include:

• Nitrate medicines

• Riociguat

• Alpha-blockers

• Blood pressure medicines

• Other PDE5 inhibitors

• Other ED treatments

• Ketoconazole or itraconazole

• Ritonavir and similar HIV medicines

• Certain macrolide antibiotics

• Excessive alcohol

Combining tadalafil with nitrates or riociguat can cause a dangerous fall in blood pressure. Some antifungals, antibiotics and antiviral medicines can slow tadalafil removal from the body and increase its effects.

Do not begin another ED medicine or change the amount of Carefill 60 mg without first speaking with a qualified healthcare professional.

• Keep Carefill 60 mg in its original packaging.

• Store it in a cool and dry place.

• Protect the tablets from direct sunlight.

• Keep them away from heat and moisture.

• Store them away from children and pets.

• Do not use damaged or discoloured tablets.

• Do not use the medicine after its expiry date.

• Follow the storage directions printed on the supplied pack.