This is due to the irregular shape of the Cialis tablet as shown below , which could result in inconsistent dosing if the tablets are cut.
Cutting Cialis is certainly an attractive option if you are using the drug for erectile dysfunction. From a safety standpoint, Cialis can be cut since it is not an extended or modified release product. Drugs that utilize extended or modified release mechanisms should never be cut as that can result in the entire dose being delivered at once i. Fortunately, this is not an issue with Cialis. If you do decide to cut Cialis, remember that tablet cutting is an inexact science and can be difficult to be consistent.
This is especially true of Cialis tablets since they are not scored. It is always recommended to use a tablet cutter versus splitting by hand or with a knife.. The working effect of Cialis is to provide quality erections, thus negating ED. This med can cause some side effects as well as disease interaction. Cialis works relatively swift but not as fast as Viagra. It can take about 30 minutes to 2 hours for the full effects of tadalafil to kick in, though it only takes about an hour for sildenafil to work fully.
Studies depict that Cialis is absorbed rapidly, and this is not influenced by the timing of meals [1]. On the other hand, the effects of Cialis last clearly longer — normally up to 36 hours 1. This is one of the reasons why some men prefer this remedy. It awesomely allows for more spontaneous intercourse.
However, sexual stimulation must exist for this pill to work anytime within 36 hours after ingestion. Regarding the Cialis dosage, you need to follow safe, advisable doses. A 10 mg tab is usually an advisable daily dose taken as needed, though some men might realize that a lower dose of 5 mg or a higher dose of 20 mg works better. According to research, there is no significant difference in safety or efficacy between these two options [2]. When taking Adcirca or Alyq, you may need 2 tablets for a full dose.
Take both tablets one after the other. Do not split the dose. Take Cialis just before sexual activity, but not more than once per day. Cialis can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill. Do not change your tadalafil dose or stop taking this medicine without your doctor's advice. If you miss a dose of Adcirca or Alyq , take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose.
Do not take two doses at one time. Health Topics. Health Tools. Cialis Tadalafil. Generic Name: Tadalafil. Reviewed: June 23, You should not take tadalafil if you are allergic to it, or: if you take other medicines to treat pulmonary arterial hypertension, such as riociguat Adempas. Tell your doctor if you have ever had: heart problems chest pain, a heart rhythm disorder, heart failure ; a heart attack or stroke; high or low blood pressure; liver disease; kidney disease or if you are on dialysis ; retinitis pigmentosa an inherited condition of the eye ; blindness in one or both eyes; hearing problems; blood circulation problems; a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia; pulmonary veno-occlusive disease PVOD ; a physical deformity of the penis such as Peyronie's disease , or an erection lasting longer than 4 hours; a stomach ulcer; or health problems that make sexual activity unsafe.
The non-symmetrical shape of Cialis tablets would make it difficult to evenly split into two pieces. This may lead to inconsistent dosing. Generic Cialis products tadalafil are recommended not to be split too, even though most of them are symmetrical in shape.
The recommendation not to split these is likely mostly due to the film-coating. It is important to point out that neither the brand nor the generic tablets are scored. Even with the use of a pill splitter, non-scored tablets can be difficult to split evenly. During clinical trials for Cialis, the manufacturer Eli Lilly only looked at the use of whole tablets. There is no safety or efficacy data on the use of split tablets. Therefore, the generic products have no data on split tablets either.
Brand and generic tadalafil tablets are film-coated. Splitting the tablets destroys the film coating. According to the prescribing information for both Cialis and generic tadalafil products, the film coating is not a delayed-release mechanism and is therefore likely intended only to ease swallowing and to protect the tablets from excess moisture.
Your doctor may even recommend you do it if you need to adjust your dose or as a cost-saving measure. There have been no reported safety issues cutting Cialis or generic tadalafil tablets, and they are not listed on the ISMP list of medications that shouldn't be crushed. If you have the brand name tablets, and your doctor has recommended splitting them to adjust your dose or as a cost-saving measure, take care in doing so since it can be difficult to cut the oddly shaped tablets and they aren't scored.
If you have a generic tadalafil tablet, most are symmetrical and should be easier to split evenly when compared to the brand-name ones.
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