TADALIS 40MG is an effective treatment for ED regardless of the cause or duration of the problem or the age of the patient. This section takes you through how TADALIS 40MG works, its side effects and the dosage that is right for you. What is Tadalis 40mg? Launched by Ranbaxy, TADALIS 40MG is a tablet used to treat erectile dysfunction (impotence) in men. It can help men who have erectile dysfunction get and sustain an erection when they are sexually excited. One does not get an erection just by taking this medicine. TADALIS 40MG helps a man with erectile dysfunction get an erection only when he is sexually excited. How does it work? Under normal circumstances, when a man is sexually stimulated, the penis fills up with blood. When erectile dysfunction occurs, enough blood does not flow to cause an erection. TADALIS 40MG, with Tadalafil, relaxes the penile blood vessels when a man is sexually stimulated. This allows blood flow into the penis, resulting in an erection. The erection subsides after sex, just as it is supposed to in normal conditions. Please understand that TADALIS 40MG is not a hormone or aphrodisiac, it works only when a man is sexually stimulated. In how much time does it work? Take TADALIS 40MG about one hour before you plan to have sex. Beginning in about 30 minutes and lasts for up to 36 hours, TADALIS 40MG can help you get an erection if you are sexually excited. If you take TADALIS 40MG after a high-fat meal (such as pav bhaji, cheeseburger and french fries), the medicine may take a little longer to start working. TADALIS 40MG can help you get an erection when you are sexually excited. You will not get an erection just by taking the pill. Who should take Tadalis 40mg? Ask your doctor if your heart is healthy enough for sexual activity. If you take any medicines that contain nitrates - either regularly or as needed - you should never take TADALIS 40MG. If you take TADALIS 40MG with any nitrate medicine or recreational drug containing nitrates, your blood pressure could suddenly drop to an unsafe level. You could get dizzy, faint, or even have a heart attack or stroke. Nitrates are found in many prescription medicines that are used to treat angina (chest pain due to heart disease) such as: nitro-glycerine (sprays, ointments, skin patches or pastes, and tablets that are swallowed or dissolved in the mouth) isosorbide mononitrate and isosorbide dinitrate (tablets that are swallowed, chewed, or dissolved in the mouth) Nitrates are also found in recreational drugs such as amyl nitrate or nitrite ("poppers"). If you are not sure if any of your medicines contain nitrates, or if you do not understand what nitrates are, ask your doctor or pharmacist. TADALIS 40MG is only for patients with erectile dysfunction. TADALIS 40MG is not for newborns, children, or women. Do not let anyone else take your TADALIS 40MG. TADALIS 40MG must be used only under a doctor's supervision. The right dosage Use in adult men: The recommended dose is 10 mg taken prior to anticipated sexual activity and without regard to food. In those patients in whom TADALIS 40MG 10 mg does not produce an adequate effect, 20 mg might be tried. Tadalafil may improve erectile function up to 36 hours following dosing. Therefore, when advising patients on optimal use of TADALIS 40MG, this should be taken into consideration. The maximum recommended dosing frequency is once per day. Daily use of the medication is strongly discouraged because the long-term safety after prolonged daily dosing has not been established. Use in elderly men: Dosage adjustments are not required in elderly patients. Use in men with impaired renal function: No dose adjustment is required in patients with mild renal insufficiency. For patients with moderate (creatinine clearance 31 to 50 mL/min) renal insufficiency, a starting dose of 5 mg not more than once daily is recommended, and the maximum dose should be limited to 10 mg not more than once in every 48 hours.