CIDALA

CIDALA

Active ingredient(s): Tadalafil

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Consumer Medicine Information (CMI)

This leaflet provides important information about using CIDALA. You should also speak to your doctor or pharmacist if you would like further information or if you have any concerns or questions about using CIDALA.

Where to find information in this leaflet:

1. Why am I using CIDALA?
2. What should I know before I use CIDALA?
3. What if I am taking other medicines?
4. How do I use CIDALA?
5. What should I know while using CIDALA?
6. Are there any side effects?
7. Product details

1. Why am I using CIDALA?

CIDALA contains the active ingredient tadalafil. CIDALA belongs to a group of medicines called phosphodiesterase type 5 inhibitors.

CIDALA is used to treat:

• erectile dysfunction, also known as impotence, in men. This is when a man cannot get, or maintain, a hard erect penis suitable for sexual activity. Following sexual stimulation, CIDALA works by helping the blood vessels in your penis to relax, allowing the flow of blood into your penis. The result of this is improved erectile function. CIDALA will only treat erectile dysfunction if you are sexually aroused. You and your partner will need to engage in foreplay, just as you would if you were not taking a medicine for erectile dysfunction.
• urinary symptoms associated with a common condition called benign prostatic hyperplasia. This is when the prostate gland gets bigger with age. Symptoms include difficulty in starting to pass urine, a feeling of not completely emptying the bladder and a more frequent need to pass urine even at night. CIDALA improves blood flow to, and relaxes the muscles of, the prostate and bladder which may reduce symptoms of benign prostatic hyperplasia.

Your doctor may have prescribed you CIDALA to treat either, or both of these conditions.

2. What should I know before I use CIDALA?

Warnings

Do not use CIDALA if:

• you are allergic to tadalafil, or any of the ingredients listed at the end of this leaflet. Always check the ingredients to make sure you can use this medicine
• you are currently taking any nitrates, medicines used for the treatment of angina (“chest pain”) or other heart conditions. CIDALA
• has been shown to increase the effects of these medicines.
• if you use recreational drugs called “poppers” or “amyl” like amyl nitrite and butyl nitrite that are normally taken through inhalation
• if you use guanylate cyclase stimulators such as riociguat, used to treat pulmonary arterial hypotension
• if you have heart or blood vessel problems that make sexual intercourse inadvisable. Sexual activity carries a possible risk to patients with a heart condition because it puts extra strain on the heart
• if you have heart problems such as angina, arrhythmias (change in rhythm or rate of heart beat), heart failure
• if you have suffered a heart attack in the last 3 months
• if you have suffered a stroke in the last 6 months
• if your blood pressure is unusually high or low or is not effectively treated
• if you have vision loss in one eye because of non-arteritic interior ischaemic optic neuropathy (NAION).

Check with your doctor or pharmacist if you:

• liver or kidney problems
• heart problems or if you have had a heart attack
• blood vessel problems
• sickle cell anaemia (an abnormality or red blood cells)
• multiple myeloma (cancer of the bone marrow)
• leukaemia (cancer of the blood cells)
• any deformation of the penis (such as angulation, cavernosal fibrosis or Peyronie’s disease)
• loss of vision in one or both eyes.

During treatment, you may be at risk of developing certain side effects. It is important you understand these risks and how to monitor for them. See additional information under Section 6. Are there any side effects?

Tell your doctor if you:

• are aged 75 years and over.

You have a higher chance of experiencing side effects like dizziness and diarrhea.

Your doctor will assess if CIDALA is suitable for you.

Use in women

CIDALA is not intended for use by women.

Use in children

CIDALA is not intended for use by children under the age of 18 years.

3. What if I am taking other medicines?

Tell your doctor or pharmacist if you are taking any other medicines, including any medicines, vitamins or supplements that you buy without a prescription from your pharmacy, supermarket or health food shop.

Some medicines may interfere with CIDALA and affect how it works.

These include:

• nitrates, medicines such as glyceryl trinitrate, isosorbide mononitrate and sodium nitroprusside used to treat angina and other heart conditions (see Section 2. What should I know before I use CIDALA?)
• guanylate cyclase stimulators such as riociguat, used to treat pulmonary arterial hypotension (see Section 2. What should I know before I use CIDALA?)
• some antibiotic medicines such as rifampicin, erythromycin and clarithromycin
• some medicines used to treat seizures such as phenytoin, phenobarbitone and carbamazepine
• some medicines used to treat fungal infections such as ketoconazole and itraconazole
• protease inhibitors used to treat HIV such as ritonavir and saquinavir
• medicines used to treat hypertension (high blood pressure) such as metoprolol, irbesartan and enalapril
• alpha-blockers (used to treat hypertension and some prostate problems) such as prazosin and doxazosin
• a 5-alpha reductase inhibitor, such as finasteride (used to treat prostate and hair loss problems)
• warfarin, a medicine used to prevent or treat blood clots
• other PDE5 inhibitors such as sildenafil used to treat erectile dysfunction or pulmonary arterial hypertension (high blood pressure in the blood vessels in the lungs)
• grapefruit juice
• large amounts of alcohol.

Check with your doctor or pharmacist if you are not sure about what medicines, vitamins or supplements you are taking and if these affect CIDALA.

4. How do I use CIDALA?

For Erectile Dysfunction:

• CIDALA can be taken as either on-demand dosing or once-a-day dosing:
  – CIDALA on-demand (10 mg or 20 mg) is intended for use prior to anticipated sexual activity and is not for continuous daily use
  – CIDALA once-a-day (5 mg) is for patients who anticipate frequent use of CIDALA (i.e. at least twice weekly). Your doctor can advise on the appropriateness of once-a-day treatment. When taken once a day, CIDALA allows you to obtain an erection, when sexually stimulated, at any time point during the 24 hours of the day.
• Do not take once-a-day dosing and on-demand dosing concurrently
• When taking CIDALA once-a-day (5 mg), it may take up to 1 week for a full effect on erectile dysfunction.

For urinary symptoms associated with benign prostate hyperplasia

• CIDALA once-a-day (5 mg) is taken daily. It may take up to a week to notice an improvement and 1 month for a full effect on urinary symptoms such as urinating too frequently during the day or at night, the need to urinate being too urgent, or too soon after relieving your bladder.

How much to take

You should not take CIDALA more than once a day.

On-demand dosing for Erectile Dysfunction:

• the maximum recommended dose of CIDALA is one 20 mg tablet taken before sexual activity
• if you have kidney disease, the recommended dose of CIDALA is one 10 mg tablet. This dose may be increased up to 20 mg. For patients with severe renal impairment, 10 mg is the maximum recommended dose
• if you have liver disease, the recommended dose of CIDALA is one 10 mg tablet. Patients with severe hepatic impairment should follow their doctor’s advice
• no special dosing consideration is needed for the elderly or people with diabetes.

Once-a-day dosing for Erectile Dysfunction and/or urinary symptoms associated with Benign Prostate hyperplasia:

• the recommended dose of CIDALA is one 5 mg tablet taken once per day
• dose adjustments are not required in patients with kidney disease unless you have severe renal impairment. Oncea-day dosing of CIDALA is not recommended in patients with severe renal impairment.
• patients with liver disease should follow their doctor’s advice. Once-a-day dosing is not recommended in patients with severe hepatic impairment.
• no special dosing consideration is needed for the elderly or people with diabetes.

When to take / use CIDALA

• CIDALA can be taken with or without food or alcohol. However, drinking alcohol may affect your ability to get an erection, so avoid excessive drinking.

On-demand dosing for Erectile Dysfunction:

• CIDALA (10 mg or 20 mg) should be taken at least 30-60 minutes prior to anticipated sexual activity
• The amount of time CIDALA takes to work varies from person to person. In some men CIDALA can work as early as 16 minutes after taking the tablet but it is recommended that you allow 1 hour the first time you take it
• CIDALA has been proven to be effective for up to 36 hours. This means you can take CIDALA and it will allow you to obtain an erection when sexually stimulated, at any time during the 36 hours after taking it. Sometimes if you’re feeling anxious or nervous you may not respond to the first tablet. Don’t give up, it may take a few doses before you get the full benefit of CIDALA.

Once-a-day dosing for Erectile Dysfunction and/or urinary symptoms associated with Benign Prostate hyperplasia:

• CIDALA should be taken daily at approximately the same time of day
• CIDALA must be taken daily to maintain effect.

How to take CIDALA?

Swallow one tablet whole with a full glass of water.

If you use too much CIDALA

If you think that you have used too much CIDALA, you may need urgent medical attention.

You should immediately:

• phone the Poisons Information Centre
  (by calling 13 11 26), or
• contact your doctor, or
• go to the Emergency Department at your nearest hospital.

You should do this even if there are no signs of discomfort or poisoning. You may need urgent medical attention.

5. What should I know while using CIDALA?

Things you should do

If you have emergency treatment for any suspected heart condition, tell the emergency medical or ambulance staff that you are taking CIDALA.

Remind any doctor, dentist or pharmacist you visit that you are using CIDALA.

Things you should not do

• Do not take CIDALA to treat any other complaints unless your doctor tells you to.
• Do not give this medicine to anyone else, even if they have the same condition as you

Driving or using machines

Be careful before you drive or use any machines or tools until you know how CIDALA affects you.

Drinking alcohol

Tell your doctor if you drink alcohol.

Alcohol may affect your ability to get an erection. Avoid excessive drinking.

When taking CIDALA with large amounts of alcohol, some men may experience dizziness.

Looking after your medicine

• Keep CIDALA tablets in the original pack until it is time to take them.
• Keep CIDALA tablets in a cool dry place where the temperature is below 25°C.

Do not store CIDALA, or any other medicine, in the bathroom or near a sink.

Do not leave medicines in the car or on window sills. Heat and dampness can destroy some medicines.

Keep your medicines where children cannot reach them. A locked cupboard at least one-and-a-half metres (1.5 m) above the ground is a good place to store medicines.

Getting rid of any unwanted medicine

If you no longer need to use this medicine or it is out of date, take it to any pharmacy for safe disposal.

Do not use this medicine after the expiry date.

6. Are there any side effects?

All medicines can have side effects. If you do experience any side effects, most of them are minor and temporary. However, some side effects may need medical attention.

See the information below and, if you need to, ask your doctor or pharmacist if you have any further questions about side effects.

Less serious side effects

Less serious side effects

What to do

Allergic reaction: including skin rash, swelling of the face and hives Gastrointestinal: indigestion stomach pain nausea and vomiting diarrhoea heart burn Nervous system: headache or migraine dizziness fainting Musculoskeletal: back pain muscle pain Skin related: sweating Vascular: facial flushing tiredness (fatigue) bleeding nose Infection: sore throat and discomfort when swallowing nasal congestion (blocked nose) Eye related: red eyes, eye pain, swelling of eyelids blurred vision changes in colour vision

Speak to your doctor or pharmacist if you have any of these less serious side effects and they worry you.

Serious side effects

Serious side effects

What to do

Heart related: chest pain increased heart beat If you experience chest pain during or after sexual activity: stop what you are doing, sit up and sit forward. Call an ambulance if the pain does not resolve. Do not use nitrates (medicines used for the treatment of angina (“chest pain”) or other heart conditions). Urogenital: prolonged and painful erection erection that lasts longer than 4 hours Eye related: decrease or loss of vision Ear related: sudden decrease or loss of hearing* Nervous system: seizures*

Call your doctor straight away, or go straight to the Emergency Department at your nearest hospital if you notice any of these serious side effects.

*Sudden loss or decrease in hearing which may be accompanied by ringing in the ears and dizziness, loss of vision in one or both eyes and seizures have been reported in people taking CIDALA. It is not possible to determine whether these events are related directly to CIDALA, to other diseases or medications, to other factors, or to a combination of factors. If you experience these symptoms, stop taking CIDALA and contact a doctor immediately.

Tell your doctor or pharmacist if you notice anything else that may be making you feel unwell.

Other side effects not listed here may occur in some people.

Reporting side effects

After you have received medical advice for any side effects you experience, you can report side effects to the Therapeutic Goods Administration online at www.tga.gov.au/reporting-problems. By reporting side effects, you can help provide more information on the safety of this medicine.

Always make sure you speak to your doctor or pharmacist before you decide to stop taking any of your medicines.

7. Product details

This medicine is available with a doctor’s prescription.

What CIDALA contains

Active ingredient (main ingredient)	Tadalafil
Other ingredients (inactive ingredients)	croscarmellose sodium hyprolose lactose monohydrate Povidone Silicon dioxide magnesium stearate sodium lauryl sulfate OPADRY complete film coating system 03F520005 YELLOW (PI 109940)
Potential allergens	This medicine contains sugars as lactose.

This medicine does not contain sucrose, gluten, tartrazine or any other azo dyes.

Do not take this medicine if you are allergic to any of these ingredients.

What CIDALA looks like

CIDALA 5 mg tablets are Yellow to light yellow, round shaped, beveled edge, coated tablets debossed with ‘337’ on one side and plain on other side.

CIDALA 10 mg tablets are Yellow to light yellow, round shaped, beveled edge, coated tablets debossed with ‘338’ on one side and plain on other side.

CIDALA 20 mg tablets are Yellow to light yellow, oval shaped, beveled edge, coated tablets debossed with ‘L339’ on one side and plain on other side.

CIDALA 5 mg tablet – AUST R 277558

CIDALA 10 mg tablet – AUST R 277550

CIDALA 20 mg tablet – AUST R 277540

Who distributes CIDALA

Arrotex Pharmaceuticals Pty Ltd
15-17 Chapel St
Cremorne VIC 3121
www.arrotex.com.au

This leaflet was prepared in June 2023