Ciasel 40 mg Tablet

Ciasel 40 mg Tablet is a prescription tablet that contains 40 mg of tadalafil in each tablet. Tadalafil belongs to a class of medicines called phosphodiesterase type 5 (PDE5) inhibitors. It is used in men to treat erectile dysfunction and, in some patients, symptoms of benign prostatic hyperplasia (BPH) when prescribed for that purpose. Because Ciasel 40 mg Tablet is a higher-strength tadalafil tablet, it should only be used when a clinician has determined that this strength is appropriate.

How it works: Tadalafil in Ciasel 40 mg Tablet helps relax blood vessels and smooth muscle in certain parts of the body, which improves blood flow. In erectile dysfunction, that extra blood flow helps produce and maintain an erection with sexual stimulation; in BPH, it can help ease urinary symptoms.

Ciasel 40 mg Tablet is stronger than the more common 10 mg and 20 mg tablet strengths, so it is not a routine starting option. A doctor may choose Ciasel 40 mg Tablet for someone who has already been assessed and needs a specific higher tadalafil strength, rather than a lower tablet strength. The effect may last for a long time, but a higher dose can also mean a greater chance of side effects.

• Erectile dysfunction
• Benign prostatic hyperplasia symptom relief
• Doctor-directed tadalafil therapy
• Men’s health prescription treatment

• Swallow Ciasel 40 mg Tablet whole with water; do not crush, split, or chew unless your doctor tells you to.
• Take it exactly as prescribed, since 40 mg is a higher-strength tablet and is not meant for self-adjusting the dose.
• For erectile dysfunction, it is often taken before sexual activity; follow the timing your prescriber recommends.
• Do not take more than one Ciasel 40 mg Tablet in a day unless your doctor specifically instructs otherwise.
• Food does not usually block tadalafil, but heavy alcohol intake can worsen dizziness and blood-pressure effects.
• If you are taking it for daily use, take it at the same time each day only if your prescriber has directed that schedule.

Each Ciasel 40 mg Tablet provides 40 mg of tadalafil per tablet, which is a higher strength than the 10 mg and 20 mg tablets. How often it can be taken depends on the reason it was prescribed and your doctor’s instructions, but it should not be taken more than once in 24 hours. Your clinician decides whether this strength is appropriate and whether a lower-strength tablet would be safer.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Tadalafil may include:

• Headache
• Flushing
• Indigestion or upset stomach
• Back pain
• Muscle aches
• Nasal congestion
• Dizziness, which may be more noticeable with this higher strength

• Ciasel 40 mg Tablet is a higher-strength tadalafil tablet, so do not use it unless a doctor has specifically recommended this dose.
• Do not take it with nitrates or “poppers” because the combination can cause a dangerous drop in blood pressure.
• Use extra caution if you have heart disease, low blood pressure, recent stroke, recent heart attack, or severe liver or kidney problems.
• Avoid drinking a lot of alcohol, since alcohol can increase dizziness, fainting, and low blood pressure.
• This medicine can cause dizziness or vision changes, so be careful driving or using machinery until you know how it affects you.
• Tell your prescriber about all medicines you take for prostate symptoms or blood pressure, especially alpha-blockers.
• Seek medical care right away if an erection lasts too long or if you have sudden vision or hearing changes.

• Nitrate medicines such as nitroglycerin or isosorbide
• Alpha-blockers such as tamsulosin, doxazosin, or terazosin
• Certain antifungals and antibiotics that affect tadalafil levels, such as ketoconazole or clarithromycin
• HIV protease inhibitors and some hepatitis C medicines
• Other PDE5 inhibitors or erectile dysfunction products

Store Ciasel 40 mg Tablet in the original strip/box at room temperature, away from moisture, heat, and direct light.