Tadalafil Umedica 20mg 4 Tablets is a prescription-only treatment for erectile dysfunction in adult men, which is when a man cannot get or keep an erection suitable for sexual activity. Each yellow, oval film-coated tablet contains 20 mg of tadalafil and is taken before sexual activity rather than every day, so you only take it when you plan to need it.

Key Features

• Treats erectile dysfunction in adult men: Tadalafil belongs to a group of medicines called phosphodiesterase type 5 inhibitors. After sexual stimulation, it helps the blood vessels in the penis relax, which allows blood to flow into the penis.
• 20 mg strength: The recommended starting dose is 10 mg. The 20 mg tablet is for men whose doctor has decided that 10 mg is too weak.
• Taken before sexual activity: Take it at least 30 minutes beforehand, with or without food. It is not recommended for continuous daily use.
• May work for up to 36 hours: The patient leaflet states the tablet may still be effective up to 36 hours after taking it.

Do I need a prescription for Tadalafil Umedica 20mg?

Yes. Tadalafil Umedica 20 mg tablets are a prescription only medicine, and the leaflet states the medicine has been prescribed for you only. Do not pass it on to others.

Will the tablet work without sexual stimulation?

No. Tadalafil does not work if there is no sexual stimulation. It also will not help if you do not have erectile dysfunction.

How often can I take Tadalafil 20mg tablets?

Do not take a tablet more than once a day. The 10 mg and 20 mg tablets are intended for use before anticipated sexual activity and are not recommended for continuous daily use.

Can I drink alcohol with Tadalafil?

Drinking alcohol may affect your ability to get an erection and may temporarily lower your blood pressure. Avoid excessive drinking (a blood alcohol level of 0.08% or greater), as this may increase the risk of dizziness when standing up.

Read the patient information leaflet before use.

1. Is this an over-the-counter medication? NO, this is a prescription-only medication (POM), but medino pharmacy offers a private erectile dysfunction service, called PGD, where a trained pharmacist can dispense some medications for erectile dysfunction, after carrying out a clinical assessment.

2. What will happen once I have answered the questions in the form? A pharmacist trained to provide the Erectile Dysfunction private service will assess the form and call you to discuss the answers you provided with you.

3. Why do I need to provide my phone number? In order to dispense this medication without a prescription, the consultation must be carried out via phone or video call. As well as this being a legal requirement to ensure that the medication is suitable for you, the final phone consultation will allow you to ask any questions you may have to the pharmacist.

3. Is the consultation private? Patient confidentiality is one of our top priorities, both the form you fill and the phone consultation are strictly confidential between you and the pharmacist.

4. Do I need to pay for the consultation? The price you see is inclusive of the consultation fee, so you will not have to pay anything extra.

Purchasing this medication does not guarantee its supply. The decision if this medication is right for you will be made together with the pharmacist during your consultation, and ultimately the decision to supply the medication is with the pharmacist. Any orders found not suitable will be refunded.

Active ingredient: Tadalafil 20 mg per film-coated tablet.

Take this medicine exactly as your doctor has told you. It is for oral use in men only. Swallow one tablet whole with some water, with or without food, at least 30 minutes before sexual activity.

• Do not take more than one tablet in a day.
• Do not use it for continuous daily use.
• If you take more than you should, contact your doctor.

Read the patient leaflet before taking this medicine. Do not take Tadalafil Umedica 20mg tablets if any of the following apply:

• You are taking any form of nitrate or nitric oxide donor, such as amyl nitrite (medicines used for angina or chest pain). Tadalafil increases their effects.
• You are taking riociguat (used for high blood pressure in the lungs).
• You have serious heart disease, or you have had a heart attack in the last 90 days.
• You have had a stroke in the last 6 months.
• You have low blood pressure or uncontrolled high blood pressure.
• You have ever lost vision because of non-arteritic anterior ischaemic optic neuropathy (NAION), sometimes called ""stroke of the eye"".
• You are allergic to tadalafil or any of the other ingredients.

Speak to your doctor before taking this medicine if:

• You have heart problems, because sexual activity puts extra strain on the heart.
• You have sickle cell anaemia, multiple myeloma or leukaemia.
• You have any deformation of the penis.
• You have a serious liver problem or a severe kidney problem.
• You have been told you have an intolerance to some sugars, because the tablets contain lactose.
• You have had pelvic surgery or removal of all or part of the prostate gland in which nerves were cut. It is not known whether tadalafil works in these cases.

Tell your doctor or pharmacist if you take any of the following, as they may affect or be affected by tadalafil:

• Alpha blockers, or other medicines for high blood pressure.
• 5-alpha reductase inhibitors.
• Ketoconazole tablets or protease inhibitors for HIV infection.
• Phenobarbital, phenytoin or carbamazepine.
• Rifampicin, erythromycin, clarithromycin or itraconazole.
• Other treatments for erectile dysfunction.

Other precautions:

• Stop taking the tablets and contact your doctor immediately if you have a sudden decrease or loss of vision, or your vision becomes distorted or dimmed.
• Stop taking the tablets and contact your doctor immediately if you have a sudden decrease or loss of hearing.
• Grapefruit juice may affect how well tadalafil works and should be taken with caution.
• This medicine is not for use by women or by children and adolescents under 18.
• Some men have reported dizziness in clinical studies. Check how you react before driving or using machines.

Like all medicines, this medicine can cause side effects, although not everybody gets them. The effects are normally mild to moderate. The lists below are not exhaustive.

Stop taking the medicine and get medical help immediately if you have:

• An allergic reaction, including rashes (uncommon).
• Chest pain. Do not use nitrates, and seek immediate medical help (uncommon).
• An erection lasting continuously for more than 4 hours (priapism, rare).
• Sudden loss of vision (rare), or distorted, dimmed or blurred central vision or a sudden decrease of vision (frequency not known).

Other side effects, by frequency:

• Common (1 to 10 in every 100 people): headache, back pain, muscle aches, pain in arms and legs, facial flushing, nasal congestion and indigestion.
• Uncommon (1 to 10 in every 1,000 people): dizziness, stomach ache, feeling or being sick, reflux, blurred vision, eye pain, difficulty breathing, blood in urine, prolonged erection, pounding heartbeat, fast heart rate, high or low blood pressure, nose bleeds, ringing in the ears, swelling of the hands, feet or ankles, and feeling tired.
• Rare (1 to 10 in every 10,000 people): fainting, seizures, passing memory loss, swelling of the eyelids, red eyes, sudden decrease or loss of hearing, hives, penile bleeding, blood in semen and increased sweating.

Heart attack and stroke have been reported rarely in men taking tadalafil, and most of these men had known heart problems before taking it. Dizziness has been reported more often in men over 75, and diarrhoea more often in men over 65.

You can report side effects through the Yellow Card Scheme at www.mhra.gov.uk/yellowcard.