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In the US, tadalafil (as Cialis) is indicated for the treatment of erectile dysfunction and the signs and symptoms of benign prostatic hyperplasia and (as Adcirca) for the treatment of pulmonary arterial hypertension to improve exercise ability.

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Tadalafil is used to treat erectile dysfunction, benign prostatic hyperplasia, and pulmonary arterial hypertension. In 2020, it was the 261st most commonly prescribed medication in the United States, with more than 1 million prescriptions. Tadalafil was approved for medical use in the United States in 2003. It also dilates blood vessels in the lungs, which lowers the pulmonary artery pressure. Tadalafil is a PDE5 inhibitor which increases blood flow to the penis. Tadalafil is not recommended in people taking nitrovasodilators such as nitroglycerin, as this may result in a serious drop in blood pressure. Rare but serious side effects include a prolonged erection that can lead to damage to the penis, vision problems, and hearing loss. Caution is advised in those with cardiovascular disease. Ĭommon side effects include headache, muscle pain, flushed skin, and nausea. Onset is typically within half an hour and the duration is up to 36 hours. Tadalafil, sold under the brand name Cialis among others, is a medication used to treat erectile dysfunction, benign prostatic hyperplasia, and pulmonary arterial hypertension.

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