Adcirca Warnings and Precautions
Specific Precautions and Warnings for AdcircaSome warnings and precautions to be aware of prior to taking this drug include the following:
- There have been cases of serious side effects, such as heart attack, stroke, bleeding in the brain or lungs, and sudden death in people taking tadalafil for erectile dysfunction. Tadalafil is the main active ingredient in Adcirca. If you have a heart or blood vessel disease (cardiovascular disease) or significant heart disease risk factors, you may have an increased risk of these serious side effects.
- Adcirca can cause low blood pressure (hypotension). If your blood pressure becomes too low, you may become dizzy or faint. If you do feel dizzy or faint while taking Adcirca, lie down. You can reduce the risk of falling down from dizziness by sitting and standing up slowly. Also make sure you have something stable to hold onto when changing to a seated or standing position.
- If you take Adcirca, you should not have more than four alcohol-containing drinks in a short period of time, as it may cause your blood pressure to drop to unsafe levels.
- Phosphodiesterase type-5 (PDE5) inhibitors, such as Adcirca, have been associated with rare cases of a condition called nonarteritic anterior ischemic optic neuropathy (NAION). This condition can lead to a sudden decrease or loss of vision in one or both eyes. The vision loss can be permanent. If you experience any problems with your vision while taking Adcirca, contact your healthcare provider immediately.
- A sudden decrease or loss of hearing has occurred in people taking Adcirca and other PDE5 inhibitors. Dizziness and ringing in the ears sometimes occurred with the hearing loss. If you notice a change in your hearing or experience dizziness and ringing in your ears while taking Adcirca, contact your healthcare provider immediately.
- PDE5 inhibitors, such as Adcirca, have been associated with a rare but serious condition called priapism. Priapism is a persistent and usually painful erection that lasts for more than four hours. If you experience an erection for longer than four hours while taking Adcirca, seek immediate medical attention. If not treated immediately, priapism can cause impotence and permanent damage to the penis.
- The generic name for Adcirca is tadalafil. Tadalafil is also marketed as Cialis®, which is used to treat erectile dysfunction. Do not take Adcirca with Cialis or other PDE5 inhibitors, including Viagra® (sildenafil citrate) and Levitra® (vardenafil).
- Adcirca can interact with a number of other medications (see Adcirca Drug Interactions).
- Adcirca is considered a pregnancy Category B medication. This means that it is probably safe for use during pregnancy, although the full risks are currently unknown (see Adcirca and Pregnancy).
- It is unknown if Adcirca passes through breast milk. Therefore, if you are breastfeeding or plan to start breastfeeding, discuss this with your healthcare provider prior to taking the medication (see Adcirca and Breastfeeding).