Drug Name
Forzest (Tadalafil)

Drug Uses
Forzest (Tadalafil) is an effective treatment for ED regardless of the cause or duration of the problem or the age of the patient.

Launched by Ranbaxy, Forzest is a tablet used to treat erectile dysfunction (impotence) in men. It can help men who have erectile dysfunction get and sustain an erection when they are sexually excited. One does not get an erection just by taking this medicine. Forzest helps a man with erectile dysfunction get an erection only when he is sexually excited.

Forzest does not cure erectile dysfunction. It is a treatment for erectile dysfunction. Forzest does not protect you or your partner from getting sexually transmitted diseases, including HIV-the virus that causes AIDS. Forzest is not a hormone or an aphrodisiac.

How to use
Take Forzest about one hour before you plan to have sex. Beginning in about 30 minutes and lasts for up to 36 hours, Forzest can help you get an erection if you are sexually excited. If you take Forzest after a high-fat meal (such as pav bhaji, cheeseburger and french fries), the medicine may take a little longer to start working. Forzest can help you get an erection when you are sexually excited. You will not get an erection just by taking the pill.

Drug Class and Mechanism
Under normal circumstances, when a man is sexually stimulated, the penis fills up with blood. When erectile dysfunction occurs, enough blood does not flow to cause an erection. Forzest, with Tadalafil, relaxes the penile blood vessels when a man is sexually stimulated. This allows blood flow into the penis, resulting in an erection. The erection subsides after sex, just as it is supposed to in normal conditions.

Please understand that Forzest is not a hormone or aphrodisiac, it works only when a man is sexually stimulated.

Missed Dose
If you miss a dose of Forzest, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Storage
Store Forzest below 86 degrees F (30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Forzest out of the reach of children and away from pets.

Warnings/Precautions
Do NOT use Forzest if:

• you are allergic to any ingredient in Forzest
• you have severe kidney or liver problems, certain hereditary eye problems (eg, retinitis pigmentosa), or if you are on dialysis
• you have pulmonary veno-occlusive disease (PVOD)
• you take a nitrate (eg, isosorbide, nitroglycerin) in any form (eg, tablet, capsule, patch, spray, ointment), or nitroprusside
• you take another medicine that contains tadalafil, another PDE5 inhibitor (eg, sildenafil, vardenafil), an azole antifungal (eg, itraconazole, ketoconazole), or rifampin
• you use certain recreational drugs called "poppers" (eg, amyl nitrate or nitrite, butyl nitrate or nitrite)

Some medical conditions may interact with Forzest. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have a history of a prolonged (more than 4 hours) or painful erection (priapism)
• if you have a deformed penis (eg, Peyronie disease, cavernosal fibrosis), certain blood cell problems (eg, sickle cell anemia, leukemia, multiple myeloma), or other conditions that may increase the risk of a prolonged or painful erection (priapism)
• if you have low blood pressure, uncontrolled high blood pressure, blood vessel problems, angina (chest pain), heart problems (eg, heart valve disease, congestive heart failure, irregular heartbeat) or a history of these conditions
• if you have a history of heart attack, stroke, life-threatening irregular heartbeat, liver or kidney problems, dialysis, ulcers, or bleeding problems
• if you have a history of eye or vision problems (eg, decreased vision or vision loss, optic nerve problems, retina problems) or hearing problems (eg, ringing in the ears, decreased hearing, hearing loss)
• if you take medicine for erectile dysfunction (ED)

Possible Side Effects
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

• Flushing; headache; heartburn; mild pain in the arms, legs, or back; muscle pain; nausea; stomach upset; stuffy nose.

Seek medical attention right away if any of these SEVERE side effects occur:

• Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; confusion; fainting; fast or irregular heartbeat; memory loss; numbness in arm or leg; one-sided weakness; prolonged, painful erection; red, swollen, blistered, or peeling skin; ringing in the ears; seizures; severe or persistent back or muscle pain; severe or persistent dizziness; severe or persistent vision changes; shortness of breath or wheezing; slurred speech; sudden decrease or loss of hearing; sudden decrease or loss of vision in one or both eyes; sudden, severe headache or vomiting.
  
  
  More Information
  If you have any questions about Forzest, please talk with your doctor, pharmacist, or other health care provider.
  Forzest is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  If your symptoms do not improve or if they become worse, check with your doctor.