Taro-Tadalafil: Uses, Side Effects and Dosage

ABOUT THIS MEDICATION

What the medication is used for:

TARO-TADALAFIL is used for treatment of

• Erectile dysfunction (ED) in men (when a man cannot get, or keep a hard, erect penis suitable for sexual activity).

What it does:

TARO-TADALAFIL belongs to a group of medicines called phosphodiesterase type 5 inhibitors.

Treatment of ED: Following sexual stimulation TARO-TADALAFIL works by helping the blood vessels in your penis to relax, allowing the flow of blood into your penis. This results in improved erectile function.

It is important to note that TARO-TADALAFIL works only with sexual stimulation. TARO-TADALAFIL alone does not increase sexual desire.

When it should not be used:

Do not take TARO-TADALAFIL:

• If you are taking any medicines that contain nitrates in any form (oral, sublingual [under the tongue], skin-patch, or by inhalation). Similarly, nitrates must never be used by men who take TARO-TADALAFIL. Nitrates are found in many prescription medicines used in the treatment of angina pectoris (chest pain due to heart disease), such as nitroglycerin, isosorbide mononitrate, or isosorbide dinitrate. If nitrates have previously been prescribed to you, even though you may not have used them, or are unsure, tell your doctor.

  If you take TARO-TADALAFIL with any nitrate-containing medicines or any other nitrates (e.g., amyl nitrite “poppers”), your blood pressure could suddenly drop to a life-threatening level. You could get dizzy, faint, or even have a heart attack or stroke.

  • Do not take TARO-TADALAFIL if you have had an allergic reaction in the past to tadalafil or any of the other ingredients in TARO-TADALAFIL listed below.
  • If you have had a previous episode of an eye condition called NAION which causes a sudden decrease or loss of vision in one or both eyes
  • If you are taking riociguat (ADEMPAS^®).

What the medicinal ingredient is:

Tadalafil

What the nonmedicinal ingredients are:

Each tablet contains 2.5, 5, 10 or 20 mg of tadalafil and the following inactive ingredients: Anhydrous lactose, Croscarmellose sodium, Sodium lauryl sulphate, Hydroxyl propyl cellulose, Polysorbate 80, Magnesium Stearate, Hypromellose, lactose monohydrate, Titanium dioxide, Triacetin, Talc and Iron oxide Yellow. Additionally 2.5 mg tablet contains Iron oxide red and 10 mg tablet contains Iron oxide Black.

What dosage forms it comes in:

Taro-Tadalafil comes in Yellow or Yellow-Orange film coated tablets. They are in shape of almonds and have “14”, “13”, “12” or “11” marked on one side. The active substance is tadalafil. Each tablet contains 2.5 mg, 5 mg, 10 mg and 20 mg of tadalafil.

WARNINGS AND PRECAUTIONS

Before taking TARO-TADALAFIL talk to your doctor if you:

have or had any of the following conditions:

• Heart disease or previously had a heart attack: Sexual activity carries a possible risk to patients with heart disease because it puts extra strain on your heart. Before you start any treatment for erectile dysfunction, ask your doctor if your heart is healthy enough to handle the extra strain of having sex. If you have chest pains, dizziness or nausea during sex,
• had this problem.
• Stroke.
• Low blood pressure or uncontrolled high blood pressure.
• Liver or kidney problem.
• Sickle cell anemia (an abnormality of red blood cells), multiple myeloma (cancer of the bone marrow), or leukemia (cancer of the blood cells).
• Peptic ulcer or other bleeding disorders.
• Deformation of the penis.
• Ever had severe loss of vision, including a condition called Non-Arteritic Ischemic Optic Neuropathy (NAION). The specific type of vision decrease or loss known as NAION has been reported rarely after the intake of Tadalafil or other PDE5 inhibitors. Vision decrease or loss may be partial or complete, in one or very occasionally in both eyes. While in some cases the condition may improve over time, it can also be irreversible. If you are taking TARO-TADALAFIL and experience temporary or permanent loss or change in vision, stop taking TARO-TADALAFIL and immediately call your doctor.
• Hearing problems: Sudden decrease or loss of hearing has been reported with the use of PDE5 inhibitors, including Tadalafil, although it is not known if it is due to drug or other factors.
• Lactose or milk sugar intolerance. TARO-TADALAFIL contains a small amount of lactose (about 250 mg).
• TARO-TADALAFIL does not protect against sexually transmitted diseases including HIV/ AIDS.
• Long-term studies have shown that Tadalafil therapy may decrease sperm concentration in some men. The effect on fertility in men is unknown.

• TARO-TADALAFIL is not intended for use by women or by children under 18 years of age.

When TARO-TADALAFIL is used for the treatment of erectile dysfunction, diarrhea was reported more frequently in patients 65 years of age and older (2.5% of patients).

Only your doctor can decide if TARO-TADALAFIL is right for you. If you have ED, you will need to have a physical examination to diagnose your erectile dysfunction and to find out if you can take TARO-TADALAFIL alone or with your other medicines.

INTERACTIONS WITH THIS MEDICATION

Tell your doctor or pharmacist if you are taking or have recently taken any other medicine, including the medicine you can buy without prescription and natural health products.

Drugs that may interact with TARO-TADALAFIL include:

• nitrates (see previous section)
• rifampin (an antibacterial product used against tuberculosis)
• ketoconazole or itraconazole (used against fungal infections)
• erythromycin (an antibacterial product)
• protease inhibitors such as ritonavir and saquinavir (HIV treatments)

You should not use TARO-TADALAFIL together with any other treatments for erectile dysfunction or PDE5 inhibitors for treatment of pulmonary arterial hypertension (PAH), such as ADCIRCA (tadalafil) or REVATIO (sildenafil).

Tell your doctor if you are taking:

• medicines to treat high blood pressure
• alpha-blockers (such as doxazosin) for the treatment of prostate problems.

The combination of these medicines with TARO-TADALAFIL may add to the blood-pressure-lowering effect of these drugs.

PROPER USE OF THIS MEDICATION

This medicine has been prescribed for you personally and you should not pass it on to others. It may harm them, even if their symptoms are the same as yours.

How To Take TARO-TADALAFIL:

Always take TARO-TADALAFIL exactly as your doctor has instructed you. You should check with your doctor or pharmacist if you are unsure. Do not take a higher dose than the one which your doctor prescribed for you.

TARO-TADALAFIL tablets are for oral use. Swallow the tablet whole, with some water.

You may take TARO-TADALAFIL with or without food.

Alcohol consumption may decrease the ability to attain an erection and may also temporarily decrease blood pressure.

There are two different ways of taking TARO-TADALAFIL tablets to treat ED: a 20 mg On-Demand dose taken as needed, or a lower 5 mg daily dose. It may take up to up 5 days for TARO-TADALAFIL Once-a-Day to reach steady blood levels.

For patients with ED:

• Try sex at different times to find out what works best for you and your partner.
• TARO-TADALAFIL works only if you are sexually stimulated.
• If you don't get the results you expect ― talk to your doctor or pharmacist.

TARO-TADALAFIL for “On-Demand” Dosing: The recommended dose is one tablet (20 mg) before sexual activity, as needed. You should NOT take more than the prescribed dose of one TARO-TADALAFIL 10 mg or 20 mg tablet per day. The 10 mg and 20 mg doses are not recommended for continuous daily use

You can engage in sexual activity within 30 minutes of taking the tablet and up to 36 hours later. The amount of time TARO-TADALAFIL takes to work varies from person to person.

TARO-TADALAFIL for Once-a-Day Use:

Treatment of ED: Your doctor may recommend that you take one tablet of TARO-TADALAFIL (5 mg or 2.5 mg) Once-a-Day every day, at approximately the same time each day, regardless of when you are planning to have sex.

Overdose

Missed Dose

If you forget to take a dose, call your pharmacist or doctor. Do not double dose.

SIDE EFFECTS AND WHAT TO DO ABOUT THEM

Like all medicines, TARO-TADALAFIL can have some side-effects. These effects are usually mild to moderate in nature.

The most common side effects are headache, indigestion, back pain, muscle aches, nasal congestion, facial flushing, dizziness and high blood pressure.

Uncommon side-effects: swelling of the eyelids, eye pain, conjunctival hyperemia (red eyes) and allergic reactions (including skin rashes).

Rarely, a prolonged and possibly painful erection may occur after taking TARO-TADALAFIL. If you have such an erection which lasts continuously for more than 4 hours, you should contact a doctor immediately. If this is not treated immediately, permanent penile tissue damage and erectile dysfunction may result.

Sudden decrease or loss of vision has occurred rarely after the use of oral erectile dysfunction medications, including TADALAFIL. It has not been established whether the loss of vision is related directly to the use of PDE5 inhibitors or other factors. People who have previously experienced a type of vision loss called Non-Arteritic Anterior Ischemic Optic Neuropathy (NAION) may be at an increased risk of reoccurrence of NAION. If you experience reduction or loss of vision in one or both eyes, stop taking TARO-TADALAFIL and immediately call your doctor.

If you take TARO-TADALAFIL and have chest pain during or after sexual activity, DO NOT use nitrates, and seek immediate medical assistance.

If you notice any side effects not mentioned in this leaflet, please inform your doctor or pharmacist.

This is not a complete list of side effects. For any unexpected effects while taking TARO-TADALAFIL, contact your doctor or pharmacist.

HOW TO STORE IT

STORING TARO-TADALAFIL TABLETS

Keep out of the reach and sight of children.

Store at controlled room temperature, 15 ^oC -30^oC

Store in the original package.

Do not use after the expiry date stated on the carton and blister.

REPORTING SUSPECTED SIDE EFFECTS

You can report any suspected adverse reactions associated with the use of health products to the Canada Vigilance Program by one of the following 3 ways:

------------------------------------------------------------------------

-Report online at www.healthcanada.gc.ca/medeffect

• Call toll-free at 1-866-234-2345

• Complete a Canada Vigilance Reporting Form and:

  • Fax toll-free to 1-866-678-6789, or

  • Mail to: Canada Vigilance Program

    Health Canada

    Postal Locator 0701E

    Ottawa, ON K1A 0K9

Postage paid labels, Canada Vigilance Reporting Form and the adverse reaction reporting guidelines are available on the MedEffect™ Canada Web site at www.healthcanada.gc.ca/medeffect

NOTE: Should you require information related to the management of side effects, contact your health professional. The Canada Vigilance Program does not provide medical advice

MORE INFORMATION

This document plus the full monograph, prepared for health professionals can be found by contacting Sun Pharma Canada Inc. at: 1-866-840-1340.

Sun Pharma Canada Inc.

Brampton, ON L6T 1C1

Date of Revision: MAR 08, 2024