Apcalis-SX Oral Jelly 20mg is a replacement (Genericum) for Cialis. It contains the same active ingredient Tadalafil as Cialis.
The recommended initial dose is 20 mg before sexual activity. Apcalis jelly is for internal use. The pouch is taken whole and washed down with a small amount of water. Apcalis can be taken regardless of food intake. You can take a sachet of Apcalis anytime from 20 minutes to 12 hours before sexual activity. However, Apcalis jelly may take effect up to 36 hours after ingestion. It is important to note that Apcalis does not work without sexual arousal. You need to engage in foreplay with your partner just as you would if you were not taking medicine to treat erectile dysfunction. You must not take Apcalis more than once a day. Daily use of Apcalis is not recommended.
Apcalis-SX Oral Jelly 20mg should not be taken:
If you have low blood pressure or untreated high blood pressure – If you are allergic (hypersensitive) to tadalafil or other substances found in Apcalis (listed at the beginning of this Patient Information leaflet) – If you are taking organic nitrates in any form or substances that lead to the formation of nitric oxide, e.g. amyl nitrite is a group of medicines (‘nitrates’) used in the treatment of angina pectoris (‘chest pain’); Tadalis has been shown to potentiate the effects of these medicines; if you are taking nitrates in any form or are unsure about it, talk to your doctor – if you have sickle cell anaemia (a red blood cell disorder), multiple myeloma (cancer of the bone marrow), leukaemia (cancer of the blood) or penile deformity – if you have a serious liver or kidney disorder
Caution is needed when taking Apcalis:
Sexual activity poses a possible risk to patients with heart disease because it increases the burden on the heart. If you have heart problems, you need to bring this to your doctor’s attention. Apcalis may not be suitable for you for the following reasons. If any of these causes apply to you, talk to your doctor before taking the medicine:
Taking other medicines:
In general, you must always tell your doctor that you are taking any medicine or have recently taken any medicine, including medicines available without a prescription, as medicines taken at the same time may interact with each other. This is especially important if you are taking nitrates, as you must not take Apcalis while being treated with these medicines. Also, do not take Apcalis together with other medicines that your doctor will warn you about. Apcalis must not be taken in combination with other medicines to treat erectile dysfunction.
Side effects. These effects are usually mild to moderate in nature. The most common side effects include headache and indigestion. Less common side effects include back pain, muscle pain, swelling of the nasal mucosa, facial flushing, and dizziness. Rare side effects include swelling of the eyelids, eye pain, and increased blood supply to the conjunctiva (red eyes). If you experience any of these side effects that bother you, are severe, or do not go away, tell your doctor. Allergic reactions (including skin rash) may also occur. In rare cases, prolonged and possibly painful erections may occur after taking Apcalis. If you experience an erection that lasts for more than 4 hours, you must see a doctor immediately. If you develop chest pain during or after sexual activity, do not take nitrates under any circumstances, but seek medical attention. If you experience any side effect while taking Apcalis that is not listed in this leaflet, tell your doctor.