Forzest (Tadalafil)
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Common use

Forzest is used for treatment of erectile dysfunctions in men. It does not act without sexual stimulation and is effective in men regardless their age or duration of the problem. Tadalafil, the active substance of this medication, is the same as in Cialis and allows blood vessels to relax and widen letting blood flow to fill cavernous bodies of the penis. This results in erection which subsides after sex.

Dosage and direction

Take Forzest at least one hour before the planned sex intercourse, the medication effects appear withing 30 minutes and continues for up to 36 hours. If you took the drug after a high fat meat like French fries or Hamburger it could take a bit longer for Forzest effects to manifestate. Do not take more than one pill of Forzest a day.


The medication cannot be recommended in patients who were warned against sexual activity due to heart problems. Do not take the medication unless it was prescribed to you by professional health care advisor after thorough examination of your condition. Inform your doctor before to take Forzest if you have abnormal penis, including curved penis and birth defects of the penis, had coronary artery disease, arrhythmia, angina, heart attack or heart failure, hypo- or hypertension, bleeding, stomach ulcers, diabetes, hyperlipidemia (excess of lipids in the blood), sickle-cell anemia, liver or kidney failure in history. Avoid taking Forzest with grapefruit juice, alcohol, tobacco. Smoking combined with treatment by Forzest may lead to a condition called NAION (sudden optic nerve-related vision loss). Forzest should not be used in patients younger 18 years of age.


Forzest is contraindicated in individuals concomitantly treated with nitrates as it may lead to sudden and life threating drops in blood pressure.

Possible side effect

The most frequent adverse reactions are headache, flushing of the face and upset stomach. In rare cases temporary changes in color vision, increased sensitiveness to light or blurred vision may occur. Prolonged erections or priapism (painful erections lasting more than 6 hours) is also possible. If your erection lasts longer than 4 hours, seek for immediate medical help as it may permanently damage your penis. Aggravation of heart problems in patients with pre-existing heart disease using Cialis was reported: heart attack, stroke, irregular heartbeats. Other side effects besides those listed may appear as individual reaction to the preparation.

Drug interaction

Never take Forzest with any medication which contain nitrates for example ones to treat angina such as nitro-glycerine (in form of tablets, ointments, sprays, skin patches or pastes) isosorbide mononitrate and isosorbide dinitrate, or recreational drugs ("poppers") such as amyl nitrate or nitrite.

Missed dose

Missed dose is not supposed as this medication is taken when needed.


Overdose symptoms are the same described as side effects. In case of suspected overdose seek for immediate medical attention.


Keep at room temperature in a dry tight container out of reach of children and pets.


We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.


Other names used:

  • CialisĀ®

Active Ingredients:

  • Tadalafil

How does Tadalafil work and what pharmaceutical group does it belong to?

Tadalafil is a reversable selective inhibitor of the specific phosphodiesterase type 5(PDE5) cGMP. When sexual excitement causes local release of NO, inhibiting of PDE5 by Tadalafil causes an increase of cGMP levels in the cavernous body of the penis. This causes smooth muscles to relax and increases blood flow to the penis. Tadalafil does not cause an erection without sexual stimulation.

Tadalafil acts within 36 hours and effect occurs in 16 minutes after the sexual excitement. Tadalafil does not cause changes in systolic and diastolic pressure and heart rate.

Tadalafil is availabla in the form of soft tablets that are dissolved directly under the tongue. This increases the bioavalability of the preparation.

Which conditions are treated with Tadalafil?

Tadalafil is indicated for the treatment of erectile dysfunction.

What should a patient know prior taking the medication?

Tadalafil is contraindicated in patients with hypersensitivity to any of the medication ingredients.

Tadalafil is not approved to treat females or children and adolescents under 18 years of age.

Tadalafil should not be taken in patients which take organic nitrates.

Tadalafil should be used with caution in:

  • Cardiovascular disease including recent heart attacks, strokes, high or low blood pressure, heart failure, abnormal heart rhythm
  • Liver and kidney diseases
  • Vision problems
  • Blood diseases including Sickle cell anemia, leukemia
  • Penis deformation
  • Multiple myeloma

Which adverse effects may manifest when using the medication?

The most common Tadalafil side effects are associated with blocking of PDE5. These are: headache, stuffy nose, nasal congestion, dizziness, drowsiness, upset stomach or dyspepsia, hot flushing, pain in the arms, legs and muscles.

In rare cases Tadalafil may cause: angina, high blood pressure, insomnia, blurred vision, migraines, problems with vision and hearing.

It is not necessary that the side effects will manifest in an individual but the possibility still exist. For more information please consult your health care provider.

Which groups of drugs or specific preparations may interact with Tadalafil?

The drug is affected by the following:

  • Alcoholic beverages
  • Alpha blockers
  • High blood pressure medicines
  • Antumycotics
  • Certain antibiotics
  • Grape fruit juice
  • Nitrates
  • Antivirals
  • Xantines(Theophylline)

Tell your doctor about all the herbal preparations as well as prescription drugs that you are currently taking even if they are not on the list.

Important information for the patient:

Tadalafil is supplied for individual use. Do not use it to treat other conditions not listed in the leaflet. Keep the product out of children reach. Do not reuse any disposable materials if supplied with the preparation.