דלג לתוכן הראשי

טדלפיל לטיפול ביתר לחץ דם ריאתי

Adcirca, Talmanco

When you collect your prescriptions, check that you have been given the same brand of tablets as before. If the appearance is not the same as usual, speak with your doctor or pharmacist.

The usual dose is 40 mg daily (taken as two 20 mg tablets).

The most common side-effects are headache, flushing, nasal congestion, stomach upset, and muscle aches and pains.

At a glance

  • Tadalafil is a medicine for adults with pulmonary hypertension, a rare condition affecting lung blood vessels.

  • It helps by relaxing blood vessel walls in the lungs, reducing pressure and improving blood flow.

  • Take two 20 mg tablets once daily at the same time each day, with or without food.

  • Do not drink grapefruit juice while taking tadalafil.

  • Common side-effects include headache, muscle aches, flushing, and indigestion.

  • Seek immediate medical attention if you experience chest pains, sudden vision/hearing loss, or an erection lasting over four hours.

המשך לקרוא למטה

About tadalafil for pulmonary hypertension

סוג התרופה

Vasodilator antihypertensive medicine

שימוש עבור

Pulmonary hypertension in adults

נקרא גם

Adcirca®; Talmanco®

זמין כ

טבליות

Primary יתר לחץ דם ריאתי is a rare condition where there is too high a blood pressure in the blood vessels that supply your lungs from your heart.

Tadalafil relaxes the muscle cells in the walls of the blood vessels to your lungs, allowing them to become wider (dilated). This reduces the pressure in these blood vessels and allows blood to flow more easily through them. In turn, this increases the supply of blood to your lungs and improves your ability to do physical activities. It will be prescribed for you by a specialist doctor.

Tadalafil can also be prescribed for men with two completely different conditions - please see the separate medicine leaflet called Tadalafil for erectile dysfunction or enlarged prostate if you have been prescribed tadalafil tablets for either of these reasons.

Some medicines are not suitable for people with certain conditions, and sometimes a medicine can only be used if extra care is taken. For these reasons, before you start taking tadalafil it is important that your doctor knows:

  • אם את בהריון, מנסה להיכנס להריון, או מניקה.

  • If you have any other heart problem or blood vessel condition.

  • If you have had an eye condition causing a loss of vision.

  • If you have problems with the way your liver works, or if you have problems with the way your kidneys work.

  • If you have recently had a heart attack.

  • If you have any disease, injury or deformity of your penis.

  • If you have sickle cell disease.

  • If you have ever had bone marrow cancer or leukaemia.

  • If you are taking or using any other medicines. This includes any medicines you are taking which are available to buy without a prescription, as well as herbal and complementary medicines, and recreational drugs.

  • אם אי פעם הייתה לך תגובה אלרגית לתרופה.

המשך לקרוא למטה

  • Before you take tadalafil, read the manufacturer's printed information leaflet from inside your pack. It will give you more information about the tablets and will provide you with a full list of the side-effects which you could experience from taking them.

  • Take the tablets exactly as your doctor tells you to. The usual dose is two 20 mg tablets taken together, once daily.

  • Unless your doctor tells you otherwise, you can generally take tadalafil at a time of day that suits you. You should, however, try to take your doses at the same time of day, each day.

  • You can take tadalafil either with or without food. Swallow the tablets with a drink of water.

  • If you forget to take a dose, take it as soon as you remember as long as it is still within eight hours of the time you should have taken it. If when you remember, it is more than eight hours later, leave out the missed dose. Do not take two doses together to make up for a forgotten dose.

  • It is recommended that you do not drink grapefruit juice with tadalafil. This is because there is a chemical in grapefruit juice which may increase the amount of tadalafil in your bloodstream. This could make side-effects more likely.

  • נסה לשמור על הפגישות הקבועות שלך עם הרופא. זה כדי שהרופא יוכל לבדוק את ההתקדמות שלך.

  • If you are due to have an operation or some other medical treatment, it is important that you tell the person carrying out the treatment that you are taking tadalafil.

  • Each time you collect a new supply of tablets from the pharmacy, make sure it looks to be the same as you have had before. If you are unsure, ask your pharmacist to check for you.

  • אם אתה קונה תרופות כלשהן, בדוק עם רוקח שהן מתאימות לשימוש עם התרופות האחרות שלך.

המשך לקרוא למטה

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the more common ones associated with tadalafil. The best place to find a full list of the side-effects which can be associated with your medicine, is from the manufacturer's printed information leaflet supplied with the medicine. Alternatively, you can find an example of a manufacturer's information leaflet in the reference section below. Speak with your doctor or pharmacist if any of the following continue or become troublesome.

Very common tadalafil side-effects

(אלה משפיעים על יותר מ-1 מתוך 10 אנשים)

מה אני יכול לעשות אם אני חווה את זה?

Headache, muscle aches and pains

Ask your pharmacist to recommend a suitable painkiller. If the aches continue, let your doctor know

Facial flushing, nose or throat symptoms

If troublesome, speak with your doctor for advice

Feeling sick (nausea) or being sick (vomiting), indigestion, tummy (abdominal) discomfort

Stick to simple meals - avoid fatty or spicy foods

Common tadalafil side-effects

(אלה משפיעים על פחות מ-1 מתוך 10 אנשים)

מה אני יכול לעשות אם אני חווה את זה?

Feeling faint or dizzy, blurred vision

Do not drive and do not use tools or machines until your reactions/vision have returned to normal. If the problem with your eyesight starts suddenly, speak with your doctor

Nosebleeds, the feeling of having a 'thumping heart' (palpitations), increased menstrual bleeding

If any become troublesome, speak with your doctor for advice

חשוב: if you experience any of the following, contact a doctor for medical attention straightaway:

  • An allergic-type reaction such as a rash or swelling around your face.

  • Chest pains

  • A sudden loss of vision or hearing

  • An erection lasting for more than four hours.

אם אתה חווה תסמינים נוספים שלדעתך עשויים להיות כתוצאה מהטבליות, פנה לרופא או לרוקח שלך לקבלת ייעוץ נוסף.

  • שמור את כל התרופות מחוץ להישג ידם וראייתם של ילדים.

  • יש לאחסן במקום קריר ויבש, הרחק מחום ואור ישיר.

מידע חשוב על כל התרופות

לעולם אל תיקח יותר מהמינון שנקבע. אם אתה חושד שאתה או מישהו אחר אולי לקח מנת יתר של תרופה זו, פנה למחלקת תאונות וחירום בבית החולים המקומי שלך. קח את המיכל איתך, אפילו אם הוא ריק.

תרופה זו מיועדת עבורך. לעולם אל תיתן אותה לאנשים אחרים, גם אם מצבם נראה דומה לשלך.

אל תשמרו תרופות שפג תוקפן או שאינן רצויות. קחו אותן לבית המרקחת המקומי שלכם שיטפל בהן עבורכם.

אם יש לך שאלות לגבי התרופה הזו, שאל את הרוקח שלך.

דווח על תופעות לוואי לתרופה או חיסון

אם אתה חווה תופעות לוואי, תוכל לדווח עליהן באינטרנט דרך ה Yellow Card website.

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לא בטוחים לגבי ערבוב תרופות?

בדוק אינטראקציות אפשריות בין תרופות, תוספים ומזונות לפני נטילתם יחד.

שאלות נפוצות

Why is tadalafil prescribed specifically for pulmonary hypertension?

Tadalafil is prescribed for pulmonary hypertension because it works by relaxing the muscle cells in the walls of the blood vessels leading to your lungs. This action allows these blood vessels to widen, which in turn reduces the pressure in them and helps blood flow more easily. This improved blood flow to the lungs enhances your ability to perform physical activities.

I've heard of tadalafil for other conditions. Is it the same medicine?

Yes, tadalafil is the same medicine, but it's prescribed for different conditions. While this article focuses on its use for pulmonary hypertension, tadalafil can also be prescribed for men experiencing erectile dysfunction or an enlarged prostate, though a different patient information leaflet would usually be provided for those uses.

What should I do if I forget a dose of tadalafil?

If you forget to take a dose, you should take it as soon as you remember, provided it's within eight hours of your usual time. If more than eight hours have passed, you should skip the missed dose. It's important not to take two doses together to compensate for a forgotten one.

Are there any drinks I should avoid while taking tadalafil?

Yes, it is recommended that you do not drink grapefruit juice when taking tadalafil. Grapefruit juice contains a chemical that can increase the amount of tadalafil in your bloodstream, which may make you more likely to experience side-effects.

When should I contact a doctor about side effects from tadalafil?

You should contact a doctor immediately if you experience certain severe side-effects. These include an allergic reaction like a rash or swelling around your face, chest pains, a sudden loss of vision or hearing, or an erection that lasts for more than four hours. For less severe but persistent side-effects like headache, muscle aches, or stomach discomfort, you can speak to your doctor or pharmacist for advice.

What is primary pulmonary hypertension?

Primary pulmonary hypertension is a rare medical condition characterized by excessively high blood pressure in the blood vessels that carry blood from your heart to your lungs.

Is it safe to take over-the-counter medicines or herbal remedies with tadalafil?

It is important to inform your doctor about all medicines you are taking, including any available without a prescription, as well as herbal and complementary medicines, and recreational drugs, before you start taking tadalafil. This is because some medicines might not be suitable to take together or may require extra care.

קריאה נוספת והפניות

המשך לקרוא למטה

About the authorView full bio

Author image

הלן אלן, MPharm

Pharmacist, Medical Author

MPharm

Helen Allen qualified as a Pharmacist in 1979 and spent 3 years as the drug information leaflets' author for EMIS.

About the reviewer

Author image

סיד דג'אני

Sultan Dajani qualified at the London School of Pharmacy in 1994 and became the youngest elected member of the Royal Pharmaceutical Society council since its founding in 1842.

היסטוריית המאמר

המידע בעמוד זה נכתב ונבדק על ידי קלינאים מוסמכים.

  • הסקירה הבאה מתוכננת ל: 6 במאי 2027
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    מייקל סטיוארט, MRPharmS

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  • 9 Jul 2013 | פורסם במקור

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