30 นาที จนถึง 12 ชั่วโมง, ฤทธิ์ยายังคงอยู่ต่อเนื่อง 24 ชั่วโมง,

Organic nitrate หรือ nitric oxide donors เช่นยา amyl nitrite

MFD. : 04/2010

EXP. : 03/2013

Apcalis-SX 20mg.

Tadafil film-coated tablets.

Read all of this leaflet carefully

Before you start taking this medicine.

Keep this leaflet. You may need to read it again.

If you have further questions, please ask your

Doctor or your pharmacist.

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.

In this leaflet ::

What Apcalis SX is and what it is used for.

Before you take Apcalis SX.

How to take Apcalis SX.

Possible side effects.

Storing Apcalis SX

Presentation.

Apcalis – SX

Tadalafil film-coated tablets.

What Apcalis is and what it is used for.

Apcalis SX comes as light yellow film-coated

Tablets. They are in the elliptical shape. These

Tablets are available in blister packs containing 2

Tablets.

Apcalis SX is a treatment for men with erectile

Dysfunction. This is when a man cannot get, or keep

a hard, erect penis suitable for sexual activity.

Apcalis SX belongs to a group of medicines called

Phoshodiesterase types 5 inhabitors. Following

sexual stimulation Apcalis SX works by helping the

blood vessels in your penis to relax, allowing the

flow of blood into your penis. The result of this is

improved erectile dysfunction. Apcalis SX will not help

you if you do not have erectile dysfunction.

It is important to note that Apcalis SX does not work

if there is no sexual stimulation. You and your

partner will need to engage in foreplay, just as you

would if you were not taking a medicine for erectile

dysfunction.

Before you Take Apcalis SX.

Do not take Acalis SX ::

If you are taking any form of organic nitrate or

Nitric oxide donors such as amyl nitrite. This is a

group of medicines (‘nitrates’) used in the

treatment of angina pectoris (‘chest pain’)

Apcalis SX has been shown to increase the

Effects of these drugs. If you are taking any form

Of nitrate or are unsure tell your doctors.

If you have serious heart disease or have had a

Recent teart attack.

If you have serious heart disease or have had a

Recent heart attacks.

If you have had a recent stroke.

If you low blood pressure or uncontrolled

High blood pressure.

If you are (hypersensitive) allergic to tadalafil or

any of the other ingredients of Apcalis SX.

Take special care with Apicalis SX ::

Sexual activity carries a possible risk to patients with

Heart disease because it puts an extra strain on your

Heart. If you have a heart problem you should tell

Your doctor.

The following are reasons why Apcalis SX may also

Not be suitable for you. If any or apply to you,

Talk to your doctor before you take the medicine ::

You have sickle cell anaemia (an abnormally of

Red blood cells), multiple myeloma (cancer of the

Bone marrow). Leukaemia (cancer of the blood cells)

Or any deformation of your penis.

You have a serious liver or kidney problem.

Taking othe medicines ::

As a general rule, always tell your doctor if you are

Taking or have recently taken any other medicine,

Even those not prescribed, because occasionally

They might interact. This is particularly important if

You are treated with nitrates as you should not take

Apcalis SX with other medicines if your doctor

Tells you that you may not.

You should not use Apcalis SX together with any

Orther treatments for erectile dysfunction.

Apcalis SX is not intended for use by women or by

Children under the age of 18.

Drive and using machines ::

As dizziness has been reported in men taking

Tadalafil in clinical studies, you should be aware of

How you react to Apcalis SX before you drive or

Operate machinery.

Information for men intolerant of lactose, one of

The ingredients of Apcalis SX ::

Apcalis SX contains lactose and should not be taken

By patients with rare hereditary problems of

Galactose intolerance, the lapp lactase deficiency or

Glucose-galactose malabsorption.

How to take Apcalis SX

Alwasys take Apcalis SX exactly as your doctor has

Instructed you. You should check with your doctor or

Pharmacist if you are unsure.

The recommended starting dose is one 10mg. tablet

Before sexual activity. If the effect of this dose is too

Weak your doctor may increase the dose to 20mg.

Apcalis SX tablets are for oral use. Swallow the

Tablet whole with some water. You may take

Apacalis SX with or without food.

You may take a Apcalis SX tablet at any point in

Time from 30 minutes to 12 hours before sexual

Activity. Apcalis SX may still be effective up to 24

Hours after taking the tablet. It is important to note

That Apcalis SX does not work if there is no sexual

Stimulation. You and your partner will need to

Engage in foreplay, just as you would if you were not

Taking a medicine for erectile dysfunction.

You should Not take Apcalis SX more than once a

Day. Daily use of Apcalis SX is strongly

Discouraged.

Possible side effects.

Like all medicines, Apcalis SX can have side

Effects. These effects are normally mild to moderate

In nature.

The most common undesirable effects are

Headache and indigestion. Less commonly reported

Side effects are back pain, muscle aches, nasal

Congestion, facial flushing and dizziness.

Uncommon effects are welling of the eyelids eye

Pain and red eyes.

If you have any of these side effects and they are

Troublesome, severe, or do not go away, tell your

Doctor.

Allergic reactions (including skin rashes) could

Occur.

In rare instances it is possible that a prolonged and

Possible painful erection may occur after taking

Apcalis SX. If you have such an erection, which

Lasts continuously for more than 4 hours, you should

Contact a doctor immediately.

In case of chest pain occurring during or after sexual

Activity you should Not use nitrates but you should

Seek immediate assistance.

If you notice any side effects not mentioned in this

Leaflet, please inform your doctor or pharmacist.

Heart attack, stroke, and irregular heart beats have

Been reported rarely in men taking Apcalis SX.

Most, but not all of these men had known heart

Problems before taking this medicine. It is not

Possible to determine whether these events were

Directly related to Apcalis SX.

Effect were seen in one animal species that might

Indicate impairment of fertility. Subsequent studies in

Man suggest that this effect is unlikely in humans..

Stroing Apcalis SX

Keep out of the reach and sight of children.

Store in the original package.

Do not use after the expiry date stated on the carton

And blister.

Presentation

Each film coated tablet contains 10mg / 20mg.

Tadalafil available in blister packs of 2 tablets.

(But there is 20mg. available now)