Common use

Apcalis SX Oral Jelly helps to achieve good erection during sexual intercourse. It works improving blood flow in the penis relaxing arterial smooth muscles. It works only when sexual stimulation is present. The main component of Apcalis SX Oral Jelly is Tadalafil. Tadalafil is an effective, reversible, selective inhibitor of phosphodiesterase type 5 (PDE 5).

Dosage and direction

Apcalis SX Oral Jelly is taken, as needed, approximately 30 minutes before sexual activity. The effect persists during 36 hours. Take Apcalis SX Oral Jelly once daily and do not exceed the recommended dose.

Precautions

It is preferable not to use Apcalis SX Oral Jelly with grapefruit juice, alcoholic beverages, tobacco. If you smoke tobacco and take Apcalis SX Oral Jelly concomitantly this may lead to a condition called NAION (sudden optic nerve-related vision loss). Inform your doctor before to take Apcalis SX Oral Jelly 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.

Contraindications

Apcalis SX Oral Jelly is contraindicated in patients who are using any form of organic nitrate, either regularly and/ or intermittently as it is able to potentiate hypotensive effect of nitrates.

Possible side effect

Most usual side effects of Apcalis SX Oral Jelly are facial flushing (reddening), headaches, stomach upset, diarrhea, flu-like symptoms and nausea. In more rare cases low blood pressure, blurred vision and changes in color vision, and abnormal ejaculation may occur. Prolonged erections or priapism (painful erections lasting more than 6 hours) are also possible. If your erection is 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 Apcalis SX Oral Jelly was reported.

Drug interaction

Co-administration with medications containing organic nitrates may cause severe hypotension. Avoid taking Apcalis SX Oral Jelly with medications such as Erythrityl Tetranitrate, Isosorbide Dinitrate, Isosorbide Mononitrate, Nitroglycerin, Pentaerythritol Tetranitrate, erythromycin, ketoconazole (Nizoral), itraconazole (Sporanox), indinavir (Crixivan) and ritonavir (Norvir).
Inform your doctor if you are taking Atazanavir, Bunazosin, Clarithromycin, Doxazosin, Erythromycin, Indinavir, Itraconazole, Ketoconazole, Moxisylyte, Nefazodone, Nelfinavir, Phenoxybenzamine, Phentolamine, Prazosin, Saquinavir, Telithromycin, Terazosin, Trimazosin, Urapidil as your Apcalis SX Oral Jelly dose may require correction.

Missed dose

Missed dose is unlikely if Apcalis SX Oral Jelly is taken for treatment of erectile dysfunction as it s used when needed.

Overdose

Overdose of Apcalis SX Oral Jelly causes symptoms described as side effects. Seek for immediate medical help if you by your opinion you took too much of this medication.

Storage

Store at room temperature away from moisture, sunlight, kids and pets in a tight container.