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PATIENT INFORMATION
ADCIRCATM (Ad-sur-kuh)
(tadalafil) tablets
Read this patient information before you start taking ADCIRCA and each time you get a refill. There may be new information. This information does not take the place of talking with your healthcare provider about your medical condition or treatment. What is the most important information I should know about ADCIRCA?
Never take ADCIRCA with any nitrate medicines: • Your blood pressure could drop quickly to an unsafe level • You could get dizzy, faint and even have a heart attack or stroke. • Medicines that treat chest pain (angina) • Nitroglycerin in any form including tablets, patches, sprays, and ointments • Other nitrate medicines (isosorbide mononitrate or dinitrate) • Street drugs that are inhaled, called “poppers” (amyl nitrate, butyl nitrate or nitrite) Ask your healthcare provider or pharmacist if you are not sure if you take a nitrate medicine. What is ADCIRCA?
ADCIRCA is a prescription medicine used to treat pulmonary arterial hypertension (PAH, high blood pressure in your lungs) to improve your ability to exercise. It is not known if ADCIRCA is safe or effective in children. Who should not take ADCIRCA?
Do not take ADCIRCA if you
• take any medicines called nitrates. • use recreational drugs called “poppers” like amyl nitrate, butyl nitrate or nitrite. • are allergic to tadalafil or any other ingredient in ADCIRCA. See “What are the ingredients in ADCIRCA?” at the end of this leaflet. See “What is the most important information I should know about ADCIRCA?”
What should I tell my healthcare provider before taking ADCIRCA?
Before taking ADCIRCA, tell your healthcare provider about all of your medical conditions, • are allergic to ADCIRCA or Cialis or any of its ingredients. See the end of this leaflet for a complete list of ingredients in ADCIRCA. • have pulmonary veno-occlusive disease (PVOD) • have heart problems such as angina (chest pain), heart failure, irregular heartbeats, or • have low blood pressure or high blood pressure that is not controlled • have had a stroke • have liver problems • have kidney problems or get dialysis • have stomach ulcers • have retinitis pigmentosa, a rare genetic eye disease • have ever had any sudden vision loss, including any damage to your optic nerve or • have ever had hearing problems such as ringing in the ears, dizziness, or loss of hearing • have a deformed penis shape or Peyronie’s disease • have had an erection that lasted more than 4 hours • have blood cell problems such as sickle cell anemia, multiple myeloma, or leukemia • are pregnant or planning to become pregnant. It is not known if ADCIRCA will harm your unborn baby. Talk to your healthcare provider if you are pregnant or plan to become pregnant. • are breastfeeding or plan to breast feed. It is not known if ADCIRCA passes into your breast milk. You and your healthcare provider should decide if you will take ADCIRCA or breastfeed. You should not do both.
Tell your healthcare provider about all the medicines you take, including prescription and
non-prescription medicines, vitamins, and herbal supplements. ADCIRCA and other medicines may affect each other. Especially tell your healthcare provider if you take any of these medicines: • nitrates (See “What is the most important information I should know about • anti-hypertensives, used to treat high blood pressure. Your blood pressure could suddenly drop. You could get dizzy or faint. • alpha blockers, used to treat prostate disease and high blood pressure. Your blood pressure could suddenly drop. You could get dizzy or faint. • protease inhibitors, used to treat HIV infection, such as ritonavir (Norvir®, Kaletra®) • ketoconazole (Extina®, Xolegal®, Ketozole®, Nizoral A-D®, Nizoral®) itraconazole • erythromycin (several brand names exist. Please consult your healthcare provider to determine if you are taking this medicine) • rifampin (Rifadin®, Rifamate®, Rifater®, Rimactane®) • bosentan (Tracleer®) • phenobarbital, phenytoin (Dilantin®), carbamazepine (Tegretol®) • CIALIS or other medicines or treatments for erectile dysfunction (impotence). ADCIRCA is also marketed as CIALIS for the treatment of male erectile dysfunction (impotence). Do not take both ADCIRCA and CIALIS. Do not take ADCIRCA and other medicines or treatments for erectile dysfunction. Ask your healthcare provider or pharmacist for a list of these medicines, if you are not sure. Know the medicines you take. Keep a list of them and show it to your healthcare provider and How should I take ADCIRCA?
• Take ADCIRCA exactly as your healthcare provider tells you. • Take ADCIRCA tablets at the same time every day. You should take both tablets at the same time, one after the other, every day. Do not split your dose. • ADCIRCA can be taken with or without food. • Do not change your dose or stop taking ADCIRCA without speaking to your healthcare • If you take too much ADCIRCA, call your healthcare provider or go to an emergency What should I avoid while taking ADCIRCA?
Do not have more than 4 alcohol-containing drinks in a short period of time while you take ADCIRCA. Drinking too much alcohol can lower your blood pressure. You could get dizzy or faint. What are the possible side effects of ADCIRCA?
The following side effects were reported rarely in patients taking tadalafil:
• Decreased eyesight or loss of vision in one or both eyes (NAION). If you notice a sudden decrease or loss of vision in one or both eyes, contact a healthcare provider right away. It is not possible to determine whether these events are related to oral medicines for the treatment of erectile dysfunction, including tadalafil, or to other medical problems, or to a combination of these. • Sudden decrease or loss of hearing, sometimes with ringing in the ears and dizziness. If you notice a sudden decrease or loss of hearing, contact a healthcare provider right away. It is not possible to determine whether these events are related to oral medicines for the treatment of erectile dysfunction, including tadalafil, or to other medical problems, or to a combination of these. • In men, an erection that lasts more than 4 hours (with or without pain). Talk to
your healthcare provider or go to the emergency department right away. An erection
that lasts more than 4 hours must be treated as soon as possible or you can have
lasting damage to your penis, including the inability to have erections.

See “What is the most important information I should know about ADCIRCA?”

The most common side effects with ADCIRCA include:
• headache • muscle pain • getting red or hot in the face (flushing) • nausea • pain in the arms, legs, or back • upset stomach • stuffy or congested nose Tell your healthcare provider about any side effect that bothers you or does not go away.
These are not all the possible side effects of ADCIRCA. For more information, ask your
healthcare provider or pharmacist. Call your doctor for medical advice about side effects.
You may report side effects to FDA at 1-800-FDA-1088.
How Should I Store ADCIRCA?
Store ADCIRCA at room temperature between 59° and 86°F (15° and 30°C).

Keep ADCIRCA and all medicines out of the reach of children.

General Information about the safe and effective use of ADCIRCA
Medicines are sometimes prescribed for conditions that are not mentioned in patient information leaflets. Do not use ADCIRCA for a condition for which it was not prescribed. Do not give ADCIRCA to other people, even if they have the same symptoms you have. It may harm them. This patient information leaflet summarizes the most important information about ADCIRCA. If you would like more information, talk with your healthcare provider. You can ask your healthcare provider or pharmacist for information about ADCIRCA that is written for healthcare professionals. For more information, go to www.ADCIRCA.com or call 1-800-LILLYRX (1-800-545-5979). What Are The Ingredients In ADCIRCA?
Active Ingredient: tadalafil Inactive Ingredients: croscarmellose sodium, hydroxypropyl cellulose, hypromellose, iron oxide, lactose monohydrate, magnesium stearate, microcrystalline cellulose, sodium lauryl sulfate, talc, titanium dioxide, and triacetin. Rx only ADCIRCATM (tadalafil) is a trademark of Eli Lilly and Company. *The brands listed are trademarks of their respective owners and are not trademarks of Eli Lilly and Company. The makers of these brands are not affiliated with and do not endorse Eli Lilly and Company or its products. Literature issued May 22, 2009 Eli Lilly and Company
Indianapolis, IN 46285, USA
Marketed by United Therapeutics Corporation
Copyright 2009, Eli Lilly and Company. All rights reserved.

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