How does Forzest work?
Under normal circumstances, when a man is sexually stimulated, the penis fills up with blood. When erectile dysfunction occurs, enough blood does not flow to cause an erection. FORZEST, with Tadalafil, relaxes the penile blood vessels when a man is sexually stimulated. This allows blood flow into the penis, resulting in an erection. The erection subsides after sex, just as it is supposed to in normal conditions. Please understand that FORZEST is not a hormone or aphrodisiac.Forzest works only when a man is sexually stimulated.

How much time does it take to work?
Take FORZEST about one hour before you plan to have sex. Beginning in about 30 minutes and lasts for up to 36 hours, FORZEST can help you get an erection if you are sexually excited. If you take FORZEST after a high-fat meal (such as pav bhaji, cheeseburger and french fries), the medicine may take a little longer to start working. FORZEST can help you get an erection when you are sexually excited. You will not get an erection just by taking the pill.

What Forzest(Tadalafil) does not do?
Forzest does not cure erectile dysfunction. It is a treatment for erectile dysfunction. Forzest does not protect you or your partner from getting sexually transmitted diseases, including HIV-the virus that causes AIDS. Forzest is not a hormone or an aphrodisiac.

Who should take Forzest(Tadalafil)?
Ask your doctor if your heart is healthy enough for sexual activity. If you take any medicines that contain nitrates - either regularly or as needed - you should never take FORZEST. If you take FORZEST with any nitrate medicine or recreational drug containing nitrates, your blood pressure could suddenly drop to an unsafe level. You could get dizzy, faint, or even have a heart attack or stroke. Nitrates are found in many prescription medicines that are used to treat angina (chest pain due to heart disease) such as: nitro-glycerine (sprays, ointments, skin patches or pastes, and tablets that are swallowed or dissolved in the mouth) isosorbide mononitrate and isosorbide dinitrate (tablets that are swallowed, chewed, or dissolved in the mouth) Nitrates are also found in recreational drugs such as amyl nitrate or nitrite ("poppers"). If you are not sure if any of your medicines contain nitrates, or if you do not understand what nitrates are, ask your doctor or pharmacist. FORZEST is only for patients with erectile dysfunction. FORZEST is not for newborns, children, or women. Do not let anyone else take your FORZEST. FORZEST must be used only under a doctor's supervision.

Forzest Side effects
Like all medicines, FORZEST (Tadalafil) can cause some side effects. These effects are usually mild to moderate and usually don't last longer than a few hours. Some of these side effects are more likely to occur with higher doses. The most common side effects of Tadalafil are headache, flushing of the face and upset stomach. Less common side effects that may occur are temporary changes in colour vision (such as trouble telling the difference between blue and green objects or having a blue colour tinge to them), eyes being more sensitive to light or blurred vision. In rare instances, men have reported an erection that lasts many hours. You should call a doctor immediately if you ever have an erection that lasts more than 4 hours. If not treated right away, permanent damage to your penis could occur. Heart attack, stroke, irregular heartbeats and death have been reported rarely in men taking Tadalafil. Most, but not all, of these men had heart problems before taking this medicine. It is not possible to determine whether these events were directly related to Tadalafil. Tadalafil may cause other side effects besides those listed on this sheet. If you want more information or develop any side effect or symptom you are concerned about, call your doctor.

Allergic reactions (including skin rashes) could occur. In rare instances it is possible that a prolonged and possibly painful erection may occur after taking Forzest.

What to tell your doctor before taking Forzest
Only your doctor can decide if FORZEST is right for you. FORZEST can cause mild, temporary lowering of your blood pressure. You will need to have a thorough medical exam to diagnose your erectile dysfunction and to find out if you can safely take FORZEST alone or with your other medicines. Your doctor should determine if your heart is healthy enough to handle the extra strain of having sex. Be sure to tell your doctor if you have had:

• Any heart problems (e.g., angina, chest pain, heart failure, irregular heart beats, or heart attack), have ever had a stroke.

• Low or high blood pressure,

• A rare inherited eye disease called retinitis pigmentosa,

• Any kidney problems or any liver problems,

• Any blood problems, including sickle cell anemia or leukaemia,

• Allergies to Tadalafil or any of the other ingredients of FORZEST tablets,

• A deformed penis, Peyronie's disease, or ever had an erection that lasted more than 4 hours,

• Stomach ulcers or any types of bleeding problems

• Or, if you are taking any other medicines.

Forzest Dosage schedule

• Use in adult men: The recommended dose is 10 mg taken prior to anticipated sexual activity and without regard to food. In those patients in whom FORZEST 10 mg does not produce an adequate effect, 20 mg might be tried. Tadalafil may improve erectile function up to 36 hours following dosing. Therefore, when advising patients on optimal use of FORZEST, this should be taken into consideration. The maximum recommended dosing frequency is once per day. Daily use of the medication is strongly discouraged because the long-term safety after prolonged daily dosing has not been established.

• Use in elderly men: Dosage adjustments are not required in elderly patients.

• Use in men with impaired renal function: No dose adjustment is required in patients with mild renal insufficiency. For patients with moderate (creatinine clearance 31 to 50 mL/min) renal insufficiency, a starting dose of 5 mg not more than once daily is recommended, and the maximum dose should be limited to 10 mg not more than once in every 48 hours. For patients with severe (creatinine clearance <30 mL/min) renal insufficiency on hemodialysis, the maximum recommended dose is 5 mg.

• Use in men with impaired hepatic function: For patients with mild or moderate degrees of hepatic impairment, the dose of FORZEST should not exceed 10 mg once daily. In patients with severe hepatic impairment, the use of FORZEST is not recommended.

• Use in men with diabetes: Dosage adjustments are not required in diabetic patients.

• Use in children and adolescents: FORZEST should not be used in individuals below 18 years of age.