Scope and purpose
Vidalista Black is marketed as an erectile dysfunction treatment for adult men and contains tadalafil, a selective PDE5 inhibitor. When taken before sexual activity, tadalafil can make it easier to develop and maintain an erection in response to sexual stimulation. In clinical practice tadalafil is also prescribed for benign prostatic hyperplasia in some patients and, at different formulations and doses, for pulmonary arterial hypertension under specialist care.
Core facts you can jump to:
- Active pharmaceutical ingredient: tadalafil.
- Main use: erectile dysfunction (ED).
- Featured strength on this page: 80 mg tablet (considered high strength; use only under medical advice).
- Other medical uses: some regimens for BPH and PAH under specialist supervision.
If you are new to tadalafil, speak with your prescriber about a starting dose since many men do well on lower strengths. For timing and how to take a route it, see the dosage specifications section at Amount to be administered and administration method. For Australian purchase rules and import guidance see The legal and import regime in Australia.
How tadalafil achieves its effect
Tadalafil reduces the activity of the enzyme phosphodiesterase type 5 (PDE5) in penile tissue. During sexual arousal this increases cyclic GMP levels, relaxes smooth muscle and allows increased blood flow into the penis, which supports erection. Tadalafil does not itself cause sexual desire and typically requires stimulation to work. Its effect can persist up to 36 hours for many men, which is why it is sometimes called the "weekend" medicine.
Dose amount and route of administration
Always follow the exact instructions given by your doctor or pharmacist. Below are common approaches, but individual dosing may vary:
- On-demand use: take a single dose 30 to 60 minutes before sexual activity. Do not take more than one dose in a single day.
- Daily regimen: a low daily dose may be prescribed for continuous effect for BPH or frequent sexual activity; only take daily dosing if prescribed.
- Tablet handling: swallow tablets whole with water. Do not crush or chew unless a pharmacist confirms the tablet is safe to split.
- Food and drink: food does not prevent effect but a very large fatty meal can slow onset. Limit alcohol and avoid grapefruit or grapefruit juice to reduce risk of follow-on effects; see Meetings and interactive engagements create opportunities for collaboration. between medications.
Although this page discusses an 80 mg product, many patients respond to 10 to 20 mg for on-demand use. High-strength tablets should only be used when specifically advised by a clinician.
Safety guardrails and safety recommendations
Ahead of starting tadalafilscrutiny your full medical history with a healthcare professional. Important considerations include:
- Intended population: for adult males aged 18 years and older; not recommended for women or children.
- Allergy: do not take if you have a known hypersensitivity to tadalafil or any formulation ingredient.
- Medical review: tell your prescriber about heart disease, liver or kidney problems, bleeding disorders, stomach ulcers, Peyronie disease, or eye disorders.
- Activities: if you feel dizzy, lightheaded or have visual disturbances after taking tadalafil, avoid driving or using tools or machinery.
- Medication changes: consult before starting or stopping other medicines as combinations can change effects and safety.
For medicines that must not be combined with tadalafil, see Conditions precluding use and Interactions between medicines.
When this should not be used
Do not use tadalafil when any of the following apply:
- You are taking nitrates in any form (for example, glyceryl trinitrate, isosorbide mononitrate or dinitrate) because of a serious risk of dangerous blood-pressure drops.
- You are using riociguat or other soluble guanylate cyclase stimulating therapies.
- You have unstable cardiovascular disease where sexual activity is not advised, recent heart attack or stroke, unstable angina, severe low blood pressure or uncontrolled hypertension.
- Serious liver disease without specialist advice, or severe renal impairment unless dosing is adjusted by a clinician.
- Known hypersensitivity to tadalafil or any ingredient in the product.
Alpha-blockers can increase the risk of symptomatic hypotension when combined with tadalafil. If both are needed, your doctor will advise on careful dosing and surveillance of system activity.
Drug intercommunication guidance
Talk with your doctor or pharmacist before combining tadalafil with other medicines, supplements or recreational drugs. Remarkable encounters include:
- Nitrates and nitric oxide donors: strictly contraindicated. See Use is contraindicated in these cases.
- Riociguat: contraindicated due to additive blood-pressure lowering.
- Alpha-blockers: may cause symptomatic low blood pressure; medical supervision required.
- CYP3A4 inhibitors (for example, ketoconazole, itraconazole, ritonavir, clarithromycin): can raise tadalafil blood levels and increase additional effects.
- CYP3A4 inducers (for example, carbamazepine, phenytoin, rifampicin): may reduce tadalafil effectiveness.
- Certain calcium-channel blockers such as amlodipine: may add to blood-pressure lowering in some patients.
- Other ED medicines or PAH agents: avoid combining unless under specialist direction.
Also avoid grapefruit products and limit alcohol to reduce the risk of dizziness and blood-pressure effects. If unsure, consult a pharmacist for personalised advice.
Adverse effects
Many unintended effects are mild and temporary. Go to an urgent care for serious events.
- Common and usually transient: a severe headache, flushing, nasal congestion, indigestion, back pain, dizziness.
- Gastrointestinal: nausea, diarrhea or abdominal discomfort in some users.
- Vision and hearing: rare reports of changes in color vision or sudden hearing loss; seek urgent assessment if these occur.
- Urological: painful or prolonged erection (priapism) is a medical emergency if it lasts more than 4 hours.
- Serious reactions: chest pain, fainting, severe allergic reactions. In such cases call emergency services.
Advice for the dose was skippeds and drug overdose
- On-demand ED dosing: there is no regular dosing schedule. If you forget to take it before intercourse, do not take an extra dose later that same day.
- Daily dosing for conditions such as BPH: if you miss a scheduled daily tablet, take it when you remember unless the next dose is due soon; do not double dose.
- Overdose risk: if you or someone takes too much, contact the Poisons Information Centre on 13 11 26 in Australia, or call emergency services on 000 for life-threatening symptoms like collapse, severe chest pain, or loss of consciousness.
Block the word storage can refer to both data and goods. tips and instructions
- Store all medications out of reach of children and pets.
- Store in original packaging in a cool, dry place below 25 C and away from direct sunlight and moisture.
- Do not freeze. Discard any tablets after the expiry date.
- If a tablet looks changed in color or shapekindly verify. with your pharmacist prior to use.
Comparing natural medicines and also therapies
If tadalafil is not appropriate for you because of secondary consequences, effective interpersonal engagements require clear communication., cost or availability, your prescriber may recommend other options. Main the alternative choice options include:
- Cialis (tadalafil brand) and generic tadalafil tablets: same active ingredient; long duration up to 36 hours; typical on-demand doses 10 to 20 mg.
- Sildenafil (Viagra and generics): onset typically 30 to 60 minutes, duration about 4 to 6 hours; often available at lower price points.
- Vardenafil (Levitra and generics): similar onset and duration to sildenafil; some patients tolerate it better.
- Avanafil brand Spedra: faster onset for many users (around 15 to 30 minutes) and a shorter duration of action.
Choice depends on onset time needed, how long you want the effect, your tolerance to lingering reactions, other drugs you take, and budget. For price level guidance within Australia see Average price levels in Australia (AUD). Remember: all prescription ED medicines in Australia require a valid prescription; see Australia import control laws and provisions of the law.
Prices commonly charged in Australia (AUD)
Retail prices can vary between pharmacies, online providers and pack sizes. The figures below are indicative private prices and may change over time.
- Generic tadalafil 20 mg: approximately AUD 1.50 to AUD 5.00 per tablet depending on pack size and supplier.
- Cialis 20 mg (brand): commonly around AUD 20 to AUD 30 per tablet when bought privately.
- Generic sildenafil 50 to 100 mg: roughly AUD 0.80 to AUD 3.00 per tablet.
- Vardenafil (10 to 20 mg): typically about AUD 10 to AUD 20 per tablet.
- Avanafil (50 to 200 mg): around AUD 15 to AUD 25 per tablet in many outlets.
- High-strength tadalafil tablets such as 80 mg (where available): may be priced in the region of AUD 8 to AUD 15 per tablet; some pharmacies substitute equivalent total milligram dosing using multiple lower-strength tablets.
To reduce cost consider generics, larger pack sizes or pharmacy discount programs. ED treatments for on-demand use are generally not subsidised by the PBS, although some specialist uses such as PAH may be listed under authority arrangements. Bring up the options with your prescriber or pharmacist.
The legal and import regime in Australia
Key regulatory points for tadalafil products in Australia:
- Scheduling: tadalafil is a Schedule 4 prescription-only medicine under the Therapeutic Goods Administration (TGA).
- Prescription requirement: a valid Australian prescription is required to obtain tadalafil from apothecaries. Telehealth prescriptions are accepted when clinically appropriate.
- PBS coverage: ED treatments are usually not PBS-subsidised. Some signs that point to, including PAH, may be subsidised under specific authority listings.
- Advertising and supply: direct-to-consumer advertising for prescription medicines is restricted inside Australia.
- Personal importation: under the TGA Personal Importation Arrangement you may be able to import up to a 3 month supply for personal use with a valid prescription; imports must comply with border rules and not be for resale. Keep original packaging and documentation when travelling.
- Age limits: intended for adult males 18 years and older.
Always obtain medicines from reputable Australian pharmacies to ensure quality and compliance. For further detail on importing personal medication see official TGA guidance contact your pharmacist for advice.
Condensed facts
- Indication: difficulties achieving an erection; sometimes used for BPH or PAH with specialist oversight.
- Typical onset: 30 to 60 minutes; duration can extend up to 36 hours.
- Major do-not-combine list: nitrates, riociguat and other strong vasodilators without specialist approval.
- Avoid excessive alcohol and grapefruit products to reduce side-effect risk.
- Obtain prompt medical assistance for your symptoms. chest pain, sudden vision or hearing loss, or an erection lasting more than 4 hours.
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