TEDO 20MG 8 TAB

A valid prescription must be presented upon receipt of the order.

1. What this product is and what it is used for?

• TEDO is a treatment for adult men with erectile dysfunction.
• This is when a man cannot get, or keep a hard, erect penis suitable for sexual activity.
• TEDO has been shown to significantly improve the ability of obtaining a hard erect penis suitable for sexual activity.
• TEDO contains the active substance tadalafil which belongs to a group of medicines called phosphodiesterase type 5 inhibitors. Following sexual stimulation TEDO 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 function. TEDO will not help you if you do not have erectile dysfunction.
• It is important to note that TEDO 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.

2. What you need to know before you use this product:

Do not take TEDO:

• -          If You are allergic to tadalafil or any of the other ingredients of this medicine (listed in section 6)
• -          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). TEDO has been shown to increase the effects of these medicines. If you are taking any form of nitrate or are unsure tell your doctor.
• -          If You have serious heart disease or recently had a heart attack within the last 90 days.
• -          If You recently had a stroke within the last 6 months
• -          If You have low blood pressure or uncontrolled high blood pressure
• -          If You ever had loss of vision because of non-arteritic anterior ischemic optic neuropathy (NAION), a condition described as “stroke of the eye”.
• -If You are taking riociguat. This drug is used to treat pulmonary arterial hypertension (i.e., high blood pressure in the lungs) and chronic thromboembolic pulmonary hypertension (i.e., high blood pressure in the lungs secondary to blood clots). 
• -PDE5 inhibitors, such as TEDO have been shown to increase the hypotensive effects of this medicine. 
• -If you are taking riociguat or are unsure tell your doctor.

Warnings and precautions:

• Talk to your doctor before taking TEDO.
• Be aware that 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.
• Before taking the tablets, tell your doctor if you have:·         
• sickle cell anaemia (an abnormality of red blood cells).·         
• multiple myeloma (cancer of the bone marrow).·         
• leukaemia (cancer of the blood cells).·         
• any deformation of your penis.·         
• a serious liver problem.·         
• a severe kidney problem.It is not known if TEDO is effective in patients who have had:·      
• pelvic surgery.·      
• removal of all or part of the prostate gland in which nerves of the prostate are cut (radical non-nerve-sparing prostatectomy  )
• If you experience sudden decrease or loss of vision, stop taking TEDO and contact your doctor immediately.
• TEDO is not intended for use by women.

Children and adolescents:

• TEDO is not intended for use by children and adolescents under the age of 18.
• Other medicines and TEDO:
• Tell your doctor if you are taking, have recently taken or might take any other medicines.

Do not take TEDO:

• if you are already taking nitrates.
• Some medicines may be affected by TEDO or they may affect how well TEDO will work. 

Tell your doctor or pharmacist if you are already taking:

• an alpha blocker (used to treat high blood pressure or urinary symptoms associated with benign prostatic hyperplasia).
• other medicines to treat high blood pressure.riociguat.a 5- alpha reductase inhibitor (used to treat benign prostatic hyperplasia).
• medicines such as ketoconazole tablets (to treat fungal infections) and protease inhibitors for treatment of AIDS or HIV infection.
• phenobarbital, phenytoin and carbamazepine (anticonvulsant medicines).
• rifampicin, erythromycin , clarithromycin or itraconazole.
• other treatments for erectile dysfunction.

TEDO with drink and alcohol:

• Information on the effect of alcohol is in section 3. Grapefruit juice may affect how well TEDO will work and should be taken with caution. 
• Talk to your doctor for further information.

Fertility:

• When dogs were treated there was reduced sperm development in the testes. 
• A reduction in sperm was seen in some men. These effects are unlikely to lead to a lack of fertility.

Driving and using machines:

• Some men taking TEDO in clinical studies have reported dizziness. Check carefully how you react to the tablets before driving or using machines.

TEDO contains lactose:

• If you have an intolerance to some sugars, contact your doctor before taking this medicine.

3.How to use this produc:

• Always take this medicine exactly as your doctor has told you. 
• Check with your doctor or pharmacist if you are not sure.
• TEDO tablets are for oral use in men only. 
• Swallow the tablet whole with some water. 
• The tablets can be taken with or without food.
• The recommended starting dose is one 10 mg tablet before sexual activity. However, you have been given the dose of one 20mg tablet as your doctor has decided that the recommended dose of 10mg is too weak.
• You may take a TEDO tablet at least 30 minutes before sexual activity.
• TEDO may still be effective up to 36 hours after taking the tablet.
• Do not take TEDO more than once a day. TEDO 10 mg and 20mg is intended for use prior to anticipated sexual activity and is not recommended for continuous daily use.
• It is important to note that TEDO 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.
• Drinking alcohol may affect your ability to get an erection and may temporarily lower your blood pressure. If you have taken or are planning to take TEDO, avoid excessive drinking (blood alcohol level of 0.08 % or greater), since this may increase the risk of dizziness when standing up.

If you take more TEDO than you should:

• Contact your doctor. You may experience side effects described in section 4.
• If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects:

Like all medicines, TEDO can cause side effects, although not everybody gets them. These effects  are normally mild to moderate in nature.

If you experience any of the following side effects stop using the medicine and seek medical help immediately:

• allergic reactions including rashes (frequency uncommon).
• ·         chest pain- do not use nitrates but seek immediate medical assistance (frequency uncommon).
• prolonged and possibly painful erection after taking TEDO (frequency rare). 
• If you have such an erection, which lasts continuously for more than 4 hours you should contact a doctor immediately.
• sudden loss of vision (frequency rare).

Other side effects have been reported:Common (seen in 1 to 10 in every 100 patients)

• -       headache, back pain, muscle aches, pain in arms and legs, facial flushing, nasal congestion, and indigestion.

Uncommon (seen in 1 to 10 in every 1,000 patients):

• -       dizziness, stomach ache, feeling sick, being sick (vomiting), reflux, blurred vision, eye pain, difficulty in breathing, presence of blood in urine, pounding heartbeat sensation, a fast heart rate, high blood pressure, low blood pressure, nose bleeds, ringing in the ears, swelling of the hands, feet or ankles and feeling tired.

Rare (seen in 1 to 10 in every 10,000 patients):

• -       fainting, seizures and passing memory loss, swelling of the eyelids, red eyes, sudden decrease or loss of hearing, hives (itchy red welts on the surface of the skin), penile bleeding, presence of blood in semen and increased sweating.
• Heart attack and stroke have also been reported rarely in men taking TEDO. Most of these men had known heart problems before taking this medicine.Partial, temporary, or permanent decrease or loss of vision in one or both eyes has been rarely reported.

Some additional rare side effects have been reported in men taking TEDO that were not seen in clinical trials. These include:

• -       migraine, swelling of the face, serious allergic reaction which causes swelling of the face or throat, serious skin rashes, some disorders affecting blood flow to the eyes, irregular heartbeats, angina and sudden cardiac death.
• The side effect dizziness has been reported more frequently in men over 75 years of age taking TEDO. 
• Diarrhoea has been reported more frequently in men over 65 years of age taking TEDO.

If you get any side effects, talk to your doctor, pharmacist. This includes any possible side effects not listed in this leaflet.

5. How to store this product:

• - Keep out of the reach and sight of children.
• - Store below 30°C.
• - Keep in the original pack to protect from moisture.
• - Do not use TEDO after the expiry date which is stated on the blister and on the carton.
• - Do not throw away any medicines via wastewater or household waste. Ask your pharmacist  how  to throw away medicines you no longer use. These measures will help protect the environment.