TADALAFIL JUBILANT 20 mg FILM-COATED TABLETS

Introduction

Package Leaflet: Information for the Patient

Tadalafil Jubilant 20 mg film-coated tablets EFG

Read the entire package leaflet carefully before starting to take this medication, as it contains important information for you.

• Keep this package leaflet, as you may need to read it again.
• If you have any doubts, consult your doctor or pharmacist.
• This medication has been prescribed to you only, and you should not give it to others, even if they have the same symptoms as you, as it may harm them.
• If you experience side effects, consult your doctor or pharmacist, even if they are not listed in this package leaflet. See section 4.

Contents of the package leaflet:

1. What is Tadalafil Jubilant and what is it used for
2. What you need to know before taking Tadalafil Jubilant
3. How to take Tadalafil Jubilant
4. Possible side effects
5. Storage of Tadalafil Jubilant
6. Package contents and additional information

1. What is Tadalafil Jubilant and what is it used for

Tadalafil contains the active substance tadalafil, which belongs to a group of medications called phosphodiesterase type 5 inhibitors. After sexual stimulation, tadalafil acts by helping to relax the blood vessels in your penis, allowing blood flow to the penis. The result is an improvement in erectile function. Tadalafil will not help if you do not have erectile dysfunction.

It is essential to warn you that tadalafil is not effective if there is no sexual stimulation. Therefore, you and your partner should stimulate each other in the same way as you would if you were not taking a medication for erectile dysfunction.

Tadalafil is indicated for the treatment of erectile dysfunction in adult men. This occurs when a man cannot obtain or maintain a firm enough erection for satisfactory sexual activity. Tadalafil has demonstrated significant improvement in the ability to obtain a lasting erection of the penis suitable for sexual activity.

2. What you need to know before taking Tadalafil Jubilant

Do not take Tadalafil Jubilant if:

• you are allergic to tadalafil or any of the other ingredients of this medication (listed in section 6).
• you are taking any type of organic nitrates or nitric oxide donors, such as amyl nitrite. This is a group of medications ("nitrates") used to treat angina pectoris ("chest pain"). It has been seen that tadalafil increases the effects of these medications. If you are taking any type of nitrate or are unsure, tell your doctor.
• you have a severe heart disease or have recently suffered a heart attack, within the last 90 days.
• you have recently suffered a stroke, within the last 6 months.
• you have low blood pressure or uncontrolled high blood pressure.
• you have ever experienced loss of vision due to non-arteritic anterior ischemic optic neuropathy (NAION), a disease described as "eye infarction".
• you are taking riociguat. This medication 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 caused by blood clots). PDE5 inhibitors, such as tadalafil, have shown that they increase the hypotensive effect of this medication. If you are taking riociguat or are unsure, consult your doctor.

Warnings and precautions

Consult your doctor before starting to take tadalafil.

Be aware that sexual activity carries a possible risk in patients with heart problems, due to the extra effort it entails for the heart. If you have a heart problem, consult your doctor.

Before taking the tablets, inform your doctor if you have:

• sickle cell anemia (a red blood cell abnormality).
• multiple myeloma (bone marrow cancer).
• leukemia (blood cell cancer).
• any penile deformation.
• a severe liver problem.
• a severe kidney problem.

It is not known if tadalafil is effective in patients who have undergone:

• surgery in the pelvic area.
• a surgical intervention in which the prostate was partially or totally removed and the prostate nerves were cut (radical prostatectomy without preservation of neurovascular bundles).

If you experience a sudden decrease or loss of vision, stop taking tadalafil and contact your doctor immediately.

A sudden decrease or loss of hearing has been observed in some patients taking tadalafil. Although it is not known if the event is directly related to tadalafil, if you experience a sudden decrease or loss of hearing, stop taking tadalafil and contact your doctor immediately.

Tadalafil is not intended for use in women.

Children and adolescents

Tadalafil should not be used in children or adolescents under 18 years of age.

Other medications and Tadalafil Jubilant

Inform your doctor or pharmacist if you are using, have recently used, or may need to use any other medication.

Do not take tadalafil if you are already using nitrates.

Some medications may be affected by tadalafil or may affect the proper functioning of tadalafil. Inform your doctor or pharmacist if you are using:

• an alpha-blocker (used to treat high blood pressure or urinary symptoms associated with benign prostatic hyperplasia).

other medications for high blood pressure.

• riociguat.
• a 5-alpha reductase inhibitor (used to treat benign prostatic hyperplasia).
• medications such as ketoconazole tablets (for the treatment of fungal infections) and protease inhibitors for the treatment of AIDS or HIV infection.
• phenobarbital, phenytoin, and carbamazepine (anticonvulsant medications).
• rifampicin, erythromycin, clarithromycin, or itraconazole.
• other treatments for erectile dysfunction.

Taking Tadalafil Jubilant with drinks and alcohol

Information about the effect of alcohol can be found in section 3. Grapefruit juice may affect the proper functioning of tadalafil and should be taken with caution. Consult your doctor for more information.

Fertility

In dogs treated with tadalafil, a decrease in sperm production by the testicles was observed. A reduction in sperm has been observed in some men. It is unlikely that these effects will produce a lack of fertility.

Driving and using machines

Some men who took tadalafil during clinical trials experienced dizziness. Carefully check how you react when taking the tablets before driving or using machines.

Tadalafil Jubilant contains lactose

If your doctor has told you that you have an intolerance to certain sugars, consult with them before taking this medication.

3. How to take Tadalafil Jubilant

Follow the administration instructions of this medication exactly as indicated by your doctor. In case of doubt, consult your doctor or pharmacist again.

Method of administration

Tadalafil tablets are for oral administration only in men. Swallow the tablet whole with a little water. The tablets can be taken with or without food.

For the treatment of erectile dysfunction

The recommended initial dose is one 10 mg tablet before sexual activity. If the effect of this dose is too weak, your doctor may increase the dose to 20 mg.

When taking tadalafil, you can initiate sexual activity at least 30 minutes after taking it. Tadalafil may still be effective up to 36 hours after taking the tablet.

Do not take tadalafil more than once a day. Tadalafil 10 mg and 20 mg will be used before expected sexual activity and are not recommended for continuous daily use.

Do not take tadalafil more than once a day.

Tadalafil administered daily may be useful in men who anticipate having sexual activity two or more times a week.

Tadalafil administered daily allows you to obtain an erection at any time during the 24 hours of the day, as long as there is sexual stimulation.

It is essential to warn you that tadalafil is not effective if there is no sexual stimulation. Therefore, you and your partner should stimulate each other in the same way as you would if you were not taking a medication for erectile dysfunction.

The consumption of alcohol may affect your ability to have an erection and may temporarily decrease your blood pressure. If you have taken or are planning to take tadalafil, avoid excessive alcohol consumption (blood alcohol level of 0.08% or higher), as it may increase the risk of dizziness when standing up.

If you take more Tadalafil Jubilant than you should

Consult your doctor. You may experience side effects described in section 4.

If you forget to take Tadalafil Jubilant

Take your dose as soon as you remember, but do not take a double dose to make up for forgotten doses. You should not take tadalafil more than once a day.

If you have any other doubts about the use of this medication, ask your doctor or pharmacist.

4. Possible side effects

Like all medications, this medication can cause side effects, although not everyone experiences them. These effects are generally mild to moderate in intensity.

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

Uncommon(may affect up to 1 in 100 people)

• allergic reactions, including skin rashes
• chest pain - do not use nitrates, but seek medical help immediately

Rare(may affect up to 1 in 1,000 people)

• priapism, a prolonged and possibly painful erection after taking tadalafil.

If you experience this type of erection, which can last continuously for more than 4 hours, you should contact a doctor immediately.

• sudden loss of vision

Other side effects that have been reported:

Common(observed in 1 to 10 out of 100 patients)

• headache,
• back pain
• muscle pain,
• pain in the arms and legs,
• flushing
• nasal congestion
• indigestion.

Uncommon(may affect up to 1 in 100 people)

• dizziness
• stomach pain
• nausea, vomiting
• reflux
• blurred vision
• eye pain
• difficulty breathing
• blood in the urine
• prolonged erection
• palpitations
• rapid pulse
• high blood pressure
• low blood pressure
• nasal bleeding
• ringing in the ears
• swelling of the hands, feet, or ankles
• feeling of tiredness

Rare(may affect up to 1 in 1,000 people)

• fainting
• seizures and transient memory loss
• swelling of the eyelids
• red eyes
• sudden decrease or loss of hearing
• urticaria (red itchy rashes on the skin surface)
• bleeding in the penis
• blood in the semen
• increased sweating

Myocardial infarction and stroke have also been reported rarely in men taking tadalafil. Most of these men had pre-existing heart disease before taking this medication.

Rare cases of sudden decrease or loss of vision, partial, transient, or permanent in one or both eyes have been reported.

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

• migraine
• swelling of the face
• severe allergic reaction that causes swelling of the face or throat,
• severe skin rashes
• certain disorders that affect blood flow to the eyes
• irregular heartbeats
• angina pectoris
• sudden cardiac death

In men over 75 years of age treated with tadalafil, the most frequently reported side effect was dizziness. In men over 65 years of age treated with tadalafil, the most frequently reported side effect was diarrhea.

Reporting side effects:

If you experience any side effects, consult your doctor or pharmacist, even if they are not listed in this package leaflet. You can also report them directly through the Spanish Pharmacovigilance System for Human Use Medications: https://www.notificaram.es. By reporting side effects, you can contribute to providing more information on the safety of this medication.

5. Storage of Tadalafil Jubilant

Keep this medication out of the sight and reach of children.

Do not use this medication after the expiration date stated on the packaging and blister after EXP. The expiration date is the last day of the month indicated.

This medication does not require special storage conditions.

Medications should not be disposed of through wastewater or household waste. Deposit the packaging and medications you no longer need at the SIGRE collection point in the pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and medications you no longer need. This will help protect the environment.

6. Package contents and additional information

Composition of Tadalafil Jubilant

• The active substanceis tadalafil.
• • Each tablet contains 20 mg of tadalafil

• The other ingredientsare:

Tablet core:

lactose monohydrate,

hydroxypropylcellulose (E463),

croscarmellose sodium,

sodium lauryl sulfate,

microcrystalline cellulose (E460),

magnesium stearate (E572),

Coating:

hypromellose (E464),

lactose monohydrate,

titanium dioxide (E171),

triacetin (E1518),

talc (E553b).

Appearance of Tadalafil Jubilant and package contents

Tadalafil Jubilant is available in four concentrations:

Tadalafil Jubilant 20 mg film-coated tablets: Film-coated tablets, white to off-white, oval, biconvex, with the inscription "H4" on one side and smooth on the other, 5 mm thick, 13 mm long, and 8 mm wide.

Aluminum/PVC blisters in packages of 1, 2, 4, 7, 8, 10, 12, 14, 28, and 84 film-coated tablets.

Not all pack sizes may be marketed.

Marketing authorization holder

Jubilant Pharmaceuticals nv

Axxes Business Park

Guldensporenpark 22 - Block C

9820 Merelbeke, Belgium

Manufacturer

1. PSI Supply nv

Axxes Business Park,

Guldensporenpark 22, Block C,

Merelbeke, Belgium

Date of the last revision of this package leaflet: May 2021

Detailed and updated information on this medication is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es