Side Effects:

Common Headache, Nausea, Nasopharyngitis, Flushing (sense of warmth in the face, ears, neck and trunk), Dyspepsia, Muscle pain, Back pain, Pain in extremity.

Expert advice for TD 36 Tablet
Take it when you need it. Do not take more than once a day. It's best to take Td 36 about 1 hour before sexual intercourse, but you can take it anywhere between 30 minutes and 4 hours before sexual activity. Td 36 helps achieve and maintain an erection, but will not produce the erection without sexual stimulation.  Do not use Td 36 if you have recently taken nitrates (medicines used in angina or chest pain). Notify your doctor if the erection persists for more than two hours after sexual intercourse.  Do not take Td 36 if you recently had a stroke, a heart attack or if you have a serious liver disease or very low blood pressure (

Frequently Asked Questions

Q. Is Td 36 addictive?
No, Td 36 is not an addictive drug. However, some people may develop an emotional or psychological dependence on the medicine. Always take the medicine for the duration as suggested by your doctor.

Q. Can I take Td 36 with prednisone?
Td 36, when taken with prednisone, may cause low blood pressure. Please consult your doctor for the change of dose regimen or an alternative drug of choice that may be required when the two medicines are to be used together.

Q. Is Td 36 safe to use?
Td 36 is safe when used strictly as advised by your doctor and for approved conditions like erectile dysfunction and pulmonary arterial hypertension. However, there are some very common side effects that you may experience with Td 36 like a headache, flushing, nasal congestion, dyspepsia, back pain, muscle pain, and pain in extremity.

Q. Is Td 36 better than sildenafil?
Both Td 36 and sildenafil belong to the same group of drugs called phosphodiesterase 5 inhibitors, used for the treatment of erectile dysfunction and pulmonary arterial hypertension. However, Td 36 has a slow onset of action with less efficacy but works for a much longer time and is safer than sildenafil.

Q. How long can I take Td 36 for?
Td 36 should only be taken only for the time period as advised by your doctor.

Q. Can I take Td 36 with losartan?
Yes, Td 36 can be taken with losartan. However, there could be an excessive fall in blood pressure when taken together and you can experience symptoms like dizziness, lightheadedness, fainting, flushing, headache, or an increased heart rate. So, special caution must be taken when taking them together and inform your doctor if you experience any of these symptoms.

Q. Can I take Td 36 if I have high blood pressure?
Td 36 can be taken in patients with high blood pressure. However, if you are on medicines for high blood pressure, taking Td 36 along with them can cause a significant fall in blood pressure which could be harmful. Td 36 is absolutely contraindicated in patients taking nitrates. Inform your doctor before taking them together.

Q. Can I take Td 36 with antibiotics?
Td 36 can be taken safely with antibiotics. However, it is degraded in the body by an enzyme known as CYP3A4 and a dose adjustment may be needed when it is used with drugs which can affect the activity of this enzyme. Antibiotics like erythromycin, clarithromycin, ketoconazole and itraconazole can decrease the action of this enzyme and increase Td 36 levels in the blood. Antibiotics like rifampicin increase the action of this enzyme causing an increased breakdown of Td 36 and decrease its efficacy.

Q. Does Td 36 affect sperm count?
No, Td 36 has no known effect on sperm count. It is a medication used for erectile dysfunction, not to increase sperm count.

Q. Does Td 36 delay ejaculation?
No, Td 36 is not known to affect ejaculation. It is used for the treatment of erectile dysfunction.

Q. Does Td 36 expire?
Like any other drug, Td 36 does have an expiry date and should not be used beyond that. Please check the package insert for the same.

Q. Does Td 36 work?
Yes, Td 36 works very effectively for the treatment of erectile dysfunction and pulmonary arterial hypertension when taken strictly as advised by your doctor.

Q. How long does Td 36 last?
Generally, the effect of Td 36 lasts from 24 to 36 hours, however, the effect may vary from patient to patient. As it works for a long duration, its action may last for more than one day. Some patients call it a weekend pill which is when taken on Friday night, the effect may last until Sunday morning. So it is preferred over sildenafil and verdanafil by some patients.

Q. Is Td 36 a steroid?
No, Td 36 is not a steroid. It is a phosphodiesterase enzyme inhibitor and is used for treating erectile dysfunction.

Q. Is Td 36 same as sildenafil?
Both Td 36 and sildenafil belong to the same group of drugs called phosphodiesterase 5 inhibitors, used for the treatment of erectile dysfunction and pulmonary arterial hypertension. However, Td 36 has a slow onset of action with less efficacy but works for a much longer time and is safer than sildenafil.

Q. Can I take Td 36 forever?
No, Td 36 is not a life long medicine. It should be taken only for a duration as advised by the doctor.

Q. Can I take Td 36 just for fun?
Td 36 is a prescription drug and should only be taken for the appropriate indication as prescribed by a doctor as it may be associated with many side effects. Also, it is available only on prescription by a doctor.

Q. Can I take Td 36 with tamsulosin?
When taken together, these drugs may produce an additive blood-pressure-lowering effect. Dose needs to be titrated carefully. Consult your doctor before taking them together.

Q. Can I take Td 36 with lisinopril?
Yes, Td 36 can be taken with lisinopril. However, there could be an excessive fall in blood pressure when taken together and you can experience symptoms like dizziness, lightheadedness, fainting, flushing, headache, or an increased heart rate. So, special caution must be taken when taking them together and inform your doctor if you experience any of these symptoms.

Q. Can I take Td 36 with metoprolol?
Yes, Td 36 can be taken with metoprolol. However, there could be an excessive fall in blood pressure when taken together and you can experience symptoms like dizziness, lightheadedness, fainting, flushing, headache, or an increased heart rate. So, special caution must be taken when taking them together and inform your doctor if you experience any of these symptoms.

Q. Does Td 36 cure erectile dysfunction?
Td 36 is not a cure for erectile dysfunction. It only helps in erection by relaxing penile smooth muscles and increasing blood flow.

Q. Does Td 36 increase the size of the penis?
No, Td 36 is not known to increase the size of the penis.

Q. Does Td 36 lower blood pressure?
Td 36 can lower the blood pressure but does not have a significant effect. However, when used along with other medications which lower blood pressure, it can have an additional effect which can be harmful. Talk to your doctor in case you are taking blood pressure lowering medicines and you are also advised to take Td 36.

Q. Does Td 36 increase testosterone?
Td 36 is not known to have any effect on testosterone levels. However, if your testosterone levels are low, then Td 36 may not be useful in treating erectile dysfunction.

Q. Can I take Td 36 with sildenafil?
Both Td 36 and sildenafil are phosphodiesterase inhibitors and act by dilating the blood vessels. Using them together would not give any additional benefit, rather they may cause a severe fall in blood pressure and a prolonged painful erection. Therefore, these two drugs should not be taken together.

Q. Can I take Td 36 when I am also taking bisoprolol?
Yes, Td 36 can be taken with bisoprolol. However, there could be an excessive fall in blood pressure when they are taken together and you can experience symptoms like dizziness, lightheadedness, fainting, flushing, headache, or an increased heart rate. So, special caution must be taken when taking both the drugs together and inform your doctor if you experience any of these symptoms.

Q. What will be the effect of using ibuprofen with Td 36?
Yes,Td 36 can be taken with ibuprofen. It is used by many patients to relieve the headache caused by Td 36. No drug-drug interactions or any harmful effects have been reported when they are used together.

Q. Is Td 36 use associated with nosebleed (epistaxis)?
Yes, there have been some reports where the patients have given the history of nose bleed (epistaxis) after taking Td 36. Other drugs from the same class have also shown to cause nose bleeds in some patients.

Q. What is the difference between Td 36 and L-arginine?
Td 36 is used for the treatment of erectile dysfunction. It works by releasing nitrous oxide (NO) which relaxes the smooth muscles of the blood vessels and dilates them. L-arginine is an amino acid which is involved in the synthesis of nitric oxide (NO). So, it has been suggested that L-arginine can help in the treatment of erectile dysfunction. However, there is no regulatory approval for its use as of now.

Q. Are Td 36 and avanafil same?
No, Td 36 and avanafil are not same drugs but they belong to the same class of phosphodiesterase-5 (PDE5) inhibitors used for the treatment of erectile dysfunction. Td 36 is also used in the treatment of pulmonary arterial hypertension in lower doses. Td 36 is seen to be more efficacious, better tolerated and longer acting than avanafil. However, avanafil starts to show its effect faster than Td 36.

Q. How is Td 36 different from vardenafil?
Both Td 36 and vardenafil are phosphodiesterase-5 (PDE5) inhibitors used in the treatment of erectile dysfunction (ED). Td 36 is also used in the treatment of pulmonary arterial hypertension in lower doses. Td 36 starts to act in 20 minutes but the action remains for almost 36 hours whereas vardenafil starts to act in 10 minutes and acts for almost 10 hours, respectively. Td 36 is less effective than vardenafil but safer.

Q. Is it safe to take Td 36 with amlodipine?
Yes, Td 36 can be taken with amlodipine. However, there could be an excessive fall in blood pressure they are when taken together and you can experience symptoms like dizziness, lightheadedness, fainting, flushing, headache, or an increased heart rate. So, special caution must be taken and inform your doctor if you experience any of these symptoms.

Q. Is it safe to take Td 36 with propranolol?
Yes, Td 36 can be taken with propranolol. However, there could be an excessive fall in blood pressure they are when taken together and you can experience symptoms like dizziness, lightheadedness, fainting, flushing, headache, or an increased heart rate. So, special caution must be taken and inform your doctor if you experience any of these symptoms.

Q. Can I take Td 36 when I am also taking atenolol for controlling my blood pressure?
Yes, Td 36 can be taken with atenolol. However, there could be an excessive fall in blood pressure they are when taken together and you can experience symptoms like dizziness, lightheadedness, fainting, flushing, headache, or an increased heart rate. So, special caution must be taken and inform your doctor if you experience any of these symptoms.

Q. Is it safe to take Td 36 when I am also taking fluconazole?
Td 36 can be taken with fluconazole, however, a dose adjustment would be needed before taking them together. Td 36 is metabolized (degraded) by an enzyme known as CYP3A4. Fluconazole decreases the working of this enzyme causing increased blood levels of Td 36 and higher chances of having side effects.

Q. Is Td 36 safe to use in patients with glaucoma?
Yes, Td 36 can be used by patients with glaucoma. But you must inform your doctor before using this medicine. It has been found to increase the intraocular pressure in animals whereas the same is not seen in humans. However, other medicines of this class have been reported to cause increase intraocular pressure in healthy human beings.

Q. Is it safe to take Td 36 with dapoxetine?
Yes, Td 36 can be safely taken with dapoxetine. Td 36 is useful for treating erectile dysfunction and dapoxetine is for premature ejaculation. A fixed dose combination of these medicines is available which is useful in patients suffering from both erectile dysfunction and premature ejaculation. No drug-drug interactions or any harmful effects have been reported when they are used together.

Q. Can I use Td 36 with nitroglycerin?
Use of Td 36 is not recommended in patients taking nitrates like nitroglycerin as their combined use can cause a severe fall in blood pressure, which can also result in death. It is advisable to keep a time gap of 24 hours between the intake of Td 36 and any nitrate substance.

Q. What is the benefit of taking Td 36 with finasteride?
Yes, Td 36 can be taken along with finasteride. This combination is beneficial in the treatment of benign prostatic hyperplasia (BPH). Finasteride is also known to cause erectile dysfunction as one of its side effects and Td 36 can be used for the treatment of this problem along with finasteride.

Q. Can I take Td 36 with grapefruit juice?
Td 36 can be taken with grapefruit juice, however, a dose adjustment would be needed before taking them together. Td 36 is metabolized (degraded) by an enzyme known as CYP3A4. Grapefruit juice decreases the working of this enzyme, increases blood levels of Td 36 leading to higher chances of side effects.

Q. Can I take Td 36 with tramadol?
Yes, Td 36 can be taken with tramadol. No drug-drug interactions or any harmful effects have been reported when they are used together.

Q. How safe is it to use Td 36 with paracetamol?
Yes, Td 36 can be taken with paracetamol. It is used by many patients to relieve a headache caused by Td 36. No drug-drug interactions or any harmful effects have been reported when they are used together.

Q. Is Td 36 a nitrate?
No, Td 36 is not a nitrate. It belongs to a group of medicines called phosphodiesterase 5 inhibitors used for the treatment of erectile dysfunction.

Q. Is Td 36 a controlled substance?
Td 36 is not a controlled substance. It's a prescription medicine and is available on providing a valid prescription by a doctor.

Q. Is Td 36 a blood thinner?
No, Td 36 is not a blood thinner. It belongs to a group of medicines called phosphodiesterase 5 inhibitors used for the treatment of erectile dysfunction.

Q. Is Td 36 a prescription medicine?
Yes, Td 36 is a prescription medicine. It is available for providing a valid prescription by a doctor.