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Related Warnings
CAUTION
Alcohol
CAUTION

Tadalafil can lower blood pressure, and combining it with alcohol may further increase this effect.

PROBABLY SAFE
Pregnancy
PROBABLY SAFE

Forzest 20mg Tablet is probably safe to use during pregnancy.Animal studies have shown low or no adverse effect on the foetus, however, there are limited human studies. Please consult your doctor.

Lactation

No information is available on the use of Forzest 20mg Tablet during lactation. Please consult your doctor.

Driving

Forzest 20mg Tablet may make you feel dizzy, sleepy, tired, or decrease alertness. If this happens, do not drive.

CAUTION
Kidney
CAUTION

Forzest 20mg Tablet should be used with caution in patients with kidney disease. Dose adjustment of Forzest 20mg Tablet may be needed. Please consult your doctor.

CAUTION
Liver
CAUTION

Forzest 20mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Forzest 20mg Tablet may be needed. Please consult your doctor.Use of Forzest 20mg Tablet is not recommended in patients with severe liver disease.

Tadalafil high strength   20mg

Uses of Forzest Tablet
Forzest 20mg Tablet is used in the treatment of erectile dysfunction and pulmonary arterial hypertension (PAH).

How to use Forzest Tablet
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Forzest 20mg Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Forzest Tablet works
Forzest 20mg Tablet is a phosphodiesterase (PDE-5) inhibitor. It works in erectile dysfunction by increasing blood flow to the penis by relaxing the muscles in penile blood vessels. It works in pulmonary hypertension by relaxing the blood vessels in the lungs to allow blood to flow more easily.

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 Forzest Tablet
Take it when you need it. Do not take more than once a day. It's best to take Forzest about 1 hour before sexual intercourse, but you can take it anywhere between 30 minutes and 4 hours before sexual activity. Forzest helps achieve and maintain an erection, but will not produce the erection without sexual stimulation.  Do not use Forzest 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 Forzest 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 Forzest addictive?
No, Forzest 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 Forzest with prednisone?
Forzest, 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 Forzest safe to use?
Forzest 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 Forzest like a headache, flushing, nasal congestion, dyspepsia, back pain, muscle pain, and pain in extremity.

Q. Is Forzest better than sildenafil?
Both Forzest 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, Forzest 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 Forzest for?
Forzest should only be taken only for the time period as advised by your doctor.

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

Q. Can I take Forzest with antibiotics?
Forzest 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 Forzest levels in the blood. Antibiotics like rifampicin increase the action of this enzyme causing an increased breakdown of Forzest and decrease its efficacy.

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

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

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

Q. Does Forzest work?
Yes, Forzest 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 Forzest last?
Generally, the effect of Forzest 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 Forzest a steroid?
No, Forzest is not a steroid. It is a phosphodiesterase enzyme inhibitor and is used for treating erectile dysfunction.

Q. Is Forzest same as sildenafil?
Both Forzest 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, Forzest 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 Forzest forever?
No, Forzest is not a life long medicine. It should be taken only for a duration as advised by the doctor.

Q. Can I take Forzest just for fun?
Forzest 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 Forzest 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 Forzest with lisinopril?
Yes, Forzest 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 Forzest with metoprolol?
Yes, Forzest 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 Forzest cure erectile dysfunction?
Forzest is not a cure for erectile dysfunction. It only helps in erection by relaxing penile smooth muscles and increasing blood flow.

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

Q. Does Forzest lower blood pressure?
Forzest 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 Forzest.

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

Q. Can I take Forzest with sildenafil?
Both Forzest 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 Forzest when I am also taking bisoprolol?
Yes, Forzest 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 Forzest?
Yes,Forzest can be taken with ibuprofen. It is used by many patients to relieve the headache caused by Forzest. No drug-drug interactions or any harmful effects have been reported when they are used together.

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

Q. What is the difference between Forzest and L-arginine?
Forzest 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 Forzest and avanafil same?
No, Forzest 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. Forzest is also used in the treatment of pulmonary arterial hypertension in lower doses. Forzest is seen to be more efficacious, better tolerated and longer acting than avanafil. However, avanafil starts to show its effect faster than Forzest.

Q. How is Forzest different from vardenafil?
Both Forzest and vardenafil are phosphodiesterase-5 (PDE5) inhibitors used in the treatment of erectile dysfunction (ED). Forzest is also used in the treatment of pulmonary arterial hypertension in lower doses. Forzest 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. Forzest is less effective than vardenafil but safer.

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

Q. Is Forzest safe to use in patients with glaucoma?
Yes, Forzest 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 Forzest with dapoxetine?
Yes, Forzest can be safely taken with dapoxetine. Forzest 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 Forzest with nitroglycerin?
Use of Forzest 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 Forzest and any nitrate substance.

Q. What is the benefit of taking Forzest with finasteride?
Yes, Forzest 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 Forzest can be used for the treatment of this problem along with finasteride.

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

Q. Can I take Forzest with tramadol?
Yes, Forzest 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 Forzest with paracetamol?
Yes, Forzest can be taken with paracetamol. It is used by many patients to relieve a headache caused by Forzest. No drug-drug interactions or any harmful effects have been reported when they are used together.

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

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

Q. Is Forzest a blood thinner?
No, Forzest 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 Forzest a prescription medicine?
Yes, Forzest is a prescription medicine. It is available for providing a valid prescription by a doctor.