Pulmopres 20 mg (Tadalafil)

Description

Pulmopres 20 mg — Quick Product Card

• Composition: Tadalafil 20 mg per tablet
• Indication: Pulmonary arterial hypertension (PAH) in adults
• Dosing style: Once daily, same time each day
• Form: Oral tablet, prescription only

What Pulmopres Does

Tadalafil relaxes and widens the blood vessels in the lungs. That lowers pulmonary blood pressure and helps the heart pump more efficiently. Many patients notice better exercise ability and less breathlessness after regular use.

Who It’s For

Adults diagnosed with PAH, as prescribed by a specialist. It’s not for children, and it isn’t an erectile‑dysfunction starter product.

How to Take Pulmopres 20 mg

• Usual Adult Dose
  The standard regimen for pulmonary arterial hypertension (PAH) is 40 mg once daily.
  This equals two Pulmopres 20 mg tablets taken together once a day, or as directed by your doctor.
• Missed Dose
  Take the missed dose as soon as you remember on the same day.
  If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.
• Overdose
  Taking more than the prescribed amount of tadalafil may cause low blood pressure, dizziness, or fainting.
  Seek immediate medical attention if an overdose is suspected.

Safety Check (Read Before Use)

Do Not Use With

• Any nitrates (for chest pain)
• Riociguat (for PAH) These combinations can cause a dangerous drop in blood pressure.

Talk to Your Doctor If You Have

• Severe liver or kidney disease (dose changes or avoidance may be required)
• Recent heart attack or stroke, serious arrhythmias, or uncontrolled blood pressure
• Eye disorders such as NAION or retinitis pigmentosa
• Dehydration, volume depletion, or any condition predisposing to low blood pressure
• Pregnancy or breastfeeding: use only if your clinician decides benefits outweigh risks

Drug Interactions to Watch

• Strong CYP3A4 inhibitors: ketoconazole, itraconazole, clarithromycin, ritonavir (raise tadalafil levels)
• CYP3A4 inducers: rifampicin, carbamazepine, phenytoin (may reduce effect)
• Alpha‑blockers and other BP medicines (additive BP lowering)
• Other PDE5 inhibitors or ED medicines (don’t combine)

Side Effects

Common (usually mild)

• Headache, flushing, nasal congestion
• Indigestion, reflux, stomach discomfort
• Back or muscle pain, limb pain
• Dizziness or light‑headedness

Serious (seek urgent care)

• Sudden vision or hearing changes
• Chest pain, fainting, severe dizziness
• Prolonged or painful erection
• Signs of allergy: rash, swelling of face/lips/tongue, trouble breathing

Everyday Tips

• Food & Drink
  Pulmopres can be taken with or without food.
  Limit alcohol intake, as it may lower blood pressure.
  Grapefruit or grapefruit juice may affect how tadalafil is processed in the body, so it is best to avoid or limit it unless advised otherwise by your doctor.
• Driving or Operating Machines
  If you experience dizziness or light-headedness, wait until you feel normal before driving or operating machinery.
• When Will I Feel a Difference?
  Pulmopres is intended for daily, long-term management.
  Improvements in exercise capacity are often noticed within 2–4 weeks of regular use.

Storage & Handling

• Store below 25°C in a dry place, away from sunlight and moisture.
• Keep out of reach of children.
• Do not use after the expiry date printed on the pack.

Frequently Asked Questions

1. Is Pulmopres 20 mg the same as tadalafil for ED? No. Same active ingredient, different indication and dosing. Pulmopres is intended for PAH and is taken once daily.
2. What is the usual dose for PAH? Most adults take 40 mg once daily (two 20 mg tablets at the same time). Follow your specialist’s plan.
3. Can I take it with bosentan or ambrisentan? Some PAH regimens combine agents, but bosentan can lower tadalafil levels. Only combine medicines if your PAH specialist prescribes them and monitors you.
4. How long do I need to stay on it? PAH therapy is long‑term. Don’t stop or change the dose without medical advice.
5. What if I have kidney or liver problems? Dose adjustments—or avoidance—may be required. Your doctor will decide after checking your reports.
6. Can I crush or split the tablets? Swallow whole with water unless your pharmacist specifically says otherwise.