Description
Tadalis-SX (Tadalafil) 20 mg
Tadalis-SX 20 mg is a tadalafil-containing medicine used for erectile dysfunction. Tadalafil belongs to the phosphodiesterase type 5 (PDE5) inhibitor class. It is an oral prescription medicine intended to support erectile function in adult men with erectile dysfunction.
Active Ingredient and Medicine Class
The verified active ingredient is tadalafil. It is a selective PDE5 inhibitor. This drug class acts on the nitric oxide–cyclic GMP pathway involved in penile smooth muscle relaxation and blood flow during sexual stimulation.
Established Medical Uses
Official prescribing information identifies tadalafil for the treatment of erectile dysfunction. Regulatory sources also recognise tadalafil for benign prostatic hyperplasia and for erectile dysfunction with benign prostatic hyperplasia in some products, but the product name provided here is being verified only as a tadalafil 20 mg tablet for erectile dysfunction.
How It Works
Tadalafil inhibits PDE5, an enzyme that breaks down cyclic GMP. By preserving cyclic GMP, it helps relax smooth muscle and increase blood flow in erectile tissue when sexual stimulation is present. It does not create an erection without sexual stimulation.
Important Safety Information
Tadalafil must not be used with nitrates or recreational nitrite “poppers,” because this combination can cause a dangerous fall in blood pressure. It is also contraindicated with guanylate cyclase stimulators such as riociguat, and in people with serious hypersensitivity to tadalafil. Tadalafil can further lower blood pressure with alpha-blockers, antihypertensives, alcohol, and strong CYP3A4 inhibitors such as ketoconazole or ritonavir. Caution is advised in cardiovascular disease, severe liver impairment, significant kidney impairment, and conditions that may predispose to priapism. Rare vision loss and sudden hearing loss have been reported.
Possible Side Effects
Common adverse effects include headache, indigestion, back pain, muscle pain, nasal congestion, flushing, dizziness, and diarrhoea. Less common but important reactions include prolonged erection, sudden loss of vision, sudden hearing changes, and allergic skin reactions.
Scientific Evidence
Peer-reviewed reviews describe tadalafil as an effective and generally well-tolerated PDE5 inhibitor for erectile dysfunction, with a prolonged window of action compared with some other agents in the same class. Clinical trial and review literature support improvement in erectile function across a range of causes of erectile dysfunction.
Medical Information Notice
This page is an educational summary based on sources available at the time of review and does not replace the official patient leaflet, prescribing information, or assessment by a qualified healthcare professional.
Medical Sources
- FDA / DailyMed: Tadalafil tablets, Full Prescribing Information
- European Medicines Agency: Cialis, EPAR – Product information
- Meuleman EJH et al. Review of tadalafil in the treatment of erectile dysfunction, Expert Opinion on Pharmacotherapy, 2003




