Description:

Preetab Tadalafil 20mg tablets are a generic PDE5 inhibitor medication used primarily to treat erectile dysfunction (ED, impotence) in adult men. It works by increasing blood flow to the penis during sexual stimulation, helping achieve and maintain an erection. It may also be used for benign prostatic hyperplasia (BPH) symptoms (e.g., difficulty urinating, weak stream) or pulmonary arterial hypertension (PAH) in some formulations, though 20mg is the standard on-demand dose for ED. In Ghana (Accra), it is a common, affordable prescription medication available in pharmacies for male sexual health.

Prescription: Prescription-only (requires a doctor’s prescription in Ghana; dispensed by pharmacies with Rx; not OTC due to potential interactions, cardiovascular risks, and need for proper evaluation).

Therapeutic Category:

Phosphodiesterase Type 5 (PDE5) Inhibitor (Oral agent for erectile dysfunction and related conditions.

Active Ingredients/Composition: Each film-coated tablet contains:

• Active ingredient: Tadalafil USP – 20 mg. Other ingredients (excipients, typical): Lactose monohydrate, microcrystalline cellulose, croscarmellose sodium, hypromellose, magnesium stearate, titanium dioxide, talc, macrogol, iron oxides (for coloring). Tablets are film-coated, yellow/almond-shaped, and debossed with “T20” or similar.

Vitamins: None.

Minerals: None.

Variant:

• Preetab Tadalafil 20mg film-coated tablets (standard on-demand ED strength; common pack of 4, 10, or 30 tablets). Related variants: Tadalafil 2.5mg/5mg daily tablets (for continuous use), Tadalafil 10mg (lower on-demand dose), or Tadalafil 40mg (for PAH). The 20mg is the most common “as-needed” strength for ED.

Consume Type:

Oral – Film-coated tablet (swallow whole with water; do not crush or chew).

Directions/Usage:

• For erectile dysfunction (on-demand): 10–20 mg taken as needed, at least 30 minutes before anticipated sexual activity (may work up to 36 hours).
• Do not exceed 20 mg once daily.
• Can be taken with or without food (high-fat meals may delay onset).
• Sexual stimulation is required for effect.
• Duration: As needed; not for continuous daily use at 20mg (lower 2.5/5mg doses exist for daily use if prescribed).
• Avoid grapefruit juice (increases drug levels).

Common Side Effects: Common:

• Headache.
• Back pain, muscle aches (myalgia).
• Flushing (warmth/redness of face).
• Nasal congestion.
• Indigestion/dyspepsia.
• Limb pain. Rare/serious (seek help): Sudden vision/hearing loss, prolonged/painful erection (priapism >4 hours), severe allergic reactions, chest pain, or cardiovascular events.

Package Type:

Blister packs (commonly 4 tablets per pack; 1×4 or 2×4 foil blisters in carton with patient information leaflet).

Storage Advice: Store at room temperature (below 25–30°C) in original packaging, protected from moisture and light. Keep tightly closed. Out of reach of children.

Safety Advice:

• Contraindicated with nitrates (e.g., nitroglycerin – risk of severe hypotension), in recent heart attack/stroke, severe liver/renal impairment, or known hypersensitivity.
• Caution in cardiovascular disease, low blood pressure, anatomical penis deformity (e.g., Peyronie’s), bleeding disorders, or on alpha-blockers/antihypertensives (risk of hypotension).
• Seek immediate medical help for priapism (>4 hours), sudden vision/hearing loss, or chest pain during/after sexual activity.
• Not for use in women or men without ED.
• Avoid heavy alcohol (increases side effects like dizziness).
• Keep out of reach of children (overdose risk).

Product Substitutes: Similar tadalafil 20mg tablets in Ghana include:

• Generic tadalafil 20mg film-coated tablets (various importers).
• Cialis (original Eli Lilly brand, higher price if stocked).
• Other brands like Tadalis, Tadalafil Sandoz, or local generics (e.g., Preetab, Tadafil). Alternatives: Sildenafil (Viagra generics), vardenafil (Levitra), or avanafil (Spedra). Consult urologist/pharmacist in Accra for alternatives.

Manufacturer/Marketer:

Paa Paa Pharma or similar (Indian manufacturer of Preetab Tadalafil 20mg tablets). Marketed/distributed in Ghana by local importers/pharmacies (widely stocked as imported generic).

Country of Origin:

India (manufactured by Paa Paa Pharma or licensed Indian partner; imported to Ghana and widely available in local pharmacies).