Can I Cut a 20mg Cialis in Half

Hello and thank you for your question!

Whether or not a detail drug tablet or pill can be split is one of our about common questions.

In general, if the drug is 'immediate-release' (i.e. does not have some sort of extended or delayed-release mechanism), it can be separate, only there are exceptions.

Cialis (tadalafil) is one of those exceptions.

Can You Divide Cialis?

As y'all stated in your question, you are correct that the manufacturer of Cialis (tadalafil) recommends non to cut or split the tablets. Per the prescribing data

"Do not dissever CIALIS tablets; unabridged dose should be taken."

The labeling for both the brand proper noun Cialis and generic tadalafil tablets (all manufacturers) explicitly states that the tablets should not be split, as shown in the image of two labels below:

Cialis and tadalafil labels do not split

There are a few reasons why information technology is recommended for Cialis tablets to stay intact, just overall, the potential consequence of splitting tablets is probable, non significant.

In fact, it is not uncommon for prescribers to recommend splitting Cialis tablets every bit a potential cost-saving measure out for patients.

Why Shouldn't Cialis Be Split?

At that place are two main reasons why Cialis (and associated generic) tablets are non recommended to be cut or divide:

  • Brand name Cialis tablets have a not-symmetrical shape.
  • Generic tadalafil tablets, many of which are symmetrical, are film-coated (brand Cialis is film-coated as well). Splitting these tablets will destroy the movie-coating.

Aside from the two reasons above, other reasons be for the recommendation not to split the tablets. They include:

  • Divide Cialis tablets have not been tested for rubber or efficacy.
  • Neither the brand nor the generic tablets are scored.

Shape Of The Pill

Brand name Cialis tablets, like Viagra, have an odd, non-symmetrical shape. Below is an image of the 20 mg Cialis tablet:

Cialis Tablets

The non-symmetrical shape of Cialis tablets would get in difficult to evenly split into two pieces. This may atomic number 82 to inconsistent dosing.

Generic Cialis products (tadalafil) are recommended not to be divide too, fifty-fifty though most of them are symmetrical in shape. The recommendation not to separate these is likely mostly due to the film-coating.

It is important to indicate out that neither the make nor the generic tablets are scored. Even with the use of a pill splitter, non-scored tablets can be difficult to carve up evenly.

Lack Of Data

During clinical trials for Cialis, the manufacturer (Eli Lilly) only looked at the employ of whole tablets. There is no prophylactic or efficacy data on the use of split tablets. Therefore, the generic products have no information on split tablets either.

Film-Blanket

Brand and generic tadalafil tablets are picture-coated. Splitting the tablets destroys the motion picture coating.

There are a variety of reasons why a drug tablet may exist picture-coated, including:

  • They are frequently easier to swallow and less likely to cause throat irritation than non-coated tablets.
  • Some movie coatings are designed to protect the tablet from dissolving in the stomach. This can non only reduce the potential of sure side effects (eastward.g. nausea), information technology tin as well help to make the drug more effective past preventing early degradation past stomach acid.

According to the prescribing information for both Cialis and generic tadalafil products, the picture show blanket is not a delayed-release machinery and is therefore likely intended only to ease swallowing and to protect the tablets from backlog moisture.

What Happens If You Do Split Them?

Having said all of the to a higher place, splitting/cutting erectile dysfunction (ED) drugs like Cialis is a adequately common practice. Your doctor may even recommend yous do it if you need to adapt your dose or as a cost-saving measure.

There have been no reported safe bug cutting Cialis (or generic tadalafil) tablets, and they are not listed on the ISMP list of medications that shouldn't exist crushed.

If you have the make name tablets, and your medico has recommended splitting them to suit your dose or as a cost-saving mensurate, take care in doing so since it can exist difficult to cutting the oddly shaped tablets (and they aren't scored).

If you have a generic tadalafil tablet, virtually are symmetrical and should be easier to separate evenly when compared to the brand-name ones.

However, exist aware, if you do split the tablets, they may exist slightly more hard to swallow since the film-coating will no longer exist intact. They may also have an unpleasant gustation.

Cheers again for your question!

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Source: https://hellopharmacist.com/questions/why-isn-t-cialis-recommended-to-be-split

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