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🔹 Take generic tadalafil at consistent times daily when prescribed for continuous therapy, preferably with or without food as absorption remains unaffected by meals.
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🔹 Store tablets at room temperature between 15-30°C in original packaging protected from moisture and direct sunlight.
🔹 Expired medication loses potency and should be disposed of through pharmacy take-back programs rather than household waste or flushing.
🔹 Monitor blood pressure regularly if taking antihypertensive medications concurrently, as additive effects may cause symptomatic hypotension.
🔹 Report persistent erections lasting over 4 hours immediately, as priapism requires emergency medical intervention to prevent permanent tissue damage.

References

Authors:

Written by Dr. James Appleyard, MA MD | Medically Reviewed by Michael R. Golding, MD

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Ozgur Onur, International Federation of Medical Students? Association (IFMSA), Germany
Dr. Pablo A. Pulido, Executive Director, Panamerican Federation of Associations of Medical Schools, (PAFAMS), Venezuela
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Basic Medical Education

World Federation for Medical Education The Edinburgh Declaration. Lancet 1988, 8068, 464.
World Health Assembly. WHA Resolution 42.38. WHO, Geneva, 1989.
World Federation for Medical Education. Proceedings of the World Summit on Medical Education. Medical Education 1994, 28 (Suppl.1).
World Health Assembly. Reorientation of Medical Education and Medical Practice for Health for All. WHA Resolution 48.8. WHO, Geneva, 1995.
The Executive Council, The World Federation for Medical Education. International standards in medical education: assessment and accreditation of medical schools' educational programmes. A WFME position paper. Medical Education 1998, 32, 549-58.
Panamerican Federation of Associations of Medical Schools. Medical Education in the Americas: Final Report of the EMA Project. PAFAMS, Caracas, 1990, 18.
Uton Muchtar Rafei. Medical education reform in South-East Asia: WHO perspectives. Medical Education 1996, 30, 397-400.
Boelen C, Bandaranayake R, Bouhuijs PAJ, Page GG & Rothman AI. Towards the Assessment of Quality in Medical Education. WHO/HRH/92.7, Geneva, 1992.
WFME Task Force on Defining International Standards in Basic Medical Education. Report of the Working Party, Copenhagen, 14-16 October 1999. Medical Education, 2000, 34, 665-675.
American Medical Association. Future Directions for Medical Education. A Report of the Council on Medical Education. American Medical Association, Chicago, 1982.
Association of American Medical Colleges (AAMC). Physicians for the Twenty-First Century. Association of American Medical
Colleges, Washington, 1984.
Gastel B & Rogers D E (eds). Clinical education and the doctor tomorrow. In: Proceedings of the Josiah Macy Jr Foundation National Seminar on Medical Education. New York Academy
of Medicine, New York, 1989.
General Medical Council. Tomorrow's Doctors. Recommendations on Undergraduate Medical Education. The Education Committee of the
General Medical Council, London, 1993.
Gastel B, Wilson M P & Boelen C (eds). Toward a global consensus on the quality of medical education: serving the needs of populations and individuals. In: Proceedings of the 1994 WHO/Educational Commission for Foreign Medical Graduates Invitational Consultation, Geneva, 3-4 October 1994. Academic Medicine 1995, 70, Suppl.
WHO. Changing Medical Education: An Agenda for Action. Unpublished Document WHO/ EDUC/91.200, Geneva, 1991.
WHO. Priorities at the Interface of Health Care, Medical Practice and Medical Education: Report of the Global Conference on International Collaboration on Medical Education and Practice, 12-15 June 1994, Rockford, Illinois, USA. Unpublished Document,
WHO/HRH/95.2, Geneva, 1995.
17. WHO. Doctors for Health. A WHO Global Strategy for Changing Medical Education and Medical Practice for Health for All. WHO, Geneva, 1996.
Association of American Medical Colleges and the American Medical Association. Functions and Structure of a Medical School. Standards for Accreditation of Medical Education Programs Leading to the MD Degree. Liaison Committee on Medical Education, Washington, DC & Chicago, 1997.
19. Australian Medical Council. Guidelines for the Assessment and Accreditation of Medical Schools. 2nd edn. Australian Medical Council, Canberra, 1998.
Advisory Committee on Medical Training. Report and Recommendations on Undergraduate Medical Education. Doc. III/F/5127/3/92. Commission of the European Communities,
Brussels, 1992. BIBLIOGRAPHY

APPENDIX
MEMBERS OF TASK FORCES OF
THE WFME GLOBAL STANDARD
PROJECT

The members of the three WFME Task Forces dealing with Basic Medical Education, Postgraduate Medical Education and Continuing Professional Development of Medical Doctors respectively are presented in a common list. Some members participated in more than one of the Task Forces. Furthermore, the complete endeavour of developing the Trilogy of WFME

Standards in Medical Education shall be seen as one dynamic process building on results from previous Task Forces.

It should be emphasized that the development of the Trilogy of documents also benefited from other important contributions. These consisted of a great number of verbal and written commentaries as well as discussions at national and international meetings and conferences.

Dr. Palitha Abeykoon
Regional Adviser
Human Resources for Health
World Health Organization
Regional Office for South-East Asia
New Delhi, India
Professor A. d'Almeida
Director
Institut Regional de Sante Publique
Universite Nationale du Benin
Cotonou, Benin
Dr. George A.O. Alleyne
Regional Director
World Health Organization
Pan American Health Organization
Washington, D.C, USA
Professor A. P. R. Aluwihare
University of Peradenyia
Peradenyia, Sri Lanka
Dr. Wolfram Antepohl
Linkoping University Hospital
Linkoping, Sweden
Judith S. Armbruster
Executive Director
Accreditation Council for Graduate Medical
Education (ACGME)
Chicago, USA
Professor Raja Bandaranayake
Arabian Gulf University
Manama, Bahrain
Ass. Professor Philip G. Bashook
University of Illinois at Chicago
Chicago, USA
Professor Ralph Bloch
Universitat Bern
Bern, Switzerland
Professor Cheng Bo-Ji
Peking Medical University
Beijing, P.R. China
Ase Brinchmann-Hansen
The Norwegian Medical Association
Oslo, Norway
Professor J. D. Chiphangwi
College of Medicine
Blantyre, Malawi
Leif Christensen MSc. Soc.
World Federation for Medical Education
Copenhagen, Denmark
Professor Colin Coles
King Alfred's College
Winchester, United Kingdom
Professor Alejandro Cravioto
President, Panamerican Federation of Associations
of Medical Schools (PAFAMS)
Universidad Nacional Autonoma de Mexico
Mexico, D.F., Mexico
Dr. W. Dale Dauphinee
Executive Director
Medical Council of Canada
Ottawa, Canada
Professor Florian Eitel
Ludwig-Maximilians-Universitat Munchen
Munich, Germany
Professor Charles E. Engel
Centre for Higher Education Studies
University of London
London, United Kingdom
Ms. Mette Fisker
Business Support Manager
Pfizer Danmark
Copenhagen, Denmark
Dr. Tsuguya Fukui
Kyoto University
Kyoto City - Japan
Dr. Milagros Garcia-Barbero
World Health Organization
European Center for Integrated Health Care Services
Barcelona, Spain
Dr. Nancy Gary
Past President, Educational Commission for Foreign
Medical Graduates (ECFMG)
Washington, D.C., USA
Professor Laurie Geffen
President, Association for Medical Education in
Western Pacific Region (AMEWPR)
The University of Queensland
Herston, Australia
Dr. Hussein A. Gezairy
Regional Director
World Health Organization
Regional Office for the Eastern Mediterranean
Cairo, Egypt
Professor Ernst Goldschmidt
Copenhagen, Denmark
Professor Janet Grant
Open University Centre for Education in Medicine
Milton Keynes, United Kingdom
Professor Andre Gouaze
Conference Internationale des Doyens des
Faculte de Medicine d'Expression Francaise (CIDMEF)
Cedex, France
Professor Enrique Guntsche
Universidad Nacional de Cuyo
Mendoza, Argentina
Dr. James A. Hallock
President, Educational Commission for Foreign
Medical Graduates (ECFMG)
Philadelphia, USA
Professor Hossam Hamdy
Arabian Gulf University
Manama, Bahrain
Professor John D. Hamilton
University of Newcastle upon Tyne
Newcastle, United Kingdom
Professor Ronald Harden
Association for Medical Education in Europe
(AMEE)
University of Dundee
Dundee, United Kingdom
Professor Ian R. Hart
University of Ottawa
Ottawa, Canada
Dr. Hans Asbjorn Holm
Norwegian Medical Association
Oslo, Norway
Dr. Saichi Hosoda
Sakakibara Heart Institute
Tokyo, Japan
Dr. Delon Human
Secretary General, World Medical Association
(WMA)
Cedex, France
Professor Vincent Hunt
Brown University - School of Medicine
Rhode Island, USA
Dr. Jens Winther Jensen
Permanent Working Group of European Junior
Doctors (PWG)
Copenhagen, Denmark
Dr. Moufid Jokhadar
Arab Board of Medical Specialisations
Damascus University
Damascus, Syria
Professor Abraham Joseph
Christian Medical College
Vellore, India
Dr. Hans Karle
President, World Federation for Medical Education
Copenhagen, Denmark
Dr. Donald G. Kassebaum
Past Vice President
Association of American Medical Colleges
Gleneden Beach, Oregon, USA
Dr. Shamsh Kassim-Lakha
President, The Aga Khan University
Karachi, Pakistan
Mrs Lorraine Kerse
Regional Adviser
Human Resources for Health
World Health Organization
Regional Office for the Western Pacific
Manila, The Philippines
Professor Yong Il Kim
Past President, Association for Medical Education in
Western Pacific Region (AMEWPR)
National Teacher Training Center for Health
Personnel
Seoul, South Korea
Dr. Jana Krejcikova
Institute for Postgraduate Medical Education
Prague, Czech Republic
Dr. David Leach
Executive Director
Accreditation Council for Graduate Medical
Education (ACGME)
Chicago, USA
Professor J.C.K. Lee
Dean, The Faculty of Medicine
The Chinese University of Hong Kong
Hong Kong, P.R. China
Ass. Professor Stefan Lindgren
Lund University
Lund, Sweden
Professor Zhao-feng Lu
Peking University Health Sciences Center
Beijing, P.R. China
Professor Oleg S. Medvedev
Dean, Moscow State University
Moscow, Russian Federation
Dr. Donald E. Melnick
President, National Board of Medical Examiners
(NBME)
Philadelphia, USA
Professor Jadwiga Mirecka
Jagiellonian University Medical School
Krakow, Poland
Dr. Mora-Carrasco
Universidad Autonoma Xochimilco
Mexico, D.F., Mexico
Professor J.P. de V. van Niekerk
President, Association of Medical Schools in Africa
(AMSA)
University of Cape Town
Cape Town, South Africa
Dr. Jorgen Nystrup
Past President, Association for Medical Education in
Europe (AMEE)
World Federation for Medical Education (WFME)
Copenhagen, Denmark
Professor Albert Oriol-Bosch
Institut d?ESTUDIS de la SALUT
Barcelona, Spain
Dr. John Parboosingh
Royal College of Physicians and Surgeons of Canada
Alberta, Canada
Dr. Jose Patino
Executive Director
Panamerican Federation of Associations of Medical
Schools (PAFAMS)
Bogota, Colombia
Dr. Gregory Paulos
American Medical Association
Chicago, USA
Professor Gonul O. Peker
Ege University School of Medicine
Izmir, Turkey
Professor David Prigollini
University of Buenos Aires
Buenos Aires, Argentina
Dr. Pablo A. Pulido
Executive Director
Panamerican Federation of Associations of Medical
Schools (PAFAMS)
Caracas, Venezuela
Dr. Ebrahim M. Samba
Regional Director
World Health Organization
Regional Office for Africa
Harare, Zimbabwe
Professor Iskender Sayek
Hacettepe University
Ankara, Turkey
Dr. Mette Siemsen
Danish Medical Association
Copenhagen, Denmark
Dr. Nilanthi de Silva
University of Kelaniya
Ragama, Sri Lanka
Dr. David P. Stevens
Vice President, Association of American Medical
Colleges (AAMC)
Washington, D.C., USA
Dr. Abu Bakar Suleiman
Director of Health
Ministry of Health
Kuala Lumpur, Malaysia
Dr. Jamsheer Talati
Associate Dean
The Aga Khan University
Karachi, Pakistan
Dr. Cillian Twomey
President, Union Europeenne des Medecins
Specialistes (UEMS)
Cork, Ireland
Professor Felix Vartanian
Vice Rector
The Russian Academy of Advanced Medical Studies
Moscow, Russian Federation
Theanne Walters
Deputy Executive Officer
Australian Medical Council
Canberra, Australia
Dr. Dennis K. Wentz
American Medical Association
Chicago, USA
Ass. Professor Ole Winding
World Federation for Medical Education
Copenhagen, Denmark
Dr. Gustaaf Wolvaardt
South African Medical Association
Pretoria, South Africa
The development and implementation of the
Trilogy of WFME Documents Global Standards in
Medical Education has been sponsored by:
Danish Medical Association, Denmark
Educational Commission for Foreign Medical
Graduates (ECFMG),
USA
Institut d'ESTUDIS de la SALUT, Spain
Lund University,
Sweden