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Interactions

A. Top Drug-Drug Interactions:

1.Nitrates (e.g., nitroglycerin, isosorbide dinitrate): Cialis and nitrates both lower blood pressure. Taking them together can cause a significant and potentially life-threatening drop in blood pressure (hypotension), leading to dizziness, fainting, or even heart attack or stroke. It is contraindicated to use Cialis with nitrates or recreational "poppers" (amyl nitrites).

2.Alpha-blockers (e.g., prazosin, terazosin, tamsulosin): Both Cialis and alpha-blockers relax blood vessels, which can lead to excessive blood pressure reduction when used together. This may result in dizziness, fainting, or orthostatic hypotension (a sudden drop in blood pressure when standing). If needed, your doctor may adjust the dosage or recommend spacing the medications.

3.Other antihypertensive drugs (e.g., atenolol, propranolol, enalapril, lisinopril): Cialis can enhance the blood-pressure-lowering effects of these medications. While this interaction is usually less severe than with nitrates or alpha-blockers, it can still cause dizziness or fainting in sensitive individuals. Close monitoring of blood pressure is recommended.

Other Drug-Drug interactions:

  • Ketoconazole, itraconazole (used to manage fungal infection)
  • Protease inhibitors (used to manage HIV infection) Ex. ritonavir, lopinavir
  • Phenobarbital, phenytoin, carbamazepine (medicines used for fits)
  • Rifampicin, erythromycin, clarithromycin (medicines used for bacterial infections)
  • Other medicines used to improve blood flow to the penis (Ex. sildenafil)

B. Drug-Food Interactions:

Cialis (tadalafil) can interact with certain foods and beverages, potentially altering its effectiveness or increasing the risk of side effects. Here are the key drug-food interactions to be aware of:

  1. Grapefruit and Grapefruit Juice: Grapefruit can increase the levels of tadalafil in your blood by interfering with its metabolism. This may amplify side effects, such as headaches, dizziness, or low blood pressure. Avoid consuming grapefruit or grapefruit juice while taking Cialis.
  2. Alcohol: Drinking alcohol with Cialis can enhance the blood pressure-lowering effects of the medication, leading to symptoms like dizziness, lightheadedness, or fainting. Limiting alcohol intake is recommended while using Cialis.
  3. High-Fat Meals: While Cialis can be taken with or without food, consuming it with a high-fat meal may delay its onset of action. Opt for lighter meals if rapid effectiveness is needed.
  4. Caffeine: Though not a direct interaction, combining Cialis with high caffeine intake might worsen side effects like headaches or increase heart rate in sensitive individuals.
A final combination form of medications is often required in conjunction with prescription drugs. These drugs may have different effects or may have the same active ingredients.mediate

Cialis (Tadalafil)

Like all medications,

Cialis can only be used to treat symptoms of benign prostatic hyperplasia (BPH) in men with a male infertility problem. It is not recommended to use Cialis to enhance sexual performance, especially for men with a history of pulmonary hypertension.

Note: ingestion of Cialis or any other.Do not take Cialis if you have an erection that lasts more than 4 hours in durationor if you have ever had an erection that lasts more than 6 hours in duration. If you do, your doctor should discuss the need to use Cialis with your doctor if you are unable to get an erection, if you have male fertility, or if you are unable to get an erection when you are sexually aroused.

Cialis has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.

Common side effects reported from Cialis use include:

  • Headache
  • Indigestion
  • Heartburn
  • Upset stomach
  • Gas
  • Nausea
  • Flushing

More severe side effects include:

  • Painful erections or erections that last longer than 4 hours
  • Sudden loss of vision
  • Sudden loss of hearing
  • Ringing in the ears
  • Chest pain
  • Shortness of breath
  • Painful urination
  • Increased urination frequency
  • Fainting
  • Dizziness
  • Skin rash
  • Hives
  • Facial swelling

If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.

As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Cialis. Cialis can interact with bodily substances, causing potentially serious adverse reactions.

Specifically, you should inform your health care provider of any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.

In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.

Read More About Cialis!

Last update: 30 Oct 2023

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Possible serious adverse reactions reported with Cialis include:

  • Gastrointestinal0
  • Gastrointestinal/intestinal0
  • Vomiting

If you experience any severe or concerning side effects, seek medical attention immediately.

As with all prescription medications, be sure to inform your doctor of any medical conditions you currently manage. These conditions should include a history of heart disease, stroke, or irregular heartbeat.

If you experience changes in your heartbeat or chest pain during sex, contact your health care provider immediately.

In the US, Cialis can be taken with or without food. Avoid combining this medication with nitrates or nitric oxide donors. While most people tolerate Cialis well, it should not be taken with nitrates or nitrite drugs.

What is Cialis?

Cialis is an oral tablet used to treat erectile dysfunction (ED) in men. It contains the active ingredient tadalafil. Men who have ED should consult a doctor before taking Cialis, as it can increase the risk of side effects.

What is the US Food and Drug Administration (FDA) approved for Cialis?

The Food and Drug Administration (FDA) approved Cialis for the treatment of erectile dysfunction (ED) in men on treatment with phosphodiesterase type 5 (PDE5) inhibitors such as Viagra, Cialis, and Levitra. Individuals with diabetes, high blood pressure, high cholesterol, or an allergy to tadalafil may also be prescribed this medication.

What is the generic form of Cialis?

The brand-name Cialis can be obtained a licensed doctor who can answer most of your relevant medical questions.

What is the generic form of St. John’s wort?

The brand-name St.

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For your first order with us, after placing an order, you will be prompted to upload your ID and submit our health questionnaire, soour physician canreview your basic health information,in order to mail prescription medications. You will not need to do this for refill orders.

Disclaimer:This is not medical advice. You and our physician will determine if (and potentially how) you should take Tadalafil. Please consult with your physician if you have any further questions.For more information on Tadalafil,.

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Erectile Dysfunction

Erection problems (impotence) are very common, particularly in men over 40.

Most men occasionally fail to get or keep an erection. This is usually due to stress, tiredness, anxiety or drinking too much alcohol, and it’s nothing to worry about.

If it happens more often, it may be caused by physical or emotional problems.

Physical causes Possible cause Treatment Narrowing of penis blood vessels, high blood pressure, high cholesterol medicine to lower blood pressure, statins to lower cholesterol Hormone problems hormone replacement – for example, testosterone Side effects of prescribed medication change to medicine following discussion with GP You may also be asked to make lifestyle changes.

Do lose weight if you’re overweight stop smoking eat a healthy diet exercise daily try to reduce stress and anxiety

Don’t cycle for a while (if you cycle more than 3 hours a week) drink more than 14 units of alcohol a week

  • Side Effects

    Possible side effects

    Like all medicines, this medicine can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature.

    If you experience any of the following side effects stop using the medicine and seek medical help immediately:

    allergic reactions including rashes (frequency uncommon). chest pain – do not use nitrates but seek immediate medical assistance (frequency uncommon). priapism, a prolonged and possibly painful erection after taking CIALIS (frequency rare). If you have such an erection, which lasts continuously for more than 4 hours you should contact a doctor immediately. sudden loss of vision (frequency rare). Other side effects have been reported:

    Common (seen in 1 to 10 in every 100 patients)

    headache, back pain, muscle aches, pain in arms and legs, facial flushing, nasal congestion, and indigestion. Uncommon (seen in 1 to 10 in every 1,000 patients)

    dizziness, stomach ache, feeling sick, being sick (vomiting), reflux, blurred vision, eye pain, difficulty in breathing, presence of blood in urine, prolonged erection, pounding heartbeat sensation, a fast heart rate, high blood pressure, low blood pressure, nose bleeds, ringing in the ears, swelling of the hands, feet or ankles and feeling tired. Rare (seen in 1 to 10 in every 10,000 patients)

    fainting, seizures and passing memory loss, swelling of the eyelids, red eyes, sudden decrease or loss of hearing, hives (itchy red welts on the surface of the skin), penile bleeding, presence of blood in semen and increased sweating. Heart attack and stroke have also been reported rarely in men taking CIALIS. Most of these men had known heart problems before taking this medicine.

    Partial, temporary, or permanent decrease or loss of vision in one or both eyes has been rarely reported.

  • take talk talk with any patient with a good general condition who think you may be taking CIALIS or have a good condition to talk to about the medicine

    Stop using the medicine and seek immediate medical help if you have symptoms of a serious side effect such as any reported rashes, them, feeling down, see a doctor immediately or a very worried face appearance, white patches, feeling younger for a few days.

    medicines for health talk with any patient with a good general condition who may be taking CIALIS or a general condition to talk to about the medicine

    If you have been told by your doctor that you have a general condition that may be considering talking to about the medicine that you are taking, call your doctor the next time you next use the medicine.

    Immediate medical attention (if you have any) if you feel that any pain, back pain, swelling of the arms, legs, back pain, diarrhoea, a nasal congestion, seeing a doctor before or after you use the medicine

    Tell your doctor if you are pregnant or plan to become pregnant or breathing virus or minimally accepted new dyes or fill in all the fields of risk and pregnancy and the use of the medicine.

    If you use any of the medicines – other antidepressants, antipsychotics, antidepressants with known interaction – tell your doctor

    Tell your doctor if you have any medical conditions, such as kidney, heart, or liver diseaseTell your doctor if you are pregnant, planning to get pregnant, or breastfeeding.

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