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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.
Human papillosis and prostatitis are two conditions that can occur with tadalafil's use. They occur when a normal papillose degeneration occurs. Prostatitis, a enlarged prostate, can also occur with Cialis's use, which causes painful symptoms, insomnia, menstrual irregularity, and elevated prostate cancer risk. It is not possible to determine whether or not the medication is being used for himself or neck, back, or chest.

C.

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

  1. : Though not a direct interaction, combination with Cialis might worsening side effects like headaches or increase the risk of side effects with a light meal.
  2. grapefruit: Though not a direct interaction, use with combination with Cialis might worsen side effects like headaches or increase blood pressure levels.

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.

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As with all prescription medications, inform your doctor of any medical conditions you used to identify as having had an adverse reaction to Cialis. This can include low blood pressure, heart problems, or stroke.

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As with all prescription medications, inform your doctor of any medical conditions limitations with nitrates used to treat angina or high blood pressure. This medication should only be used for angina or high blood pressure conditions if you have been diagnosed with one of these conditions prior to starting Cialis.

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This medication should be used as directed by your health care provider, especially for treating high blood pressure or angina. Cialis can interact with other medications, and there is potential for this to cause potentially serious effects.

As with all prescription medications, ensure that you inform your doctor of any nitrate you used during treatment with Cialis. This can include nitroglycerin, which is often used to treat pulmonary hypertension and angina.

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

Highlights

  • Cialis, also known as tadalafil, is a drug that helps men get and sustain an erection.
  • Cialis helps treat erectile dysfunction (ED), which can cause problems in your penis.
  • Cialis may cause problems in your penis due to its long half-life, which may last from several hours.
  • Cialis has a high risk of side effects, which can include back pain, headache, and nasal congestion.
  • For most men who take Cialis, Cialis is safe for most men with ED.

Cialis is a prescription drug. You are required to read and follow the instructions on your prescription before taking Cialis. Cialis is available in tablet form and is available in the form of a extended-release tablet in various doses and approved medical use.

You are required to read and follow the instructions on your prescription. Talk to your doctor, as Cialis may cause problems in your penis.

Cialis is a safe and effective drug used to treat erectile dysfunction in men. Consult your doctor to determine if Cialis is right for you.

What is Cialis used for?

Your doctor may prescribe Cialis for Cialis use. Cialis is available in tablet form and is available in the form of a tablet.

Cialis helps treat erectile dysfunction (ED). ED is a sexual disorder in which a man has trouble getting or keeping an erection, or maintaining an erection that lasts longer than 4 hours. Cialis helps treat erectile dysfunction, which can cause problems in the penis.

ED can cause problems in your ability to have an erection. ED can also be a warning sign of a heart condition callederectile dysfunction.

Cialis helps treat erectile dysfunction by helping the blood vessels in your penis to relax, allowing blood to flow into your penis. Erections can last for up to 4 hours.

What is its side effects?

Cialis may cause side effects, which are uncommon with other prescription medications. While Cialis is a safe and effective drug used to treat erectile dysfunction in men, there can be risks. Some side effects of Cialis can be more serious and need medical attention.

Common side effects of Cialis (Cialis)

Cialis

  • Headache
  • Back pain
  • Muscle aches
  • Indigestion
  • Nasal congestion
  • Flushing
  • Vision changes
  • Flushing (sense of warmth in the ears, back pain, pain in the eye)
  • Pain in the sinuses, muscle, or stomach area
  • Sinusitis (thrush, stuffy nose)
  • Stuffy nose
  • Pain in the joints
  • nasal congestion
  • headache
  • nausea
  • vomiting
  • back pain

If you have any concerns about any of the above, talk to your doctor.

Cialis dosage information

Consult your doctor before taking Cialis

Consult your doctor before taking Cialis with any other prescribed medication. Cialis should be taken once a day, regardless of the dose. Cialis can be taken with or without food. Swallow the tablet whole. Do not split the tablet. The dosage is based on your medical condition, response to treatment, and other medications you may be taking. Cialis may also interact with other medications, conditions, and supplements you may be taking. Inform your doctor if you are taking any of the following:.

Whether you can take Tadalafil at the same time as your other medications will depend on which medications you are taking.

You are required to complete a short medical consultation questionnaire that asks for any medications that you are prescribed from your GP and will indicate the medications that can’t be taken alongside Tadalafil.

There are several medicines which should not be taken concurrently with Tadalafil. Medicines which can have potentially serious interactions with Tadalafil include :-

• Any alpha-blocker medicines e.g. doxazosin (Cardura), alfuzosin (Xatral), tamsulosin, terazosin, or Flomax, that you can buy in the pharmacy. (These medicines may be used to treat prostate problems or high blood pressure).

• Isosorbide mononitrate, isosorbide dinitrate, or use a GTN spray or tablets

for chest pain or use Rectogesic ointment?

• Nicorandil (Ikorel), used to treat angina

• Cimetidine, used to treat stomach or duodenal (peptic) ulcers

• Theophylline, used to treat asthma

• Antibiotics:- Clarithromycin, Erythromycin and Telithromycin

• Anti-fungals such as itraconazole and ketoconazole

• Seizure medication:- carbamazepine, oxcarbazepine, phenobarbital, phenytoin and primidone

• Heart or blood pressure medication:- disopyramide, amiodarone, quinidine and procainamide

• Anti-viral medication:- telaprevir, atazanavir, retonavir, indinavir, saquinavir and cobicistat

• Recreational drugs:- amyl nitrate (poppers)

If you are taking any prescribed medication from your GP then you can simply write those in the “Is there any other medical information that you think our doctor should know?” section on the medical questionnaire. Then, our doctor will know whether the Tadalafil is safe for you to take.

Read available consultation questions posted by Patients withDoctorHow to ask a medical questionnaire “medical” “medical”. ask medical questions about any of your treatments or conditions. How the medical questionnaire should be used? The medical questionnaire is a question you’re asked about your daily symptoms, general health, lab tests, medical history, the medicine you’re taking, and the other medications you are taking after you have a consultation. It's designed to be a helpful companion of the healthcare professional.

We’ll include a full explanation of the health questionnaire and the medical questionnaire if the medical questionnaire is used. We’ll not get things standardized or tested across countries.

If the medical questionnaire is being used, the medical questionnaire is likely to be answerable to a be easily offended by. It's designed to make sure that you get all the information you need to treat your condition as well as help you have a well-being ( deterrence) plan before you are forced to deal with your treatment.

Your doctor may make recommendations about your next treatment, depending on your needs and how you are respond to those recommended treatment(s)

Official guides to ask a doctor about using a medical questionnaire. We don’t have a -- part of the ask a doctor about using a medical questionnaire part. But if a doctor has already heard about your medical questionnaire then you should not change the information that you just read

We’re not exactly sure whether Tadalafil is safe for you to take with tadalafil or if it can cause serious side effects.

It’s important that your doctor knows your medical condition has been investigated by a doctorERAL centrifugation procedure using liquid nitrogen. This process aims to cut down on stress and feel the treatment earlier.

You should stuck with a firm and lasting erection for a few hours after taking tadalafil before you’re advised by your healthcare professional ( or ).‍

How long do Tadalafil take to work? “The treatment works as it does with tadalafil. It works for at least 14 days after you take tadalafil and this can last for a few months.