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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.

You can use Cialis and/or your other medications online, especially if you have it in your system for a medical condition such as heart disease or blood pressure. This is particularly helpful for individuals with pre-existing health conditions that may need assistance with treatment with Cialis. It is important for individuals using Cialis to consult a healthcare provider who can provide guidance on using these medications together.

It is important to exercise caution and caution is necessary for individual conditions. Cialis is not recommended for individuals with certain heart conditions, as the medication may not be appropriate for these individuals. Additionally, Cialis is not recommended for use in individuals with a recent heart attack or stroke, as it may cause potentially serious heart problems or an attack that is not properly hospitalised.

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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's effects and how it can affect your health in more detail.Back pain and/or joint pain are also side effects of Cialis. However, these side effects are not experienced by all patients taking Cialis. If you have a medical condition that may affect your joint or muscle metabolism, contact your healthcare provider before you start taking Cialis.Read more about the interactions of Cialis with other medications as well as back pain.

may also interact with Cialis. If you are using Cialis or a other medication, be sure to inform your healthcare provider of all medications you are taking before taking Cialis. Cialis can interact with medications such as nitrates used for heart failure and recent heart attacks. Similarly, Cialis can interact with medications such as ritonavir and indinavir.

Cialis can cause an erection that is painful or lasts longer than 4 hours. This side effect is not expected from Cialis or other tadalafil. As with all prescription medications, inform your healthcare provider of any medical condition you are managing to avoid Cialis.

Cialis can also cause a rapid heartbeat in patients taking nitrates for heart failure. This is due to Cialis’s effects on the heart’s relaxation of blood vessels in the penis. As a result, patients taking Cialis may experience a decrease in blood flow to the penis.

Cialis can interact with the following:

  • Antihypertensive medications, including
  • Antifungal medications, including
  • Nitrate medication for chest pain,
  • Recent heart attack or stroke (within the last 6 months)
  • Antipsychotic medications, including
  • Antifungal agents, including
  • Lithium
  • Mood supplements
  • Barbiturates
  • Cancer medications, including
  • St. John’s wort

Before you begin taking Tadalafil generic, its important to carefully read the Patient Information Leaflet. Make sure to review it each time you get a refill.

Take Tadalafil dosage orally, either with or without food, as directed by your healthcare provider. Tadalafil dosage should not exceed more than once a day. Swallow the tablet whole. Do not split it or crush unless advised.

Your daily dosage will depend on your medical condition, how you respond to medications, and any other medications you currently take. Before you take ED treatment pills, ensure that you inform your healthcare service provider of any prescription drugs, over-the-counter medicines, and any other supplements you take.

If you are also using finasteride alongside Tadalafil to treat any symptoms of benign prostatic hyperplasia (BPH), discuss the duration of treatment and dosage you will need with your healthcare provider.

For erectile dysfunction (ED), tadalafil citrate may be prescribed in two ways:

  • You may take it as needed, usually at least 30 minutes before sexual activity, with its effects potentially lasting up to 36 hours.
  • Your doctor may recommend taking generic Cialis regularly, once a day.

Follow your doctors instructions carefully based on your specific needs and condition.

If you are using tadalafil citrate medication for ED dysfunction and BPH, take it daily as directed by your doctor. To ensure you do not forget, take it at the same time each day.

Keep your healthcare practitioner informed if your medical condition does not improve or worsens during treatment.

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NOTE: This medication has been approved for use in patients with erectile dysfunction.

Damian, M. D.Read the Patient Information Leaflet (PIL) regularly. If you have any questions or concerns, please talk to your doctor.Anglo-Nord-Patient- leaflet ()Takethe PIL regularly as directed by your doctor. The PIL should replace regularly.

ED medication may interact with:

  • Blood pressure medication.
  • Migraine medications.
  • Weight-loss medications.
  • Diet and exercise.
  • Antacids.
  • Amlosipramine.
  • Blood thinners.
  • Anabolic steroid use.
  • Anti-inflammatory drugs.
  • Antidepressants.
  • Antimalarial medications.
  • Antifungal medications.
  • Antifungal drugs that increase the risk of side effects.

Before taking generic Cialis®, inform your doctor about your current medications and all prescription and non-prescription drugs you are currently taking.

For treatment, patients must be:

  • ABPLA level of 18 μuld of tadalafil citrate is the recommended dose.

Patients taking PDE5 inhibitors (e.g., sildenafil, vardenafil, vardenafil/ tadalafil, erythromycin, and others) may need to take lower doses of tadalafil to achieve the same effect.

Tadalafil may interact with:

  • Antibiotics.
  • Amphetamines or benzodiazepines.
  • Amphetamines or antacids that increase the risk of side effects.

Tadalafil may cause dizziness or lightheadedness, especially with older medications or with use in combination with other medications that lower blood pressure.

Patients who take nitrates (e.g., isosorbide, amyl nitrite, nitroglycerin) may be at an increased risk for sudden death due to a serious condition called ischemic optic neuropathy (Child Pugh Class A or B).

    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 questionnaire information

    What is Tadalafil?

    Tadalafil is aterazosintargzantium new drug that is used to treaterectile dysfunction.

    It is the generic version of the prescription medicationCialis.Cialis is aTadalafilhormone that is taken in either of the following three doses.

    Cialis every day at a dosage of 2.5 mg or as needed at a dosage of 5 mg. Theintercourse dosageis 5 mg from time to time unless the doctor has told you not to take it.

    Tadalafil can be taken with or without food. However,the effect of Tadalafil when taken alongside a blood pressure medication is not guaranteedTherefore, be sure that you are taking it at the right dose for you.

    terazosin new drug applicationis being developed bywhich ispartially from Cialis and is made up of Tadalafil and a number of other prescription medications.

    Known side effects

    Who should take Tadalafil?

    Tadalafil can be taken with either of the following foods:

    • Alcohol.If you are taking Tadalafil and have already used it, then you can take it after the intake of any alcohol, that is, do not make you dizzy before taking it.
    • Hearing or vision loss.You can take Tadalafil with either of the following:
    • Heartworm disease or retinitis pigment.
    • A history of fainting or dizziness before taking these drugs.