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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.
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Other Drug-Food interactions:

  • Anastrozole, which works by reducing blood pressure when taken in combination with Cialis, is used to manage symptoms of an enlarged prostate.
  • Linezolid, which works by inhibiting the enzyme responsible for breaking down tadalafil, has been shown to be at least as effective as Cialis in treating erectile dysfunction.
  • Rifampicin, which works by enhancing the blood pressure-lowering effects of tadalafil, is used to treat certain infections, including genital herpes, before sexual activity.
  • Certain medications for high blood pressure or irregular heartbeat cause low blood pressure or excessive heart rate.

C. Drug-Food interactions:

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 What You Do

Cialis is available in 2 dosages: 15 mg and 30 mg. This supports extended treatment of Cialis side effects while reducing potential side effects related to the medication. Cialis can be taken with or without food. Cialis should not be taken more than once daily.

If you experience any changes in your vision, stop taking Cialis and contact your doctor immediately. This may cause a rare side effect called secondary vision impairment which requires immediate medical attention.

Cialis can interact with medications such as nitrates used for heart failure and can also interact with certain blood pressure medications. Therefore, inform your health care provider of any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure medication you are taking. Cialis should not be taken more than once a day.

Cialis can cause an allergic reaction, which may affect the face, tongue, throat, or airways. If adverse reactions to Cialis are severe, they may be referred to a doctor at an allergic ENT clinic. If a side effect is not controlled they may be prescribed another medication.

If you experience any changes in your skin rash, swelling, or hives, stop taking Cialis and contact your doctor immediately. This may cause a rare side effect called penangione skin rash.

Cialis can cause an allergic reaction, which can affect the face, tongue, throat, or airways.

If you experience any allergic reactions to Cialis they may be prescribed a medication to alleviate your symptoms. However, Cialis can also cause an allergic reaction, which can affect the face, tongue, throat, or airways.

If you experience any of the following side effects, seek medical attention immediately:

Erectile dysfunction medication

This medication may reduce sexual performance.It is not recommended to use this product in conjunction with Viagra Connect (tadalafil).

Erectile dysfunction medication is a type of drug that affects blood flow in certain parts of the body, including the penis.It can have adverse effects on your sexual performance.It may also have physical effects like headache, blurred vision, blue tinge, and a sudden increase in heart rate. Erectile dysfunction medication may not be safe if you have:a heart condition (chest pain, high or low blood pressure, uncontrolled irregular heartbeat, severe low blood pressure, have a heart problem that is not properly treated with other drugs), low blood pressure, diabetes (diabetes if you have one), high blood pressure, high cholesterol, or heart disease.

If you are not sure whether you are experiencing any of the effects of erectile dysfunction medication, contact your doctor or pharmacist for advice. You may be able to use this product to improve your erectile function.

Warnings

Please answer the following questions to ensure this product is safe for you and your family:

Do not use this product if you are allergic (hypersensitive) to any of its ingredients or to cialis or viagra

Do not use this product if you are not sure if, have been diagnosed with erectile dysfunction or have been prescribed an erectile dysfunction medicine called a PDE5 inhibitor. Erectile dysfunction medicine is an erectile dysfunction drug that increases blood flow to the penis, which causes a sudden and serious decrease in sexual desire. Read more about this medication. Read more about this product. Erectile dysfunction medication may also have adverse effects, such as: sexual problems Erectile dysfunction medicine can cause a sudden and serious decrease in sexual desire (libido) and other sexual problems that may occur suddenly or sometimes after a sexual activity. Talk to your doctor if you are taking PDE5 inhibitors or if you have any concerns about side effects of this product. This product may cause side effects, including: sexual problems This product does not contain directions for use. You may be advised to continue using this product as long as you do not have sexual problems. If you have concerns about using this product, talk to your doctor or pharmacist before use. Read more details of the FDA-approved product, including directions for use. Erectile dysfunction medicine, known as sildenafil, may cause dizziness or fainting. Do not use this product if you are not using the product. Do not drive if you or your child's blood pressure be lower than normal before you use this product. This product does not protect you or your doctor from pregnancy, or if you become pregnant. If you become pregnant while using this product, stop using it and call your doctor. If you are pregnant or trying to get pregnant, talk to your doctor before using this product. Read more about erectile dysfunction medication. Do not use this product if you are using other products for erectile function. Do not take this product by mouth. If you are using this product, read all product information before using it. You should not use this product if you have been recommended by your doctor or if you have any questions about use of this product. Read more about erectile dysfunction medicine.How to use

Please read the enclosed leaflet carefully because it contains important information for you.

If you do not understand any of the information in this leaflet, or if it contains any important information, please talk to your doctor or pharmacist.

You should not use this product if you are using any of the following ways to treat your erectile dysfunction:

A

B

C

D

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The information on this website is for reference only. It is not intended as medical advice for treating a medical condition or for use in women. Do not use this product by mouth or for use in women or women who are pregnant. Do not use this product if you are breastfeeding. Read more about.Do not

use this product if you are pregnant. Do not breastfeed. Talk to your doctor before use.

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.

As with most medications, Cialis can cause significant dizziness and tiredness. If you experience any side effects, such as fast or uneven heartbeats, seek medical attention immediately.

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As with all prescription medications, Inform your doctor of any medical conditions you currently manage.

These medications can cause an erection that is hard enough for fertilization or tissue engineering. If you experience an erection for any number of hours, it is essential that you inform your health care provider.

If you experience an erection that lasts longer than 4 hours, seek medical attention immediately.

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As with all prescription medications, inform your healthcare provider of any medical conditions you currently manage.