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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 specific drug-food interaction can include:

To learn more about each drug-food interaction, see the book.

C.

Here are the key drug-food Interactions to be aware of:

  1. : Grapefruit can increase the levels of tadalafil by inhibiting the metabolism of cAMP. This increases the levels in your blood by inhibiting the liver's glucose-6-phosphate metabolic process.
  2. : Though this interaction only work through liver enzyme pathways, combining Cialis with alcohol could potentially worsen side effects like headaches or increase side effects like dizziness in sensitive individuals.

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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Tell them about any and all medications, prescription drugs, and supplements you are taking before starting Cialis.

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This book contains valuable information regarding Cialis use, including details on the side effects, risks, and precautions. It will also provide valuable guidance on how to treat Cialis-related side effects, which are similar to other prescription medications.

Get medical advice

As with any prescription medication, inform your doctor of any medical condition you are managing to find what will, if overlooked, cause you harm.

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- Read all of this information and possible side effects/ARCs

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- Check the packaging for any printed warning about tadalafil

- Use only authentic Cialis for sale

- Avoid Cialis with other medications you may be taking, as Cialis can interact with them

- If you are taking tadalafil as needed, do not take more than one pill in a day, as this can lead to increased absorption

- Take only one pill at a time, with or without food

- If you experience any side effects, or if you have any concerns about your dosage, contact your doctor or pharmacist.

Cialis is a popular medication used to treat erectile dysfunction. The active ingredient in Cialis is tadalafil, which belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. The active ingredient in Cialis comes from a class of medications known as PDE5 inhibitors. Cialis is used to treat erectile dysfunction in men. The active ingredient in Cialis comes from a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. Cialis is available in a range of dosages that are effective for a patient to take. It works by relaxing the blood vessels in the penis, allowing more blood to flow into the area when sexually stimulated. Cialis is also available in a dosage of 10 milligrams per day. The medication is taken once a day, but if the patient is experiencing erectile dysfunction, it can be taken anywhere from 30 minutes to one hour prior to sexual activity. Cialis is a prescription medication and should only be taken under the guidance of a healthcare professional. The medication is available in different dosages to suit different needs and to maximize its effectiveness. Cialis is available in a dosage of 10 milligrams per day. Cialis is also available in a dosage of 25 milligrams a day. The medication is available in a dosage of 30 milligrams a day. The medication is available in a dosage of 25 milligrams a day. The medication is available in a dosage of 45 milligrams a day. The medication is available in a dosage of 60 milligrams a day.

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.

  • Authiliation information for this medicineAll medicines on the Medicines Interchange Reibliography

    The active ingredients are:

    CIALIS (azole antifungal) is used to treat male sexual function problems (impotence or erectile dysfunction-ED). CIALIS does not work if you have heart problems or if you have had a heart attack, stroke or blood clotting problems. Do not take CIALIS if you are also taking tizanidine.

    CIALIS contains CIALIS as the active ingredient and is used to treat male sexual function problems (impotence or erectile dysfunction-ED). This medicine contains CIALIS as the active ingredient and is used to treat male sexual function problems (impotence or erectile dysfunction-ED). Tizanidine is used to treat painful, or active fungal infections of the vagina and penis. It also treats fungal infections of the penis.

    CIALIS is a prescription strength medicine. You will need to give one or more of the following details:

    anxiety about how often you need to take CIALIS medicine. depression about how often you need to take CIALIS. stress about how much you need to take CIALIS. how often you need to take CIALIS. how much you need to take CIALIS. how much you take CIALIS. how often you take CIALIS.

    In 2017, I went to my local pharmacy. I took a look inside it. It was a white plastic bottle. The bottle was in a little box in the bottom. The box contained a large blue box and a white plastic bag. The box was labeled “Buy”. The bag was labeled “Cialis 20mg.” The box was labeled “Cialis 30 mg.” I walked into my local pharmacy and saw a woman in the next room. She looked at me suspiciously and then at me again. She had her phone out and then another phone out. She looked at me again and then said, “I have a problem with the Cialis and I don’t want to be responsible for it.” I asked her what she wanted and she said that she wanted the Cialis. She asked me if I could have the Cialis. I told her to put my Cialis on the shelf. She said no. I asked her how long I had it and she said, I had it for about two months. I told her the Cialis was only for 20 mg. I told her that I would have to order Cialis for 30 mg. I told her that I was sorry about that. I told her to return it. I did not return the Cialis. I did not return it.I am a 34 year old woman. I have no idea where I am or where I got the Cialis from. I am a very busy young woman. My husband, my daughter, my son, and I are at school and I am at work. I work and do many jobs at home. I am a Pharmacist and a Pharmacist. I work in a retail store and have a job as a pharmacist. I am a teacher and an employee. I work in a retail store. I work in a retail pharmacy. I work in a pharmacy. I work at a pharmacy.