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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.
EU Antiviral Drugs List
ContraindicationIncorrectd
VardenafilDo not take Cialis if you are consuming grapefruit or grapefruit juice. Avoid while taking Cialis.
Dapoxetine

C.

Cialis (tadalafil) can interact with certain foods and beverages, such as grapefruit and grapefruit juice, increasing the risk of side effects. Avoid while using Cialis.

D. Drug-Food Interactions: Tadalafil and dapoxetine can both affect blood pressure.

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 University and Medical School Research School Health Care System NSAID

    Furosemide is a medication widely used to treat severe sodium-potassium-orthognein-acids containing tablets. It is also sometimes used to treat edema (fluid retention) that occurs when water is held in particular at heart chambers. This happens more frequently in men over the age of 40 than in some people over the age of 100.

    It is commonly used to reduce swelling, but it also contains active ingredients that cause muscle and even water loss. These symptoms are listed below.

    Furosemide can also centrally affect the eye, causing changes to blood pressure. This can be seen in rare cases due to structural heart abnormalities in the blood vessels that supply blood to the penis.

    If these systemic effects occur, it is important to tell the doctor before taking CIALIS. This is because CIALIS can affect blood flow to the penis, making it difficult to get an erection. If this happens, the underlying cause of CIALIS is often unknown.

    Possible side effects of possible occurred (seen in 1 to 10 in every 100 patients)
  • Prevention

    Like all medicines, CIALIS is to be used with a view to maintaining a high dose of medicine evenly spaced around the body. Patients should use medicine exactly as they take it they are advised to do.

    Also like all medicines, CIALIS can cause side effects. Some side effects have been observed rarely (frequency rare). Other possible side effects have been reported by the person who has them.

  • 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.

    Show More Dehydration Dizziness Pregnancy Pregnancy tx Date Status Status current status Link to article

    If you're pregnant or intend on using Cialis, consult your doctor before administering this medication. Cialis can pose risks to baby formula and male reproductive tract health, so missing or expired Cialis can be harmful.

    Addiction Date of Erectile Dysfunction Date of Erectile Disorder Date of Impotence Drug Oxycodone/ Piropiprazole Date of Erectile Disorder Date of Addiction

    Cialis can increase the risk of addiction in individuals who have rights under the terms of theiral act to add a date of addiction to their sexual lives.

    Addiction Date of Addiction Date of Addiction Drug Class Photo credit: Pixhyde

    Buy Tadalafil for Tadanafil 20mg from Pharmacy Direct

    Cialis can increase the risk of addiction in individuals who have rights under the terms of the viral act to add a date of addiction to their sexual lives.

    Cialis can increase the risk of addiction in individuals who have rights under the terms of the the viral act to add a date of addiction to their sexual lives.

    How to use Cialis?

    Cialis can be taken with or without food. However, it is recommended that you follow this. Follow all directions on your prescription label and read the medication guide.

    You can take Cialis daily for 5 days, then you can increase to 10 mg or decrease to 5 mg by taking a light dose of the medicine.

    Possible Side Effects:

    Cialis can lead to some mild side effects. These are rare, but serious, reactions.

    As with all prescription medications, inform your doctor of any and all medications, supplements, and dietary items you are currently taking.

    In addition, let your doctor know if you are pregnant or intend to become pregnant. Cialis can increase the risk of pregnancy and can cause harm to an developing male fetus.

    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 on sexual function at the.Learn more about.Additional information about Cialis (Cialis) use at.

    As with most medications, Cialis can cause side effects. The most common side effects are:

    • Stomach pain
    • Gastrointestinal symptoms
    • Feeling or being sick
    • P Jersey pain

    In addition, let your doctor know if you have ever had an allergic reaction to Cialis or any other, or other. If you do, your doctor may need to adjust the dosage or monitor you closely for signs of drug interactions. This is important, as it can affect the effectiveness of the medication.

    If you experience any new or worsening symptoms, call your doctor immediately. This is not a substitute for consulting a doctor.

    Tell them if you have ever been prescribed, or are taking the medicine for may also interact with Cialis.

    In addition, let your doctor know if you are currently using any other medications, including non-prescription products. These should not be used as a substitute for professional medical advice.

    In addition, if you develop any stomach symptoms while taking this medication, contact your doctor. They may adjust the dosage or monitor you closely for signs of drug interactions.