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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 high-fat meal is known to cause a higher than expected drop in blood pressure, worsening side effects and increasing the risk of side effects follow. If you experience symptoms like dizziness, lightheadedness, fainting, or followed-up side effects, seek medical attention immediately.

C.

Cialis (tadalafil) can interact with certain foods and beverages, possibly altering its effectiveness or increasing thesharing of the interactions. Here are the key drug-foodinteractions to be aware of:

  1. Whole Grains, Seeds, and Branded Fungi: Cialis can affect your blood pressure by interfering with its metabolism. Thiscan amplify side effects, such as headaches, dizziness, or fainting. Avoid using Cialis while standing or standing.
  2. : Though this interaction isn't direct interaction harm, worsffect if you're using Cialis while using alcolactant medications like alendrolactant pills.

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 Office Support ReportTreatment N

    Most men report good erections and are usually able to get an erection very easily. Some men may experience[b] difficulty getting or keeping an erection, with always a firm enough for intercourse. This is due to a number of factors, including[c] age and[d] level of stress. Most men experience these[d] difficulty getting an erection, but there is some evidence that the disorder can affect men of other ages.

    Some men have occasional[d] erection that does not go away, which does not necessarily mean that the erection is not very problem-free.

    If erection lasts more than 4 hours[d] then you should consult your doctor[d].

    If erection does not go away, or is related to any ] side effects then[d] talk to your doctor.

    Last updated on May 14, 2024

    Cialis (tadalafil) tablets are a phosphodiesterase type 5 inhibitor used to treat erectile dysfunction (ED) and benign prostatic hyperplasia (BPH). ED is a common condition that affects millions of men worldwide. It is estimated that up to 12.8% of men aged 40 years and over are taking medication for ED. ED can be caused by a variety of factors, including psychological or physical conditions, certain lifestyle factors, and certain medications. Cialis is available in various strengths and is typically taken once or twice daily with or without food. It is important to note that Cialis should only be used under the guidance of a healthcare professional and to consult with a healthcare provider if any concerns are identified. This medication can be taken only as needed, and should not be used for more than 24 hours at a time. It is important to consult with a healthcare professional before starting Cialis to ensure it is appropriate for your condition and to avoid potential risks.

    Cialis is available in two forms:

    • Cialis 10mg:The usual starting dose is one 10mg tablet taken once or twice daily.
    • Cialis 20mg:The recommended starting dose is one 20mg tablet taken once or twice daily. This is only to be taken when needed and should be taken under the guidance of a healthcare professional.

    The most common side effects of Cialis include headache, flushing, back pain, muscle aches, indigestion, and stuffy or runny nose. In rare cases, Cialis can also cause other side effects such as sudden vision or hearing loss, chest pain, and an erection that lasts for more than 4 hours. Some men may also experience an upset stomach, indigestion, or upset of the bowels. If you experience any of these side effects, it is important to seek medical attention immediately. Before starting Cialis, it is important to consult with a healthcare professional to ensure it is appropriate for you and to discuss any potential risks. In some cases, men may benefit from a nonprescription version of Cialis, such as Levitra. Levitra contains vardenafil and is available in four doses, one tablet per day. Levitra can be taken with or without food but should be taken at least 30 minutes before sexual activity.

    Cialis is a prescription medication and should only be used under the guidance of a healthcare professional. Men with erectile dysfunction should consult with a healthcare provider prior to starting or continuing treatment with Cialis. Cialis is safe to use, but it can cause side effects and interact with other medications. Before taking Cialis, it is important to inform your doctor about any medical conditions you have or take any medications you are currently taking.

    In conclusion, Cialis (tadalafil) is a prescription medication used to treat erectile dysfunction (ED) and benign prostatic hyperplasia (BPH). It is available in various strengths and is typically taken once or twice daily with or without food. It is important to consult with a healthcare professional before starting or continuing treatment with Cialis to ensure it is appropriate for you and to discuss any potential risks. Men with erectile dysfunction should consult with a healthcare provider before starting or continuing treatment with Cialis to ensure it is appropriate for you and to discuss any potential risks. Men with erectile dysfunction should consult with a healthcare provider prior to starting or continuing treatment with Cialis to ensure it is appropriate for you and to discuss any potential risks.

    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.

  • take nothing for a few days after using it stop using the medicine in question use hormonal contraceptives (for example, hormonal birth control pills or City Contraceptive Counselling recommend taking a non-hierarchical method of sexual dysfunction treatment ponovo not use other ED medications
  • Further Information

    Please note that while this is an important information report, it is not advised to try and buy any drugs without a prescription. If you require any medical help you can find a complete list of products on the.

    For further information please read the.