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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.

If you experience any side effects or if these happen, contact your doctor immediately:

  • preferable
  • severe
  • if you have any, uncontrolled lower ] or muscle pain

C.

Cialis (tadalafil) can interact with certain foods and beverages, possibly altering its effectiveness or increasing the may side effects of the medication:

  1. : Though not a direct interaction, combining Cialis with Cialis might worsen side effects like headaches or increase heart rate in sensitive individuals.
  2. : While while lowered levels of these medications can be needed, lighter meals and carbonated drinks are recommended while using Cialis.
  3. : Though not a direct interaction, consuming more than a Cialis dose at a time can increase the blood pressure-lowering effects of tadalafil.

D.

Cialis

Cialis (tadalafil) tablets are a drugs-class option for erectile dysfunction treatment, which includes tadalafil for pulmonary arterial hypertension (PAH). Cialis tablets are available in a lower dose, 20 mg and 40 mg strength. The recommended starting dose is 5 mg, taken about 1 hour before sexual activity. This medication is not approved for use in children over 6 years of age.

Uses of Cialis tablets

  • Treatment of Erectile Dysfunction (ED)
  • Management of Pulmonary Arterial Hypertension (PAH)

Benefits of taking Cialis tablets

Tadalafil offers several benefits over other ED medications. Cialis tablets offer better blood flow to the penis, which can lead to firmer erections when combined with sexual stimulation. This improved blood circulation helps men achieve and maintain an erection when sexually stimulated.

Side effects of Cialis tablets

Some common side effects of Cialis tablets may include:

  • Headache
  • Dizziness
  • Palpitations
  • Heartian effects
  • Nasal congestion
  • Blurred vision
  • Muscle aches
  • Flushing
  • Vision problems

How to take tablets

Cialis tablets are taken as needed. It's essential to follow the recommended doses and forms. It's recommended to take Cialis tablets about 1 hour before sexual activity. The medication can last up to 36 hours. Do not crush or chew the tablets. Use the tablet whole. Do not chew or crush them.

Frequently Asked Questions

Here are a few common and helpful questions we have been asked by patients:

Can Cialis be taken daily?

No, Cialis tablets should only be used as needed. It's essential to take Cialis tablets at the same time every day. It can help to relax the blood vessels in your penis to increase blood flow, which can help to achieve and maintain an erection when combined with sexual stimulation.

How long does Cialis stay in your system?

Cialis tablets typically stay in your system for up to 36 hours. This helps to maintain an erection when sexually stimulated. This makes Cialis tablets effective for men who do not respond to other ED medications or who have difficulty using them.

Can Cialis be used for all types of erectile dysfunction?

No, Cialis tablets are not approved for use in treating all types of erectile dysfunction. It's essential to consult with a healthcare provider for personalized advice.

Are there any serious side effects associated with Cialis?

Common side effects of Cialis may include:

  • Back pain

Contact your doctor immediately or seek emergency medical attention if any of these serious side effects or signs are present:

  • Severe allergic reactions such as swelling of the face, tongue, throat, or lips
  • Chest pains or irregular heartbeat
  • Flushing (redness of the skin), hives, or any other skin reaction
  • Swelling of the hands, feet, or lips
  • Irregular heartbeat or chest pain
  • Rash

This is not a complete list of side effects and others may occur. In case of any side effects, contact your doctor.

For a full list of side effects, see the "How to Order Cialis Tablets" section at the end of this medication guide.

What dosages are available for Cialis tablets?

Cialis tablets are available in 20 mg, 40 mg, and 20 mg dosages. The recommended starting dose is 5 mg taken by mouth about 1 to 2 hours before sexual activity.

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Quick Overview
  • Product:Cialis (Tadalafil)
  • Usage:Treats erectile dysfunction (ED) in men.
  • Duration:Offers up to 36 hours of effectiveness.
  • About Cialis:Cialis is a widely recognized and trusted medication that contains the active ingredient Tadalafil. It is primarily prescribed to help men overcome the challenges of erectile dysfunction (ED), a common condition that can affect intimacy and overall well-being.

  • How Cialis Works:Cialis works by increasing blood flow to the penis, allowing men to achieve and sustain an erection when sexually stimulated. It is known for its long-lasting effectiveness, providing up to 36 hours of response to sexual stimulation.

  • Benefits of Cialis:

    • Efficacy:Cialis has a high success rate in treating ED and is often preferred by men for its longer duration of action compared to other similar medications.
    • Convenience:You can take Cialis well in advance of sexual activity, allowing for spontaneity and flexibility.
    • Low-Dose Option:A low-dose version of Cialis, known as "Cialis Daily," is available for daily use, offering a continuous solution for ED.
    • Patient Satisfaction:Many men have reported improved confidence and satisfaction in their sexual experiences with Cialis.
  • Usage and Dosage:Cialis should be taken as directed by a healthcare professional. The typical starting dose is 10mg, taken at least 30 minutes before anticipated sexual activity. The dosage may be adjusted based on individual response and tolerability.

  • Safety:Cialis is generally well-tolerated, but it's essential to follow your healthcare provider's recommendations. Discuss any medical conditions or medications you are taking with your doctor to ensure Cialis is safe and suitable for you.

  • Consultation:If you have questions or concerns about Cialis or its suitability for your condition, our licensed pharmacists and healthcare professionals are here to provide guidance and support.

Remember, Cialis is a prescription medication, and it's crucial to consult with a healthcare provider before starting any new medication. Our pharmacy is committed to helping you access the right treatment for your needs, promoting a healthier, happier, and more fulfilling life.

How to use:1 tablet before sexual activity once daily. The effect should give the ability for erection for 36 hours. Otherwise refer to physician's prescription

Precautions:Do not take another tablet except after 48 hours pass after the first tablet

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Remember, Cialis is a medication that contains the active ingredient, Tadalafil, which can be taken regularly, and is generally well-tolerated. Contact your doctor if your symptoms persist or worsen.Possible Side Effects: stomach pain, flushing, and back pain have been reported. It may include blurred vision, nausea, headache, or facial flushing. Consult with your doctor immediately if you develop a painful, prolonged, or persistent erection. Rarely, symptoms such as nasal congestion, flushing, dizziness, or visual disturbances may occur. These uncommon symptoms are usually mild and may subside after continued 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.

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Cialis can cause dangerous side effects when taken at the same time every day. To lessen the risk, Cialis may be taken with or without food.

Tell them if you have any�, polycystic ovary syndrome (PCOS), or liver disease.

If you experience changes in your heartbeat or chest pain during sex, contact your health care provider immediately.

In addition, let your doctor know if you haveolder for coronary artery disease, severe heart failure, or severe liver disease.

As with all prescription medications, let your doctor know if you are taking or are planning to take any other medications, including non-prescription medications. Some non-prescription medications may interact with Cialis.

Description

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