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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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Accidental Physical Contact:

Cialis can be taken without the need for immediate medical attention if a patient accidental physical contact with their bodies (Ex. a sudden drop in blood pressure). However, it is important to follow your doctor's instructions and do not take Cialis if you have had a head-to-tail approach to intimate contact, leading to severe sexual side effects.

While using Cialis, you can take it inidepressants (e.g., sildenafil or vardenafil) or "poppers" (e.g., amyl nitrite). While taking these medications, it's important to avoid combination use, as they can increase the risk of side effects.

Interactions with Food

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Daily Use

Cialis can interact with most daily medications, potentially altering its effectiveness or increasing the risk of side effects.

Cialis Tablets (Tadalafil) - 20mg

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Cialis Tablet is used to treat erectile dysfunction in men. It is used to increase blood flow to the penis. This helps men to get or maintain an erection. It will not work if the dose is not given.

How to use Cialis Tablet

Take one tablet about one hour before sexual activity. Do not take more tablets a day.

Cialis Tablet Side Effects

Do not use Cialis Tablet if you have not had any side effects yet. If you still do not experience them, talk to your doctor.

Some common side effects of Cialis Tablet include:

  • Headache
  • Indigestion
  • Heartburn
  • Blood in urine
  • Pain in joints

Some less common but serious side effects include:

  • Nausea
  • Dizziness
  • Abdominal pain
  • Back pain
  • Muscle pain
  • Drowsiness
  • Trouble having an erection

Warnings and precautions for Cialis Tablet

You should take Cialis Tablet if you:

  • Are allergic to Tadalafil or any other ingredients of this medicine
  • Have high blood pressure, heart, or liver disease
  • Have severe kidney failure
  • Have severe heart disease or irregular heartbeat
  • Have severe liver disease
  • Have active bleeding in your penis
  • Have recently had a heart attack
  • Have severe kidney disease
  • Have low blood pressure or sickle cell disease
  • Have low blood pressure or leukemia
  • Have retinitis pigmentosa

Precautions for Cialis Tablet

Do not take Cialis Tablet if you:

  • Take any medication to treat erectile dysfunction
  • Have a history of liver problems
  • Are a woman
  • Are a person with a past of heart disease
  • Are taking nitrates for chest pain
  • Are taking medications for erectile dysfunction
  • Are a smoker
  • Have ever had an allergic reaction to nitrates
  • Have a personal or group medical history of a rare condition
  • Have an active partner who is a family member with a rare condition

Dizziness should be reported as soon as possible. The symptoms may vary from patient to patient. Patient information leaflet is a useful tool for healthcare professionals to help patients make informed decisions. It helps healthcare providers to know the symptoms of dizziness. Patients should follow the advice of doctor and do not stand or sit up to the how quickly or for long periods of time. Do not stop taking Cialis Tablet or alter the dose without consulting doctor.

Impotence

Cialis Tablet can cause impotence in some men. In these cases, the doctor can help to change the dose and/or form of the medication. Sometimes, the impotence can last for more than 4 hours.

Allergic reaction

  • Diarrhea
  • Chest pain
  • Rash
  • Difficulty breathing

Always follow the dosage instructions provided by your doctor. The doctor can adjust the dosage and/or prescribe another medication.

Possible Interactions

Cialis Tablet can interact with certain medications, food choices, certain drugs, certain supplements, pregnant women, children's, and all other medications.

Make a full list of all medicines you are taking

Please read the patient information leaflet before using Cialis Tablet.

Interaction may vary. Please discuss your current medications and/or supplements with your doctor.

There are with treatment. Do not change the dose without consulting your doctor.

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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In addition, if you have any questions about your health, contact your doctor or pharmacist.

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In addition, if you are experiencing a mental health crisis, please contact your doctor or crisis counselor for professional assistance. Call/ Ask Health at once if you have any health questions or if you experience any side effects.

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In addition, if you have any concerns about your health, please reach out to your doctor, or crisis counselor, for assistance. Call/ Ask Health at once if you have any concerns about your health.

In the United States, CrisisLine provides word of mouth information about Cialis for individuals diagnosed with benign prostatic hyperplasia (BPH). In addition to treating BPH, Cialis is also used for male infertility and.

Show More What is benign prostatic hyperplasia? Cialis is a medication that helps reduce the size of the prostate, a gland that delivers medication to the penis.

Cialis for BPH is a treatment for male infertility and erectile dysfunction. BPH can cause damage to the prostate, leading to recurrent urinary infections, pelvic inflammatory disease, and.

Learn more about Cialis for BPH by visiting the National Institute on Sexual Health.

Cialis for BPH is available in the U. S. at significantly reduced cost. For more information, visit the National Institute on Sexual Health.

Cialis (tadalafil) is a medication that is used to treat erectile dysfunction in men. It works by increasing blood flow to the penis, helping men achieve and maintain an erection. Cialis can also be purchased online to take your sexual health treatment with confidence. Cialis works by increasing blood flow to the penis, helping men achieve and maintain an erection. It is available in both tablet and liquid forms. Cialis may be taken orally as a single dose or as a multi-dose solution. It is important to follow your doctor’s instructions and not to exceed the recommended dosage. Cialis is usually taken about 20–30 minutes before anticipated sexual activity, and the effects may last for up to 36 hours. It is also available in capsule form to ensure you get the best possible results. Cialis should be taken once a day. Cialis may also be used to treat other conditions such as high blood pressure and prostate disease. Cialis is available in a generic version available in capsule form.

What Is Cialis?

How Does Cialis Work?

Cialis is a phosphodiesterase type 5 (PDE5) inhibitor. PDE5 breaks down cGMP, a substance in the blood that relaxes and enhances blood flow. When a man is sexually stimulated, cGMP is released into the blood. It helps to improve blood flow. Cialis is used to treat erectile dysfunction in men. The main ingredient in Cialis is tadalafil. This medication works by helping to improve blood flow to the penis. It is usually taken about 20–30 minutes before sexual activity. The capsule form is typically used to treat erectile dysfunction in men. Cialis is usually taken once a day, and should be taken with or without food. Cialis may also be used to treat other conditions as long as it is effective. Cialis should not be taken more than once a day. Cialis can also be used to treat pulmonary arterial hypertension (PAH) and high blood pressure.

How To Take Cialis?

Cialis should be taken with caution if you have high blood pressure (hypertension). This medication is available in several different forms. The most common form is a tablet or liquid. It is usually taken once a day. The recommended dosage is one tablet, taken orally with water. It is important to take Cialis with a full glass of water. Cialis should be taken with caution if you have a history of heart disease, high blood pressure, or certain types of high cholesterol. Cialis can also be taken with or without food. You should take Cialis with a full glass of water.