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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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Cialis (tadalafil) is a phosphodiesterase type 5 (PDE5) inhibitor, which works by increasing blood flow to the penis during sexual stimulation. This increased blood flow can help reduce pain, delay erections, and promote thicker and more satisfying blood pressure levels. Top-selling drugs like Cialis occasionally worry about dizziness or low blood pressure when taking them, leading to awkwardness in blurred vision, dizziness, or fainting sensations.

C.

Tadalafil can interact with certain foods and beverages, such as grapefruit, grapefruit juice, and multivitamins, increasing its efficacy or increasing the risk of side effects. Here are the key drug-food interactions:

  1. GrapefruitThis can amplify side effects like headaches or increase heart rate by added juice.

Before you begin taking Tadalafil generic, its important to carefully read the Patient Information Leaflet. Make sure to review it each time you get a refill.

Take Tadalafil dosage orally, either with or without food, as directed by your healthcare provider. Tadalafil dosage should not exceed more than once a day. Swallow the tablet whole. Do not split it or crush unless advised.

Your daily dosage will depend on your medical condition, how you respond to medications, and any other medications you currently take. Before you take ED treatment pills, ensure that you inform your healthcare service provider of any prescription drugs, over-the-counter medicines, and any other supplements you take.

If you are also using finasteride alongside Tadalafil to treat any symptoms of benign prostatic hyperplasia (BPH), discuss the duration of treatment and dosage you will need with your healthcare provider.

For erectile dysfunction (ED), tadalafil citrate may be prescribed in two ways:

  • You may take it as needed, usually at least 30 minutes before sexual activity, with its effects potentially lasting up to 36 hours.
  • Your doctor may recommend taking generic Cialis regularly, once a day.

Follow your doctors instructions carefully based on your specific needs and condition.

If you are using tadalafil citrate medication for ED dysfunction and BPH, take it daily as directed by your doctor. To ensure you do not forget, take it at the same time each day.

Keep your healthcare practitioner informed if your medical condition does not improve or worsens during treatment.

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What is Tadalafil?

Tadalafil is an oral medication that works by increasing blood flow to the penis during sexual stimulation. This increased blood flow helps men to achieve and maintain an erection during sexual activity.

Tadalafil works by blocking the enzyme called PDE5 that breaks down testosterone in the body. This increased blood flow helps men to achieve an erection and maintain it for longer medications. Tadalafil is most effective when taken within 30 days of a alpha-blocker medication ( such as doxazosin or tamsulosin).

To become and maintain an erection, Tadalafil must be used within 30 days of BPH symptoms such as delayed onset of pain, back pain, muscle spasms, or weak sexual drive.

If you are using tadalafil for BPH and have not taken it at the same time, seek medical advice from your doctor or pharmacist. You can also contact us right in the USA from <patient_page>.

Tadalafil belongs to a class of medications known as phosphodiesterase type 5 (PDE5) inhibitors. It works by helping to increase blood flow to the penis during sexual stimulation. This helps men achieve and maintain an erection during sexual activity. It does not work if you are not taking tadalafil either way.

For the best results, you should test tadalafil before taking PDE5 inhibitor medications. To do this, your doctor will prescribe Tadalafil for a class of medications called phosphodiesterase 5 inhibitors. This category of medications includes Cialis, Propecia, Stendra, and Fosamprenavir.

For BPH, tadalafil may be taken alone or in combination with other medications. BPH treatments include surgery, including prostatectomization and penisctomy. ED medications include medicines such as Viagra and others.

When using generic Cialis for ED, follow your doctor's instructions about how much you should take and how frequentpct buy tadalafil free shipping.

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Indications

The use of Cialis is indicated in men of: (1) Erectile Dysfunction; (2) Pulmonary Hypertension; (3) Raynaud’s Phenomenon; (4) Ankylosing Spondylitis.

This is not a complete list of all the indications. If you have any questions, talk with your doctor or pharmacist.

Dosage

The daily dosage of Cialis is 1 mg.

The maximum recommended dose is 5 mg per day.

The dosage should be adjusted according to your response to treatment.

Contraindications

Do not use in patients with a known hypersensitivity to tadalafil or any component of the product. Do not use in the presence of active or past erectile dysfunction.

Do not use in patients with a history of severe liver disease. Cialis is contraindicated in patients with severe liver disease.

Do not use in patients with a history of priapism. Use with caution in patients with a history of priapism.

Do not use in the treatment of hereditary angioedema, hereditary angioedema, or hereditary angioedema involving the hand or the face. Before using Cialis, inform your doctor of any prior history or current medications. You may need to test your blood pressure more frequently.

Side Effects

The most common side effects of Cialis are:

  • Dizziness
  • Flushing
  • Headache
  • Nausea
  • Back pain
  • Muscle aches
  • Indigestion

Contact your doctor immediately if these side effects occur.

Less common but serious side effects may be experienced by some users:

  • An erection that lasts more than 4 hours (priapism).
  • An erection that lasts more than 4 hours (an erection that lasts longer than 4 hours).
  • Priapism, a prolonged, painful erection lasting more than 4 hours (an erection that lasts longer than 4 hours).

Rarely, an erection lasting longer than 4 hours is reported. Seek medical advice if this occurs.

Contact your doctor immediately if you experience an erection that lasts longer than 4 hours.

Interactions

Do not use Cialis if you are allergic to tadalafil, any ingredients in Cialis, or any of its components. An active or past erectile dysfunction (ED) may be a sign of an underlying health problem or disease you are taking nitrate-containing therapies or certain medications.

Cialis should not be used by individuals with diabetes, or risk factors for heart disease, abnormal blood pressure, or stroke.

Precautions

Do not use Cialis if you are taking nitrates (e.g., isosorbide, nitroglycerin) or recreational drugs containing nitrates. Tell your doctor if you have a history of heart disease, stroke, low blood pressure, abnormal heart rhythm, or if you have recently had heart surgery. Nitrates can cause a dangerous drop in blood pressure that can lead to heart attack, stroke, and even death. Do not use Cialis if you are taking any of these products. Before using Cialis, tell your doctor if you have diabetes, high blood pressure, high cholesterol, glaucoma, high blood pressure, heart disease, a history of heart attack, or are taking any other medications. Do not use Cialis if you are a nursing mother or a caregiver. This product contains lactose monohydrate.

Pregnancy and Breastfeeding

Consult your doctor before using Cialis if you are pregnant, might become pregnant, or think you may be pregnant or are breast-feeding. Tell your doctor if you are pregnant or plan to become pregnant.

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 full prescribing information.10 readWrite-complete list

This document does not contain all possible Cialis specific medications.

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Increase dosage

The maximum recommended dose of Cialis for erectile dysfunction is 10 mg. However, your doctor may increase this dose if necessary. Follow your doctor's instructions regarding dosage and timing.

If you are taking multiple medications, add one to the other to make up for a forgotten dose. Do not double the dose.

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one.

Store Cialis at room temperature away from moisture, heat, and light. Keep all medications away from children and pets.

Read more about the use of Cialis in the treatment of erectile dysfunction.

Ask your doctor how to use Cialis.

Cialis can cause side effects, such as headache, indigestion, back pain, muscle pain, and stuffy or runny nose.

Tell them if you have any�, including any allergies.

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

Take one 10 mg tablet in 10 minutes

Take one 10 mg tablet in 10 minutes in 2 doses, taken as a single dose, with or without food.

If you experience dizziness, tiredness, or flushing, stop taking Cialis and contact your doctor immediately.

Ask your doctor if you are allergic to any of the ingredients in Cialis tablets.