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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 have trouble taking Cialis, please consult your doctor. They may want to schedule an doctor check-up to help manage your condition.

C.

Cialis (tadalafil) can interact with certain foods and beverages, so it is contraindicated to use this medication with a high-fat meal, as it may alter the effectiveness of the medications. If you find that a these products combine, you should consult your doctor.

To view theGuidelines for Use of Tadalafil and Alcoholin Medicine Without Prescription, please visit the

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D. Other Anti-Hormone Interactions:

Cialis (tadalafil) can interact with other medications, including blood pressure-lowering medications.

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.

Read the "Treatment" label. If you are experiencing daily treatment symptoms, consult your healthcare provider about taking it regularly to help you get the best treatment possible.
  • *Maximal daily dosage is based on 21 verified studies involving 805 patients.This includes men and women who are within 10% of the average value.
  • For example, patients who took tadalafil 20 mg every day and are experiencing daily treatment symptoms should not take tadalafil 40 mg.
  • If you are using generic Cialis for daily treatment, be sure to follow your doctor's instructions while taking tadalafil generic, with regular monitoring of blood pressure levels and sexual activity. Do not take tadalafil 20 mg every day without doctor's advice.

    Do not use tadalafil 20 mg every day without the advice of your doctor or healthcare provider.

    Tadalafil for daily use(Read entire Patient Information).If you are not experiencing daily treatment symptoms, consult your healthcare provider before taking tadalafil generic.Ensure you read the entire Tadalafil Information leaflet before starting tadalafil generic treatment.!deglown.orough.054

    Major side effects can include headache, nausea, dizziness, or fatigue. Ensure you read the "Major Side Effects" section before starting tadalafil generic.

    If you are experiencing mild (e.g. tachycardia), talk with your healthcare provider about the symptoms of sexual dysfunction or erectile dysfunction.

    If the treatment is not helping your sexual dysfunction, talk to your doctor.

    Daily treatment may require urgent medical treatment.

    Daily treatment should not be taken more than once a day.

    Warning: Do not take tadalafil generic once daily.

    Take special care by taking it once daily as prescribed.

    Sildenafil(Sildenafil) medication is a prescription drug. You will get a full description, but it will help you take more Tadalafil. For detailed information, consult the patient information leaflet provided with this medication.
    • Generic Cialis for Daily Treatment contains 20 mg of tadalafil and is available in the U. S. for $29.50 per pill.
    • Sildenafil medication in generic Cialis contains the same active ingredient as in brand name Tadalafil in generic Cialis.
    • Use this medication regularly to get the most benefit from it. It is often prescribed once a day, and under different brand names, and forgiveabilifyly called generic Cialis for Daily Treatment.

    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.

    azithromycin

    As with all prescription medications, inform your doctor of any medical conditions you used to take Cialis or any other medications you are taking.

    As with other medications, this drug should be used in conjunction with all other medications you are taking, not just other prescription medications. This may mean missing a dose, taking a lower dose, or missing majority of a meal. This can cause an upset stomach.

    If you have any kidney or liver disease, reflect that you are often taking Cialis with these medications. Cialis can cause a decline in a patient’s kidney function. This may lead to symptoms like decreased urine flow, frequent urination, increased urination frequency, or fainting. These symptoms are similar to other side effects of Cialis.

    As with other medications, inform your doctor of anyabetes medication you take. Cialis can also cause a decrease in a patient’s blood sugar. This decrease in blood sugar can lead to symptoms like muscle pain, weakness, or cramps.

    As with other medications, this drug should be used with caution in patients with kidney disease. Cialis can also cause a decrease in a patient’s kidney function. This may lead to symptoms like muscle pain, weakness, or cramps.

    If youodine may interact with Cialis or other drugs you are taking as they are used to treat erectile dysfunction. These drugs can also reduce a patient’s bph. This decline in bph can lead to symptoms like pain in legs, stiff muscles, or pain in arms and legs.

    As with other medications, this drug should be used with caution in patients with kidney or liver disease. Cialis can cause a decrease in a patient’s bph. This decline in bph can lead to symptoms like pain in legs, stiff muscles, or pain in arms and legs

    cimetidine+ ranitidine

    As with other medications, Cialis can cause a decrease in a patient’s bph.

    cisapride

    VIDEO

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    Side effects of Cialis Soft Chewables

    The effects of Cialis Soft Chewables may be minor and short-lived. The effects of Cialis Soft Chewables may last up to 5-10 days, and they will not affect the sexual function of the patient. If any of the following side effects occur, they are usually mild and temporary.

    1. Flushing

    2. Headache

    3. Nausea

    4. Back pain

    5. Dry mouth

    6. Insomnia

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    8. Flushing (reddening of the face)

    9. Headache (dizziness)

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    11. Swelling in the feet or ankles

    12. Fatigue

    13. Muscle pain

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    15. Pain in the muscles or legs

    16. Muscle pain, swelling, stiffness, or tenderness

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    19. Nasal congestion

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    21. Erectile dysfunction

    22. Eye pain

    23. Ejaculation

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    25. Bladder pain

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    27. Dyspepsia (abnormal body movements)

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    29. Pregnancy

    30. Kidney stones

    31. Liver damage

    32. Breast tenderness

    33. Dizziness

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    39. Nervousness

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