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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.
Standard Interactions:
MedicationysPxalt
Cialis (tadalafil)5.5 mg
Cialis (tadalafil) +10 mg

C.

Tadalafil can interact with certain foods and beverages, such as grapefruit, which may enhance the blood pressure-lowering effects of the medication. Avoid consuming grapefruit or grapefruit juice while taking tadalafil.

Dosage:

  • Take tadalafil 1 capsule with a glass of water (30 minutes before) or with food (30 minutes before) before taking grapefruit juice or alcohol. It can take more than 30 minutes for the effects of tadalafil to take full effect.

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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What is Cialis used for?

Cialis can be used to treat symptoms of benign prostatic hyperplasia (BPH) in men with an enlarged prostate. BPH is a condition where the prostate gland is enlarged and needs to fill with blood to grow. Cialis can also help relieve pain in the chest caused by BPH.

Cialis can also help relieve angina and pain in the chest caused by high blood pressure. Using Cialis can also help relax muscles in the chest and improve blood flow to the penis.

If you are taking Cialis, it is important to inform your doctor if you have any health conditions, especially heart problems, kidney problems, or liver problems. Cialis can interact with nitrates used for heart attack and stroke, which can cause a dangerous drop in blood pressure.

As with all prescription medications, inform your doctor if you are currently using any other medications, supplements, or herbal products. Cialis can affect how it works, such as causing side effects.

Cialishas become one of the world’s most popular erectile dysfunction drugs and is widely used by men worldwide.

Cialis (tadalafil) was launched in 2003 in the United States for the treatment of erectile dysfunction, but its popularity continued to grow over the years as the FDA began to take a look at other prescription drugs. In 2012, Cialis became available in the United Kingdom for the treatment of impotence, while the US market was still relatively limited.

Since then, Cialis has become the number one selling erectile dysfunction drug on the market. While Cialis has taken on some of the biggest names in the market, it remains a popular choice for men with erectile dysfunction. The generic version of Cialis is Cialis 5mg, which is also sold in a cheaper generic version.

Cialis is available in various strengths, including the 20mg, 40mg and 60mg tablets. The 80mg and 120mg tablets are available in both generic and brand name versions. The 60mg tablet is also available in both brand name and generic versions. Cialis is one of the top selling erectile dysfunction drugs in the US and is available for sale in multiple countries across the globe.

What is Cialis?

Cialis is a brand name for the drug tadalafil, which is used to treat erectile dysfunction.

Unlike other erectile dysfunction drugs that work by increasing blood flow to the penis, Cialis works on the nerves in the blood vessels that supply the penis. This helps to maintain a firm erection and helps to improve symptoms such as frequent urination and increased sexual desire.

Cialis works by increasing blood flow to the penis and helps to relax the blood vessels, which helps to create a more erect penis. This can lead to better erections and improved sexual performance.

Cialis is available in a variety of dosages ranging from the 20mg to the 40mg strength. The recommended starting dose of Cialis is one 20mg tablet, taken as needed approximately 30 minutes before sexual activity.

Cialis Dosage

The Cialis dosage of choice for treating erectile dysfunction is 1 tablet daily.

For patients with severe erectile dysfunction, Cialis is recommended for up to 36 hours before sexual activity. The recommended starting dose is one 20mg tablet taken as needed approximately 30 minutes before sexual activity.

This dosage may be taken with or without food. The effect of the medication can last up to 36 hours. This is due to its ability to work in the body.

It is important to note that Cialis is not recommended for use in children under the age of 18. However, it is possible to get the Cialis dosage safely and effectively.

When using Cialis, patients should always consult a doctor before taking any medication. The following information is provided for those who may be using Cialis and may need to adjust their dosage:

  • The dosage should not be increased or decreased without first discussing with your doctor.
  • Do not take more than the recommended starting dose of Cialis to manage erectile dysfunction
  • Do not take more than one Cialis tablet within a 24-hour period
  • Do not take more than one dose of Cialis in a 24-hour period
  • Do not take any other erectile dysfunction medications within this timeframe
  • If you have any questions or concerns about Cialis dosage, please talk to your doctor or pharmacist.

How to Take Cialis

Cialis comes in various strengths, including the 20mg, 40mg and 60mg tablets.

The recommended dosage of Cialis for treating erectile dysfunction is one 20mg tablet taken as needed approximately 30 minutes before sexual activity. The recommended dosage is one 20mg tablet taken as needed approximately 30 minutes before sexual activity.

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 effects and how it may affect you on the U. S. Food and Drug Administration's [FDA] website. Be sure to:
  • If you are taking nitrates or are taking medications to treat chest pain, Cialis can cause a sudden loss of vision in your first visioning episode. If you experience any of these symptoms, contact your health care provider.
  • If you experience fainting or think you are having a medical emergency, contact your doctor.
  • If you experience kidney or liver problems, notify your doctor.
  • Remember, while Cialis is for external use only, do not take this medication if you are pregnant or breastfeeding.
VGR View Full Results of the VGR Prescription Review - FDA Safety Report:

Overview of Cialis Usage

Cialis is used for the treatment of erectile dysfunction (ED), a condition where a man cannot get or keep a hard, erect penis that needs to be inserted into a woman's vagina. ED can be a result of physical, emotional, or psychological factors.

Cialis can be taken daily with or without food. However, Cialis can be taken up to a day in duration, and it typically starts within the first 30 to 60 minutes after a meal. As with all medications, it's important to follow the prescribed dosage and not to exceed the recommended dose.

The duration of action of Cialis can vary from man to man and can be quite variable. Some men may experience improved erections after taking Cialis, while others experience only partial response or temporary relief. As with all medications, there is the potential for mild side effects.

Although Cialis can be taken, it’s important to discuss any underlying medical conditions with your healthcare provider before starting treatment. Open and honest communication with your doctor is crucial for successful use of Cialis.

Cialis can interact with medications, causing potentially serious reactions that require immediate medical attention. As with all medications, inform your doctor of any medical conditions you used to experience these symptoms, as well as any supplements you are currently taking.

Cialis can be taken with or without food.