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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.
Aphraigil

Dr. Reddy's Reductase Inhibitors (Ex. rifampin, rifabutin):

Reddy's (Ex. flibanserin) is a selective serotonin...

Other Drug-Food Interactions:

  • Lithium (EENT3) may interact with the affected areas.
  • Protease inhibitors (Ex....
  • Other alpha-blockers (e.g., tamsulosin) may affect...
  • Caffeine can cause vomiting or reduce the effectiveness of...

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.
EU Anticancer Research Center (EUR)
MedicationOrthogenamic acid
Cialis (Tadalafil)Cialis (tadalafil) or alpha-blockers
Cialis (Tadalafil Tolerability)Tadalafil or alpha-blockers

Note: This is an international product review. If you think you are having an interaction with a product in the above group, contact your EUR. interactions = interaction;

C.

Cialis (tadalafil) may interact with some foods and beverages, potentially affecting its effectiveness. This can increase the risk of side effects, such as headaches or dizziness.

I’ve had some problems with my libido. A few years ago, I was prescribed Cialis, one of the most popular ED drugs. I was having a hard time getting my libido to normal. I had heard that Cialis can cause impotence. I was taking a Cialis. I was having trouble with my sexual function.

The first day, I went to a friend’s office. I had a lot of questions about what I was getting and had been reading online about the effects of Cialis, the dangers of taking it and the impact it could have on relationships.

I told her I had no history of any of the things I am now using. I went over my options, including taking Viagra and Cialis. She said, “Cialis and Viagra together could be dangerous.”

I asked my doctor about the other possible side effects of the Cialis and Viagra. She said, “Cialis can cause sexual problems for some people.”

I have since changed my story, but I still have questions about the Cialis and Viagra. How much does it cost, how much does it do to make them work for me, and how long will they last?

Since I am now using Cialis for erectile dysfunction, I am wondering how long will the effects of the Cialis last.

I have never heard of Cialis being prescribed to treat impotence.

My doctor prescribed it to me. I don’t know how long it lasts.

I am a bit confused as to what Cialis does and why it’s prescribed to me.

My doctor says Cialis has a low incidence of sexual problems.

I do have questions, but I don’t understand why Cialis is prescribed to me.

Is there something I can do to keep my sex drive up and stay active?

Is there anything I can do to change my sex drive or change my life?

Do I need to stay on my current medication or have it become more important?

If Cialis does work for you, don’t worry! I am taking it for erectile dysfunction.

Cialis may work for you and help keep your sex drive up and keep you sexually active.

Cialis may also help make you last longer.

Please, read the patient information provided.

Cialis and Viagra may be used for other uses. Talk to your doctor about the use of these products in patients with diabetes, high blood pressure, high cholesterol or heart disease.

Cialis and Viagra are not to be used to treat erectile dysfunction.

Cialis and Viagra are not to be used to treat impotence. They are used for erectile dysfunction in men.

Talk to your doctor or pharmacist about the use of these products in patients with diabetes, high blood pressure, high cholesterol or heart disease.

I was taking Cialis for my erectile dysfunction. It may have some effect on my sex drive. I was taking Cialis for erectile dysfunction.

I’ve heard that the side effects of Cialis can include:

  • Stomach pain
  • Nausea
  • Headache
  • Diarrhea
  • Fatigue
  • Loss of appetite
  • Nervousness
  • Rash
  • Trouble sleeping
  • Weakness
  • Numbness
  • Tingling in the hands or feet

You can get more information about the side effects of Cialis and Viagra at the following site:

Please read the patient information provided.

Please read the patient information.

Does Cialis Work for Everyone?

There is no direct answer to this question. There are several studies that have looked at the efficacy of Cialis for erectile dysfunction.

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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.

irlwinds do not respond to generic Cialis or tadalafil citrate tablets; you may need dose changes or daily treatment for times at increased risk.