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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

Here are the key drug-food interactions that need to be aware of:

  1. : Though not a direct interaction, combining Cialis with high srcafil intake might worsen side effects like headaches or increase heart rate in sensitive individuals.
  2. Honey: Though not a direct interaction, combining Cialis with high high-consuming can worsen side effects such as headaches or increase heart rate in sensitive individuals.
  3. Nutritional supplements: Though not a direct interaction, combining Cialis with nutritional supplements might worsen side effects such as low blood pressure, which may be enhanced by added fluid.

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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It is more likely to side effects with alpha-blockers than with nitrates or alpha-blockers of the same strength.

Consult your doctor before taking Cialis or an alpha-blocker while using this medicine to rule out any underlying medical conditions.

C.

The most common side effects of Cialis include headache, flushing, indigestion, back pain, muscle aches, nausea, and dizziness. If you experience any of these side effects, stop taking Cialis and contact your doctor immediately.

Before taking Cialis, tell your doctor if you are allergic to any medicines, have problems absorbing food or taking other medications that affect the blood clotting process, have problems with your heart, have problems with your blood sugar, have problems with your heart, have problems with your blood pressure, are taking medicines to treat prostate problems, taking certain other medicines, have problems with your blood clotting, have problems with your blood sugar, have kidney problems, are taking certain other medicines to treat a condition, have problems with your blood sugar, have problems with your blood sugar, have kidney problems, are taking certain other medicines to treat a condition or are taking other measures to reduce the risk of developing the side effects listed above.

Some of the side effects of Cialis may include an increased frequency of erections, an increase in the amount of blood flowing into your penis, an erection that lasts longer than four hours, sudden vision loss, a change in the colour of your vision, a prolonged time in the blue or green light between lights, or sudden hearing loss. If you experience any of these side effects, stop taking Cialis and tell your doctor.

You should also tell your doctor if you have a condition that can cause low blood pressure (e.g. high blood pressure), are taking certain medicines to treat low blood pressure, are taking certain other medicines to treat high blood pressure, or are taking certain other medicines to treat high blood pressure. Your doctor may need to monitor you more carefully if you have low blood pressure, or you are taking medicines to treat high blood pressure. Cialis may cause side effects that are similar to those described here.

Cialis Side Effects

Although many people have reported side effects of taking Cialis, most side effects do not require medical attention and will go away on their own. Side effects may improve as your body adjusts to the medication.

The most common side effects of taking Cialis include headache, indigestion, back pain, muscle aches, back pain, or a stuffy or runny nose.

Some of the side effects of Cialis may include an increased frequency of erections, an erection that lasts longer than four hours, sudden vision loss, a change in the colour of your vision, a prolonged time in the blue or green light between lights, or sudden hearing loss.

high blood pressure), are taking certain medicines to treat low blood pressure, are taking certain other medicines to treat high pressure in the lungs, or are taking certain other medicines to treat high blood pressure.

Your doctor may need to monitor you more carefully if you have low blood pressure.

If you experience any side effects of taking Cialis, stop taking Cialis and tell your doctor.

If you have any questions about taking Cialis, contact your doctor or pharmacist.

Cialis may not be the right medication for you. Tell your doctor or pharmacist if you have any questions or concerns. You may not be able to take Cialis if you have certain medical conditions or are taking certain other medications. Ask your doctor or pharmacist for more information.

Cialis may cause side effects, but many people have no side effects. The most common side effects of taking Cialis are an erection that lasts longer than four hours, back pain, muscle aches, back pain, or back pain that doesn't go away.

Cialis

What is the most important information I should know about Cialis?

When you buy Cialis you should consider the potential benefits, risks, and side effects of the drug. It is a medication that contains the active ingredient tadalafil and is used to treat erectile dysfunction (ED) in men. It can have a positive effect on men with ED and may be used by men who do not respond to other medications.

What should I do if I have a sudden increase in blood pressure?

You should be aware of your risk of dizziness and faintness while taking Cialis. If you experience such symptoms, stop taking the medication and contact a healthcare professional. If you experience dizziness or lightheadedness, stop taking Cialis and seek immediate medical attention.

What are the possible side effects of Cialis?

Like other tadalafil products, Cialis can cause side effects. Some of the more common side effects include headache, flushing, and indigestion. These may be temporary or severe. The risk of these side effects can be increased by taking Cialis with certain medications. These side effects are more likely to occur in people who take nitrates (e.g., isosorbide dinitrate).

Can you drink alcohol with Cialis?

You should avoid drinking alcohol with Cialis if you are taking Cialis. Drinking alcohol with Cialis can increase your risk of developing heart problems, high blood pressure, and stroke. Some people who have heart problems and high blood pressure may also need to take Cialis to prevent cardiovascular complications. These side effects are not usually experienced by patients taking Cialis.

Is Cialis used to treat erectile dysfunction (ED)?

You should not take Cialis if you are taking other medications for erectile dysfunction (ED). These medications include:

  • Cialis 5mg
  • Cialis 10mg
  • Cialis 20mg
  • Cialis 40mg

Some of the more common side effects of Cialis include headache, flushing, and back pain. If these side effects persist or become bothersome, your healthcare professional can help you manage them. These side effects are less likely to occur in people who take nitrates (e.g., isosorbide dinitrate) or other medicines for high blood pressure or certain heart conditions.

Do you take Cialis if you are taking nitrates (e.g., isosorbide dinitrate)?

You should not take Cialis if you are taking any of the following medications:

  • Cialis 5mg, 10mg
  • Nitrates (e.g., isosorbide dinitrate)

If you are taking any of the following medications, you should not take Cialis.

  • Medicines for:
  • Tadalafil (e.g., tadalafil-C
  • Tadalafil-D
  • Cialis (e.g., tadalafil-C)

What should I tell my healthcare provider before taking Cialis?

Before you take Cialis, tell your healthcare provider if you:

  • Have had a heart attack or stroke within the last 90 days
  • Have had a serious or irregular heart or blood vessel disease
  • Have low blood pressure
  • Have an irregular or high blood pressure
  • Have had an organ transplant
  • Have low blood sugar
  • Are taking any other medications to treat high blood pressure or heart disease

What should I do if I miss a dose of Cialis?

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

Cialis may interact with other medications you are taking.