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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.
Added/restless walker/edience (SA)

C. Preventative Measures:

By using low-dose vs. long-acting Cialis, so as to minimize side effects, Cialis can be minimized or at least mitigate, side effects associated with other medications. These preventive measures for Cialis include following the dosing schedule, ensuring that the lowest effective dose is given, and educating oneself and following your medical history regularly. Be sure to monitor your blood pressure, sexual function, and overall health to understand any adverse reactions that may occur. Include medical advice regarding any interactions you develop with other substances.

Tadalafil and Other Pregnancy Interactions:

Cialis (tadalafil) can interact with certain medications, and side effects may occur. If you experience any side effects while taking Cialis, such as headache, back pain, indigestion, or muscle pain, consult your healthcare provider or pharmacist immediately, as these might be possible with tadalafil.

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 at at.asserCialis can cause sildenafil citrate side effects such as: Fioricet at 40 mg daily is not approved for use in the United States. This drug is only approved for use by men and can only be used by men who are age 18 and older.Common side effects of Cialis use:

As with all prescription medications, inform your doctor of any medical conditions you used to managing. Tell them if you have any heart problems, have had a heart attack, irregular heartbeat, chest pain, or found a vein in your lungs.

As with all prescription medications, inform your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. If you become pregnant, contact your health care provider right away.

As with all prescription medications, inform your doctor if you are a taking any antifungal medication, especially clotrimazole.

As with all prescription medications, inform your doctor if you are taking nitrates or amyl nitrite if you are taking any other medications. Cialis can cause a generous return if you want to use the product.

As with all prescription medications, let your doctor know if you are taking any other medications, including all non-prescription medications. Some medications can react with Cialis so they may need to beorses with any new interactions with them removed.

If you have any new or worsening side effects from taking Cialis, contact your health care provider immediately.

In addition, let your doctor know if you are taking any other medications, including other types of prescription drugs. Some medications can interact with Cialis so they may affect how it is metabolized.

In addition, let your doctor know if you are taking any other medications, including all non-prescription medications. Some medications can react with Cialis so they may need to beorses to be part of the patient care team removed.

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.

Show MoreBudden changes in $SaleaharmyThe following side effects have been reported from Cialis use, including: brain swelling, dizziness, fainting, vision changes, and tinnitus. If you experience any changes in your side effects, contact your health care provider immediately.Show MoreCialis Side EffectsGet medical help if you:
  • Have or have had heart problems
  • Joint pain
  • Have a history of any heart problems
  • Have a history of liver problems
  • Are under 18 or are taking other medications

As with all prescription medications, be sure to mention any and all medications, prescription drugs, and supplements you are taking before including this information in a drug price. This includes prescription drugs, over-the-counter medications, and herbal products.

If you have a prescription from a credible health care professional, this should include:

  • Health insurance for Cialis
  • a valid prescription
  • adequate medical history information
  • a valid prescription from a licensed health care professional
  • a valid self-pay

This includes [email protected] and logging into your chosen pharmacy to order this product.

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Jadad Pharmaceutical Benefits Trust

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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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