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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 interactions with any type of medication, be sure to discuss them with your doctor or pharmacist. Do not stop using any medications at once without first consulting your doctor.

C.

Cialis (tadalafil) can interact with certain foods and beverages, such as those purchased with orpermitted to you by a doctor, though this may alter its effectiveness or increase the risk of side effects. Here are the key drug-food interactions:

  1. Whole Grains and Flakings: Flours prepared with no added alcohol may lower tadalafil levels. This can amplify side effects like headaches or increase heart rate when used with Cialis.
  2. : Though not a direct interaction, combining Cialis with large meals may worsen side effects like headaches or increase heart rate in sensitive individuals.
  3. Tobacco: Though not a direct interaction, combining Cialis with tobacco products might worsen side effects like headaches or increase heart rate in sensitive individuals.

As with any drug product, there may be side effects. Generally, patients who experience side effects usually get them within 12 to 24 hours after taking Tadalafil. Side effects usually resolve on their own within 48 hours.

Most common Tadalafil side effects

  • Headache
  • Indigestion
  • Back pain
  • Muscle pain
  • Flushing
  • Stuffy nose

Some more serious side effects have been reported. While rare, it is important to stop taking Tadalafil and contact a doctor right away if any of the following occur:

  • An erection will not go away (priapism). If you have an erection that lasts longer than 4 hours, get medical help right away. If not treated right away, priapism can permanently damage the penis.
  • Sudden vision loss in one or both eyes. Sudden vision loss can be a sign of a serious eye problem called non-arteritic anterior ischemic optic neuropath (NAION).
  • Sudden hearing decrease or hearing loss. Some may also have ringing in the eyes (tinnitus) or dizziness.

For a complete list of possible side effects,.

Possible drug interactions

Some drugs/medications may interact with Tadalafil. You should not take Tadalafil if you are taking nitrates (such as nitroglycerin tablets or patches) because the combination of these with Tadalafil could significantly lower blood pressure and lead to fainting or even death. Additionally, do not take Tadalafil if you are taking Cisapride, other ED medications (e.g. Viagra), Adcirca, or Riociguat.

On your intake form, please be sure to provide AgelessRx with all medications, herbs, non-prescription drugs, or dietary supplements you use. Also be sure to report if you smoke, drink alcohol, or use illegal drugs, as some may interact with your medication.

For a complete list of possible drug interactions,.

Other important safety information

Patients who have a condition called “left ventricular outlet obstruction” from valvular problems or heart muscle enlargement may get side effects such as fainting or light-headedness. Because patients with recent heart attacks or stroke, heart pains (angina), heart failure, uncontrolled blood pressure or uncontrolled irregular heart beats, severe liver disease, and retinal eye problems have not been studied, Tadalafil (Cialis) is not recommended for these patients. There may be rare occurrences of priapism or painful, prolonged erections. This is a serious condition that requires immediate medical attention. Patients should seek prompt medical attention if their erection lasts longer than four hours.

After taking a single tablet, Tadalafil can remain in the body for up to two days. It can remain longer if patients have problems with their kidneys or liver, or they are taking certain other medications.

Note:All information included on this page is a summary. It may not cover all possible information. If you have questions about this medication, talk to a doctor, pharmacist, or health care provider.

Note: The above statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

Dosage and direction

​ Instructions for use

​ AvoidTadalafil with mealsif:Patientsdiet

  • Patients take 2 to 4 tablets per day.
  • The maximum dose is 4 tablets per day.
  • Do not take Tadalafil more than once a day.
  • Do not take this medication in theugar-untary synthesis (adults) or in combination with carbohydrates.
  • Do not take this medication if you have ever had an erection that lasted more than 4 hours.
  • Patients with a history of cardiovascular problems, such as heart failure, angina, or heart attack, or a recent heart attack or stroke.
  • Grapefruit juice or other medications that can increase blood pressure.
  • Tadalafil can bleeding gums or cream on the penis.

Tadalafil belongs to the group of medicines called phosphodiesterase type 5 (PDE 5) inhibitors, primarily used to treat erectile dysfunction (impotence) and benign prostatic hyperplasia (BPH). Erectile dysfunction is the inability to keep a hard and erect penis suitable for sexual activity. Benign prostatic hyperplasia, also called prostate enlargement, is the non-cancerous growth of the prostate gland.

Tadalafil is also used to treat pulmonary arterial hypertension and the like. It may also be used in combination with other medications to enhance the effect of lowers blood pressure.

In order to be approved for use in combination with other medications, the medicine needs to be in the lower dose. There are combinations of the medicine in which the combination is recommended as it enhances its effectiveness. The medicine is available only with your doctor’s prescription.

You must complete a short medical questionnaire including your medical history, current medications, and your prescription.

How Tadalafil Works

Tadalafil belongs to the group of medicines called type II inhibitors. Tadalafil works by relaxing the muscles in the bladder and penis, thereby allowing for a increased blood flow into the penis when sexually stimulated. This increased blood flow helps to produce and maintain a hard and erect penis suitable for sexual activity. It does not affect the way other medicines work, such as inps or catecholamines (e.g. Prostanoids), which have been used to treat depression.

How Tadalafil Works Is Crucial When You Use Tadalafil And Each Other

Tadalafil is used to treat erectile dysfunction (ED) and to improve sexual function in men with an enlarged prostate. It helps to relieve symptoms of benign prostatic hyperplasia (BPH), the growth of the prostate gland, and erectile dysfunction associated with BPH.

How Tadalafil Works Enhances the Effect of Your Medicine

Tadalafil (Cialis) is a popular medication used to treat ED and BPH. It provides significant benefits when taken orally, including a lower risk of side effects.

Cialis contains the active ingredient tadalafil. Cialis is available in tablet and liquid form and you need a prescription from a doctor to get started. The medicine is available in the form of a tablet and the dosage is as low as 10mg (1 tablet) taken orally in 30 minutes. The capsule should be swallowed whole with a glass of water. Consult your doctor if you experience any persistent or any serious side effects.

Tadalafil is Safe for Daily Use

Tadalafil (Cialis) is safe for daily use. You should take Cialis at the same time each day to get the most benefit. The dosage and duration of treatment will depend on the medicine you are taking. Taking the medicine at the same time each day will help you remember to take it.

You should not take more than one Cialis daily. You should not take Cialis when you are taking treatment for anaerobic bacterial diseases, as it can lead to a serious condition calledaordeniaor

aldosterone syndrome

Tadalafil (Cialis) is also used to treat benign prostatic hyperplasia (BPH) by reducing the size of the prostate. It helps to reduce the risk of acute enlargement of the prostate by relaxing the muscles in the bladder and penis, which allows blood to flow into the penis and help achieve and maintain an erection. Tadalafil does not prevent kidney, heart, or lung diseases.

Tadalafil is Safe for Everyone

In the United States, Cialis is approved for use in men aged 18 and over. It is also used to treat pulmonary arterial hypertension and the like. The medicine starts to work within 30 minutes and the effect lasts 4 to 6 hours. Most men take Cialis at least 2 hours before or within 30 minutes after taking nitrates (e.g. nitroglycerin tablets).

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is a branded version of Cialis that has been available since the early 1990s, and it is a trusted and successful ED medication. Cialis has been the most widely used medication for many men who suffer from erectile dysfunction and who need a reliable treatment. This medication can help improve blood flow to the penis, making it easier to achieve and maintain an erection suitable for sexual activity. Cialis is also known to be effective for those who are already taking it for another reason.

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