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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.
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  • Other antidepressants (e.g., Prozac, Zoloft)
  • Mood elevators (e.g., Tylenol) can also alter the levels of Cialis in your blood by enhancing its sedative effects.
  • Enalapril, erythromycin, clarithromycin (medicines used for pulmonary hypertension) can increase the blood pressure-lowering effects of Cialis, which can narrow blood vessels.
  • Rifampicin can increase the blood pressure-lowering effects of Cialis, which may enhance symptoms of surgery or vision loss
  • Protease inhibitors used to treat HIV can affect the metabolism of Cialis, which reduces the effectiveness of this medication.

C.

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.

Read the information leaflet you must read before starting treatment for detailed advice about the recommended dosage and any potential side effects. Watch for softening or widening of the ankles or genital area.Read the patient information leaflet carefully before using tadalafil for your specific medical condition. Tadalafil for BPH may be prescribed if sexual activity is not successful. Follow your doctor's instructions carefully.

If you are using tadalafil for BPH, consult your doctor before taking it. They will determine if tadalafil is right for you and might start to work at the right time. Your doctor will check your blood pressure regularly to monitor blood flow and ensure proper treatment. If you experience any side effects, such as vision or stomach upset, contact your doctor for advice.

Do not take tadalafil generic if you are also taking tadalafil for diabetes, or if you are taking nitrates (severe heart failure or stroke) because the combination can lead to dangerously low blood pressure and dizziness.

For erectile dysfunction, tadalafil for BPH may be prescribed in two ways:

  • You may take it usually once a day.
  • Your doctor may recommend tadalafil for BPH once a day, preferably once a day.

Follow your doctor's instructions and dosages carefully.

Take tadalafil generic exactly as prescribed by your doctor. You may start working while taking it, and you may stay stay same.

If you are using tadalafil generic for BPH medication and BPH doesn't respond to first time use, ask your doctor about alternative treatment. Your doctor will discuss with you the next time if you need to take it daily.

Follow the doctor's instructions about the treatment and dosage.

Taking side effects of tadalafil generic

If you develop:

  • Hair loss or break of nose
  • Vision or hearing problems
  • Skin rash or itching
  • Severe heart failure, or
  • Competitive headaches or fever,
  • Severe heartburn

If you experience any of these symptoms stop taking tadalafil and call your doctor immediately:

  • Allergic reactions such as rashes, itching, or hives, swelling of the face, lips, or throat
  • Facial flushing that may occur
  • Difficulty in vision or hearing
  • Feeling dizzy, drowsy, or
  • Feeling more than a little drowsy or
  • Numbness or weakness

If you have more information about side effects of tadalafil generic

You may also wish to read this information. It is important to consult your doctor before taking tadalafil generic for erectile dysfunction.

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Cialis (tadalafil) has the longest half-life of any brand of ED medication and is absorbed less than 1 mg of tadalafil per day in the body. The effects of tadalafil have not been studied with this drug and are less than half of the therapeutic effects of tadalafil. Cialis (tadalafil) is a generic version of the popular ED medication Viagra, and it has a lower risk of side effects and less risk of overdose. It is a popular and effective ED medication for men who are looking for a low cost alternative to generic Viagra. When taking Cialis for the first time, it is important to follow the instructions provided by your healthcare provider. Cialis is also used in men to treat erectile dysfunction (ED). It can be taken without a prescription or as a combination of two drugs. Cialis should be taken orally, with or without food, about 30 minutes before sexual activity. Cialis can cause side effects such as headache, flushing, and nausea. It can also cause side effects such as back pain, muscle aches, and stuffy nose. The effects of Cialis may last for up to 2 hours. The most common side effects of Cialis, including headache, back pain, muscle pain, stuffy nose, and flushing, are listed in Table 1. The most common side effects of Cialis include headache, flushing, and stuffy or runny nose. The most common side effects of Cialis are listed in Table 2. Cialis should not be taken with alcohol, grapefruit juice, or grapefruit juice containing phenothiazines (tricyclic antidepressants). When taking Cialis with a low dose of tadalafil (20 mg), it is important to avoid taking it with other ED medications (e.g., sildenafil) as it can lead to increased blood pressure and dizziness. In addition, taking Cialis with a high dose of tadalafil (20 mg) may increase the risk of developing a serious heart rhythm problem. The maximum recommended tadalafil dose of 2.5 mg is 20 mg. However, in clinical trials, the incidence of severe or fatal heart rhythm problems was not increased with higher doses. The most common side effects of Cialis are listed in Table 3. The most common side effects of Cialis are listed in Table 4. Cialis can also cause a severe heart rhythm problem called tachycardia. Tachycardia is a condition in which the heart beats faster than normal. This can happen if you have heart disease, high blood pressure, recent heart attack, or are taking certain other drugs that can cause the heartbeat to return to normal. If you have heart disease or high blood pressure, tadalafil may increase the risk of cardiovascular side effects, including heart attack and stroke, which may happen in more than one major group. Cialis may also increase the risk of developing stomach ulcers or bleeding when taken with alcohol. You should not take Cialis with other ED medications unless they are prescribed by a doctor. Cialis should not be used by people who are allergic to tadalafil or any other ingredients in Cialis.

Cialis (tadalafil) is a generic version of the popular ED medication Viagra. It can also cause side effects such as back pain, muscle pain, stuffy or runny nose, and flushing. The most common side effects of Cialis are listed in Table 5.

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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Reviews for Cialis

: Cialis is aq cialis is not a a a drug-drug interaction. It may reduce blood pressure in ways that would affect high blood pressure (hypotension).

: Both Cialis and alpha-blockers can cause an increase in blood pressure when used together. Theiazosin may be preferable as it is absorbed less rapidly compared to tamsulosin. While the use of both is safe with tamsulosin, it can cause side effects such as headache, heart attack or stroke.