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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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hemaloglobular inhibitors (***):

Cialis (tadalafil) can interact with certain medications (e.g., alpha-blockers) that act on the walls of the blood vessels they regulate. This may affect blood pressure by relaxing the blood vessels, which may increase dizziness or fainting. If used with Cialis, it is recommended that you exercise caution and take appropriate medical advice.

Other Drug-Food interactions:

Using Cialis (tadalafil) with certain medications (e.g., alpha-blockers) can increase the blood pressure-lowering effects of the medication. If taken with Cialis, make sure to also mix the medication with a balanced diet for easy blood pressure management.

C. Drug-Food interactions:

Using Cialis (tadalafil) with certain medications (e.g.

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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Do not take Cialis if you are pregnant or may become pregnant. Cialis can cause potential harm to an unborn baby, especially if taken during pregnancy. Symptoms of potential pregnancy-related harm can include delayed delivery, preterm birth, low birth weight, embryo loss, or preterm birth that is caesarean section. If you are breastfeeding, inform your health care provider of any breastfeeding hormone analysis you are taking.

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Do not take Cialis if you are pregnant. Symptoms of potential pregnancy-related harm can include delayed delivery, preterm birth, low birth weight, or preterm birth that is caesarean section.

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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.

Read more about Cialis.

Common Side Effects:

  • Stomach pain
  • Fatigue
  • Muscle ache
  • Pale scalp

These effects are not permanent. If you experience any severe side effects, such as an erection that does not go away or another erection that is not long enough for you to enjoy sexual activity, seek medical attention immediately.

As with all prescription medications, inform your doctor if you experience any changes in youresty or heartbeat. Cialis can cause some mild side effects such as:

Marino Fares, MD, FACO: Marino, a board-certified gynecologist, has been able to prescribe Cialis to millions of patients since 1998. He has been named one of the 100 most credible doctors in the world by the Physicians Committee onStarboardTheGreat Health Organization. Marino has also been named one of the 100 most credible doctors in the world by the Physicians Committee onStarboardTheGreat Health Organization.

Originally developed by Pfizer, Cialis is the brand name for the drug tadalafil. Generic Cialis may be more affordable than the brand name, but it’s better quality than the brand name. Generic Cialis can be taken twice daily, with or without food.

Cialis can cause side effects not listed above, but here are some :

  • Pounding in the ears

In addition, let your doctor know if you are pregnant or plan to become pregnant. If you become pregnant, your doctor may adjust the dosage of Cialis to make way for a lower dosage.

As with all prescription medications, let your doctor know if you are taking other medications, including prescription drugs and supplements, since some interactions may occur. Some medications and supplements can interact with Cialis, causing potentially serious adverse reactions.

If you have any underlying health conditions, such as heart failure or high blood pressure, let your doctor know. These may include high blood pressure, uncontrolled high cholesterol, or severe low blood pressure.

If you’re taking any other medications, talk to your doctor before starting treatment.

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 MoreDietary TipsDairy ProductsWomenserciseondeMaterials tosnidenceSexual TransfersDairy productsDairy products Dental productsDisease awareness products like breastfeeding can also affect erectile function.Share This Product: Read more about: Erectile Dysfunction (ED)Help For ED on Amazon. ( ) Erectile dysfunction is a condition where a man cannot get or keep an erection. ED can be a symptom of conditions such as heart disease, high blood pressure, or liver disease. These conditions may occur once he has forgotten what he missed.Have Questions About Cialis? Unionpharm Company, LLC. Unionpharm is a leading global pharmaceutical company, specializing in the management and treatment of generic medications. We have successfully launched over 40 therapies and are dedicated to improving the lives of patients across the globe.
  • Cialis is available in several forms, including:
  • Cialis® (tadalafil) is a phosphodiesterase type 5 (PDE5) inhibitor. It works by helping to increase blood flow to the penis during sexual stimulation, helping men get and keep an erection. In addition to its primary use as an ED medication, Cialis also may be prescribed to treat conditions such as pulmonary arterial hypertension, where the high blood pressure in the lungs can lead to heart attacks and strokes.

    Show MoreProduct DetailsThe active ingredient in Cialis is tadalafil. This ingredient is used to treat erectile dysfunction (ED) and pulmonary arterial hypertension (PAH). Erectile dysfunction is a condition in which a man cannot get, or keep, an erection. It can be a symptom of conditions such as heart disease, high blood pressure, or liver disease.

    Similarities between Cialis® and tadalafil include: How it WorksThe mechanism of action of CialisThe dosage of Cialis can depend on several factors, including the man’s medical history, response to treatment, and other factors. Certain conditions, such as heart failure, high blood pressure, or liver cirrhosis, can cause potentially serious interactions with tadalafil. In this case, the dosage of Cialis will need to be reduced to reduce the risk of interactions.

    How It WorksThe active ingredient in Cialis is tadalafil.