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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.
Human papilloma virus (HPV)ingotal penile tissue was used to treat erectile dysfunction by 2003 in men aged 18 to 64. Cialis (tadalafil) is a phosphodiesterase-5 (PDE5) inhibitor. The manufacturer of Cialis adds a hypoglycaemmpage on the white box to information about potential interactions.
  • In an article titled “”, co-author Dr. Seth Lewis describes tadalafil as a “prophylactic” option for men with erectile dysfunction who have not responded to prior phosphodiesterase 5 inhibitors. The article mentioned Cialis as a top option for men with erectile dysfunction who have responded to prior inhibitors.

C.

Tadalafil, commonly known as Cialis, is a widely recognized medication used to treat erectile dysfunction (ED), often referred to as impotence. It works by increasing blood flow to the penis, allowing men to achieve and maintain an erection. Tadalafil offers several advantages over other medications, including its effectiveness and tolerability, making it an ideal option for men seeking relief from ED. This article aims to provide an overview of Tadalafil, its benefits, and its considerations for individuals considering this medication. It also outlines recommended dosage guidelines for each medication, making it a valuable addition to any healthcare provider's routine.

Tadalafil is a phosphodiesterase-5 (PDE5) inhibitor. This means it works by relaxing the blood vessels, allowing blood to flow more easily, and helping to relax the smooth muscles of the penis. It is generally well-tolerated, with only a few side effects reported, such as headache and indigestion. It is important to note that Tadalafil should be taken exactly as prescribed by your healthcare provider. While taking Tadalafil, you should also follow the recommended dosage and usage instructions provided by your healthcare provider. It is essential to consult with your healthcare provider for a thorough understanding of Tadalafil's use, particularly regarding potential side effects or interactions with other medications.

The primary purpose of Tadalafil is to address the symptoms of ED and treat them with the help of this medication. It can also be used to help manage other medical conditions, such as benign prostatic hyperplasia (BPH), which is an enlarged prostate. It's important to note that Tadalafil does not work for everyone, and it is not suitable for everyone who is on other medications, such as nitrates.

I have been diagnosed with and I have been told it is a chronic health condition. My doctor prescribed Cialis and I have been taking it for several weeks. When I first started taking it I felt a little sick and was unable to sleep. I began to suffer from erectile dysfunction, anxiety, anxiety, and also depression. It has lasted for several months, with the majority of my time in the bedroom. Now I am taking Cialis and I am also taking another daily tablet to improve my libido and also have a lot of sexual activity. I feel so tired. I have a severe headache and a bad stomach. I do not want to take Cialis, but I feel so tired that it does not make me feel right. I have been having these side effects and they are not worth it. I was told it is very common and most people have experienced them. I have been told I will probably have side effects of this, although not everyone will. The symptoms are not the same as I had seen before. The only reason for this is that I am taking it for the first time. I have not experienced anything other than what I experienced previously. I have been told that some people will feel the side effects of Cialis, and others will experience them. The side effects are so bad that they are not worth taking. I have been told it can be taken if you are allergic to it. However, there is a problem that I don't know how to explain. I am on Cialis and am going to start taking it on the third or fourth day of my cycle. I am on my second daily dose of Cialis and I am feeling so tired that I am unable to sleep.

I took Cialis for the first time last night and it was hard to concentrate. It was not the first time I had used it, but it was the last. After about two weeks of taking it I stopped taking it, and I felt much better. It is now 4 days since I have taken it. I still have headaches. I have had no vision issues in the past. I am not using Cialis. I am not taking any recreational drugs. I just have been taking the Cialis because I am going to get some relief.I had tried taking Cialis for several months, but it is now back. It is taking a lot of time to take it. I was not aware of it being able to take it on the third or fourth day. It has been the last day of the cycle and I am still tired. I have been using Cialis for the past month. I am now going to take Cialis at 2pm for one day. I am not sure how to say that, but I am thinking of going back to taking it every time I feel it. I do not want to take it anymore. I do not have any questions about it. I have been told it is extremely common and most people have experienced it. I have been told that some people will feel it, and others will experience them. The only reason for it is that I am on Cialis for the first time and I am going to get some relief. I am now going to take it every time I feel it. I am still in a bad mood and I am not sure how to explain it.I have been using Cialis for the past month and it is not working well. It does not make me feel right. However, I am not sure how to explain that. I am taking a daily tablet, to try and improve my libido. I am feeling tired and is unable to sleep. I am not using any recreational drugs, but I am going to get some relief from my condition. I am not sure how to explain that. I am thinking of going back to taking it every time I feel it.

I have been taking Cialis and have been told it is very common and most people have experienced it. I am taking a daily tablet to try and improve my libido. I am feeling tired and I am not sure how to explain that. I am going to take it every time I feel it. I am still in a bad mood and I am not sure how to explain that.

Whether you can take Tadalafil at the same time as your other medications will depend on which medications you are taking.

You are required to complete a short medical consultation questionnaire that asks for any medications that you are prescribed from your GP and will indicate the medications that can’t be taken alongside Tadalafil.

There are several medicines which should not be taken concurrently with Tadalafil. Medicines which can have potentially serious interactions with Tadalafil include :-

• Any alpha-blocker medicines e.g. doxazosin (Cardura), alfuzosin (Xatral), tamsulosin, terazosin, or Flomax, that you can buy in the pharmacy. (These medicines may be used to treat prostate problems or high blood pressure).

• Isosorbide mononitrate, isosorbide dinitrate, or use a GTN spray or tablets

for chest pain or use Rectogesic ointment?

• Nicorandil (Ikorel), used to treat angina

• Cimetidine, used to treat stomach or duodenal (peptic) ulcers

• Theophylline, used to treat asthma

• Antibiotics:- Clarithromycin, Erythromycin and Telithromycin

• Anti-fungals such as itraconazole and ketoconazole

• Seizure medication:- carbamazepine, oxcarbazepine, phenobarbital, phenytoin and primidone

• Heart or blood pressure medication:- disopyramide, amiodarone, quinidine and procainamide

• Anti-viral medication:- telaprevir, atazanavir, retonavir, indinavir, saquinavir and cobicistat

• Recreational drugs:- amyl nitrate (poppers)

If you are taking any prescribed medication from your GP then you can simply write those in the “Is there any other medical information that you think our doctor should know?” section on the medical questionnaire. Then, our doctor will know whether the Tadalafil is safe for you to take.

Read available consultation questionnaire

What is Tadalafil?

Tadalafil is the generic version of Cialis. It is available in the UK as an over the counter (OTC) prescription drug.

How to take Tadalafil :

  • Take one tablet about 1 hour before sexual activity
  • You can take the medication OTC if you are sexually aroused

Is there a generic version of Tadalafil which is more effective?

Yes

Does the Tadalafil onlychieve your sexual desire and capacity?

The Tadalafil can only work if taken on an OTC at a dose of 10mg.

How long will you have?

You will start working up within minutes of taking Tadalafil. It is important to continue taking Tadalafil for as long as your doctor has prescribed it and that you are taking it 5 times a day, as it should be taking longer

is that the duration?

The reason for the long half-life of Tadalafil is that it is available at a lower dose than the dose of the drug that is being taken each day

You should not take Tadalafil if you are taking a prolonged period of time. Cialis, like all prescription drugs, may affect how effective the Tadalafil is until after you have taken it.

What is the Tadalafil Brand and dose?

Tadalafil is available in the UK as an oral tablet drug. It is a prescription drug that provides you with the medications Tadalafil and Cialis.

How long is Tadalafil taking effect?

The Tadalafil dose will only work if taken 5 times a day as it continues to be prescribed and dose varies depending on how much Tadalafil you are taking.

Is it still taking Tadalafil for you?

You will be asked a few more more more questions during your consultation.

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This medicine is in a class of medicines called PDE5 inhibitors. This is the active substance in the drug. The drug is prescribed to treat erectile dysfunction.

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Cialis 30-Day-Freeze (Cialis)

Cialis is used to treat erectile dysfunction. The drug relaxes the blood vessels in the penis, which helps to achieve and maintain an erection. It has also been used to treat benign prostatic hyperplasia (BPH). Cialis may cause side effects such as headache, flushing, stuffy or runny nose, and back pain.

Cialis can cause an erection to last for up to 36 hours. Cialis should not be taken for more than a few days. If you have an erection that lasts for more than four hours, stop taking Cialis and seek medical help right away. The effects of Cialis may last for up to 36 hours. Do not take Cialis if you are allergic to any of its ingredients. Do not take Cialis if you have ever had an allergic reaction to it or any of its ingredients.

Cialis

Cialis may cause an erection to last for up to 36 hours. Do not take Cialis if you are taking or have recently taken nitrates (medications used for chest pain).

Cialis (Tadalafil) is a drug that increases blood flow to the penis, helping to get and keep an erection when sexually stimulated. Cialis is available in a generic form and works by relaxing the muscles of the penis and increasing blood flow.

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Take Cialis exactly as it was prescribed for you. Do not take Cialis more often than prescribed by your doctor. If you do not understand, or if you are not sure, talk to your doctor. Cialis may be taken with or without food. Do not take Cialis more than once a day. If you have an erection that lasts for more than four hours, stop taking it and seek medical help right away. Do not take Cialis if you are taking nitrates (medications used for chest pain).