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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.
A high-fat meal, taking a lower dose of Cialis or a macron device (meADS) as a way to manage symptoms of phosphodiesterase type 5 (PDE5) inhibitors, may also affect tadalafil's effectiveness. Here are the key drug-food interactions:

C.

Cialis (tadalafil) can interact with certain foods and beverages, so it is contraindicated to the combination of this medication with any of the following:

  • : Though not a direct interaction, combining Cialis with Cialis might cause worsening side effects like headaches or increase heart rate in sensitive individuals.
  • Grapefruit: Though not a interaction, Cialis could worsen side effects like headaches or increase side effects like headaches.
  • Beans: Though not a interaction, combining Cialis with a broad range of broad-spectrum supplements and herbal products might worsen side effects like dizziness or increase heart rate in sensitive individuals.

How does this medication work? What will it do for me?

Cialis belongs to a group of medications known asPDE5 inhibitors. It is used totreat erectile dysfunction (ED)andhelp men with ED improve their sexual health.It is aprescription medicationthat works byboosting blood flow to the penis.This medicine is also used totreat benign prostatic hyperplasia (BPH), which is an enlarged prostate gland. BPH is when the prostate gland has a size of more than 4 cm. BPH occurs when the prostate gland becomes enlarged and not working properly.

This medication should only be taken under medical supervision. If your doctor has told you to avoid sexual activity for any reason, do not take it. Ask your pharmacist or doctor whether this medicine is right for you.

This medication may cause the following side effects:

  • Headache
  • Indigestion
  • Muscle pain
  • Nasal congestion
  • Upset stomach
  • Blurred vision
  • Back pain

This medication may affect the results of certain tests. To get the most benefits from your medication, be sure to tell your pharmacist and doctor about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

What side effects are possible with this medication?

Although there have been reports ofsigns of an allergic reaction (such as rash, itching, shortness of breath, or shortness of time between doses), these side effects are rare. However, if you experience any of the following symptoms, stop taking this medication and contact your doctor immediately:

  • Sudden decreased vision or hearing
  • Sudden severe headaches
  • Sudden light sensitivity
  • Sudden vision changes
  • Sudden muscle pain or tightness
  • Sudden trouble sleeping
  • Sudden changes in body temperature

What can I do if I am taking this medication with other medications?

If you are taking a medication that you already use, you may experience side effects. Most side effects of this medication will disappear after a few days of taking the medication. However, if you experience a sudden decrease or loss of appetite, vomiting, stomach cramps, nausea, and diarrhea, talk to your doctor or pharmacist for advice.

Some medications that may interact with this medication include:

  • Other medications
  • HIV medications
  • Antibiotics
  • Antidepressants
  • Antifungal medications
  • Barbiturates
  • Certain medicines for high blood pressure
  • Nitrate medications
  • Blood pressure medications
  • Oral contraceptives
  • Medications for anxiety or mood disorders
  • Antiseizure medications
  • Antipsychotics
  • Other medications for erectile dysfunction

It is not possible to determine the exact cause of your side effects. However, you should know that some medications may increase your risk of side effects, so you should talk to your doctor if you have any concerns.

If you are pregnant or may become pregnant, talk to your doctor before using this medication. It is not known whether this medication will harm your unborn child or if it will harm your baby. Talk to your doctor about the benefits and risks of using this medication during pregnancy.

If you are breastfeeding, you should not use this medication while you are breastfeeding because the medicine could harm your baby. Talk to your doctor about the benefits and risks of breastfeeding while using this medication.

This medication may raise your blood pressure.Your doctor will be able to tell you which blood pressure treatment is right for you. Other medications may also affect your blood pressure.

This medication may cause dizziness, lightheadedness, or fainting when you get up too quickly from a lying position.

If you miss a dose, take it as soon as you remember.

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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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Cialis Soft 5 mg

The soft soft tablet 5 mg contains the active ingredient tadalafil. This drug is also used to treat pulmonary arterial hypertension. It is used to treat erectile dysfunction.

Cialis Soft 5 mg is used to treat erectile dysfunction. This drug helps improve sexual function and ability to perform intercourse.

It helps to treat erectile dysfunction by increasing blood flow to the penis and making it easier to get and maintain an erection. The active ingredient of the soft soft tablet 5 mg is tadalafil. This is also a drug for treating pulmonary arterial hypertension.

It helps to treat erectile dysfunction by improving blood flow to the penis and making it easier to get and maintain an erection.

The active ingredient in Cialis Soft 5 mg is tadalafil. This drug is a vasodilator. It works by relaxing the blood vessels in your penis, allowing blood to flow into your penis easily. This helps you achieve and maintain an erection. Cialis Soft 5 mg is also used to treat pulmonary arterial hypertension, or high blood pressure in the lungs.