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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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C. Drug-Food Interactions

Avoiding these before using Cialis can help minimize drug interactions.

D. Vaccines

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Cialis is used to treat erectile dysfunction (ED) in men. It works by increasing blood flow to the penis, helping to achieve and maintain an erection. Cialis is a brand name for tadalafil, which is used to treat erectile dysfunction (ED) in men. Generic Cialis is manufactured by Eli Lilly and is available in around 25 dosage strengths. Generic Cialis is taken orally and should be swallowed whole with water. It is available in the quantity of 30 and 60 tablets. It is important to follow the doctor's instructions and not to take more or longer than prescribed. Cialis should be taken regularly to maintain its efficacy. It is also important to note that Cialis may take up to 4 to 6 hours to start working. This may vary depending on the individual and the severity of the ED. Cialis should not be taken more often than every 4 to 6 hours and should be taken only when needed. It is also important to note that Cialis may take up to 6 hours to get the maximum effect. Cialis should not be used in men with frequent erections. It should be used only as directed by a doctor. Cialis should not be used to treat erectile dysfunction in women, or in men with other risk factors such as high blood pressure, high cholesterol, or diabetes. Cialis is not approved for use in women, or in men with a history of breast cancer, or if you are pregnant or planning to become pregnant. It should not be used by men without a medical history of erectile dysfunction, or if you have a strong family history of erectile dysfunction. Cialis should be taken only when needed, as it may cause side effects. It is also not recommended for use by children. Tell your doctor if you have any history of heart disease, liver, kidney, or lung problems. Cialis may also cause low blood pressure in some cases. If you experience sudden vision loss or sudden hearing loss, or any unusual symptoms while taking Cialis, call your doctor immediately. Cialis may also increase the risk of certain serious eye conditions, such as retinitis pigmentosa. Tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. Cialis may cause side effects such as headache, back pain, muscle aches, and flushing. If you have any of these symptoms, tell your doctor right away. If you notice any unusual symptoms, such as dizziness, fast or irregular heartbeat, or chest pain, get in contact with a medical professional right away. Cialis may also cause side effects such as symptoms of an enlarged prostate, headache, and nausea. Tell your doctor right away if you have any thoughts of suicide or harming oneself. Cialis should not be used by women or children. It may also increase the risk of developing certain serious side effects, such as symptoms of an allergic reaction, such as shortness of breath, tightness, and wheeziness. Cialis may also cause side effects such as headache, feeling sick (nausea), sweating, confusion, numbness or tingling in the affected areas of the body, muscle aches, and rash. Get emergency medical attention if you have any of the following conditions: eye disease or other changes in vision, such as partial or total loss of rods urine (including near-total-loss of urine), sudden vision loss, or changes in color vision such as increased risk of blurred vision. Cialis may also cause side effects such as headache, feeling sick (urticaria), memory loss, nausea, diarrhea, vomiting, loss of appetite, loss of coordination, numbness or tingling in hands, arms, feet, or legs, blurred vision, muscle pain, vision changes, swelling, or tenderness. Cialis may also increase the risk of developing stomach ulcers or bleeding while taking Cialis. Tell your doctor if you are at risk of getting stomach problems, such as those involving the stomach or intestine. Cialis may also cause low blood pressure and fainting. Call your doctor at once if you have any unexplained low blood pressure and/or blood, swelling, or tenderness while taking Cialis. Cialis may also cause side effects such as symptoms of an allergic reaction, such as difficulty breathing, swelling of the face, lips, tongue, or throat. Tell your doctor if you are taking any other medications, including other brand names, generic medications, or over-the-counter medications that also contain tadalafil. Tell your doctor if you have allergies to any other medicines, foods, or substances.

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 "Tadalafil generic" list regularly for complete information about this medication. If you have any questions or concerns about this medication, discuss them with your healthcare provider or use our COVID-19+free online consultation service. You may also contact our customer service at 877- PRODUCT-INDUST SCHluthed Federal�/DHL/DE/ibia@HCP. CA (ph) or by mail, phone, or fax. Our customer support hotline is 877-678-5986.Read the "Generic Cialis generic" list regularly for complete information about this medication. If you have any questions or concerns about this medication, or if your doctor or pharmacist has any, please contact the U. S. pharmacy, 877-ripta.us. If you are using generic Cialis for erectile dysfunction, tell your doctor before taking this medication. Tadalafil generic is available by prescription only.

Tadalafil may affect how well it works for you. You should familiarize yourself with the signs of a serious side effect if you have:

  • Stomach pain, especially severe or worsening, which requires you to use a daily symptom-tracking measure or medical questionnaire.
  • Chest pain, especially if you have any heart problems or if you have had a heart attack or stroke, especially if you have significantly higher blood pressure in your right or left eyes than you need.
  • fainting or dizziness.
  • vision changes.
  • vision changes or sudden hearing loss.

If you experience any of the following symptoms, or they are not related to Tadalafil, stop taking this medication and contact your doctor immediately:

  • severe dizziness, fainting or unusual tiredness or weakness
  • fainting or unusual problems with concentration
  • vision changes or sudden hearing loss
  • sudden skin sores or rash that make it impossible to pass gas or vomit
  • difficulty breathing or swallowing
  • difficulty breathing or speech
  • nausea or vomiting

If you experience any of the above, rooted in your diagnosis of erectile dysfunction, stop taking tadalafil and contact your doctor immediately.

This medication can affect your vision because it increases the diameter of your blood vessels and increase blood flow to your brain, which may cause blurry vision, flushing, headache, or dizziness. Talk to your doctor about using a symptom-tracking measure or your medical questionnaire if you have questions about the ways in which this medication can affect your vision.

This medication may increase your blood pressure, which may lead to dizziness or fainting.

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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