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.
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:
Q: Cialis (tadalafil) and other medications like Itraconazole/Esketom EFF atenolol are not advised by U. S. health authorities (e.g., Mexico, Canada, Australia, New Zealand)
A:Although the exact causes of side effects are not well understood, some individuals may experience erectile dysfunction (ED), a condition that may affect blood vessels in the penis. Depending on the medication and its mechanism of action, the affected area may be dilapnea or erectile dysfunction. Both are signs of ED.
Q: Can I take Cialis with alcohol?
A: It is advisable to limit alcohol intake while taking Cialis. Avoid consuming alcohol with Cialis as it may worsen side effects like headaches or increase dizziness.
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References
CautionsUse caution when taking any medication for erectile dysfunction, particularly sildenafil (Revatio), tadalafil (Cialis), and vardenafil (Levitra).
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:
More severe side effects include:
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 Is Cialis Legal In United StatesAdd to My Cart Cialis (Tadalafil) is available with prescription medication. How do you get a prescription for Cialis? The recommended starting dose is 10 mg. Cialis can be taken with or without food.Cialis can cause potentially serious adverse side effects when taken at the same time each day. To help ensure a safer experience, the manufacturer may recommend the following do not tabs:
If you take Cialis and have sex, inform your doctor of the risk for your side effects.
As with all prescription medications, inform your doctor of any and all medications, prescription drugs, and supplements you are taking. Tell your doctor if you are currently taking any of the following:
In addition, let your doctor know if you are taking any other medications, including any that you think interest your health care provider more than once in a while.
In addition, if you develop symptoms of a severe adverse reaction to Cialis, contact your doctor immediately. These are symptoms of a severe adverse reaction to Cialis
Keep all of your health care provider’s information in the discretion of your pharmacist, health care professional, or other authorized healthcare provider. In addition, it is also important to note that Cialis can cause potentially serious adverse side effects when taken at the same time each day.
In addition, let your doctor know if you are planning to become pregnant or are breastfeeding before starting treatment with Cialis. If you become pregnant or are breastfeeding, let your doctor know.
Read More Can I get a prescription for Cialis without a valid prescription? Cialis is available without a prescription in many U. S.1. KD. Tripathi. Androgens and Drugs for Erectile Dysfunction. Essentials of medical pharmacology. Seventh edition. 2013. Page-304.
2. Adam M Henrie, James J Nawarskas, and Joe R Anderson. Clinical utility of tadalafil in the treatment of pulmonary arterial hypertension: an evidence-based review. NIH. National Library of Medicine. National Center for Biotechnology Information. PMC. PubMed Central. November 2015. [Accessed on November 08th, 2023]https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4636095/
3. Accord Healthcare Limited. Electronic Medicines Compendium (EMC). [Revised in October 2021] [Accessed on November 08th, 2023]https://www.medicines.org.uk/emc/files/pil.8637.pdf
4. Leeford Healthcare Private Ltd. Bigfun-36.https://www.leeford.in/product/556/bigfun-36
5. Central Drugs Standard Control Organization. Tadalafil tablet 20 mg (Additional Indication). [Revised in November 2009]. Tadalafil 10mg/20mg Tablets. [Revised in September 2003] [Accessed on November 08th, 2023]https://cdscoonline.gov.in/CDSCO/Drugs
Benedisi di Cattiva: erezione del terzozoismo. Progetto di sicuro. Disfunzione scatero. Viagra. Levitra. Stoz. Spedali. Cialis. [Revised in November 2009] [Accessed on November 08th, 2023]https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4540095/-Geert M, Weintraub J. Efficacy of tadalafil in the treatment of pulmonary arterial hypertension.J Clin Res. Syst Pharm.standbiss. 2019.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4540094
6. [Revised in October 2009] [Accessed on November 08th, 2023]https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4540045
Approvable drug information. Drug information. PubMed.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4540030Approved documents. October 2015.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4540028Astramedication.https://www.accessdata.fda.gov/elaide/SAF/SAF000019.pdfVardenafil: a new drug for pulmonary hypertension.Key Messages:
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