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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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Note: bolstineransferant interactions can be serious. Always consult your healthcare provider before starting or stopping any new medication, and report any non-medical problems you experience with the medications you're taking to your doctor.__Other drug-food interactions:

+)Other Drug-Drug Interactions:

  • : Grapefruit can increase the levels of tadalafil by inhibiting intestinal cyclic guanosine monophosphate (cGMP) protein synthesis. This increase in synthesis may amplify side effects like dizziness or drowsiness.
  • : Though not a direct interaction, combining Cialis with this alcohol consumption may worsening side effects like headache or dizziness in sensitive individuals.
  • : While consuming large quantities of high-fat foods, excessive consumption may worsen side effects like dizziness or fainting.

Cialis (Tadalafil) is a popular medication used to treat erectile dysfunction. It works by increasing blood flow to the penis, helping men achieve and sustain an erection. It is available in various strengths and dosage forms, including 5mg, 10mg, and 20mg.

Cialis is a type of prescription medication that is used to treat erectile dysfunction in men. It works by relaxing the muscles in the blood vessels in the penis, allowing for increased blood flow and causing an erection. It is available in several forms, including tablets, as well as oral solutions. It is important to note that Cialis is not a substitute for a proper medical consultation with a doctor, and it may not be suitable for you if you have underlying medical conditions or are taking other medications.

Cialis is an oral medication that contains the active ingredient Tadalafil. It is a type of medication that is used to treat erectile dysfunction. It is available in various strengths and dosages, including 5mg, 10mg, and 20mg.

How to use Cialis

Cialis is a prescription medication that is prescribed to treat erectile dysfunction.

Cialis is a type of medication that contains the active ingredient Tadalafil. It is a medication that is used to treat erectile dysfunction.

To determine the appropriate dosage of Cialis, it is recommended to take it about 1 hour before sexual activity. It is important to note that Cialis can be taken with or without food, but it can be taken with or without food. It is also recommended to take it about 30 minutes before sexual activity to reduce the risk of side effects. It is important to complete the full course of treatment, even if symptoms improve, to ensure that Cialis is effective and safe.

How long does Cialis last?

Cialis is a medication that is usually taken for about 4 to 6 hours. It is important to note that it can be taken as directed, and it is important to follow the instructions provided by your healthcare provider. It is typically taken on an as-needed basis, usually 30 minutes to an hour before sexual activity.

It is recommended to take it about 1 hour before sexual activity and it is important to complete the full course of treatment, even if symptoms improve, to ensure that the medication is effective and safe.

It is also important to note that Cialis can be taken with or without food, but it can be taken with or without food. It is recommended to take it about 30 minutes before sexual activity to reduce the risk of side effects.

Nicknamed “The Weekender Pill”,Tadalafil is the generic version of Cialis™. It lasts up to 36 hours and the reason some prefer Tadalafil over Sildenafil, which typically last up to 8 hours. Please select your preferred dosage and number of pills.

  • Available in 5 mg, 10 mg, and 20 mg
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* We can ship up to 30 pills at a time. For example, if you order 120 pills, you will get four shipments of 30 pills.

Health Questionnaire Required:

For your first order with us, after placing an order, you will be prompted to upload your ID and submit our health questionnaire, soour physician canreview your basic health information,in order to mail prescription medications. You will not need to do this for refill orders.

Disclaimer:This is not medical advice. You and our physician will determine if (and potentially how) you should take Tadalafil. Please consult with your physician if you have any further questions.For more information on Tadalafil,.

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Health Information:

FDA has not studied the safety of Tadalafil for ED and has not received any reports of adverse reactions. This drug may interact with nitrates, riociguat, and other medications used to treat high blood pressure. Additionally, nitrates can affect the results of certain tests, such as certain blood pressure medications. Blood pressure medication should be avoided if you are taking furosemide, a medication used to treat high blood pressure. Talk with your health care provider about your medical history.atonin regulates blood pressure and can have effects on your heart and liver. Tadalafil should not be taken with medications that itchy or sensitive skin, including face, lips, or throat. Tadalafil can also cause some side effects, including headache, diarrhea, indigestion, back pain, and muscle aches.

Erectile Dysfunction

Erection problems (impotence) are very common, particularly in men over 40.

Most men occasionally fail to get or keep an erection. This is usually due to stress, tiredness, anxiety or drinking too much alcohol, and it’s nothing to worry about.

If it happens more often, it may be caused by physical or emotional problems.

Physical causes Possible cause Treatment Narrowing of penis blood vessels, high blood pressure, high cholesterol medicine to lower blood pressure, statins to lower cholesterol Hormone problems hormone replacement – for example, testosterone Side effects of prescribed medication change to medicine following discussion with GP You may also be asked to make lifestyle changes.

Do lose weight if you’re overweight stop smoking eat a healthy diet exercise daily try to reduce stress and anxiety

Don’t cycle for a while (if you cycle more than 3 hours a week) drink more than 14 units of alcohol a week

  • Side Effects

    Possible side effects

    Like all medicines, this medicine can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature.

    If you experience any of the following side effects stop using the medicine and seek medical help immediately:

    allergic reactions including rashes (frequency uncommon). chest pain – do not use nitrates but seek immediate medical assistance (frequency uncommon). priapism, a prolonged and possibly painful erection after taking CIALIS (frequency rare). If you have such an erection, which lasts continuously for more than 4 hours you should contact a doctor immediately. sudden loss of vision (frequency rare). Other side effects have been reported:

    Common (seen in 1 to 10 in every 100 patients)

    headache, back pain, muscle aches, pain in arms and legs, facial flushing, nasal congestion, and indigestion. Uncommon (seen in 1 to 10 in every 1,000 patients)

    dizziness, stomach ache, feeling sick, being sick (vomiting), reflux, blurred vision, eye pain, difficulty in breathing, presence of blood in urine, prolonged erection, pounding heartbeat sensation, a fast heart rate, high blood pressure, low blood pressure, nose bleeds, ringing in the ears, swelling of the hands, feet or ankles and feeling tired. Rare (seen in 1 to 10 in every 10,000 patients)

    fainting, seizures and passing memory loss, swelling of the eyelids, red eyes, sudden decrease or loss of hearing, hives (itchy red welts on the surface of the skin), penile bleeding, presence of blood in semen and increased sweating. Heart attack and stroke have also been reported rarely in men taking CIALIS. Most of these men had known heart problems before taking this medicine.

    Partial, temporary, or permanent decrease or loss of vision in one or both eyes has been rarely reported.

  • taking medicines for high blood pressure, calcium channel blockers (orticisib, cilostamide, cilacipril, fosamprenavir, glibenclamide, verapamil, riociguat, nesrine, fosinopril, itraconazole etc.)

    Stop taking CIALIS and seek immediate medical assistance (frequency rare)

    exacerbation of high blood pressure, liver problems, kidney problems, heart attack and stroke, taking antibiotics, taking CIALIS (frequency rare)

    Stop taking CIALIS and seek immediate medical help (frequency rare)

    medicines to lower blood pressure, cholesterol control, and blood clots Cialis is used to treat erectile dysfunction (a sexual condition associated with impotence). Cialis can also be used to treat high blood pressure. This medicine is not approved by the FDA.

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  • Ingredients

    The active ingredient is CIALIS.

    The other ingredients

    have not been evaluated by theiclesches for their efficacy in treating erectile dysfunction.

    The clinical trials used to support the formula are not comprehensive

    It is used for maximum efficacy only; not for all erectile dysfunction treatments.

    Because the formula works differently when used in conjunction with another medicine it is not recommended to combine this medicine.