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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.
Added/Advanced>: Both Cialis and nitrates lower blood pressure, leading to a significant and potentially life-threatening drop in blood pressure (hypotension), which can cause orthostasis (the rapid breathing of blood through the skin). Nitrates used to treat angina, high blood pressure, and heart failure are often prescribed because they can significantly impact blood pressure! Avoid nitrates and alpha-blockers when taking Cialis, as it may increase the risk of stomach side effects.
  • Rasimupril, tamsulosin, or other, like Linezolid, EtaboSorb, Disal, Dispers, I. V. Angiotens in are part of the vasodilator protein system. Theyatility, which can cause symptoms like chest pain or shortness of breath, increased blood pressure, and symptoms like chest pain, headache, and nausea can also occur with.
  • It is important for you to consult with your doctor before starting Cialis and your drug interactions.

    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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    Possible Side Effects:

    • Painful erections
    • Sudden pain in the eyes
    • Sudden vision loss

    aysonfrozy,

    • Stomach pain
    • Sudden numbness or tingling, burning, or tingling
    • Swelling

    If you experience any changes in your vision,land on the side for help.

    As with all prescription medications, inform your doctor of any and all medications, prescription drugs, and supplements you are taking before starting Cialis. As a result, you should tell your health care provider if you are taking any of the following medications and supplements:

    • Lithium
    • Riociguat
    • Other medications for erectile dysfunction
    • Other medications for pulmonary hypertension

    Tell them if you should experience these effects.

    In addition, let your doctor know if you are pregnant or plan to become pregnant. If you become pregnant, notify your doctor before taking Cialis.

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      As with all prescription medications, notify your doctor of any medical conditions you currently manage.

      A few weeks ago, I was asked to make an appointment to speak to my doctor about my health. I was told I need to be seen to be seen for a prescription of Cialis in Alberta, Canada, a prescription I’d never heard of before.

      After some thought, I was told I had to take a prescription for it in Canada. It seemed a logical step to take. My doctor had prescribed it to me in Alberta, a province with a population of only about 5,000.

      What I was told was that if I didn’t have a prescription, they would write it off. I thought, well, I don’t need it anymore. I’m here to stay, and I want to be seen for a proper prescription.

      I asked if they would give me a referral to another doctor. I was told my doctor would give me a referral to another doctor. I thought, “no, I won’t do that. I won’t even do that.”

      So, I asked about the process. They said, “We can get a referral through your local hospital or the health system.”

      I got a response. I said, “Yes, I can do that.” It’s a bit of a surprise.

      I said, “Well, that’s a very important part of the process, but I don’t want to waste time in hospitals and the pharmacy and the doctors and the hospitals.”

      I then said to my doctor, “OK, that’s a good point. You’re welcome.”

      They said, “What do you mean, I’m not interested?” I said, “I’m not interested.” They said, “Yes, I can do that.”

      And I was taken off the street. I was told I wasn’t allowed to go to the hospital for an appointment. I was told I had to go to the hospital for the first time.

      I was sent to the nearest hospital, an ambulance, and told I could go to my local hospital, the closest hospital. I was told, “You have a prescription for Cialis, and you have to get a referral.”

      The next morning, I was told to go to the hospital to see my doctor.

      I asked the doctor if he would give me the referral, and he said no.

      I asked him if he could get me a referral to see a private doctor. I was told they would be able to do so. The doctor said, “Yes, that’s your doctor’s recommendation.”

      I was told I could go to the private doctor. I was told I had to have a private visit. They said, “No, you can’t get a private visit. You have to go to the private doctor and get a private visit.”

      I was told I needed to have a private visit for two days. The private doctor told me to go home. I didn’t have to go to the private doctor’s office.

      I was told I needed to go back to the hospital to get a private visit. I was told I had to go back to the private doctor’s office.

      I asked if they would write me a referral to see a private doctor. They said no.

      I asked if they would do that.

      I thought, “That’s a good point. I’m not interested.”

      I was told I had to get my prescription for Cialis in Alberta, Canada, a prescription I’d never heard of before. And I was told I had to have a private visit for two days.

      I was told I needed to go back to the private doctor’s office. I was told I had to go home. I wasn’t going back to the private doctor’s office, and I wasn’t going back to the private doctor’s office.

      The next morning, I was told to go to my local hospital.

      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.

      Show Moreuspakedis may cause low blood pressure. DizzinessDizziness

      In addition, let your doctor know if you use or plan to use nitrates during treatment with Cialis. This side effect occurs in just 5% of adult patients.

      Warnings: You should not use Cialis if you are pregnant or breastfeeding. Cialis can also interact with nitrates such as isosorbide dinitrate (Isordil), isosorbide mononitrate (Monoket), and nitroglycerin (Minitran, Nitro-Durb, and Nitro-Bid). If you are a recently had a heart attack, see your health care provider before using Cialis.Share Share login addonsby

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