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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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  1. Exemestane, Alli, Itraconazole, Rifampicin:chemist shops warn that these counteract the effects of medications that contain caffeine, thereby increasing the risk of side effects like headaches or dizziness.
  2. Antifungal Medications (Ex. Itraconazole, ketoconazole, voriconazole): These reduce the effectiveness of medications used to treat fungal infections, while it may worsen side effects like diarrhea. Avoid using Cialis with antifungal preparations.

C.

Similar to (1), Cialis (tadalafil) can interact with certain foods and beverages, potentially altering its effectiveness or increasing the risk of side effects. Here are the drug-food Interactions:

  1. : Both Tadalafil and grapefruit juice can enhance the levels of tadalafil in your blood by interfering with its metabolism.

Cialis

Cialis (tadalafil) tablets are a class of medications which were first approved by the FDA in 2003. Cialis is a phosphodiesterase type 5 (PDE5) inhibitor. This medication is used to treat erectile dysfunction (ED), benign prostatic hyperplasia (BPH), and pulmonary arterial hypertension. Cialis is also used to treat the symptoms of pulmonary arterial hypertension (PAH).

Cialis is available in the following dosage forms:

It is used to treat the symptoms of ED. It works by relaxing the vessels in the penis, allowing for increased blood flow. ED is the inability to achieve or maintain an erection that is strong enough for sexual intercourse. This makes it easier to maintain an erection as well as an easier way to get an erection. Cialis is also used to treat the symptoms of BPH. It helps treat the symptoms of PAH. This medication works by relaxing the muscles in the walls of the veins and arteries, allowing for increased blood flow. It may cause an irregular heartbeat or muscle pain. It may not work as well if you have an enlarged heart. It does, however help treat ED and BPH. The dosage of Cialis varies depending on your medical history and how you view things at the time of use. It is usually taken daily for up to 6 weeks.

Uses of Cialis

It is used to treat the symptoms of erectile dysfunction (ED). Erectile dysfunction is the inability to maintain a hard erection sufficient for sexual intercourse. BPH is a condition that affects the heart and lower respiratory tract, causing you to breathe in or out more easily than usual. It can also cause a decrease in your sense of well-being. It can be used to treat PAH. If you have any of the following symptoms, simply ignore them and continue taking the medication for the rest of your life: chest pain or tightness, heav of the heart- strain, headache, or nausea.

How does Cialis work?

Cialis works by relaxing the muscles in the walls of the veins and arteries in your leg, neck, and hip. The in your prostate allow for increased blood flow into your penis. Cialis in the body helps treat erectile dysfunction. It treats benign prostatic hyperplasia (BPH) by relaxing the muscles in the bladder and prostate.

Dosage

The dosage of Cialis varies depending on your medical condition and how you think it is going to be used. The following are the typical dosage forms:

If you are taking medication for your ED: Take Cialis with a glass of water. If you have PAH: Take Cialis daily, at least 30 minutes before having sex. It may take longer to see effects. Do not take Cialis more than once a day.

If you are taking medication to treat BPH: Take Cialis daily, at least 30 minutes before having sex.

If you are taking medication to treat PAH: Take Cialis daily, at least 30 minutes before having sex.

Cialis Side Effects

Like any medication, Cialis Side Effects may cause side effects which may be observed in some people. While most people who experience side effects have no problem taking them, some people may experience side effects and they may need to: Stop taking Cialis and ask a doctor immediately: Chest pain, heav of heart- strain, headache, nausea. This could be a sign of a serious side effect. Rare: An irregular heartbeat, muscle pain, or any swelling in your face or throat. Very rare: You may have an allergic reaction to the medication. Very rare: You may have a vision change. Other rare: You should stop taking the medication as soon as possible: An enlarged prostate, difficulty in urinating, or a very small amount of semen (benign prostate enlargement). Call your doctor immediately if you observe any of these effects. You should not take Cialis more than once a day. However, it can still be taken if you are not sure about any of these symptoms. If you stop taking Cialis, you could have a heart attack or stroke.

We understand that you may have a lot of questions about starting a new medication and whether it will work or help you feel better. You’re not alone; many patients feel the same way.

There are many different factors that influence how well you respond to a medication. Keep in mind that some medications work better for certain people than others, and that’s because each person is different—genetics, age, and gender, among other differences—all affect how someone responds to treatment. Other factors such as underlying health conditions, other medications, and dietary considerations can also play a role in how a medication works.

Remember, your response to Cialis may be different from someone else’s response At Brightside, we can help you find the right medication to help you feel better. Before starting any new medication like Cialis, chat online about your health, whether you’re a good candidate for a medication, and if it’s an appropriate fit for you. Before we get too full, check out our blog where we discuss potential side effects, available treatments, and more.

What is Cialis (Tadalafil)?

Cialis is a prescription medication that is used to treat erectile dysfunction (ED) and the common cold. It’s available as a generic drug, and when it’s available, it’s available as a brand-name drug.

How does Cialis work?

Cialis works by increasing blood flow to the penis so you can get and keep an erection. It's important to take this medication with sexual activity because it can improve your energy, confidence, and libido. Cialis will only help you achieve an erection if you’ve had an erection for a long enough duration of time. If you’ve had an erection for a long time, you may feel drowsy or dizzy. To help get an accurate reading, you should apply a small amount of sexual stimulation to the erection area of the penis before taking the medication. This helps to get an idea of how this medication can improve your ability to get an erection and how you should avoid sexual activity if you have one.

If you’re a good candidate for Cialis, take it about an hour before sexual activity. Make sure to not take it more than once per day. Cialis will only help you get an erection if you have had an erection for a long enough time to do so. Do not take Cialis more than once a day.

What precautions must be taken while taking Cialis?

Cialis is available as a generic medication and as a brand-name drug. A doctor will likely recommend whether you should avoid sexual activity or start a medication that works better for you. Some medical conditions may affect how you should use Cialis. Your health should let you know what’s best for you before you start taking Cialis or any new medication.

Before you take Cialis

To get a full list of precautions, look for several pieces of information that you should keep in your consultation statement. If you think any of these actions are required, your doctor will discuss alternative treatment options. For example, some people with ED need a little more than that to get an erection. Some conditions affect your blood pressure. If you find that you may need a lower dose, you should let us know and we can arrange a free online consultation. You should also let us know how you should use the product, whether you should keep the medication, and, if you should take the medication for a few days after your next sexual activity.

Cialis and sexual activity

You should not take Cialis or any form of ED medication if you:

  • Have kidney and liver problems
  • Have had an ED diagnosis in the past
  • Have blood vessel problems
  • Are allergic to tadalafil or any ingredients of the medication
  • Take nitrates
  • Take certain medications with nitrates

If you take ED medication you should take it exactly as possible. Depending on how you feel, you should continue taking it exactly as prescribed. You should also take it exactly as prescribed, even if you do not feel better after using it. If you forget to take a dose, take it as soon as you remember. But if it is almost time for your next dose, take the missed dose as soon as you remember.

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.

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  • Tadalafil lasts up to 36 hours
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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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