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:
Cialis (tadalafil) can interact with other drugs and substances, potentially increasing their side effects. Here are the key drug-tolerance and drug interactions:
Cialis (tadalafil) can interact with certain substances, potentially increasing the risk of side effects. Here are the key drug interactions:
calcium supplements(e.g., calcium carbonate, fosfomycin): The combination of Cialis and calcium supplements can lead to a drop in blood pressure, leading to dizziness, lightheadedness, or fainting in sensitive individuals. It is not recommended to take Cialis with a specific calcium supplement.
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
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.
Medical undeclared side effects such as headache, dizziness, irritation or discharge, abdominal a pain, back pain, pain or swelling in the shoulders, arms, neck, and legs have been reported as side effects].
All medicines are presided at by medical medical medical medical medical experts.
If you want to cancel a medicine use (see – ED – cancel –gt) you’ll need to consult your doctor.
Cialis is not recommended for those who:
have a heart problem or is already using nitrates (medicines used to treat angina).
have a history of heart problems, stroke or stroke or unstable heart surgery It’s important to avoid Cialis since this medicine can cause a heart attack or stroke.
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Tadalafil belongs to the group of medicines called phosphodiesterase type 5 (PDE 5) inhibitors, primarily used to treat erectile dysfunction (impotence) and benign prostatic hyperplasia (BPH). Erectile dysfunction is the inability to keep a hard and erect penis suitable for sexual activity. Benign prostatic hyperplasia, also called prostate enlargement, is the non-cancerous growth of the prostate gland.
Tadalafil contains ‘Tadalafil’, which works by relaxing the blood vessels in the penis; this allows the blood to flow into the penis when the person is sexually excited. Thereby, it helps to treat erectile dysfunction. Tadalafil relaxes the bladder and prostate muscles, thereby reducing enlarged prostate symptoms such as difficulty in urination and urgent need to urinate.
You are advised to take Tadalafil for as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, you may experience certain common side effects, such as headache, back pain, muscle pain, pain in the legs and arms, nasal congestion, indigestion, and facial flushing. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.
Do not take Tadalafil if you are taking nitrates (used to treat angina), riociguat (used to treat pulmonary hypertension) or alpha-blockers; if you have heart problems or stroke, low blood pressure or uncontrolled high blood pressure. Tadalafil is not intended for use in women. Tadalafil may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Tadalafil should not be given to children as safety and effectiveness have not been established. Keep your doctor informed about your health condition and the medicines you are taking to avoid unpleasant side effects.
Before taking Tadalafil (Tadalafil)You are advised to avoid taking Tadalafil if you are taking nitrates (used to treat angina). riociguat and alpha-blockers slow the production of a drug that reduces blood pressure, thus leading to dizziness and fainting. Tadalafil is used to treat high blood pressure and certain types of depression. Alpha-blockers are used to treat high blood pressure for BPH prevention. Tadalafil is used to treat erectile dysfunction. In BPH, it is used to treat enlarged prostate symptoms such as difficulty in urination and urgent need to urinate.
In some cases, you may experience certain side effects, such as headache, back pain, muscle pain, backache, noise-acoustics of the penis, indigestion, and facial flushing.
The most common side effects of taking Tadalafil are: Flushing, muscle pain, indigestion, and back pain. In rare cases, dizziness is reported. Alpha-blockers are used to treat high blood pressure in patients with heart problems to lower blood pressure. In cases where high blood pressure is concerned, Tadalafil is used to treat depression.
The most common side effects of taking Tadalafil are dizziness, lightheadedness, fainting, headache, blurred vision, muscle pain, back pain or pain in the legs. In rare cases, allergic reactions have been reported. In these cases, discontinuation of Tadalafil should be considered.
If you experience any side effects sudden numbness or sensation of place or warmth in the arms, legs or stomach can occur. If this happens, get in touch with your doctor immediately.
Taking Tadalafil (Cialis)You are advised to take Tadalafil for as long as your doctor has prescribed it for you, depending on the prescribed condition. In some cases, you may experience flushing, indigestion, and muscle pain. In other cases, indigestion has been reported.
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.
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Warning: Do not take any nitrates while taking Cialis.
Important: If you have not been diagnosed with erectile dysfunction, low blood pressure, heart problems, or liver problems, inform your doctor before taking Cialis.
Do not take Cialis if you are currently taking nitrates such as isosorbide dinitrate or isosorbide mononitrate. This drug can cause a dangerous drop in blood pressure. In case of a sudden drop in blood pressure, avoid sexual activity until you know how the medication affects you.
Possible Side Effects:
These may be temporary. If you experience any severe or persistent side effects, such as chest pain, dizziness, fainting, rush or irregular heartbeat, notify your doctor immediately.
Possible Side Effectsennes:
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