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:
If you have any questions or concerns about taking Cialis, you should always consult your doctor or pharmacist before taking it.
Cialis (tadalafil) can interact with certain foods and beverages, including those containing grapefruit and grapefruit juice. Taking Cialis with grapefruit and grapefruit juice may increase the risk of side effects, such as increased headaches or dizziness.
If you miss a dose, take the missed dose as soon as you remember it. But if you do not have a missed dose and it's almost time for your dose, you can use your regular dosing schedule. Never take a double dose to make up for a missed one.
Doses and schedules ( dosultrawide ) for Cialis and tadalafil are available. Try searching at the top for "Cialis" or search for "tadalafil" or use the keywords "Cialis" and "tadalafil" together with the dosing schedule.
Cialis was the first ED medication approved by the U. S. Food and Drug Administration (FDA) for the treatment of erectile dysfunction, the first time a medication was shown to be effective.
It was designed to be taken one hour before sexual activity. The pill is not approved for use on more than one occasion, so it is recommended not to take it more than once a day. When taking Cialis, it is recommended to take it at a time of day that is less than one hour before sexual activity.
“Our studies showed that it was effective in treating erectile dysfunction,” says Dr. Charles P. Schmerle, a urology specialist at Georgetown University School of Medicine in Washington, D. C.
“However, we were unable to see that Cialis was as effective as Viagra,” he continues. “Because of the time consuming nature of the pill, we decided to use Cialis and not Viagra, which is a more traditional and effective treatment for erectile dysfunction.
“Our study found that it was as effective as Viagra, and Cialis was more effective than Viagra in treating erectile dysfunction,” he adds.
The FDA approved Viagra in 2003 for use only with a prescription. The drug is currently the most commonly used erectile dysfunction treatment in the U. S., according to a recent study.
Viagra is available only with a valid prescription from a licensed healthcare provider. Cialis is not an FDA approved treatment for erectile dysfunction.
“We’ve seen a decrease in the incidence of sexual dysfunction as a result of the introduction of the pill,” says Dr. Charles Schmerle, a urology specialist at Georgetown University School of Medicine in Washington, D.
The FDA has not approved Cialis for use in children, and the drug has not been approved by the agency for use in adults.
Cialis is effective in treating erectile dysfunction, but its effects may be more pronounced in the presence of certain other conditions. Some other medications may also interact with Cialis, including medications for high blood pressure, HIV, and alcohol use disorder.
If you are taking any of these medications, you should let your doctor know.
If you have taken any of the following medications before, and you have concerns about how your medications may affect your health:
If you are not sure if you are taking any of these medications, you can consult with your doctor or pharmacist.
They will ask about your medical history and ask about any potential drug interactions that may affect how you are taking Cialis.
Cialis may also affect how well it works for you.
In addition, Cialis is not approved for use in children, and the drug has not been approved for use in adults.
“Our study was designed to evaluate the safety and effectiveness of Cialis for the treatment of erectile dysfunction,” says Schmerle. “It was designed to look at the safety of the medication and the effectiveness of treatment.”
“We used this information in order to make decisions that were based on the findings of our studies. If you’re considering trying Cialis for erectile dysfunction, talk with your doctor about whether or not it is appropriate for you,” adds Dr. Schmerle.
“As men get older, it becomes harder and harder to function, and it can affect how well you respond to medication,” he continues. “Because of the time consuming nature of the pill, we decided to use Cialis and not Viagra, which is a more traditional and effective treatment for erectile dysfunction.”
VIDEOIf you are taking any of the following medications, you should let your doctor know.
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.
For a full list of common side effects, refer to the patient information leaflet or go to www.urology.co.uk or call
hair logMost men have a normal erection during sexual stimulation.
Most men have an average one hour of sexual stimulation in duration of 36 hours.
Most men have an average erection during these times.
Most men have an average time to ejaculate (an erection lasting more than four hours) or four to seven times per day.
Most men have an average time to complete a full four to six hours of sexual stimulation.
Most men have an average four to five-fold reduction in the volume of their ejaculate (an erection lasting up to five times their normal level) over their past 12 hours after they have taken CIALIS.
Most men have an average ejaculate volume over four to five hours.
Most men have an average time for which CIALIS can cause serious side effects.
Note:CIALIS should not be used by men who suffer from pulmonary arterial hypertension (PAH) or have high blood pressure. CIALIS is not recommended for use in men with sickle, multiple myeloma and other conditions in which you have no evidence.
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.
Show More (Read More)Tell them about any and all medications, prescription drugs, and supplements you are taking before starting Cialis.
Add this Medication to Your Checking BoxIn addition,atoninorearryrychybumylate should not be used by women who are allergic to it. It can cause undesirable effects, such as dizziness, headaches, and flushing.
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