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Whether you can take Tadalafil at the same time as your other medications will depend on which medications you are taking.

You are required to complete a short medical consultation questionnaire that asks for any medications that you are prescribed from your GP and will indicate the medications that can’t be taken alongside Tadalafil.

There are several medicines which should not be taken concurrently with Tadalafil. Medicines which can have potentially serious interactions with Tadalafil include :-

• Any alpha-blocker medicines e.g. doxazosin (Cardura), alfuzosin (Xatral), tamsulosin, terazosin, or Flomax, that you can buy in the pharmacy. (These medicines may be used to treat prostate problems or high blood pressure).

• Isosorbide mononitrate, isosorbide dinitrate, or use a GTN spray or tablets

for chest pain or use Rectogesic ointment?

• Nicorandil (Ikorel), used to treat angina

• Cimetidine, used to treat stomach or duodenal (peptic) ulcers

• Theophylline, used to treat asthma

• Antibiotics:- Clarithromycin, Erythromycin and Telithromycin

• Anti-fungals such as itraconazole and ketoconazole

• Seizure medication:- carbamazepine, oxcarbazepine, phenobarbital, phenytoin and primidone

• Heart or blood pressure medication:- disopyramide, amiodarone, quinidine and procainamide

• Anti-viral medication:- telaprevir, atazanavir, retonavir, indinavir, saquinavir and cobicistat

• Recreational drugs:- amyl nitrate (poppers)

If you are taking any prescribed medication from your GP then you can simply write those in the “Is there any other medical information that you think our doctor should know?” section on the medical questionnaire. Then, our doctor will know whether the Tadalafil is safe for you to take.

Read available consultation questionnaire information online for “Tadalafil May Be Associated with Alopecia areata.”

Do you have questions about Tadalafil and Tadalafil + alpha-blocker + cardiovascular medicine and you are will be presented with a medical consultation questionnaire that asks for any information that has been published about these drugs, or that has been published since the time they were taken. You can contact our doctor immediately if you experience any of the following symptoms:

• Severe or persistent dizziness

• Markers of elevated blood pressure (either within the last six months or every six months) including high blood pressure with peripheral edema

• Signs or symptoms of heart problems such as a rapid’ or unusually fast heart rate or palpitations

• Rapid, irregular heartbeat

• Severe, persistent dizziness

• Marked, raised or irregular heartbeat

• Marked, irregular, rapid, irregular heartbeat

• Signs or symptoms of heart problems such as rapid, irregular, or rapid increase in heartbeats

Has the Tadalafil been prescribed for other reasons?

No, Tadalafil should be used only if you are taking it for another reason than where you are taking Tadalafil for benign prostatic hyperplasia?

Is the Tadalafil available over the counter?

Tadalafil is available as over the counter medicine on prescription as “Tadalafil for BPH”. On line medication as “Cialis for BPH”.

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 More Degeneration Changes Changes Inher­try Changes Inher­try Effects Effect On Erectile FunctionShow More Warnings Precautions Dosage Interactions Keep Out of Reach Of ChildrenShow More This Old Pfizer Drug Cialis is Not for You

Consider this medication if you currently take nitrates or do not have a medical condition that could cause an adverse reaction.

Show More Warnings For Use Dosage Rx Interactions This medication can interact with nitrates and may cause a sudden drop in blood pressure.

As with all prescription medications, inform your doctor of any and all medications, prescription drugs, and supplements you are taking.

As with all prescription medications, inform your doctor of any medical condition that could cause an adverse reaction.

As with all prescription medications, inform your doctor of any medical condition that Cialis is taken in, especially if you:

  • Have heart problems
  • Have liver or kidney problems
  • Struggle with a high blood pressure medication
  • Stomach problems
  • Stomach ulcers
  • Polycystic ovary syndrome
  • Stool abnormalities
  • Pregnancy

This is not a complete list of possible adverse reactions. If you have any questions about your health, consult your doctor or pharmacist.

You should not use Cialis if you are pregnant or plan to become pregnant. Cialis can affect pregnant women and can cause complications in both mother and baby.

Show More Warnings Dosage Rx Interactions Keep Out of Reach Of Older Women This Old Pfizer Drug This medication can affect older women. This drug can cause serious problems in their relationships and may affect her ability to have children.

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.
EUrost 2.5.1.2021

To reduce the risk of side effects, use at the lowest effective doses and for the shortest duration necessary. Use with confidence.

synergize with cialis and alcohol

What is Cialis?

Cialis is a prescription drug that's used to:

  • K antidepressents bt tadalafil ( phosphodiesterase type 5 ) inhibitors
  • Nitric Oxide (Nitro-Nitroimidazole) tablets (5mg and 10mg)
  • Stimulant medication

It is prescribed to adults and children 12 years and over who are experiencing erectile dysfunction. If stable enough distance, Cialis may be used for additional treatments.

Cialis is also used to lower blood pressure in order to prevent sudden drops in blood pressure can cause heart attack or stroke. It may also have effects on lowering blood pressure using high blood pressure-lowering medications, such as nitrates or alpha-blockers.

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.
Rican health

Cautions

When taking Cialis with grapefruit or grapefruit juice (examples, including Black, off-white, and off-label uses, are beyond the banned by the FDA), it is important to avoid excessive alcohol consumption, as well as certain other medications.Large amounts of grapefruit or grapefruit juice can increase the levels of tadalafil in your blood, increasing the risk of side effects.

Contraindications and Interactions

Consult your doctor before taking Cialis if:

  • You have any of the following conditions:If Cialis is taken with nitrates or nitric oxide donors (e.g., amyl nitrite, butyl nitrate, or nitroglycerin), it is contraindicated to use it.

  • If you take alpha-blockers used to manage HIV infection, Cialis should be used only when required.