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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.

If you are taking Cialis or other medications to treat erectile dysfunction, it is important for your doctor to understand the interactions with your meal. Your doctor may then recommend a lower dose for Cialis.

C.

Cialis (tadalafil) can interact with certain foods and beverages, so you should avoid consuming grapefruit or grapefruit juice while taking Cialis. Foods that high in Tadalafil may increase the effectiveness of Cialis' medications. If you take an inhibitors medication, consulting your doctor about whether to restart Cialis is recommended.

Dosage and direction:

Nitrates (e.g., amyl nitrate, isosorbide dinitrate): A powerful blood pressure-lowering medication used to treat high blood pressure and angina. This may reduce the risk of vision loss due to non-arteritic anterior ischemic optic neuropathy (NAION), leading to dizziness, fainting, or even stroke.

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.

Read more about Cialis's possible adverse reactions and about ED atLearn More about Cialis's possible adverse reactions and about ED atLearn more about Cialis's possible adverse reactions and about ED at

As with any medication, Cialis can cause serious side effects. Check with your health care provider if you have any adverse reactions to Cialis, including:

  • Pain
  • flushing
  • muscle pain
  • back pain
  • headache
  • nausea
  • dizziness

As with all prescription medications, inform your doctor if you use ED drugs together, or with other drugs you’re taking.

Taking other medications that can interact with Cialis may also have interactions with Cialis. For example, if you take nitrates used for heart failure or nitroglycerin for high blood pressure, then nitrates can interact with Cialis. As with all prescription medications, be sure to tell your doctor if you are taking any of the following:

  • Aminopwashant
  • Benidoxil
  • Ritonavir
  • sotalol

You may need to take different medications or supplements at once for a few days to a week. You should not take more than one dose of Cialis each day.

You should not take more than one dose of Cialis each day unless special instructions specify it.

If you take Cialis more than once, some side effects may occur. For example, this side effect is more likely to occur when Cialis is taken with a potent anticoagulant.

Cialis contains the active ingredient tadalafil. Cialis is used to treat erectile dysfunction (ED), which is the persistent or inability to achieve a penile erection sufficient for satisfactory sexual performance. Cialis may also be used for purposes not listed in this medication guide.

Cialis is also used to treat symptoms of an enlarged prostate (benign prostatic hyperplasia - ), with or without alpha-blocker treatment.

Cialis is only used if your doctor has already approved it:

  • if you are taking a medicine called doxazosin ( also used to treat organ transplants);
  • if you are over 55 years of age; or
  • toothoms of children and the advice of a doctor or pharmacist including avoidable vomiting; or
  • to children under 55 years, who take other medicines that can cause an enlarged prostate; or
  • to children under 18 years.

Patients taking tadalafil should have a doctor's advice.

Cialis has a different action: it can treat prostate cancer, prevent prostate growth in patients with prostate cancer who take nitrates (such as GTN).

Cialis should not be used in patients with heart problems or patients taking other blood pressure medications. These combination medicines can cause a drop in blood pressure when used with tadalafil, which can lead to dizziness or fainting.

Avoid taking Cialis with:

  • pressure medicines (such as nitric oxide donors, such as amyl nitrite; non-prescription medicines such as glyceryl trinitrate, isosorbide mononitrate,2-nitro-proprionic acid, and nicotinamide monohydrate); or
  • antacids (such as non-nicotine; chewing; smoking).

As with all medicines, Cialis can cause side effects. See the “Other side effects” section for a detailed list. Some side effects may occur that may differ from the side effects listed at NICE. See also “*”.

Like all medicines, Cialis can cause side effects. Side effects are likely to un accepte a patient.

If you take Cialis with a heavy meal, take it at least an hour before or 2 hours after meals to minimize stomach upset. Avoid this mode of taking it.

If you take Cialis with alcohol, avoid alcohol while taking it.

Cialis can also cause side effects such as:

  • agically recorded vaginal bleeding;
  • prolonged erection (lasting longer than 4 hours); or
  • dizziness, nausea, dizziness, or headache.

Although most of the side effects of Cialis are related to the symptoms of heart problems or prostate cancer, there are rare side effects related to alpha-blockers.

If you are taking an alpha-blocker medication for high blood pressure, you should avoid this mode of treatment. For example, if you take GTN medication along with Cialis.

If you have any questions about why you have been taking Cialis, a doctor has more information.

Please tell your doctor if you are taking or have taken rilpivirine, or pembociclibus propria.

Rilpivirine is an HIV medication.

Pembociclibus propria is a treatment for breast cancer.

Risperidone prevents an enzyme in the prostate called phosphodiesterase type 5 (PDE5) from breaking down cyclic guanosine monophosphate (cGMP). This causes prostate growth. Pembociclibus propria can cause prostate cancer in women who have received pembociclibus propria prior to menopause.

If you take rilpivirine along with Cialis, you should avoid taking this medication. You should avoid taking other blood pressure medications.

Risperidone can cause nausea, vomiting, stomach pain, dry mouth, and constipation. Tell your doctor if you have had a stomach ulcer or an bleeding disorder.

Tell your doctor if you have or have had high cholesterol or a family history of high cholesterol.

What is Viagra?

Viagra is an erection-enhancing medication that contains the active ingredientsildenafil, which belongs to the class of drugs known as PDE5 inhibitors. It is used to treat erectile dysfunction in men. The drug is available in different dosages, including 25mg and 100mg. The effects of the drug are noticeable within an hour of taking the medication, but you should wait a minimum of 24 hours after taking the medication for its full effects.

Viagra is also used to treat pulmonary arterial hypertension, where it works by relaxing the blood vessels in the lungs, making it easier to breathe. This can be beneficial for people with heart failure and stroke.

If you take Viagra and experience side effects, like headache, flushing, indigestion, or back pain, stop taking it and contact your doctor straight away.

What is Viagra used for?

The drug is used to treat erectile dysfunction in men. It belongs to a class of medications known as phosphodiesterase type 5 (PDE5) inhibitors. This medication can also be used to treat pulmonary arterial hypertension (PAH) or other heart conditions.

Viagra is typically taken 30 minutes to an hour before sexual activity. It is not recommended to take Viagra more than once a day. The effects of the medication can last for up to 36 hours.

How does Viagra work?

Viagra works by inhibiting the PDE5 enzyme in the penis. This enzyme is responsible for relaxing blood vessels, increasing blood flow to the penis when sexually stimulated.

Is there a different version of Viagra?

No, Viagra is not a generic version of Cialis (tadalafil) or Levitra (vardenafil). It is available in a generic form as well as as.

What should I do if I have taken too much Viagra?

Taking too much Viagra can lead to:

  • Headache
  • Flushing (warmth in the face or chest)
  • Dizziness (tremor)
  • Back pain
  • Muscle aches or pain in the back
  • Diarrhea
  • Stomach upset

Avoid taking Viagra if you have a heart condition such as heart failure or irregular heartbeat. If you have any of these conditions, you should seek medical advice.

How should I take Viagra?

Take Viagra exactly as prescribed by your doctor. You should start taking Viagra on the same day you take the pill. You should continue taking it for as long as your doctor recommends.

You should not take more than one Viagra tablet in 24 hours. Viagra works best if you take it on an empty stomach, at least 30 minutes before your next dose. You should not take more than one dose per day. If you have an erection for more than four hours, you should not take it.

Can I drink alcohol while taking Viagra?

You should avoid alcohol when taking Viagra. Alcohol can impair your ability to have an erection and may increase the chances of getting an erection when you drink.

If you drink too much alcohol while taking Viagra, you may develop certain side effects, such as dizziness, headache, flushing, and indigestion.

Drinking too much alcohol while taking Viagra can also increase the risk of side effects and make the drug ineffective.

If you are taking medication for an underlying medical condition, including heart disease or liver problems, you should not take Viagra.

Can Viagra cause you to lose erection after 24 hours?

Taking Viagra can increase the risk of developing erectile dysfunction.