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.

Every interaction is complex and can be influenced by various factors such as age, weight, other medications being taken, and diet. If you experience any of these interactions, seek medical advice to ensure timely relief. exempt from legal riskMen taking Cialis may experience:

C.

Cialis (tadalafil) can interact with certain foods and beverages, including grapefruit, grapefruit juice, and alcohol, potentially altering its effectiveness or increasing the risk of side effects. Here are the key drug-food interactions:

1. : Though not a direct interaction, combination with Cialis might worsen side effects like headaches or increase side effect risk: OXB. SA. O. U. E. S. L. Combining Cialis with alcohol could worsen side effects, such as headaches or increase heart rate: OXB.

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Cialis 20 mg - 2 Tablets

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Quick Overview

• Product:Cialis (Tadalafil)
• Usage:Treats erectile dysfunction (ED) in men.
• Duration:Offers up to 36 hours of effectiveness.

• About Cialis:Cialis is a widely recognized and trusted medication that contains the active ingredient Tadalafil. It is primarily prescribed to help men overcome the challenges of erectile dysfunction (ED), a common condition that can affect intimacy and overall well-being.

• How Cialis Works:Cialis works by increasing blood flow to the penis, allowing men to achieve and sustain an erection when sexually stimulated. It is known for its long-lasting effectiveness, providing up to 36 hours of response to sexual stimulation.

• Benefits of Cialis:

  • Efficacy:Cialis has a high success rate in treating ED and is often preferred by men for its longer duration of action compared to other similar medications.
  • Convenience:You can take Cialis well in advance of sexual activity, allowing for spontaneity and flexibility.
  • Low-Dose Option:A low-dose version of Cialis, known as "Cialis Daily," is available for daily use, offering a continuous solution for ED.
  • Patient Satisfaction:Many men have reported improved confidence and satisfaction in their sexual experiences with Cialis.

• Usage and Dosage:Cialis should be taken as directed by a healthcare professional. The typical starting dose is 10mg, taken at least 30 minutes before anticipated sexual activity. The dosage may be adjusted based on individual response and tolerability.

• Safety:Cialis is generally well-tolerated, but it's essential to follow your healthcare provider's recommendations. Discuss any medical conditions or medications you are taking with your doctor to ensure Cialis is safe and suitable for you.

• Consultation:If you have questions or concerns about Cialis or its suitability for your condition, our licensed pharmacists and healthcare professionals are here to provide guidance and support.

Remember, Cialis is a prescription medication, and it's crucial to consult with a healthcare provider before starting any new medication. Our pharmacy is committed to helping you access the right treatment for your needs, promoting a healthier, happier, and more fulfilling life.

How to use:1 tablet before sexual activity once daily. The effect should give the ability for erection for 36 hours. Otherwise refer to physician's prescription

Precautions:Do not take another tablet except after 48 hours pass after the first tablet

ide dosage of Cialis use precaution of 36 hours duration of effect postdose dosage of postdose dosage of Cialis use precaution of 48 hours duration of effect dose of postdose dosage of Cialis use precaution ofCialis Daily36 hours

Warnings:Oralprescribing Tadalafil is not recommended if you are taking nitrates (e.g., isosorbide, nitroglycerin) or recreational drugs such as "poppers" (cannabidiol). Do not take with other medications that contain Tadalafil or other PDE5 inhibitors unless advised by your doctor.

Generic Name:Tadalafil

Tadalafil is the active ingredient in the brand name Cialis. It is used for the treatment of erectile dysfunction (ED) in men. ED is a condition characterized by the inability to achieve or maintain an erection sufficient for sexual activity.

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FINDINGS:

• Erectile dysfunction medication, including Cialis, is not covered by the U. S. health care bill for ED.
• Cialis is not a covered drug under the U.
• Some doctors may prescribe Cialis without a valid prescription, while others may not be able to get it through a telehealth provider.
• The FDA requires the drug to undergo an additional testing to determine whether it is safe for you to use.
• Do not use Cialis without a prescription, and you can request a prescription if you have health insurance that covers it.

DRUG INTERACTIONS

Using the internet for ED is illegal, and Cialis is not covered by the U.

Contact the doctor who prescribed Cialis and ask for a prescription.

• If you use Cialis without a prescription, the FDA requires that you must have a valid prescription to get the medication. This includes prescription drug benefits, free drug plans, and any drug coupon codes.
• If you use Cialis for ED, the FDA requires that you must have a valid prescription to get Cialis.
• You can request a prescription if you have health insurance that covers Cialis.
• You can request a prescription if you have health insurance that does not pay for Cialis.
• You can request a prescription if you have health insurance that does not cover Cialis.

REFERENCES:

1. Patches (taken by the tongue or cheek): In some cases, doctors may prescribe Cialis under certain conditions to prevent a heart attack or stroke. However, this is not all.
2. The FDA requires that the drug must undergo additional testing to determine whether it is safe for you to use.
3. Your doctor may prescribe Cialis for use in the United States. However, this does not include medical advice for you.

DISCLAIMER:This article has been medically reviewed byThe Washington Post Medical Group

©2023 Washington Post Medical Group Inc. All rights reserved. This page uses and does not imply medical endorsement or doctor-patient relationship. This information is for educational purposes only, and should not be considered medical advice. Medical advice may change based on changes in your condition and the person using or your circumstances.

https://www.wpmed.com/health/health_services/pro>[8/27/2023]

• Frequently Asked Questions

  What is Cialis?

  Cialis, also known by the brand name Tadalafil, is a medication used to treat erectile dysfunction (ED) in men. Erectile dysfunction, also known as impotence, is when a man cannot get, or sustain a hard, erect penis enough for sexual activity.