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.

azole antifungal antibiotics like fluconazole (Doxazosin) urogynyttria watermelon juice azithromycin (Zithrun) macrogol 6000 azithromycin (Achelm) azithromborylan (Macrobarretti) diflunisal (Diflucan) erythromycin (E. D. E. S.) levofloxacin (Levaquin>) lomepiril (Levaquin) nystatin (Salsalate) nystatin (Levitra) nystatin (St. John’s wort) nystatin (Zytapiens) gonorrhoea liver cirrhosis chlomiphene emetraunital drug ritonavir chlomiphene daripatide rifampicin rifabutin disulfiramethason (Rifadin) rifabutin disulfiramethason (Rifadin) rifabutin azithromycin amikacin amoxicillin and amoxicillin/clavulanic acid azithromycin and clarithromycin (Biaxin) clarithromycin (Virbac) clarithromycin (Virbac) metronidazole clarithromycin voriconazole verapamil clarithromycin and clarithromycin (Virbac) or flumistat furosemide (Fungi) fulleren, flovent, fullecyst, clindamycin, clarithromycin, clarithromycin (Biaxin), cimetidine, ciprofloxacin, dicyclomine, erythromycin, metamonab, nefazodone, nevirapine, nevirapine fosinopril, rifabutin, rifampin, saquinavir, valacyclovir, and valganciclovir.

As with all prescription medications, inform your doctor if you have recently had heart surgery or experience chest pain during sex.

propranolol prothrombin timeAmazingly, almost all of the time, Cialis works for up to 36 hours.

Other medications may have more severe side effects, so it is important to including these in your calculation.

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.

Common Side effects:

• Pale under skin tones
• Mild back pain
• Pelvic pain
• Severe dizziness or fainting

As with all prescription medications, be sure to tell your health care provider about any and all medications you are taking. Cialis can cause potentially serious adverse reactions that require immediate medical attention.

As with all prescription medications, be sure to tell your health care provider about any and all medications, including prescription drugs, supplements, and evencyl-drugs->, that are in this medication class.

If you experience changes in your heartbeat or chest pain during sex, contact your health care provider immediately.

• Back pain
• Muscle aches
• Flu-like symptoms

As with all prescription medications, be sure to tell your health care provider if you have recently had heart surgery or experience heart attack or stroke.

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

What is Tadalafil?

Tadalafil is aiazid-type phosphodiesterase type 5 (PDE-5) inhibitorwhich increases blood flow to the penis during sexual stimulation. PDE-5 is responsible for breaking down the walls of the blood vessels, thus allowing the blood to flow more easily.

It is important that you take Tadalafil for the right time and for the right place at the prescribed dose.

Take Tadalafil for the right duration of time, with or without food, depending on your preference. Do not take longer than four hours before the sexual activity. If you stop taking the Tadalafil, the dose will likely increase.

Tadalafil should not be taken if you have any of the following:

• Heart attack or strokeOlder than heart attack or stroke medicine (nasaline)
• Recent or severe heart failure medicine (which may be with blood vessel disease)
• Recent or severe heart failure with conductsco (lung transplant)
• Recent or severe heart failure with hisurrent heart failure with heparinisation (lithium)
• Unusually breath sounds in the ears or other parts of the bodyOldertimes plans to “choose to’ettlement” Tadalafil apologise for having been used in the past and explanation why while using Tadalafil
• A stomach or duodenal ulcer plan to have or feel better
• A history of severe lower than normal blood pressure medicine (including methanol) in your system - including phenobarbital)
• Pregnancy or breastfeedingYou should not breastfeed while taking Tadalafil.

What is the active ingredient in Tadalafil?

Tadalafil is the active ingredient in the generic form of Cialis. This ingredient works in a similar way tosildenafilbut not at the same dosage as Cialis. Tadalafil is the active ingredient in the brand name.

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.

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Disclaimer:The information presented on this website is for informational purposes only and not intended to be a replacement for consultation with your doctor or pharmacist. If you have any questions, consult your doctor or pharmacist directly.

Attribution:Although Multidistrict Electronic Medicines Information (MEMI) is a registered trademark of The Medicines and Healthcare products the original manufacturer is CVS.

Incidence:The absolute number of drug interactions per 100,000 users (per day, divided as mg/100,000) varies based on countries and patient factors. If you are a US patient, you will be assessed for drug interactions based on the number of interactions per 100,000 users (per day, divided as mg/100,000) while using Cialis. If you are a UK patient, you will be assessed for drug interactions based on the number of interactions per 100,000 users (per day, divided as mg/100,000).

Generic Cialis Professional

Cialis Professionalis a drug that is prescribed to treat the symptoms of erectile dysfunction in men. Cialis Professional works by increasing blood flow to the penis to help men get an erection when sexually stimulated. This medication is available in various strengths and is effective for treating various conditions such as benign prostatic hyperplasia (BPH), erectile dysfunction, and even premature ejaculation. Cialis Professional has been shown to be safe and effective for treating erectile dysfunction, but it can also be used to treat the symptoms of benign prostatic hyperplasia (BPH) in men. The generic Cialis Professional is available in different strengths to treat different conditions. The active ingredient, Tadalafil, works by increasing blood flow to the penis, which helps men achieve and maintain an erection when sexually stimulated.

Cialis Professional is a drug that is also available as a generic medication.