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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.
A final@drugInfo. Interactions with Other Medications

Cialis, the primary medication for treatment-refractory high blood pressure, can interact with certain other blood pressure medications, leading to potentially serious side effects. Here are the key drug-food interactions:

IFE (esomeprazole) can interact with tamsulosin, a blood pressure medication used to treat abnormal heart rhythm. This medication works by relaxing blood vessels, thereby increasing blood flow to the penis, causing temporary relief from blood pressure concerns.

In the case of tamsulosin, foods high in caffeine also may enhance its side effects like headaches or increase heart rate when taken with it.

Caffeine--a powerful antioxidant known for its role in relaxing blood vessels. This interaction may amplify side effects like dizziness or lightheadedness. Avoid while using Cialis.

C.

Before you begin taking Tadalafil generic, its important to carefully read the Patient Information Leaflet. Make sure to review it each time you get a refill.

Take Tadalafil dosage orally, either with or without food, as directed by your healthcare provider. Tadalafil dosage should not exceed more than once a day. Swallow the tablet whole. Do not split it or crush unless advised.

Your daily dosage will depend on your medical condition, how you respond to medications, and any other medications you currently take. Before you take ED treatment pills, ensure that you inform your healthcare service provider of any prescription drugs, over-the-counter medicines, and any other supplements you take.

If you are also using finasteride alongside Tadalafil to treat any symptoms of benign prostatic hyperplasia (BPH), discuss the duration of treatment and dosage you will need with your healthcare provider.

For erectile dysfunction (ED), tadalafil citrate may be prescribed in two ways:

  • You may take it as needed, usually at least 30 minutes before sexual activity, with its effects potentially lasting up to 36 hours.
  • Your doctor may recommend taking generic Cialis regularly, once a day.

Follow your doctors instructions carefully based on your specific needs and condition.

If you are using tadalafil citrate medication for ED dysfunction and BPH, take it daily as directed by your doctor. To ensure you do not forget, take it at the same time each day.

Keep your healthcare practitioner informed if your medical condition does not improve or worsens during treatment.

irlwindErectile dysfunction Karnitin may be prescribed:tadalafil genericometime since have been shown to significantly improve infrequent infrequent flow behavior in patients with ED who take it regularly to improve sexual functionPreviously, doctors reported that the effects of generic Cialis (tadalafil) were similar to those of brand-name Cialis. Doctors usually prescribe tadalafil when erectile dysfunction symptoms are present. These symptoms may include:
  • Difficulty achieving or maintaining an erection
  • Difficulty erecting/aggressively
  • Lack of sexual stimulation
  • Rapid eye times
  • Difficulty halting/unable to orgasm
Inform your healthcare provider about your background like income, medical conditions, prescription drugs, and any other medications you are takingSerotonin-rich progestin (TRECTY) tablets can be used to improve erections

Tadalafil may also be used for purposes such as:

  • Treatment of period timing headaches
  • Treatment of benign prostatic hyperplasia (BPH)
  • Treatment of benign prostatic hypertrophy (BPH)

For other uses, talk to a healthcare provider about considering generic Tadalafil.

Alcoholics granules may interact with tadalafil and increase the risk of serious side effects

The information on the Drug Information page is not intended to cover all possible approaches to delivery of generic Cialis to men over 18 years of age or women.entering any US or European country and seeking treatment for erectile dysfunction and BPH can be costly, but entailing the availability of a generic equivalent of Cialis could be worth the price.

Get Help with Erectile Dysfunction

If you suffer from erectile dysfunction, talk to your doctor about taking Tadalafil generic medication.

To get help with erectile dysfunction, you must be sexually active at the time of your order. You can buy ED medication online or by calling your healthcare provider.

Generic Cialis is available in the following dosage forms:

  • 30 mg tablets
  • 40 mg tablets

Take one tablet three times a day, every day, every day.

Do not take more than directed. If you think you may have taken too much tadalafil, tell your healthcare provider right away. Your symptoms may take up to 36 hours to improve.

Your symptoms may improve before the medication is effective. Tell your healthcare provider about all medications, supplements, and other medicines you take online.

The information on the Drug Information page is not intended to be used as a substitute for advice from a licensed healthcare professional.

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

What is Tadalafil?

Tadalafil is the generic version of the drug name – Cialis. This drug is used to help men who have difficulty sleeping and want an help getting to the appointed space on the daily dose.

Tadalafil is only prescribed for once a day use which comes in three different ways :-

1. As a lower dose of 2. Malarone capsules

2. In-bed medication

3. Intended for one time use

If you are not sure whether you are taking one of the three three ways, contact your GP or health care professional and we will consider potential interactions and side effects.

What is Tadalafil used for?

Tadalafil is only prescribed for once a day use.

The recommended dose is just 0.5mg taken as a single oral tablet.

Is Tadalafil over the legal?

Tadalafil is a prescription drug, and if you are taking it then over the drug name - Cialis. Not every person is safe and will need the over the drug name - Cialis.

If you are not taking Tadalafil over the name Cialis then:

  • Do not take Tadalafil if you are also taking the atypical drug for high blood pressure - atypical medicines have been shown to interact with Tadalafil to affect its blood pressure and have side effects.
  • Do not take Tadalafil if you are taking to help treat HIV-1 infection - atypical medicines may help with high blood pressure and can cause an overDOSAGE (dobutestosterone overstimulation) effect.
  • Do not take Tadalafil if you are not taking a daily treatment for high blood pressure - daily use may help with the overDOSAGE effect.

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2023-10-20

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