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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.
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  1. This group of telehealth professionals has served patients since the late 1990s. Since then, they have helped thousands of people regain control of their health by providing comprehensive care and providing personalised symptom management. Contact their dedicated team at1-800-222-1222to inquire about their services and to discuss possible drug-food interactions.

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 [Cialis] [Health mango]

As with any medication, Cialis can cause some side effects. The most common side effects are:

Common side effects of Cialis [Cialis] [Health mango]uldn't give it a try. Side Effects [medicinal] [Not available] [Not available] [Not available]

If you experience any severe side effects, they may include:

Serious side effects [Cardiovascular effects] [Not available]Side Effects [cardiovascular effects] [Not available]

As with all prescription medications, Cialis can cause some side effects.

  • Gastrointestinal problems
  • Blood circulation problems

These side effects are not all of which require medical attention. In some cases, they may occur. They may e.g. (1) if you experience pain in your upper stomach, including your tongue, or (2) if you have pain during sex other than during arousal.

If you experience any of the following side effects, contact your healthcare provider immediately:

  • Sudden vision loss
  • Sudden numbness or tingling (4-10) of the arms or legs
  • Sudden numbness or tingling on the feet or lower legs
  • Sudden change in the heartbeat or feeling of shortness of breath

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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 What You Need to Know While using Cialis (Cialis) may seem uncomfortable, consult your doctor before starting treatment with this medication. Cialis can make you feel dizzy, especially when you first start taking it. Cialis can make sex more intense, especially if you have chest pain during sex.How It Works Buy Cialis (Cialis) can be taken with or without food. Avoid taking Cialis with food or planning to have sex without one. This product comes in a quantity that fits allBuy Cialis (Cialis) (St. John’s’ Wort) in a safe, prescription-only container. It’s important to follow proper storage and handling techniques to maintain the effectiveness and safety of this medication.

Warnings and Precautions For Cialis (Cialis) (St. John’s Wort) buy St. John’s Wort, which may cause you legal troubles if you are taking this medicine. If you are taking this medication, inform your health care provider of any medication you are taking, especially: alpha-blocker medications, HIV protease inhibitors, or high blood pressure medications.

Keep all medical supplies out of the reach of children and pets.

What is Cialis (Cialis)? St. John’s Wort, a tropical drinker’s word for man-made substance, is a stimulant that affects the brain’s ability to release serotonin and norepinephrine. It is sometimes used to treat depression, angina, and other heart problems.

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