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.
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:
If you have any questions or concerns about combining Cialis with other medications or your doctor may not be aware, you should consult your doctor.
Here are the key drug-food Inter interactions:
Please note that Cialis is not supported by a doctor’s prescription.
Erection problems (impotence) are very common, particularly in men over 40.
Most men occasionally fail to get or keep an erection. This is usually due to stress, tiredness, anxiety or drinking too much alcohol, and it’s nothing to worry about.
If it happens more often, it may be caused by physical or emotional problems.
Physical causes Possible cause Treatment Narrowing of penis blood vessels, high blood pressure, high cholesterol medicine to lower blood pressure, statins to lower cholesterol Hormone problems hormone replacement – for example, testosterone Side effects of prescribed medication change to medicine following discussion with GP You may also be asked to make lifestyle changes.
Do lose weight if you’re overweight stop smoking eat a healthy diet exercise daily try to reduce stress and anxiety
Don’t cycle for a while (if you cycle more than 3 hours a week) drink more than 14 units of alcohol a week
Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature.
If you experience any of the following side effects stop using the medicine and seek medical help immediately:
allergic reactions including rashes (frequency uncommon). chest pain – do not use nitrates but seek immediate medical assistance (frequency uncommon). priapism, a prolonged and possibly painful erection after taking CIALIS (frequency rare). If you have such an erection, which lasts continuously for more than 4 hours you should contact a doctor immediately. sudden loss of vision (frequency rare). Other side effects have been reported:
Common (seen in 1 to 10 in every 100 patients)
headache, back pain, muscle aches, pain in arms and legs, facial flushing, nasal congestion, and indigestion. Uncommon (seen in 1 to 10 in every 1,000 patients)
dizziness, stomach ache, feeling sick, being sick (vomiting), reflux, blurred vision, eye pain, difficulty in breathing, presence of blood in urine, prolonged erection, pounding heartbeat sensation, a fast heart rate, high blood pressure, low blood pressure, nose bleeds, ringing in the ears, swelling of the hands, feet or ankles and feeling tired. Rare (seen in 1 to 10 in every 10,000 patients)
fainting, seizures and passing memory loss, swelling of the eyelids, red eyes, sudden decrease or loss of hearing, hives (itchy red welts on the surface of the skin), penile bleeding, presence of blood in semen and increased sweating. Heart attack and stroke have also been reported rarely in men taking CIALIS. Most of these men had known heart problems before taking this medicine.
Partial, temporary, or permanent decrease or loss of vision in one or both eyes has been rarely reported.
Increased risk of blood clots, uterine cancer, osteoporosis, stroke, deep vein thrombosis and pulmonary embolism. Some men also have a below theovulation table condition called pre-existing bleeding disorder.
You should seek medical help immediately if you notice any of the following symptoms of Nervous system effects:
presence of a strong palpitations (frequency uncommon). other, more serious symptoms have been rarely reported.
trouble sleeping or strange feeling states — for example, tingling, numbness, pain, prickly feeling, burning sensation, irregular heartbeat, starting to feel more comfortable, feeling embarrassed or rude or being overly bothered.
If you have a stroke or heart attack you should not take CIALIS.
You should seek medical help immediately if you have any of the following side effects:
chest pain, weakness or fatigue, feeling that you are no longer making enough room for your body (requency rare). swelling or underdeveloped self-quite common. swelling or over-developed self-wakefulness can occur with light activities or with strenuous activity, especially after 6 p.m. or when vomiting.
Cialis Together for Erectile Dysfunction
Cialis Together tablets are a treatment for adult men who have erection problems (erectile dysfunction). This is when a man cannot get, or keep an erection hard enough for satisfactory sexual activity.
Cialis Together tablets contain the active substance tadalafil. It belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors. It works by relaxing the blood vessels in your penis, allowing blood flow into your penis.
It is important to know that you will not get an erection just by taking Cialis Together tablets. This medicine works with your body’s natural function to get an erection only when you are sexually stimulated.
Cialis Together contains the active ingredient Tadalafil. The ingredient is a phosphodiesterase type 5 inhibitor medicine that temporarily improves blood flow to the penis by relaxing the blood vessels in and around the area.
The Cialis Together medication is available over-the-counter and begins to work about 30 to 60 minutes after taking it. The effects are expected to last up to 36 hours. Cialis Together comes in 10mg tablets and should only be taken when needed.
The active substance Tadalafil is also useful in treating other conditions along with erectile dysfunction. Please consult a Doctor, a Pharmacist or relevant product literature for more information.
Is Cialis Together right for me?
If you suffer from erectile dysfunction (impotence) Cialis Together may be an effective treatment. However, it may not be suitable for you if you have the following:
How to take the tablets
Take Cialis Together as prescribed by your doctor. Take Cialis Together 1 time before you plan to have sex. Your doctor will most likely not start you on taking Cialis Together if you are taking folic acid. Do not take Cialis Together more than once every twelve hours (24 hours), so take it on an empty stomach. Swallow the tablet whole with water. Do not chew or crush the tablet. If you stop taking this medicine after a while, it may take longer to work. Please consult your doctor.
Other information:
Warnings:
For women:
Do not take Cialis Together if you:
Also, if you have heart problems or taking any other blood pressure medicine. You should call your doctor for further advice.
The Indian healthcare system is witnessing a boom in patients’ access to a wide array of medication – and their doctors have been given a green light to prescribe medication on the same prescription.
This is the first time in the country that doctors have been able to prescribe a generic medicine to patients who are in the same state of affairs. The drug in question is Cialis and the first-line medication for erectile dysfunction in the UK. The first-line treatment for this condition has been the drug Cialis. The generic Cialis is not available in the UK. But, as the drug is not available in the UK, it may have to be taken under the supervision of a doctor.
The drug Cialis has been approved by the U. S. Food and Drug Administration (FDA) as being effective in the treatment of erectile dysfunction. But, the drug has not been approved by the FDA for use in the treatment of pulmonary arterial hypertension (PAH).
Cialis is not approved for use in the treatment of pulmonary arterial hypertension (PAH). The drug was initially used to treat PAH before the approval of Cialis. However, the drug has not been approved for use in the treatment of PAH. There is currently no indication that the drug will have any effect on PAH. However, the drug has been prescribed to patients who have not been able to tolerate the drug. It is not known whether the drug will have any effect in patients with PAH.
The drug is not being prescribed to patients who are taking nitrate-containing drugs. These drugs are used for the treatment of angina. The drug is used for the treatment of pulmonary hypertension.
TadalafilCialisis a prescription drug used to treat ED. It works by helping to restore a certain level of a substance in the body called cyclic guanosine monophosphate (cGMP).
Tadalafil treats ED by improving the levels of cGMP. It also relaxes muscles and increases blood flow to particular areas of the body.
Tadalafil is available in tablets of 2.5 and 5 mg.
How is it taken?
Tadalafil and Sildenafil are taken as needed to treat Erectile Dysfunction.
Tadalafil should be taken about 1 hour before you plan to have sex. Tadalafil does not affect the flow of blood to the penis. The dosage of Tadalafil for an adult is typically as follows:
Tadalafil tablets
Tadalafil should be taken before you plan to have sex. Tadalafil will help to increase blood flow to the penis and it can help to get a harder, more satisfying erection. The effects of Tadalafil can last for up to 36 hours.