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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.

You should consult your doctor before starting Cialis and usingIndulgEx.

C.

The US Food and Drug Administration on Tuesday approved the first generic version of its erectile dysfunction drug Viagra, which is the brand name of the active ingredient in Cialis. (AP Photo/Richard Drew)

The approval marks the first time that the drug will sell over-the-counter, which has been available on prescription since the patent for Cialis was approved in 1996. Cialis, which was also the first treatment for erectile dysfunction to be marketed under the brand name, is the first drug approved in the United States for the treatment of male sexual function problems. However, it was the first drug approved for treating men with impotence, which is more common in older men and in younger men. Cialis was also the first drug approved by the FDA for treating erectile dysfunction. In addition, Cialis had the potential to improve sexual performance and help men to achieve and maintain a firm erection during sex, and it was the first drug to treat an impotence in men.

Cialis is approved as the second-line treatment for erectile dysfunction in men after Viagra, which was first approved in 1998. Cialis is also the first erectile dysfunction drug to be approved for treating impotence, and the first treatment for the condition, which affects millions of men around the world. Cialis has been approved by the FDA since it was approved in 1996. Cialis has been available on prescription since it was introduced in the United States in 1998. Cialis has been approved by the FDA since it was the first drug to be approved for the treatment of erectile dysfunction in men. Cialis was the first drug to be approved for the treatment of erectile dysfunction in men.

Last year, the US Food and Drug Administration approved an application to sell Viagra, which is also the first drug to be approved for treating erectile dysfunction. Viagra is available on prescription only for men over 18 years of age. Cialis is approved as the first treatment for erectile dysfunction in men, and the first treatment for impotence in men. It was the first drug approved by the FDA for the treatment of impotence in men.

On Tuesday, the FDA approved the first generic version of its erectile dysfunction drug Viagra, which is the brand name of the active ingredient in Cialis. Cialis was also the first drug approved for the treatment of impotence in men. Cialis is the first treatment for erectile dysfunction in men.

Cialis is approved as the second-line treatment for erectile dysfunction in men. Cialis is also the first treatment for impotence in men. Cialis is approved by the FDA for the treatment of erectile dysfunction in men.

“This approval marks the first approval of a new treatment for erectile dysfunction in men,” said Dr. Irwin Goldstein, chairman of the department of urology at the University of California, San Diego. “The approval of new treatment for erectile dysfunction will allow the FDA to approve treatment plans for the first time for men.”

“Viagra,” the brand name for Cialis, was approved in 1996 for the treatment of erectile dysfunction. The drug was the first drug approved for the treatment of impotence in men. In addition, Viagra was the first treatment for the condition, which affects millions of men around the world. Viagra is the first treatment for the condition, which affects millions of men around the world. Viagra has been approved by the FDA since it was the first drug approved for the treatment of erectile dysfunction in men.

Viagra was first approved in 1996 by the FDA for the treatment of erectile dysfunction in men.

“Cialis has been approved by the FDA since it was the first drug approved for the treatment of erectile dysfunction in men,” said Goldstein. “The approval of new treatment for erectile dysfunction in men will allow the FDA to approve treatment plans for the first time for men.”

The drug has not been approved for the treatment of erectile dysfunction in men. In fact, the drug’s manufacturer, Pfizer, did not respond to a request for comment.

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 is Cialis and How It Works Dapoxetine can increase the levels of Dapoxetine in the body called phosphodiesterase type 5. What you need to know before you take Dapoxetine take this medicine. What to avoid PDE5 inhibitors PDE5 inhibitors can also affect your heart rate or your blood pressure. Tell your health care provider if you are taking any of the following medications:,,,,, or. These medications can interact with Cialis and cause potentially serious adverse reactions:,,,,,,,,, or. If you have recently had heart surgery or experience chest pain during sex, do not take this medication.

Do not take Cialis if you are pregnant or plan to become pregnant. Cialis can affect the way PDE5 inhibitors work in the body. PDE5 inhibitors can affect your heart rate or your blood pressure. Tell your health care provider if you are taking any of these medications:,,,,,,,, or. These medications can pass as a side effect of Cialis, so they should not affect your blood pressure. PDE5 inhibitors can also affect your eyes. These medications can affect how Cialis works.

If you experience any changes in your vision, these symptoms can be permanent. You should not take this medication if you are taking other medications that can cause vision loss. Tell your health care provider if you are taking any of these other medications:,,,,,,, or. These medications can interact with Cialis and cause potentially serious adverse reactions:.

If you have not told your health care provider about all the medications you are taking, check with your doctor to ensure they can give you a list of those you are taking. They may need to adjust the dosage.

If you:

ercise anyangerous or abnormal affects on your ability to perform or performutyiousness, and you are unable to dostand stillfor long periods of time, then do not take Cialis.

You are unable to sustain a full erection for longer than 4 hours after taking Cialis, and you can suffer from severe headaches, flushing, and hives during sex.

You have a severe allergic reaction.

If you do not get an appointment, you should not take this medication.

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 Do Cialis (Cialis) Is Used To Treat Premature Ejaculation In Men It Works By Increasing The Time It Is Prolonged Sustained Ejaculation To When Sexual Stimulation Is Minutes After Prostatitis Inducers More Time Pays Expanded Ejaculation Time It Works Fast Erectile Dysfunction In Men It Works Fast It Works To Last As Long As 60 Minutes It Works Also Works To Faster It Works It Works Fast It Works Fast It Works Fast It Works Fast It Works Fast It Works Fast ItRead More Cialis And Its Possible Side Effects What You Do Cialis (Cialis) Can Cause An Increase In The Amount of Blood Clot Gains It Works To Increase The Volume Of Blood It Can Gave Back It Can Gently Cause Arousal It Can Cause An Erection It Can Cause An Erection It Can Cause An Erection It Can Cause An Erection It Can Cause Erectile Dysfunction It Can Gently Gently Cause Erectile Dysfunction It Can Gently Cause Erectile Dysfunction It Can Gently Cause Erectile Loss It Can Gently Gently Cause Erectile Loss It Can Gently Cause Erectile Loss It Can Gently Cause Erectile Loss It Can Gently Cause Erectile Loss It Can Gently Gently Cause Erectile Loss It Can Gently Cause Erectile Loss It Can Gently Cause Erectile Loss It Can Gently Cause Erectile LossMore... More

This medication can interact with bodily substances, causing potentially serious adverse reactions. Therefore, inform your health care provider of any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure medication you are taking.

Tell them about any and all medications, prescription drugs, and supplements you are taking before starting Cialis. Cialis can cause potentially serious adverse reactions that require immediate treatment.

As with all prescription medications, inform your doctor of any medical conditions manage. Tell him/her if you are pregnant, may become pregnant, or are breastfeeding.