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:
Cialis (tadalafil) can cause a significant and potentially life-threatening drop in blood pressure (hypertension), leading to symptoms like dizziness, lightheadedness, or fainting in allergic individuals. The combined use of these medications can cause a sudden and serious-looking drop in blood pressure (hypotension), posing significant health risks. If you are taking Cialis (tadalafil), handle the drug with the aid of your doctor'sDoctors can prescrib every day with the aid of a doctors'Blood Pressure Supportiva'(DPPS) program. This program consists of regularly reviewing your medical history and seeking professional medical advice to ensure you are not taking any medications that may interact with tadalafil.
Under DPP-4 inhibitors, you can limit the dosage of Cialis while using theDPScalliva inhibitor program. A doctor may gradually reduce your dosage while you are using tadalafil.
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:
More severe side effects include:
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's effects and how it may affect your health below.As with all prescription medications, inform your doctor of any medical conditions you manage, including any of the following:
Cialis can cause potentiallyscarring ovaries or liver. This side effect has been reported with some other medications, like amlodipine, felodipine, and atenolol.
As with all prescription medications, contain the active ingredient tadalafil, which can interact with substances in the body, causing potentiallyscarring. This can be a sign of a problem, such as anovulation, unexplained why, or medical conditions that may suggest something more serious. Note that not all substances with pre-existing cardiac conditions are as effective as the standard dose.
Cialis can cause potentiallyscarring in some cases. Note that not all substances with similar effects are as effective as the standard dose. For example, atenolol can cause possibleovulation or ovulatory dysfunction. Other types of anti-seizure medications can also affect potentialscarring, so be sure to inform your health care provider of all your current medications.
Possibleovulation or ovulatory dysfunction has been reported with some other types of anti-seizure medications, so be sure to inform your health care provider of all your current medications.
Possibleovulation or ovulatory dysfunction has been reported in some cases.
Description
Cialis, a prescription medication, is used to treat male sexual function problems (impotence or erectile dysfunction-ED). It is also used to treat benign prostatic hyperplasia (BPH) and pulmonary arterial hypertension (PAH). Cialis works by relaxing muscles in the walls of blood vessels and increasing blood flow to particular areas of the body, such as the genitals. This allows for easier treatment of ED and PAH.
Cialis can be purchased online from a Canadian pharmacy that is based in Canada. It is important to note that purchasing medication from a Canadian pharmacy will only work if you are a member of the Canadian Prescription Drug Advisory Committee (CDPAC) or have a valid prescription from a physician. You should only purchase Cialis from a Canadian pharmacy that is licensed and authorized by Health Canada to dispense this medication.
Directions
Follow the directions on your prescription label carefully, and follow the directions on your prescription to make sure that you are getting the best deal possible. You should only take Cialis if it is prescribed by a doctor who prescribes it. You should not take Cialis more than once a day. Do not take Cialis more often than your doctor tells you to.
Cialis may be taken with or without food. It is important to avoid large meals to minimize the risk of stomach upset. If you are taking Cialis with a heavy meal, take it at least an hour before or an hour after your meal. Taking Cialis with a heavy meal may cause dizziness or make it difficult to drive. If you miss a dose, take it as soon as possible and continue your regular schedule. Do not take a double dose to make up for a missed dose. Do not take more than one dose at a time.
Ingredients
Tadalafil 20mg
Contraindications
Do not use if you have recently had an allergic reaction to any of the ingredients listed at the end of the Cialis Patient Information Leaflet. Cialis may cause dizziness or drowsiness in some individuals. It can cause drowsiness, especially when starting and increasing your dosage. If you have any questions or concerns about using Cialis, please speak to your doctor or pharmacist.
Safety Information
For more information about Cialis, please see the Cialis Patient Information Leaflet. Cialis is available in Canada at www.tadalafil.com. For more information on erectile dysfunction-ED, please contact your doctor.
For more information on Cialis, please contact your doctor.
Do not take Cialis if you have recently had an allergic reaction to any of the ingredients listed at the end of the Cialis Patient Information Leaflet. Cialis can cause drowsiness, dizziness or lightheadedness when rising from a sitting or lying position.
Cautions
Do not use Cialis if you are using any form of nitrate-based medication (eg, nitroglycerin) or if you have recently taken nitrates. These medications are used to treat chest pain and blood vessel problems.
It is important for Cialis to be used responsibly and under the guidance of a doctor. It is also important to use Cialis only as prescribed by your doctor. Do not take Cialis if you are taking medications that contain nitrates, such as isosorbide dinitrate, amyl nitrite, isosorbide mononitrate, nitroglycerin or nitroprusside. If you have not told your doctor about any of the above, tell your doctor.
Side Effects
Like all medications, Cialis can cause side effects. The most common side effects of Cialis include:
If you experience any serious side effects, or if you think you have an allergic reaction to any ingredient in Cialis, you should seek immediate medical attention.
Tadalafil Cialis 20 mgis a medication containing the active ingredient Tadalafil. It is primarily used to treat erectile dysfunction (ED) and benign prostatic hyperplasia (BPH) in men. It works by increasing blood flow to the penis during sexual stimulation, helping men achieve and maintain an erection. This medication is also used to treat pulmonary arterial hypertension (PAH), a condition that can cause high blood pressure in the lungs. Tadalafil is classified as a PDE5 inhibitor, meaning it works by blocking the action of an enzyme called phosphodiesterase type 5 (PDE5), which is responsible for breaking down cyclic GMP in the smooth muscle cells of the blood vessels. Tadalafil is a PDE5 inhibitor, meaning it works by increasing blood flow to the penis during sexual stimulation, helping men achieve and maintain an erection. It can be taken as needed, typically 30-60 minutes before sexual activity, to help with erectile function. It is typically taken orally with a full glass of water, and can be taken with or without food. It is important to note that tadalafil does not work immediately immediately after taking it, so it may take a few hours to fully work. It is important to note that sexual stimulation can cause an erection, so it is important to have sexual stimulation before taking tadalafil. Tadalafil should not be used with nitrates, as this can lead to a dangerous drop in blood pressure. It is also important to avoid driving, operating heavy machinery or doing anything that requires mental alertness before starting tadalafil.is a medication that contains the active ingredient Tadalafil. Tadalafil is also available in a generic form, which is much more affordable than the brand name Cialis.
1. KD. Tripathi. Androgens and Drugs for Erectile Dysfunction. Essentials of medical pharmacology. Seventh edition. 2013. Page-304.
2. Adam M Henrie, James J Nawarskas, and Joe R Anderson. Clinical utility of tadalafil in the treatment of pulmonary arterial hypertension: an evidence-based review. NIH. National Library of Medicine. National Center for Biotechnology Information. PMC. PubMed Central. November 2015. [Accessed on November 08th, 2023]https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4636095/
3. Accord Healthcare Limited. Electronic Medicines Compendium (EMC). [Revised in October 2021] [Accessed on November 08th, 2023]https://www.medicines.org.uk/emc/files/pil.8637.pdf
4. Leeford Healthcare Private Ltd. Bigfun-36.https://www.leeford.in/product/556/bigfun-36
5. Central Drugs Standard Control Organization. Tadalafil tablet 20 mg (Additional Indication). [Revised in November 2009]. Tadalafil 10mg/20mg Tablets. [Revised in September 2003] [Accessed on November 08th, 2023]https://cdscoonline.gov.in/CDSCO/Drugs
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