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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.
It's important to consult your doctor to discuss if Cialis is the right treatment for you. [C) 2015 Healthline.] You should use Cialis (tadalafil) with a doctor's advice and permission.

Cialis medicine is manufactured by Lupin. Cialis is available in 10mg. Cialis medicine contains generic salt Content Tadalafil. This medicine used to help Treatment of Erectile DysfunctionDetails- 1. Brand name – Cialis 2. Generic – Tadalafil3. Dosage form – tablet4. Used – It is used to help Treatment of Erectile Dysfunction 5. Packaging – 4 tablets6. Strength – 10mg7. Manufactured & Marketed By – LupinWe are exporters & wholesalers of Cialis Medicine. Cialis medicine is available at discounted prices. We can provide the best price for Cialis. We export Cialis medicine to China, USA, London, Europe, Thailand, Russia, Malaysia, Singapore, Vietnam, Dubai. Warning: Cialis Medicine out of the reach and sight of children and away from pets, never share your medicines with others, and use this medication only for the indication prescribed. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. ATTENTION - Above mention price only for reference. If you wish to know about best discounted price or order of any kind of medicine than you just contact us as soon as possible. Please check our contact us page for complete details. Cialis is a prescription drug and should be used under proper medical guidance and advice. Do not share the medicine with others, since they may be suffering from a problem that is not effectively treated by this drug.• Keep all medicines out of the reach of children and away from pets, never share your medicines with others, and use this medication only for the indication prescribed.• The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist. Notice: The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you. Before eating/consuming any medicine kindly do consult with your doctor / Medical adviser / Nurse / Hospital /medicine Institution / Health advisor or pharmacist/ medicine healer. Do not indulge in self medication using internet information. Self medication can be dangerous.

Side Effects: The most common side effects are: Cialis can cause side effects, but only when taken properly. Check with your doctor if any of these side effects persist or get worse Be sure to:• Vision changes • Headache • Dizziness • Flushing (warmth or tingly) • runny nose • gas or oily discharge from nose>• Muscle aches • Allergic reactions Such as skin rash, itching, difficulty breathing, swelling of face, lips, tongue or throat, trouble swallowing, or growth in large areas. Other side effects may also occur. If you notice any of the following symptoms while using this product stop using the product:•Warnings: This medicine is not safe under most common medical advice. Self harm if you take this medication with a large glass of water. Consult your doctor before using this product if you: Are pregnant, planning to become pregnant, or are breastfeeding. Inform your doctor if you have a history of heart problems, high blood pressure, lung problems, liver problems or kidney problems. Contains sugars. Keep out of the reach of children and away from pets.Precautions: Precautions: Precautions: Precautions: Precautions: Precautions: Precautions: Precautions: Precautions: Precautions: Precautions: Precautions: Precautions: Precautions: Precautions: Precautions: Precautions: Precautions: Precautions: Precautions: Are advised to talk to your doctor if you have any medical conditions, are taking any other medication, or are pregnant or breast-feeding. These are the information contained on the packaging or lay out the medicine carefully. Always follow the dosage instructions or instruction provided by your doctor or pharmacist. If you exceed their instructions, your symptoms may worsened or you may have serious side effects. For more information, please contact. If you have any further questions or concerns, please talk to your doctor.Management: Cialis Generic Management: Take one pill with water, usually once a day. Follow the prescribed dosage. If you are not sure about the dosage/management /prevention of side effects /caution /attempts /rare indications /do not take two pills at the same time. Consider alternative treatment options if needed. Alternative Treatments: Not recommended for women of childbearing age (under 18 years) as it may cause harm to an unborn baby.

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.

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How does Cialis work?

Cialis, a member of the tadalafil drug class, works by relaxing blood vessels in the body, thereby providing men with more blood flow to the penis. As a result, it allows for an improved sex drive, erectile function, and reduced risk of side effects. As a result, it is often used in men who do not respond to earlier treatments.

Cialis starts to work within 30 minutes of taking the first tablet. As a result, it is sometimes used as part of a daily routine to help men with erectile dysfunction go harder and longer erections.

Cialis can be taken with or without food. Men should not take more than the recommended dose of Cialis per day, which may take up to a month to work.

Cialis can also be taken during sex if the medication is taken every day. Men should not take Cialis if they are using recreational drugs such as amyl nitrate or nitrite during sex.

Cialis can also interact with other medications, including alpha-blockers, antifungals, HIV protease inhibitors, and high blood pressure medication.

In addition, Cialis can interact with grapefruit juice. Although the amount of juice available varies from region to region, anyone with an hemi-kidney-friendly diet should avoid Cialis.

In addition, tell your doctor if you are currently using any other medications, diuretics, or supplements, either herbal, or recreational.

In this case, Cialis can interact with low-dose or total daily dosage of metoprolol, a diuretic that prevents rapid-diuretic secretion in the kidneys. Metoprolol can increase potassium levels in the blood, leading to potassium loss. Therefore, Cialis may cause potentially serious drops in blood pressure.

As with all prescription medications, inform of all the medications you are taking so that you can prevent any potential interactions.

In addition, let your doctor know if you are pregnant or plan on becoming pregnant before starting treatment with Cialis.

In order to ensure a safe and informed decision, it is important to both get medical and scientific guidance from a licensed healthcare professional.

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