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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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  • Other Drug-Food Interactions:
  • This list is not exhaustive; be sure to talk to your doctor or pharmacist if you have any questions or if you are taking any other drugs.

    C.

    Cialis (tadalafil) can interact with certain foods and beverages, potentially altering its effectiveness. Here are the key drug-food Interactions:

    D. Top Drug-Food Interactions:

    Tadalafil (Cialis) can interact with certain foods and beverages, potentially altering its effectiveness.

    F.

    Tadalafil (Cialis) can interact with certain foods and beverages.

    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's usesWhat is Cialis

    Cialis is a prescription medication used to treat erectile dysfunction (ED) in men. It contains the active ingredient tadalafil, which can be a beneficial tool in the battle against sexual impotence.

    Cialis is a brand name for tadalafil, a phosphodiesterase type 5 (PDE5) inhibitor. This medication works by increasing blood flow to the penis, helping men achieve and sustain an erection when sexually aroused. As a result, it can help reduce the pain and uncomfortable symptoms of erectile dysfunction.

    Cialis is not recommended for use in women. Cialis can interact with other medications, causing potentially serious adverse reactions.

    Cialis is not recommended for use in children. Do not use Cialis in any age range or diagnosis under any circumstances. If you are taking or might be taking any other medications, be sure to inform your health care provider. For example, seek medical attention must be used to treat any heart conditions, do not take alcohol or nitrates while taking or for nitrates, and should not take any nitrate medications without consulting your health care provider.

    What are the side effects of Cialis

    Like all prescription medications, Cialis can cause side effects. Talk to your health care provider if you experience any side effects.

    SINGAPORE - A drug maker has warned that its prescription drug Viagra may lead to a rise in the cost of erectile dysfunction treatment, but that it may be a risk to health. The drugmaker, Pfizer, said that its latest guidance on its prescription-only treatment for impotence and the high-dose sildenafil, the generic name for Viagra, could be a reason for the rise in prescriptions.

    The drugmaker warned that it was taking measures to prevent patients from taking Viagra for erectile dysfunction in the past two years.

    The drugmaker said that it had received reports of a rise in prescriptions for Viagra in the past few years, which was more than two times the maximum dose.

    The warning, which was published in the British Medical Journal, came after it was discovered that the erectile dysfunction drug, called sildenafil, contained an impotence drug called Viagra.

    The drug, which is sold as Levitra and Cialis, is a generic version of Viagra, and Pfizer said that the drug is sold under the brand name Cialis, but has been withdrawn from the market.

    Pfizer said that they were disappointed with the guidance but would not comment on the findings of its latest study.

    The company said that it would be removing a study of Viagra from the market immediately.

    Pfizer, which has been trying to bring Viagra into the market since it was launched in 1998, said it would continue to work with the pharmaceutical industry to address the problem.

    It added that it had conducted a study in 2016 and will continue to monitor the situation to ensure it is effective and safe.

    In a statement, Pfizer said that its research had found that the erectile dysfunction drug was linked to an increase in the risk of a number of serious side effects, including priapism and other heart problems. It also reported that patients taking the drug had an increased risk of serious allergic reactions, as well as an increased risk of stroke, heart attack, and liver damage.

    The company said that the increased risk was not the result of a higher dose of the drug, but was related to the drug's chemical structure.

    The company said that the data was reassuring, as there was no increase in the amount of Viagra in the last two years.

    Pfizer, which is listed on the British Pharmacopoeia as one of the world's largest pharmaceutical companies, said that its products are the most widely prescribed drugs in the world, and that more than 1 million prescriptions were written for them.

    The company said that its products were well-suited to the health of the elderly and children.

    It said that the results of the study showed that the drug had a risk of heart problems, but not priapism, which is a serious medical problem. The drug is not used in the treatment of erectile dysfunction. Viagra was the drug's first prescription-only medication after its launch in 1998.

    Sildenafil is the generic version of Viagra, which is used to treat erectile dysfunction.

    Copyright © 2025. All rights reserved.

    For more information about the Viagra patent and of Viagra, see:.

    Cialis, Lilly and Pfizer, Lilly and Company, Lilly and Company, Viagra® (generic name: Tadalafil), Pfizer, Viagra®, and Levitra®, all of Eli Lilly & Company, together with its subsidiaries, together with its subsidiaries in the US and Canada, are registered trademarks of Eli Lilly and Company in the United States, the European Union, the Asia Pacific (Pacific), and Canada. The trademarks are the property of their respective owners.

    The above information is not intended to cover the complete extent described in this notice, and is not intended to be used as a substitute for the knowledge of doctors and pharmacists, or other authorised persons.

    We make every possible effort to ensure that our customers receive the best service and products at the most affordable prices. However, because we are a pharmacy, the prices may vary slightly depending on location, method of payment, and whether you are buying through a brick-and-mortar pharmacy. If you have any questions about the pricing of your medication, please talk to your doctor or pharmacist.

    Pharmacist: David Lauterbach, PharmDPfizer Inc. is a registered trademark of Pfizer Inc. and its subsidiaries.

    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 at at.otc://todaysfreer.

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