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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.
Main Interactions:

Cialis may cause dizziness or fainting in some individuals. If you experience any side effects, such as lightheadedness, drowsiness, or dizziness, seek immediate medical attention.

Cialis is used to treat erectile dysfunction (impotence) by men. It may also help to prevent reversible damage to your penis by taking care to avoid prolonged sexual activity. Cialis is available in several mechanisms, including active ingredient

and inactive ingredients.

Cialis is available in various dosages, including 25 mg, 50 mg, and 100 mg. Your doctor will decide the appropriate dose and duration for your medical needs.

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Mraught: I've had no reactions.

Tadalafil

Formulary
Tablet
Cialis

Special Precautions

It is essential to consult a physician before taking any medication. Caution is advised in patients with renal disease or an enlarged prostate. Caution is advised in patients with a history of priapism (prolonged erection).

Patients with liver or kidney impairment should avoid using tadalafil. It should be used only when prescribed by a physician.

Tadalafil is for use in the treatment of erectile dysfunction in men only and should not be used in men with a history of hypersensitivity to tadalafil or any other ingredients of the drug. Tadalafil is not effective for pulmonary hypertension.

Tadalafil is not suitable for use in women. It is not recommended for use in women and children.

The efficacy and safety of tadalafil in combination with other drugs have not been established.

In case of an overdose, get medical help as soon as possible.

Drug Interaction

Tadalafil can have a drug-drug interaction when used in combination with other drugs containing nitrates (e.g. nitroglycerin). It can also cause a drug-drug interaction when used in combination with nitrates.

Disease/Symptomatic Treatment

Tadalafil is contraindicated to be used in the treatment of an enlarged prostate. In case of a medical emergency, contact the doctor.

Adverse Reactions

The majority of adverse reactions associated with tadalafil use are of mild or moderate intensity. Less common reactions are headache, flushing, dyspepsia, nasal congestion, indigestion and visual disturbances such as blurred vision. Rarely, tadalafil has been associated with visual disturbances, particularly in patients with pre-existing disorders of the retina (NAION).

Warnings and Precautions

Taking tadalafil may cause an erection that is painful or prolonged, and this can lead to permanent vision loss. It can also lead to priapism (prolonged erection) when the treatment is initiated at the first sign of an erection. If an erection lasts longer than 4 hours, seek medical advice immediately.

Men with a history of priapism should avoid using tadalafil. It can cause permanent vision loss. It can also lead to priapism when the treatment is initiated at the first sign of an erection.

Tadalafil should only be used under the supervision and prescription of a qualified healthcare professional. If you have any questions or concerns about your medication, contact your doctor or pharmacist for advice.

Tadalafil can interact with other medications and medical conditions, so it is important to inform your doctor or pharmacist about any of the drugs you are taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). Tadalafil should not be used in children or women.

Tadalafil can have undesirable effects when combined with nitrates, including a risk of a sudden and potentially fatal drop in blood pressure.

If you have any questions or concerns about your medication, you should contact your doctor or pharmacist for advice.

Composition

The active substance is tadalafil. The other ingredients are vardenafil, phentolamine hydrochloride, sildenafil hydrochloride, and verapamil. The tablets, capsules, suspension and transdermal insertions are supplied inrespective sizes and colour schemes.

Cialis 20mg

About Cialis 20mg

What is Cialis 20mg used for?

Cialis 20mg is used to treat erectile dysfunction (ED) in men. Erectile dysfunction is an inability to maintain an erection to sexual intercourse.

How Cialis 20mg works?

Cialis works by enhancing the effects of phosphodiesterase type 5 (PDE5) in the body. PDE5 breaks down cyclic guanosine monophosphate (cGMP) which relaxes the blood vessels in the penis, allowing increased blood flow and the ability to get an erection. It does this by blocking the action of PDE5.

Common side effects of Cialis 20mg

  • impotence
  • heart palpitations
  • nasal congestion
  • headache
  • palpitations
  • trouble concentrating
  • eye pain
  • sensitivity to light
  • dizziness

Where to buy Cialis 20mg?

You can buy Cialis online at reliable pharmacies and over the counter medicine stores in India, including, Cipla, Hims, Ajanta, MedsDirect, Tarka, etc.

Buy Cialis 20mg in USA from Online Doctor

Buy Cialis online in USA from Online Doctor. Cialis 20mg, the generic form of Viagra, is available in the USA from Online Doctor without a prescription. Cialis 20mg is the most effective treatment for erectile dysfunction and belongs to a class of medications called phosphodiesterase type 5 (PDE5) inhibitors. It works by relaxing the blood vessels in your penis, allowing increased blood flow and the ability to get an erection. Viagra and Cialis are also used to treat pulmonary arterial hypertension (PAH) by relaxing blood vessels in the lungs and increasing blood flow to the lungs.

How to use Cialis 20mg?

  • Take Cialis 20mg as directed by your physician.
  • Swallow Cialis 20mg as a whole without water.
  • Do not chew, crush or break.
  • Cialis 20mg should be taken at least 30 minutes before sexual activity.

Side effects of Cialis 20mg

  • Headache
  • Dizziness
  • Nasal congestion
  • Terse tasting
  • Sensitivity to light

Warnings and precautions for use of Cialis 20mg

  • Always consult your physician before taking any medication.
  • Use only the prescribed dosage in the event of dosage not prescribed. PDE5 inhibitors, such as Viagra, can only work when combined with sexual stimulation.
  • Do not use in combination with nitrate medications.
  • Do not use in patients with severe heart or liver problems.
  • Consult your doctor or pharmacist before taking any medication if you have any concerns.
  • Avoid drinking grapefruit juice while using this medicine.
  • Consult your physician if you are pregnant or breastfeeding.
  • Do not use in children under 12 years.

Precautions for Cialis 20mg

  • Allergy to Cialis 20mg.
  • Pregnancy.
  • Breastfeeding.
Tagged as erectile dysfunction.

Cialis is an oral medication that is used to treat erectile dysfunction (ED) in men. ED is a condition where a man has trouble getting or keeping an erection firm enough for sexual intercourse. Cialis works by helping to maintain an erection in response to sexual stimulation.

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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C. Anti-A. PDE5 Inhibitors (e.g., stibonide, isovenot)

Staxyn (guanethidine phosphates) can affect the activity of PDE5, which may reduce its effectiveness or lead to aخطب، signifinant،. Here are the key drug-anti-PDE5 inhibitors to be aware of:

  1. Somatostatin - Stibonide:omit PDE5 inhibitors with somatostatin may worsen side effects like headaches or increase heart rate with sensitivity. As a result, we recommend using somatostatin while taking somatriptin.
  2. Isoniazid - Iirthil, Somatostatin, Iirthil PDE5 Inhibitors:omit is a combination of Iirthil and Somatostatin. It can enhance the blood pressure-lowering effects of somatostatin by inhibiting PDE5.