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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.

A final combination form of medications may require different amounts of alcohol or other products when taken with Cialis. Here are the drug-alcohol interactions to be aware of:

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What if I miss a dose?If you forget to take a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your prescription.What may cause the missed dose?Type of medication that is used to treat your erectile dysfunctiontype of medicationThe combination of Sildenafil and Tadalafil is often used to treat high blood pressure, heart problems, certain eye problems (such as retinitis pigmentosa), and other related conditions. This combination is usually used as a first-line treatment because it is effective in treating only a small number of conditions, such as pulmonary arterial hypertension and in patients with diabetes.

Men looking for early intervention and who prefer to use Sildenafil as a first-line treatment should choose Sildenafil as the second-line medication. Sildenafil is an FDA-approved medication specifically for Tadalafil use. It is used to treat conditions in which erectile dysfunction is a significant side effect such as heart conditions such as heart-related issues].

What happens if I take too much Tadalafil?Where can I buy TadalafilIf you or someone you know become sick or injured while taking Tadalafil, call your local poison control center or get emergency medical treatment. You could be pregnant. If you are, talk to your doctor about the risks and benefits of Tadalafil.What are the side effects of Tadalafil?Patients using Tadalafil may experience some common side effects, including headaches, dizziness, and nasal congestion. These side effects are usually mild and temporary. However, it is important to discuss them with your healthcare provider.tttHow do I take Tadalafil?Take Tadalafil as needed, about 1 hour before your planned date at a time when your body is getting its erections.How long does Tadalafil take to work?How long you can safely take Tadalafil will depend on your blood pressure, heart function, and other factors.We only useccut Tadalafil comes to 50mg as a single dose. It is not intended as medical advice about any individual condition.

Cialis medicine is manufactured by Lupin. Cialis is available in 20mg. 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 – 20mg7. 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 listed below. Symptoms of these side effects may include headache, back pain, muscle aches or pain in arms and legs, facial flushing, diarrhea, nasal congestion, dizziness, indigestion, back muscle pain, muscle pain, headache, changes in menstrual periods or back muscle pain. If you experience any other side effects, consult your doctor / medical adviser / health advisor or pharmacist / medicine healer promptly.</symptoms may also occur in other parts of the body, including muscles, vision, taste, heart and back pain. If you experience any side effects in yourself or youodi-medicines you are taking, ask your doctor / medical adviser / medical healer about whether you may be suitable for self medication. Self medication can be dangerous.</esserts: The most common side effects of the medication tadalafil include nausea, vomiting, stomach pain, dryness in mouth, flushing, headache, changes in vision, back pain, muscle pain, back or joint pain, pain in the arms and legs, redness of the skin around the face, swelling of the ankles, decreased sex drive, decreased libido, depression, anxiety, irritability, dry mouth, increased heart rate or pain, increased sweating, increased blood pressure, increased blood sugar, enlarged prostate, irregular heartbeat, bone pain, muscle pain, back pain, muscle ache, sore throat, headache, muscle pain, weakness, unexplained burning or itching, difficulty urinating, stuffy nose, nausea, vomiting, back pain, sudden decrease or feeling of pain, fast or irregular heartbeat, swelling of ankles, firmness of hands, tingling or numbness in the skin, chest pain, irregular heartbeat, fast or pounding heart, difficulty urinating, sudden decrease or feeling of pain, tiredness, diarrhea, constipation, gas • Back pain, muscle aches, muscle aches, weakness, joint pain, sore throat, easy bruising or other serious side effects can also be experienced. If you experience any of the following side effects while taking tadalafil (and not everyone of these drugs have them). Call your doctor / doctor / medical healer anytime, and/or if you need urgent medical advice. Elevate your health seriously. Tell your doctor before you take any medicine stop using it and contact your doctor for extra information.