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:
If you are taking Cialis or other medications for high blood pressure, it is important for your healthcare provider to know these medications frequently contain multiple medications used to manage other medications you may be taking. This allows your doctor to reduce the risk of potential side effects.
If you take Cialis with these medications, you may experience drop in blood pressure by combining this with grapefruit juice, alcohol, or other blood pressure medications. Do watch for side effects and consult your doctor before starting this medication.
Similar to drug-food interactions, there are other potential drug-food interactions to be aware of:
Whether you can take Tadalafil at the same time as your other medications will depend on which medications you are taking.
You are required to complete a short medical consultation questionnaire that asks for any medications that you are prescribed from your GP and will indicate the medications that can’t be taken alongside Tadalafil.
There are several medicines which should not be taken concurrently with Tadalafil. Medicines which can have potentially serious interactions with Tadalafil include :-
• Any alpha-blocker medicines e.g. doxazosin (Cardura), alfuzosin (Xatral), tamsulosin, terazosin, or Flomax, that you can buy in the pharmacy. (These medicines may be used to treat prostate problems or high blood pressure).
• Isosorbide mononitrate, isosorbide dinitrate, or use a GTN spray or tablets
for chest pain or use Rectogesic ointment?
• Nicorandil (Ikorel), used to treat angina
• Cimetidine, used to treat stomach or duodenal (peptic) ulcers
• Theophylline, used to treat asthma
• Antibiotics:- Clarithromycin, Erythromycin and Telithromycin
• Anti-fungals such as itraconazole and ketoconazole
• Seizure medication:- carbamazepine, oxcarbazepine, phenobarbital, phenytoin and primidone
• Heart or blood pressure medication:- disopyramide, amiodarone, quinidine and procainamide
• Anti-viral medication:- telaprevir, atazanavir, retonavir, indinavir, saquinavir and cobicistat
• Recreational drugs:- amyl nitrate (poppers)
If you are taking any prescribed medication from your GP then you can simply write those in the “Is there any other medical information that you think our doctor should know?” section on the medical questionnaire. Then, our doctor will know whether the Tadalafil is safe for you to take.
Read available consultation questionnaire information online for “Tadalafil May Be More Safe Than Propothrovetamine, Cialis Do Not Tadalafil".To registered UK licensed doctors:
You can order this medicine in person and fainting medication in person on the
Always follow your doctor’s advice on any questions you have about Tadalafil medicine (Cialis Do Not Tadalafil)You have been prescribed with Tadalafil Cialis Do Not Tadalafil there was a problem with your medication taking Cialis Do not Tadalafil there was a problem with your medication taking Cialis Do not Tadalafil there was a prescription problem with your Tadalafil medication taking Tadalafil Cialis Do not Tadalafil there was a prescription problem with Tadalafil Cialis do not Tadalafil Cialis Cialis Cialis Cialis Cialis Cialis Cialis Cialis Cialis Cialis Cialis Cialis Cialis Cialis Cialis Cialis Cialis Cialis Cialis Cialis Cialis Cialis Cialis Cialis Cialis Cialis Cialis Cialis Cialis Cialis Cialis Cialis Cialis Cialis Cialis CialisNo common side effects or serious side effects that have been observed in ourArabic language version have been reported. Please keep the strength unit in stock.
Medical questionnaire required in your medical answer
Eligible people aged over 18 should be able to take this medication in the normal therapeutic dose without any side effects.
Eligible people aged over 18 and those who have a heart problem, bacterial or parasitic, who have not been diagnosed by a doctor with a problem with a treatable mental or mood disorder should be monitored regularly.
Eligible people aged 65 and older and those with a high protein diet and those taking probiotics for three months should be monitored regularly.
Erection problems (impotence) are very common, particularly in men over 40.
Most men occasionally fail to get or keep an erection. This is usually due to stress, tiredness, anxiety or drinking too much alcohol, and it’s nothing to worry about.
If it happens more often, it may be caused by physical or emotional problems.
Physical causes Possible cause Treatment Narrowing of penis blood vessels, high blood pressure, high cholesterol medicine to lower blood pressure, statins to lower cholesterol Hormone problems hormone replacement – for example, testosterone Side effects of prescribed medication change to medicine following discussion with GP You may also be asked to make lifestyle changes.
Do lose weight if you’re overweight stop smoking eat a healthy diet exercise daily try to reduce stress and anxiety
Don’t cycle for a while (if you cycle more than 3 hours a week) drink more than 14 units of alcohol a week
Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature.
If you experience any of the following side effects stop using the medicine and seek medical help immediately:
allergic reactions including rashes (frequency uncommon). chest pain – do not use nitrates but seek immediate medical assistance (frequency uncommon). priapism, a prolonged and possibly painful erection after taking CIALIS (frequency rare). If you have such an erection, which lasts continuously for more than 4 hours you should contact a doctor immediately. sudden loss of vision (frequency rare). Other side effects have been reported:
Common (seen in 1 to 10 in every 100 patients)
headache, back pain, muscle aches, pain in arms and legs, facial flushing, nasal congestion, and indigestion. Uncommon (seen in 1 to 10 in every 1,000 patients)
dizziness, stomach ache, feeling sick, being sick (vomiting), reflux, blurred vision, eye pain, difficulty in breathing, presence of blood in urine, prolonged erection, pounding heartbeat sensation, a fast heart rate, high blood pressure, low blood pressure, nose bleeds, ringing in the ears, swelling of the hands, feet or ankles and feeling tired. Rare (seen in 1 to 10 in every 10,000 patients)
fainting, seizures and passing memory loss, swelling of the eyelids, red eyes, sudden decrease or loss of hearing, hives (itchy red welts on the surface of the skin), penile bleeding, presence of blood in semen and increased sweating. Heart attack and stroke have also been reported rarely in men taking CIALIS. Most of these men had known heart problems before taking this medicine.
Partial, temporary, or permanent decrease or loss of vision in one or both eyes has been rarely reported.
These side effects are usually mild and temporary. If you have these full effects, which are not, it’s important to talk to a doctor right away.
if irritation is present (allergic reactions)Like all medicines, CIALIS works because it increases blood flow to the penis, helping you achieve and maintain an erection well before you have had any men having the condition for 3 hours. This is also true of Levitra and St John's wort.
It may also increase blood flow to the heart (QT – helping to explain heart rhythm).
If you have new or unexpected erections, they may reassure you well before the medicine is taken.
if there is a problem with the dose - there is a risk of taking too much CIALIS even when you are aware that you are not fit enough to deal with a medical conditionThis medicine is not intended for use in women and men should not take CIALIS if: having or develops liver problems drug history, disease or deformity physical reason for taking CIALIS bad side effects Red blood cell – contributing to the formation of the red blood cells observed with other medications such as tacrolimus
CIALIS should not be used with medications containing nitrates, as with other medicines
If you are taking nitroglycerin, it may cause dangerous drops in blood pressure.
Cialis 20 Mg is a popular and popular medication used to treat erectile dysfunction. It contains the active ingredient Tadalafil, which belongs to a class of drugs called phosphodiesterase type 5 inhibitors (PDE5 inhibitors). This medication is also used to treat benign prostatic hyperplasia (BPH) and pulmonary arterial hypertension (PAH). Cialis 20 Mg is a prescription medication, and is usually taken orally.
The active ingredient in Cialis 20 Mg is Tadalafil, which belongs to a class of drugs called phosphodiesterase type 5 inhibitors (PDE5 inhibitors).
When you take Cialis 20 Mg, it can cause the following side effects:
These side effects are usually mild and disappear after a few hours. If you experience any of these symptoms, consult your healthcare provider right away.
Cialis 20 Mg is a prescription medication that is usually taken orally. It is available in various strengths and is usually taken on an empty stomach. It is important to follow the recommended dosage and not exceed it. It is also important to take the medication at the same time every day, to maintain its effectiveness. However, you should note that it is best to take the medication on an empty stomach for optimal results.
Cialis 20 Mg is a prescription medication that is typically used to treat erectile dysfunction (ED) in men. It is a type of medication that works by increasing blood flow to the penis. The medication works by relaxing the muscles in the penis, making it easier to achieve and maintain an erection. This helps to improve sexual performance.
Cialis 20 Mg can be effective for up to 36 hours, depending on the dosage and the dosage strength. However, it is important to note that it can take up to 2-3 days to start working. This is to ensure that the medication is fully absorbed into the bloodstream, which is essential for its effectiveness.
You can take Cialis 20 Mg with a full glass of water, without breaking or chewing. However, it is important to follow your healthcare provider's instructions regarding how to take the medication. They will advise you on the appropriate timing and dosage of the medication.
Cialis 20 Mg is typically taken once daily, with or without food.
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