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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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Bottom Drug-Food Interactions:

Cialis (tadalafil) can interact with certain foods and beverages, possibly altering its effectiveness or increasing the risk of side effects. Here are the key drug-food interactions:

  1. : While there is no direct interaction, consuming a body with tadalafil-containing products may worsen side effects like headaches or increase tadalafil blood pressure levels.
  2. Stomach Upset: If Cialis is taken with large meal movements, such as swallowing, it may affect your stomach. Drinking alcohol while taking Cialis may worsen side effects like headaches or increase heart rate in sensitive individuals.
  3. Stuffy or Fluid Lungs</strong: While taking Cialis with these medications may worsen side effects or increase side effects progression, they do not replace comprehensive medical advice, as you can always speak to a doctor.

The U. S. Food and Drug Administration approved Eli Lilly and Company’s Cialis® for the treatment of erectile dysfunction, the first non-prescription drug to do so. The drug was designed to treat a condition called impotence in men who don’t respond to pills. The drug was approved for use in men who had erectile dysfunction by the FDA on May 24, 2023.

The first Lilly drug for erectile dysfunction was Eli Lilly’s Cialis® for erectile dysfunction on May 10, 1998. It was marketed by Lilly under the name Eli Lilly & Company to treat men with impotence in men.

Lilly marketed Cialis® as a generic version of Eli Lilly’s blockbuster drug, the blockbuster drug known as Cialis®. Cialis® was developed by Eli Lilly, a major pharmaceutical company and the world’s leading generic pharmaceutical company. It was a significant milestone for Lilly in the history of pharmaceuticals, as it brought to market the first drug for men with erectile dysfunction.

The drug had a significant impact on men’s health and the development of Cialis® was completed, with the first FDA approved drug for erectile dysfunction in June 1998.

Lilly’s Cialis® for Erectile Dysfunction:

The first Lilly drug for erectile dysfunction was Eli Lilly’s Cialis® for erectile dysfunction on June 15, 1998. It was marketed by Lilly as “Lilly’s Erectile Dysfunction”, the first non-prescription drug that was approved by the FDA for treating erectile dysfunction.

The drug was a success for Eli Lilly’s pharmaceutical company, the U. Food and Drug Administration (FDA). The drug was first marketed under the name Eli Lilly and Company in the United States in April 1998.

Lilly marketed Cialis® in the U. to treat erectile dysfunction by using the brand name Cialis®. Lilly’s Cialis® was approved by the FDA on July 27, 1998.

The Side Effects of Cialis® in the U.

Lilly marketed Cialis® to treat erectile dysfunction in men by using the brand name Cialis®.

The most common side effects for men who take Cialis® for erectile dysfunction include:

  • Headache
  • Flushing
  • Nausea
  • Diarrhea
  • Bloating
  • Dizziness
  • Swelling in ankles or legs

The most serious side effects for men who take Cialis® for erectile dysfunction are:

  • Vision loss
  • Hearing loss
  • Sudden decrease in hearing
  • Shortness of breath
  • Blood in the urine
  • Seizures
  • Trouble swallowing

The History of Cialis® for Erectile Dysfunction

In 1998, Lilly, at the beginning of the new century, the company had a major advancement. Lilly’s product called Cialis® was introduced to the market in the U. in August. In April 1998, Lilly also introduced Cialis®. The introduction of Cialis® was a major milestone in the history of pharmaceuticals.

The introduction of Cialis® was also a major milestone in the history of pharmaceuticals, as it brought to market the first drug for men with erectile dysfunction. Lilly marketed Cialis® to treat erectile dysfunction, with the first FDA approved drug for men with erectile dysfunction.

In June 1998, the company announced that it was approving its Cialis® for erectile dysfunction on June 15, 1998.

Although the introduction of Cialis® was successful, erectile dysfunction medications continued to be a big market for Lilly in the United States. In the United Kingdom, Eli Lilly and Company also marketed Cialis®.

Lilly’s Cialis® for Sexual Dysfunction:

In the 1990s, Lilly’s drug Cialis® was introduced as a treatment for erectile dysfunction in men. The drug was first approved for erectile dysfunction on June 15, 1998. Cialis® was approved by the FDA on July 27, 1998.

Before you begin taking Tadalafil generic, its important to carefully read the Patient Information Leaflet. Make sure to review it each time you get a refill.

Take Tadalafil dosage orally, either with or without food, as directed by your healthcare provider. Tadalafil dosage should not exceed more than once a day. Swallow the tablet whole. Do not split it or crush unless advised.

Your daily dosage will depend on your medical condition, how you respond to medications, and any other medications you currently take. Before you take ED treatment pills, ensure that you inform your healthcare service provider of any prescription drugs, over-the-counter medicines, and any other supplements you take.

If you are also using finasteride alongside Tadalafil to treat any symptoms of benign prostatic hyperplasia (BPH), discuss the duration of treatment and dosage you will need with your healthcare provider.

For erectile dysfunction (ED), tadalafil citrate may be prescribed in two ways:

  • You may take it as needed, usually at least 30 minutes before sexual activity, with its effects potentially lasting up to 36 hours.
  • Your doctor may recommend taking generic Cialis regularly, once a day.

Follow your doctors instructions carefully based on your specific needs and condition.

If you are using tadalafil citrate medication for ED dysfunction and BPH, take it daily as directed by your doctor. To ensure you do not forget, take it at the same time each day.

Keep your healthcare practitioner informed if your medical condition does not improve or worsens during treatment.

irlwinds>A man has difficulty getting or keeping an erection during sexual activity, and his penis may not be fully erect after sexual activity. (Photo Credit:

A man has difficulties getting or keeping an erection during sexual activity, and his penis may not be fully erect after sexual activity.

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

What is Tadalafil?

Tadalafil is the active ingredient in theCialispill.

It is used to treat (,).

Imbaloric Pharmacist

All medicines are not intended to be used in their place are given a few times a day to come up with their exactesensitivity.

Tadalafil is a fast-acting medicine with a delayed onset of action.

It can’t be taken with other hormones such as, and its effect will only last as long as this medicine is taken.

It has been thought to have a role in the treatment of benign prostatic hyperplasia (BPH) by relaxing the prostate muscles, making it easier to urinate and reducing the symptoms of BPH. However, BPH symptoms can still affect about a 10 % of men and symptoms of Tadalafil can affect more men at any time of the day.

Tadalafil will only help you with BPH and won’t increase your sex life.

Can you take Tadalafil for pulmonary hypertension?

Tadalafil is not thought to be harmful to the patient. However, your GP must consider this if you are taking (,):

  • Alcohol or smoke
  • Tadalafil can interact with some medicines used to treat heart problems or high blood pressure
  • You are taking Sordide for the treatment of diabetes or high blood pressure
  • You have high blood pressure which is reflux disease (heart disease)
  • You have high blood pressure which is due to a serious form of cancer
  • You have high blood pressure
  • You have a disease of theurances evoke
  • You are taking a medication for pulmonary hypertension that you are taking.

I am a 45 year old male with a 5 year history of Erectile Dysfunction. I have been taking Cialis 5mg. and Viagra 100mg. I have been on Cialis for about 4 weeks. My blood pressure is very high and I'm a little dizzy. I have a hunch that something is going to happen to me, and I'm going to get my life back. I am taking Cialis and Viagra for the first time in almost 10 years and have been very happy with my life. The past 4-5 years I have had no side effects, I don't think I have any, I am not sure what to do at all with my life. The first time I took Cialis was 2 weeks ago. I thought I was taking too much of the drug, but that's not the case. Now I take Viagra 2 weeks ago and have no side effects. I was on Cialis for 4-6 months and I was really happy with my life. I was able to get rid of the erectile problems and I was able to get the new confidence and sexual life. I have not had side effects from Cialis and Viagra and I have had no problems with the medication. I am very pleased with the improvement and I have been able to enjoy the new life again.

My blood pressure is high and I'm a little dizzy. I have had no side effects from the drug, I am not sure what to do at all with my life. The past 4-5 years I have had no side effects, I am not sure what to do with my life. Now I take Viagra for the first time in almost 10 years and have been very happy with my life.