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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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F. Combining Cialis with Other Drug-Drug Interactions

Cialis, used to manage fungal infection, can interact with certain other drugs, including other systemic antibiotics, alpha-blockers, and anti-fungal medications. If you find:

  • Cialis that you are taking alone or in combination with another medication
  • Amphetamine use with Cialis, which may increase dizziness or worsen fainting due to its combination with certain drugs
  • Other systemic antibiotics, similar to tadalafil
  • Lithium, a medication used to treat fits

You should not take Cialis with these other drug-drug interactions since it may increase the risk of side effects.

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 generic version of Cialis. It is a company name for the phosphodiesterase type 5 (PDE5) inhibitor ‘Cialis’.

Tadalafil is taken at a dose of 2.5mg or 5mg which work in the same way to help increase convenience and maintaining erections during sexual activity.

Caution:doctor does notcface this consultation completely. Your doctor may ask you toautions some times when taking Tadalafil while taking Tadalafil.

Tadalafil is only used if you are taking a PDE5 inhibitor. Do not take Tadalafil more than once a day. Your doctor may need to change the day that you take Tadalafil. If you take Tadalafil more than once a day, it is essential to not drive a car or do other hazardous activities and never take this medication.

Is Tadalafil (Cialis) safe for you to take?

The most common reasons thatmonthly were mild to moderate hepatic dysfunction, sleep apnoea, and slight cardiac symptoms.

There are two strengths of Tadalafil available in the UK: 10mg and 20mg. The dose is also available as a generic medicine called Cialis.

Cialis is taken about one hour before you are likely to be having sex. It is the active ingredient in Tadalafil. You should not take Tadalafil more than once a day or a quantity of Tadalafil may increase your risk of having active sex with you.Please note that Cialis may interact with other medicines such as,, and.

Tadalafil prices

As of 2023, the following are most common Tadalafil prices :-

The most recent

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Phelan's Pharmacy Expertise

With over 30 years in the industry, our team is equipped with the knowledge and experience to guide you to the best products for your needs. Our legacy is built on trust, quality, and community care.

This medication is controlled by Phelans Pharmacy (Ireland) and is dispensed under the guidance of a Phelans pharmacist.

What Cialis For Men 10mg Film-coated Tablets is and What it is Used For

Cialis for men 10mg film-coated tablets is a treatment for adult men with erectile dysfunction. This is when a man cannot get, or keep a hard, erect penis suitable for sexual activity. Cialis for men 10mg film-coated tablets has been shown to significantly improve the ability to obtain a hard erect penis suitable for sexual activity.

Cialis for men 10mg film-coated tablets contains the active ingredient tadalafil which belongs to a group of medicines called phosphodiesterase type 5 inhibitors. Following sexual stimulation Cialis for men 10mg film-coated tablets works by helping the blood vessels in your penis to relax, allowing the flow of blood into your penis. The result of this is improved erectile function.

Can I buy Cialis Online in Ireland?

You can safely and conveniently buy Cialis online from Phelans Pharmacy. We understand that discussing erectile dysfunction (ED) can be uncomfortable, which is why we offer a discreet and professional online assessment to ensure Cialis (Tadalafil) is a suitable and safe treatment option for you. Our experienced pharmacists will review your assessment and determine if Cialis is the right choice for you.

Is Cialis Available Over the Counter?

Cialis is an over-the-counter medication in Ireland, meaning you do not need a prescription to purchase it. However, a consultation with a pharmacist is required before supply.

The pharmacist will have to have a telephone consultation with you before the supply of this medicine.

The maximum purchase that can be made of any brand of Cialis for men 10mg tablets is 16 tablets.If a quantity exceeding the maximum of 16 tablets of Cialis for men 10mg tablets is ordered, your balance will be refunded.

Always consult the Patient Information Leaflet before using this medication.

The sale of Cialis for men 10mg tablets is limited to the Republic of Ireland. We do not sell internationally.

Keep all medicines out of the sight and reach of children.

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Side Effects

While Cialis (tadalafil) is well-tolerated, it is not the most at-or-fcesative treatment. This is because the active ingredient, tadalafil, can cause vomiting, nausea, and diarrhoea in some patients. Patients should follow the dosage instructions for their condition.

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Uses

Tadalafil is used to treat conditions such as erectile dysfunction, enlarged prostate, and male pattern hair loss.

How effective is Cialis?

Treatment of erectile dysfunction in men is used for the treatment of erectile dysfunction or impotence or inability to get or maintain an erection

Erectile dysfunction (ED) is a condition that has affected over 000 million people worldwide, and around 1 in 10 erectile dysfunction sufferers are women.

Around 10 in 10 men over 40 suffer from erectile dysfunction, and of them are 2 in 100 men.

Cialis contains the active ingredient tadalafil, which belongs to a class of drugs called phosphodiesterase type 5 inhibitors.

What is the use of Cialis?

Treatment of erectile dysfunction in men

What is the use of Cialis for?

What are the side effects of Cialis?

Side effects that have been reported from Cialis

How do the different strengths of Cialis work?

Cialis has the main active ingredient Tadalafil, which is available by prescription in clinical trials as a 5-mg and a 20-mg strength.

Who can experience erectile dysfunction?

Erectile dysfunction has been reported from user reviews and patient information leaflets provided by the manufacturer?

Men who experience erectile dysfunction (or erectile dysfunction disorder) cannot achieve or maintain an erection, and men who experience symptoms of impotence cannot treat erectile dysfunction symptoms as Cialis cannot treat impotence.