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Description

What is Cialis?

Cialis is a prescription drug used to treat erectile dysfunction (impotence). It is the generic form of Tadalafil.

Cialis may be taken with or without food, but it should be taken on an empty stomach.

You should not take Cialis if you:

Have liver or kidney disease.

Are allergic to tadalafil or any other ingredients of this drug

You should not take Cialis if you have any of the following conditions:

If you have recently had an MRI (magnetic resonance imaging) or CT (computed tomography) scan or any other medical condition that may cause a serious drop in blood pressure, you should not take Cialis.

If you have a condition that is causing or worsening an erection that is caused by Cialis or an other medication, you should not take Cialis.

You should not take Cialis if you are also taking:

Ampicillin or tetracycline antibiotic.

Uses of Cialis

Cialis is used to treat erectile dysfunction (impotence). It may be used for other uses; ask your doctor or pharmacist for more information.

This medication is not approved for use in women. Cialis should not be used for men only.

It is important to tell your doctor if you have ever had a heart problem called angina (chest pain) or have high or low blood pressure, high cholesterol, diabetes, or some other conditions that make it hard to get or keep an erection. Cialis may rarely cause serious (possibly fatal) side effects. Call your doctor at once if you have any of the following serious side effects:

Blood clots. Heart problems. Stroke. Flushing (redness, warmth, or warmth in the face, ears, neck, or chest). It may be a good idea to stop taking Cialis in case of these serious side effects. Tell your doctor right away if you have any of the following symptoms of a serious side effect:

If you have a heart attack, stroke, or blood vessel problem, you should not use Cialis.

If you have ever had symptoms of an allergic reaction including skin rash, runny nose, or itchy skin. This may be a sign of a more serious problem and need medical attention.

If you have low blood pressure, or high blood pressure, you may need medical help. Cialis should not be used for more than one month.

If you are giving Cialis to yourself or someone else, you may not get the results you want. You must talk to your doctor about this. You should not use Cialis if your doctor has prescribed you Cialis. Cialis may be taken with food.

Talk to your doctor about using Cialis with other medications you are taking, including herbal supplements. This drug is not approved for use in women.

Tell your doctor if you have any serious side effects, including:

You have a bleeding disorder that is affecting your bleeding ability.

You have a serious reaction to nitrates or other medicines. You should not take Cialis if you have a heart attack, an angina attack that is caused by a blood vessel problem, heart attack or stroke, or if you have recently had a heart attack. This is not a complete list of possible side effects.

Tell your doctor if you get a rash, fainting spells, or problems with your eyesight. These side effects may be worse with Cialis.

Cialis can be used for other purposes not listed here.

This drug may increase your risk of having a heart attack, especially if you have recently had a heart attack or stroke.

Tell your doctor if you have a condition that causes or can cause priapism (painful, painful erection).

Tell all of your health care providers that you are taking this drug if you have:

Severe liver problems or problems with your liver or kidneys. Tell all your health care providers that you are taking this drug if you have:

You have problems with your penis, the shape of your penis.

Cialis has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.

Common side effects reported from Cialis use include:

  • Headache
  • Indigestion
  • Heartburn
  • Upset stomach
  • Gas
  • Nausea
  • Flushing

More severe side effects include:

  • Painful erections or erections that last longer than 4 hours
  • Sudden loss of vision
  • Sudden loss of hearing
  • Ringing in the ears
  • Chest pain
  • Shortness of breath
  • Painful urination
  • Increased urination frequency
  • Fainting
  • Dizziness
  • Skin rash
  • Hives
  • Facial swelling

If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.

As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Cialis. Cialis can interact with bodily substances, causing potentially serious adverse reactions.

Specifically, you should inform your health care provider of any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.

In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.

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Cialis can be taken with or without food.

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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