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:
Grapefruit: Grapefruit can increase the levels of tadalafil in your blood by enhancing the metabolism of its byproduct,\ ergospinuril. This can amplify side effects like headaches or increase blood pressure.
: Though not a direct interaction, combining Cialis with alcohol-exacerbating strategies like alcoholism may worsen side effects like headaches or increase heart rate in sensitive individuals. Seek medical advice before using Cialis.
The following medications are currently available in Europe:
Generic Cialis is a well-known treatment for erectile dysfunction and benign prostatic hyperplasia. It is a drug with a proven effectiveness, but is also an off-label use in the treatment of premature ejaculation.
The use of generic Cialis, however, may lead to adverse effects that are not fully described in the medical literature.
Generic Cialis contains the active ingredient Tadalafil, which belongs to a group of drugs called phosphodiesterase type 5 (PDE5) inhibitors. The active ingredient is known as Tadalafil. The patent for Tadalafil expired in March 2017.
The main active ingredient in Tadalafil is Tadalafil. Tadalafil works by increasing blood flow to the penis, which allows for a firm and sustained erection. It is available in a number of formulations including tablets and oral solutions, as well as a gel capsule.
Generic Cialis is for use in men only, and can only be prescribed by a doctor. It is intended for men aged 18 years or older with erectile dysfunction. It is only recommended for men who do not have erectile dysfunction and who have not been using any other ED treatment (includingED medication).
Generic Cialis is a phosphodiesterase type 5 (PDE5) inhibitor, which works by increasing blood flow to the penis. This can help men to achieve and maintain a strong and firm erection.
It is available in tablet form as well as in oral solution. It should be taken about an hour before sexual activity, with a maximum dose of 20 mg per day. The effects of Generic Cialis typically last between 36 hours to 72 hours. It is not suitable for men who do not need this treatment.
Generic Cialis is not recommended for women and children. It may not be suitable for men with certain medical conditions, such as liver or kidney impairment, those taking certain medications, or those with underlying cardiovascular disease or heart rhythm problems.
Generic Cialis is used to treat erectile dysfunction in men and to prevent premature ejaculation in men and women. It is only recommended for men who are 18 years of age and older. However, there are other medications that may be used for the treatment of erectile dysfunction.
Generic Cialis should be taken about an hour before sexual activity, with a maximum dose of 20 mg per day. It is important not to take more than one dose of Generic Cialis per day. Take Generic Cialis with or without food, as it may affect the absorption of the medication.
If you miss a dose, take it as soon as you remember. If it is close to the time for your next dose, do not take it. If it is almost time for your next dose, skip the missed dose and continue your regular dosing schedule. Do not take extra medicine to make up for a missed dose.
Do not take Generic Cialis if you are allergic to the active ingredient or any other ingredients in Generic Cialis. Talk to your doctor or pharmacist if you have any other medical conditions, especially if you also take nitrates or alpha-blockers, or if you have a history of heart problems or stroke.
If Generic Cialis isn’t right for you, talk to your doctor or pharmacist.
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:
Cialis (tadalafil) can interact with certain foods and beverages, including grapefruit, grapefruit juice, and alcohol, increasing the risk of side effects. You may consider using Cialis with a entry-level fields such as college or work footnote.
Dose and Posology
Cialis (tadalafil) is administered orally, usually as a dose-ranging tablet, once a day, starting in the form of a 50 mg tablet. Tadalafil, while generally not administered as dosing as used intablets, may be administered as a once-a-day dose in certain cases, reaching a maximum of 100 mg per day. Dosing is recommended for individuals with a medical condition that affect blood pressure, making it essential to maintain a consistent level of therapeutic concentration between doses.
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.