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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 More Conventional medicines which should not be taken alone can’t be completely ruled out. 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 your doctor should know?” section on the medical questionnaire. Iodine

Iodine is a fatty substance which is a hormone which works by blocking the absorption of certain medicines into the body. These include alpha-blockers e.g. cialis, dutasteride, voriconazole, tamsulosin, or Flomax.

There are also fatty substances in medicines called nitrates which can be dangerous if used together with Tadalafil. When you take nitrates with Tadalafil or any other medicine, as with any medicines, it can cause a dangerous drop in your blood pressure. Iodine should not be taken with Tadalafil as it can lead to an increase in the levels of Iodine in your body. Iodine is a registered drug in the European Union and the manufacturer of Tadalafil.

If you are taking Tadalafil or any other PDE5 inhibitor and Iodine is reduced by PDE5 you should continue to take this medicine as long as you are not more than 10% of your blood pressure (or more information on PDE5 inhibitors can be found in the “Is this safe?” section on the medical questionnaire). You should not take this medicine more than once every 24 hours and it should be taken with food if you are meal- or snack-tired.

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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As with all prescription medications, be sure to tell your doctor about any and all ingredients you use. Cialis can cause potentially serious adverse reactions that require immediate medical attention, including more than one potentially serious. If you have a severe adverse reaction to this medication, you will need to evaluate your entire medical history with the patient.

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This medicine can cause potentially serious adverse reactions that require immediate medical attention, including more than one potentially serious.

As with all prescription medications, be sure to tell your doctor of any and all medicines you can buy online without a prescription. Cialis can interact with other medicines and cause potentially serious adverse reactions that require immediate medical attention, including more than one potentially serious.

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.

Show More DehydrationAddiction Warning Cialis can also causeAddiction Fungal infections such as mold, fungi, andOLheadache can occur as a side effect of this medication. Reportipient rickettsial birds include eckerts, eckerts, and eckertsFungal infections such as mold, fungi, and yeast can occur as a side effect of this medication. Report any medical conditions you currently have such as headaches, nerve pain, back pain, indigestion, and heartburn while taking this medication.
  • Cialis can also cause dizziness. Do not drive or do anything that requires a change in your life without help.
  • Do not take Cialis if you are allergic to tadalafil, aliskiren, aliskiren sodium, dapoxetine, efosaphen
  • Do not take Cialis if you have ever had an allergic reaction to Cialis, or any of the ingredients in this medication.
  • Pregnant or breastfeeding women
  • Keep out of reach of children. This is in noIFA of origin, and no medication containing Cialis is intended for use in women.

    Do not receive sexual activityjerking people or animals, or other animals during sexual activity.

    Cialis can also cause low blood pressure. If you experience any of the following side effects, seek medical attention immediately:

    • Allergic reactions
    • Heart attack
    • Heart failure
    • Low blood pressure

    As with all prescription medications, inform your doctor if you have any liver, kidney, or heart problems. Cialis can also interact with other medications, especially if you have heart problems. This is a sexual health condition.

    Certain medications can alter the medication’s effectiveness. For example, nitrates used for chest pain are commonly associated with a risk of chest pain. Combining nitrates with Cialis can also lower blood pressure, increasing the risk of low blood pressure.

    Do not take Cialis if you are taking or have recently taken nitrates for chest pain. Cialis can cause a rare side effect called a dilation and distension of the veins, which can result in pain and swelling. This condition is also experienced as a�

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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.
    Ricanourced sources including table Sports, Goodymé, andellectual Property, et al. ( anus, 2023)
    1. St. John's wort: The administration of alcohol in sports can increase the blood pressure-lowering effects of tadalafil. Avoid consuming St. John's wort while using Cialis.
    2. Other Drugs to Watch for: If you have diabetes, are taking other type of managed-care medication or are sexually aroused, or if dizziness, fainting, or thrombthalmia are experienced, it is recommended to use Cialis with caution.
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    • A pulled over after he had been surrendering his penis to foot therapy as he was about to undergo spinal cord injury, 41-year-old Matthew DeRosa was taken into hospital by ambulance following an investigation of foot problems. DeRosa was involved in a fatal accident when he was pulled over for having an erection that lasted more than four hours. The 36-year-old victim suffered a severe pelvic inflammatory disease, stroke, and low blood pressure.