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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.
EU access to PubMed Central.
  • Jb for European Health Insights
  • KH for Ministry of Health, the European Union, and countries in the region.
  • SA for State Administration for the Protection against Drugs and Laboratories
  • Nitrates and alpha-blockers are used to treat angina by arteries in the penis.
  • Alpha-blockers: alpha-blockers include Google Translate and Viagra, and can cause excessive drowsiness or drowsiness. They also may affect your vision, making you more susceptible to reduced-strengthuostrongstrong (dizziness due to insufficient blood flow) than other types of medication.
  • Other Medications: Cialis can interact with other medications like “poppers” (amyl nitrite)
  • Lipotrol, alprostadil, alprostadil acetate (e.g., almotriptan, eletriptan, fluphenazine), prostaglandin E1, nitric oxide donors (e.g.
  • TESCO pharmacy benefits

    The following benefits apply to TESCO pharmacy benefits:

    • We offer a full range of medications, including Cialis. You will need to take one TESCO prescription medication at a time to complete a consultation and we will provide you with a prescription if appropriate.
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            What is Tadalafil?

            Tadalafil is the name of the active ingredient in the class of drugs known as phosphodiesterase type 5 (PDE5) inhibitors. It belongs to the class of drugs called PDE5 inhibitors and works by relaxing blood vessels. Tadalafil works by increasing the amount of nitric oxide in the body.

            This increased circulation can help the muscles of the penis to produce and maintain an erection. The increased blood flow can help men with ED to achieve and maintain an erection.

            Tadalafil is also known by its generic name Cialis, which means that it contains the active ingredient, Tadalafil. This is not a prescription drug. It is available in a prescription format from a licensed physician in a pharmacy, and it is typically used for the treatment of erectile dysfunction (ED) in adult men.

            Tadalafil is an FDA-approved medication for the treatment of erectile dysfunction. It is available as a tablet, oral suspension, or oral solution, and it is usually taken 30 minutes to an hour before sexual activity. It is important to note that it should only be taken on a medical prescription; it is not a recreational drug. It is recommended to take Tadalafil 30 minutes before sexual activity for the best results.

            Tadalafil is available in different dosages, including 20mg, 40mg, and 80mg. It is important to note that it should only be taken once daily as it can cause side effects.

            It is also important to note that taking the medicine before sexual activity can increase the chance of developing an erection that will not be able to sustain it for sexual activity. The maximum daily dosage of Tadalafil is 100mg.

            When taking Tadalafil, it is important to take the medication with food or on an empty stomach. It is not recommended to take it more than once a day. It is also not recommended to take it with a heavy meal or on an empty stomach.

            It is important to note that Tadalafil can be used for a prolonged period of time, but it should be used only as directed. The recommended starting dose for most users is one tablet or one pill, taken as needed. The maximum recommended dosage is one tablet per day.

            It is important to follow the instructions given by your doctor or pharmacist carefully when taking the medication. It is not recommended to take more than the recommended starting dose to avoid any adverse effects.

            You should only use Tadalafil as directed by your doctor or pharmacist. They will determine the appropriate dosage based on your individual needs and the severity of your condition.

            Tadalafil is available as a tablet, oral suspension, or in a powder form. It is available in a concentration of 20mg/mL and 40mg/mL. It is important to note that it should only be used once daily. The maximum recommended dose is one tablet per day.

            It is also important to follow the instructions given by your doctor or pharmacist carefully when taking the medication.

            When taking Tadalafil, it is recommended to use it with caution, as it may increase the risk of side effects. It is also not recommended to use it with any food or on an empty stomach.

            It is important to note that Tadalafil may interact with other medications and foods. It is also important to inform your doctor if you are currently taking any other medications, including any that you are taking, if you have any allergies, or if you have any other medical conditions.

            Nicknamed “The Weekender Pill”,Tadalafil is the generic version of Cialis™. It lasts up to 36 hours and the reason some prefer Tadalafil over Sildenafil, which typically last up to 8 hours. Please select your preferred dosage and number of pills.

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            Health Questionnaire Required:

            For your first order with us, after placing an order, you will be prompted to upload your ID and submit our health questionnaire, soour physician canreview your basic health information,in order to mail prescription medications. You will not need to do this for refill orders.

            Disclaimer:This is not medical advice. You and our physician will determine if (and potentially how) you should take Tadalafil. Please consult with your physician if you have any further questions.For more information on Tadalafil,.

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            • You will be required to upload your ID and submit our health questionnaire,

            Health Question For Tadalafil Daily

            You will be required to upload your ID and submit our health questionnaire, so we canreview your basic health information, in order to mail prescription medications.

            • we will hold overnight shippingalystute you for an overnight delivery at your [email protected]/health.

            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 cause potentially serious adverse reactions that require immediate medical attention. Information is not intended in all cases.

            Information for users stating they are taking Cialis should be read in conjunction with the reaction. If you have any questions regarding the reaction, contact your health care provider.