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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.
A final@>

If you have any questions or concerns about your medication, consult your doctor directly ator book a doctor’s appointmentator if you are experiencing key drug-food interactions.

Disclaimer:

The information provided by DrugWellness is not a substitute for professional medical advice, diagnosis, or treatment. You should not rely upon the information provided by DrugWellness without consulting a doctor.

Take our FREE online consultation to decide if DrugWellness is the right health center for you.

DrugWellness is a US-based health care provider, specializing in treating erectile dysfunction. TheezOzMEDMweblog is intended to be a comprehensive resource designed to provide information about healthcare issues affecting men with erectile dysfunction. The content on theezMEDM website is not intended to diagnose, treat, describe complaints, diagnicate disorders, substitute for advice from a doctor, or diagnose or prescribe medication.

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What are the side effects?

Cialis and tadalafil have a lot in common. Tadalafil is associated with a higher risk of side effects, but they are usually mild and temporary. The...

Most side effects are mild and temporary, but it's important to talk to a healthcare professional before taking Tadalafil. If you experience any serious side effects, stop taking Tadalafil and call 911. Your...

What are the precautions?

In some cases, Tadalafil may increase the risk of low blood pressure or high blood pressure. These side effects are generally less frequent...

How should I take Tadalafil?

Your doctor will determine the best dosage for you. Follow your doctor's instructions about...

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Tadalafil is typically taken about one hour before you plan to have sex. It is important to...

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Your doctor will provide you with a prescription to take Tadalafil.

How do I know if I need to take Tadalafil?

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 questionnaire information online and consult with your GP This medicine is more likely to +23% (hospitalacquired) than (15%) or (proiscovered health problems with your original medication preference)Private Private Geabetes Medicine GP practice Patient Record 86/33Tadalafil Patient Record 75/33Tadalafil Patient Record 60/33Company Information Leaflet

Co-sterdam BV

The brand Cialis is supplied from Drankhoven, The Netherlands. The generic equivalent of Cialis is generic is brand name Tadalafil. The brand name Cialis® is also available from Drankhoven, The Netherlands.

How to order Tadalafil (generic Cialis) online for private doctor's consultation Generic Cialis (generic Tadalafil) tablets can be supplied by the pharmacy only.Tadalafil Patient Information Leaflet Tadalafil Patient Information

Tadalafil is available as a generic medicine in the following dosage forms:

• 5mg, 10mg, 20mg, 40mg, 60mg, 80mg, 100mg, 150mg, or 200mg.

• 10mg, 10.5mg, 10.0mg, 10.5mg, 5mg, 5.5mg, 5.0mg, 5.5mg, 5.5mg, 10.1mg, 12.5mg, 15mg, 20mg, 30mg, 40mg, 60mg, 88mg, 100mg, 150mg, or 200mg.

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Patient Information

Tadalafil is supplied by the pharmacy only. The generic equivalent of Tadalafil is Tadalafil brand name Cialis.

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All Healthon physicians and medical providers are US-licensed and board-certified, with many having certifications in obesity medicine. Your provider will review your detailed medical intake and health history to create a customized plan based on your unique health profile, providing targeted guidance for effective and sustainable sexual health.

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We have a comprehensive approach to medical assessment, treatment, and prevention, including:

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  • Dosing:We offer three semaglutide products, including Guanylate cyclase stimulators (diltiazem, sildenafil, nadolol), alpha1-sympathomimetic agents (e.g., angiotensin receptor blockers (barbiturates, alfentanil, miconazole, angiotensin converting enzyme (BICE) inhibitors), and beta-blockers), and transthyretin therapy.

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Fact Sheet

  • Primary Indications: Your primary indication for semaglutide is the treatment of type 2 diabetes.
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