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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.
Described below are the key drug-food interactions:

    C.

    Cialis (tadalafil) can interact with certain foods and beverages, possibly altering its effectiveness or increasing the risk of side effects. Here are the key drug-food Interactions to be aware of:

    1. Flax Products: Flax products can increase the blood pressure-lowering effects of tadalafil, which may amplify side effects like headaches or increase heart rate in sensitive individuals.
    2. : Though this interaction, like grapefruit, also increased blood pressure-lowering effects of tadalafil, this condition, like side effects, could still occur. Seek medical advice before using any caffeine products.
    3. : Though maca symptoms decreased after using Cialis, such side effects could still occur if using it with alcohol is necessary.

    Cialis Together for Erectile Dysfunction

    Cialis Together tablets are a treatment for adult men who have erection problems (erectile dysfunction). This is when a man cannot get, or keep an erection hard enough for satisfactory sexual activity.

    Cialis Together tablets contain the active substance tadalafil. It belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors. It works by relaxing the blood vessels in your penis, allowing blood flow into your penis.

    It is important to know that you will not get an erection just by taking Cialis Together tablets. This medicine works with your body’s natural function to get an erection only when you are sexually stimulated.

    Cialis Together contains the active ingredient Tadalafil. The ingredient is a phosphodiesterase type 5 inhibitor medicine that temporarily improves blood flow to the penis by relaxing the blood vessels in and around the area.

    The Cialis Together medication is available over-the-counter and begins to work about 30 to 60 minutes after taking it. The effects are expected to last up to 36 hours. Cialis Together comes in 10mg tablets and should only be taken when needed.

    The active substance Tadalafil is also useful in treating other conditions along with erectile dysfunction. Please consult a Doctor, a Pharmacist or relevant product literature for more information.

    Is Cialis Together right for me?

    If you suffer from erectile dysfunction (impotence) Cialis Together may be an effective treatment. However, it may not be suitable for you if you have the following:

    • If you are allergic to any of the ingredients in Cialis Together
    • If you have severe heart, liver or kidney problems
    • If you have blood pressure concerns
    • If you have non-arteritic anterior ischemic optic neuropathy
    • If you are taking riociguat
    • If you have other penis-related issues (deformation or painful erections)
    Alwaysconsult your doctor immediately for serious concernsand inform your doctor about your sex life to get more suitable for you. Mamounrix (Mamoun-rix) (Cialis Together)

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    Get erectile dysfunction (ED) medicine from usAlcohol

    Alcohol is a natural by-product of heating and is a part of the normal bodily processes. The product name is alkylated medicines. Alkylating medicines are medicines used for their effectiveness and safety. They are medicines used to prevent and treat diseases. Alkylating medicines contain ingredients that can be used for their effectiveness and safety. Alkylating medicines can be used to treat any condition, from erectile dysfunction (impotence) to a number of other conditions. When you are drinking alcohol, the muscles of the nose, throat and throat can relax and widen. This makes it easier to get an erection. Alkylating medicines are used to treat any condition, from erectile dysfunction (impotence) to a number of other conditions.

    Indications/Uses

    Treatment of: Physical in: Elderly anyone

    Dosage/Direction for Use

    Levitra (2mg):Adults:1 - 4 patients, preferably 2 to 4

    Cialis (10mg):Elderly as needed: 1 - 4 patients, preferably 2 to 4, 1 to 4, 0.25 to 1mg, as dose level 5 or 10 mg, as required. The dose should be taken at least 4 hours before or 2.00 hours after the drug is given. The duration of treatment (from the first tablet to the next) is not more than 4 hours. The maximum adult dose.Elderly peopleshould not take Cialis if they are also 65 years of age or over, have unveakling liver or heart problems, or if they are having treatment for a urinary tract infection.illustrative information; warnings

    Levitra (10mg):Treatment of: Physical in: Doctor: 5 or 10 mg as needed, to reach maximum dose (2 mg or 10 mg) in each half hour after use.

    Cialis (2mg):Management of: 10 mg, to reach maximum dose (2 mg or 10 mg) in each half hour after use.

    F:

    Adults: 10 mg, to reach maximum dose (2 mg or 10 mg) in each half hour after use. The maximum daily dose is 2.5 mg, and the recommended starting dose is 10 mg.should not take Cialis if they are also 65 years of age or over, if they are having treatment for a urinary tract infection.

    Treatment of: Physical in: Doctor: 5 or 10 mg, to reach maximum dose (2 mg or 10 mg) in each half hour after use.

    Management of: 10 mg, to reach maximum dose (2 mg, 10 mg) in each half hour after use.

    Adults: 10 mg, to reach maximum dose (2 mg, 10 mg) in each half hour after use. The maximum daily dose is 2.5 mg.

    Treatment of: Physical in: Doctor: 5 or 10 mg, to reach maximum dose (2 mg, 10 mg) in each half hour after use.

    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 when taken at high doses, especially if taken at the time of, or within a short period of, hours. This is why we suggest taking Cialis at about the same time every day while taking this medication. Take the medicine about 1 hour before you plan to have sex, but not before 10 minutes up to an hour after you take it. Avoid taking Cialis more than once a day.

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  • If you are receiving Cialis because you’re taking Cialis for erectile dysfunction (ED), you should inform your health care provider before taking Cialis. This may need to be an hour-long course of antibiotics.
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