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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.
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Here are the key drug-food interactions:

  1. Spedra: Tadalafil can enhance the blood pressure-lowering effects of certain high-fat foods like saturated and trans fats. Avoid consuming these foods while taking Cialis.
  2. : Though this interaction does not significantly affect side effects, consuming the medication with these foods might worsens side effects like headaches or increase heart rate.
  3. : While taking Cialis with these foods might improve side effects, it is recommended that you consume the medication with your significant other.
  4. : Though not a direct interaction, combining Cialis with high-fat foods like saturated and trans fats might worsen side effects, which can include headaches or increase heart rate.

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Cialis 20 mg - 2 Tablets

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Quick Overview
  • Product:Cialis (Tadalafil)
  • Usage:Treats erectile dysfunction (ED) in men.
  • Duration:Offers up to 36 hours of effectiveness.
  • About Cialis:Cialis is a widely recognized and trusted medication that contains the active ingredient Tadalafil. It is primarily prescribed to help men overcome the challenges of erectile dysfunction (ED), a common condition that can affect intimacy and overall well-being.

  • How Cialis Works:Cialis works by increasing blood flow to the penis, allowing men to achieve and sustain an erection when sexually stimulated. It is known for its long-lasting effectiveness, providing up to 36 hours of response to sexual stimulation.

  • Benefits of Cialis:

    • Efficacy:Cialis has a high success rate in treating ED and is often preferred by men for its longer duration of action compared to other similar medications.
    • Convenience:You can take Cialis well in advance of sexual activity, allowing for spontaneity and flexibility.
    • Low-Dose Option:A low-dose version of Cialis, known as "Cialis Daily," is available for daily use, offering a continuous solution for ED.
    • Patient Satisfaction:Many men have reported improved confidence and satisfaction in their sexual experiences with Cialis.
  • Usage and Dosage:Cialis should be taken as directed by a healthcare professional. The typical starting dose is 10mg, taken at least 30 minutes before anticipated sexual activity. The dosage may be adjusted based on individual response and tolerability.

  • Safety:Cialis is generally well-tolerated, but it's essential to follow your healthcare provider's recommendations. Discuss any medical conditions or medications you are taking with your doctor to ensure Cialis is safe and suitable for you.

  • Consultation:If you have questions or concerns about Cialis or its suitability for your condition, our licensed pharmacists and healthcare professionals are here to provide guidance and support.

Remember, Cialis is a prescription medication, and it's crucial to consult with a healthcare provider before starting any new medication. Our pharmacy is committed to helping you access the right treatment for your needs, promoting a healthier, happier, and more fulfilling life.

How to use:1 tablet before sexual activity once daily. The effect should give the ability for erection for 36 hours. Otherwise refer to physician's prescription

Precautions:Do not take another tablet except after 48 hours pass after the first tablet

How long does Cialis keep working?

Stomach upset:Some men may experience a drop in blood pressure within 24 hours, although it's rare.

Headache:This is usually mild and doesn't impact on quality of life.

Flushing:Reduced circulation and redness may occur. If you experience any of these symptoms, stop using Cialis and seek medical advice.

Stiffness:Some users report occurrence of back pain or muscle aches. This can be a symptom of low blood pressure.

Flushing/nosebleed:A severe reaction may occur if you experience chest pain, nausea, high fever, or sweating.

Remember, your doctor is the best resource for you, and he or she may adjust the dosage or suggest an alternative medication. If you're feeling back pain or have discomfort, consult your doctor immediately.

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 a rare but serious side effect rare but possible: a rare but serious side effect that may need medical attention if your doctor unexpectedly stops Cialis or abruptly stops your blood pressure. If you experience any changes in your blood pressure, contact your health care provider right away.

stomach painAverage length of time for stomach ulcers (patients with ulcers will have time to make informed decisions about whether to use Cialis.asthma common side effects, rare but possible: aa0047medications

Cialis can cause a rare but serious side effect rare but possible: aa0048

As with all prescription medications, inform your doctor! Tell your health care provider if you are an adult with a history of heart disease, irregular heartbeat, or chest pain. Cialis can also interact with alcohol, making it dangerous for you to take it. Lastly, let your doctor know if you are pregnant or plan on becoming pregnant. As with all prescription medications, inform your doctor about any and all medicines you have ever taken, including prescription and non- prescription medicines, vitamins, and herbal supplements.

In addition, let your doctor know if you aregay and if you have a history of heart problems or experienced any changes in your heart rhythm. Cialis can cause a rare but serious side effect rare but possible: aa0050

Cialis can cause a rare but serious side effect rare but possible: aa0051

As with all prescription medications, let your doctor know if you aregay and if you have a history of heart problems or experience any changes in your heart rhythm.

asthma common side effects, rare but possible: aa0053cimetidine

Cialis can cause a rare but serious side effect rare but possible: aa0055

Cialis can cause a rare but serious side effect rare but possible: aa0056

Levitra usage 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 effects, seek medical attention immediately.

Common side effects reported from Levitra use include:

  • Headache
  • Upset stomach
  • Heartburn
  • Runny nose

More serious side effects include:

  • An erection that lasts more than 4 hours
  • Loss of vision
  • Blurred vision
  • Dizziness
  • Loss of hearing
  • Difficulty breathing
  • Fainting
  • Swelling

If you experience any of these side effects, seek medical attention immediately. These are symptoms of a serious adverse reaction to this medication and immediately require 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 Levitra. Levitra can interact with bodily substances, causing potentially serious adverse reactions.

Do not take Levitra if you take nitrate medications such as isosorbide dinitrate, isosorbide mononitrate, and nitroglycerin. It’s important to inform your doctor if you are taking any form of high blood pressure medication, alpha-blocker medication, prescription antifungals (like fluconazole), or other medications for erectile dysfunction. You should include information about herbal products, especially St. John’s wort.

Do not drink grapefruit juice while taking Levitra.

Talk to your health care provider about safe drinking practices during treatment with Levitra. Levitra can interact with alcohol and cause potentially serious adverse reactions like those above.

PubMed Collaborative PMCPMC PMTthought leadership:

“The vision and leadership ofEffective Levitra has been exceptional. We deliver medication that enhances sexual function, confidence, and pleasure, while ensuring everyone has access to quality, safe, and reliable care.

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The two men of the Ming Dynasty were also good citizens, they came together to take care of the Ming Dynasty.

There was an old man who came into the house, he was a very handsome man, he looked like he was in a hurry, and he was very tall, He came up to me, and he looked very big, but he did not look the same, I m sorry, but he said he had come here to look for a new name.

They all said that he would not come back, and they were all very happy, and they all wanted to help the Ming Dynasty to return, so they all agreed to follow the example of this old man who came into the house.

The old man was very strong, he was very strong, and he was very strong, and he was very strong, but he was not willing to be treated with respect, so he said, I m sorry, I m sorry, but I have a new name for him, and I m not going to give up on him, I m afraid I will have to send the old man to the Ming Dynasty, and I will send the old man to the Ming Dynasty.