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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.
Describing the response to Cialis's effects can be stress-reducing, energy enhancing, and mood-enhancing. However, if you get the stress–relieving symptoms and are severe, tell your doctor.

C.

Cialis (tadalafil) can interact with certain foods and beverages, possibly altering its effectiveness. Here are the key tadalafil-food interactions:

  1. : Though not a direct interaction, combining Cialis with high alcohol intake might exacerbate symptoms: headaches, dizziness, lightheadedness, or fainting in sensitive individuals.
  2. : While blood pressure may improve with small meals, it can still interact with Cialis to some degrees.
  3. : Though not a direct interaction, combining Cialis with high-Cafes powers alcohol and increases blood pressure-inducing symptoms like dizziness or lightheadedness.

D.

Cialis (tadalafil) is one of the most effective drugs for treatment of erectile dysfunction in men. Erectile dysfunction (ED) is a condition in which the penis does not get enough blood flow. This helps to achieve an erection. ED is a common problem that affects millions of men worldwide. The symptoms of ED can include:

  • Headache
  • Facial flushing
  • Stomach discomfort
  • Dizziness
  • Insomnia
  • Nausea
  • Fatigue

Cialis (tadalafil) can improve blood flow to the penis by relaxing the muscles in the walls of blood vessels. This relaxation helps to improve the erection and increase blood flow. If a man has erectile dysfunction, it can be diagnosed by the symptoms of ED. It is essential to know that the effects of Cialis (tadalafil) are not only due to the active ingredient; it also have the potential to cause unwanted effects such as headaches, flushing, indigestion, and back pain.

Tadalafil is the active ingredient in Cialis, and therefore, it is one of the most commonly prescribed medications for erectile dysfunction. It is the active ingredient of which the drug is a part. In the past, men used Cialis (tadalafil) to treat erectile dysfunction in men. They had tried the drugs without much success. Now, men who have taken Cialis (tadalafil) have a better chance of getting an erection than men who do not use it. It is possible that men who are taking Cialis (tadalafil) may be more sensitive to this medicine than men who are not.

Therefore, the main purpose of this study was to compare the effect of Cialis (tadalafil) and tadalafil for men who are taking the drugs for erectile dysfunction. A total of 80 men who are taking the drugs for erectile dysfunction (30 men taking Cialis) and 30 men who are not taking the drugs for erectile dysfunction (10 men taking Cialis) were enrolled in this study. All men who were taking the drugs for erectile dysfunction were asked to record the dose of Cialis (tadalafil) and take the drug for a week.

Study design, sample size, demographic data, laboratory values, adverse effects, adverse drug reactions, dose, adverse reactions of the drugs, adverse events and adverse events

All the participants were between 18 to 65 years old. The study was approved by the Institutional Review Board of the University of the Wroclaw Medical Centre (No. 09/09/2020).

Erectile Dysfunction (ED)

The present study was carried out in accordance with the approved guidelines of the Wroclaw Medical University Hospital, with written informed consent from all patients undergoing treatment of erectile dysfunction. Before the study, all patients had had a diagnosis of erection. Before the start of the study, all the patients were advised to have the medication for erectile dysfunction and were instructed to take it for a week. Then, the participants were randomly allocated to receive either Cialis (tadalafil) or tadalafil (Cialis). All patients received the drugs for erectile dysfunction. The drug of choice was Cialis (tadalafil) at the same dose as for the other drugs. Cialis (tadalafil) was started at a dose of 20 mg and gradually increased until it was effective for 60 min. After that, Cialis (tadalafil) was started at a dose of 20 mg and continued until the last day. The drug was then gradually increased. After the drug was started, the blood samples were taken for the tests of the drug’s effect on the blood samples, the effect of the drug on the serum and the plasma. The study period was 12 weeks. The drugs of choice were the drugs used for the study (tadalafil) and the drug was taken for a week. At the end of the study period, all the patients were asked to stop taking the drugs for erectile dysfunction. The drugs that were taken for the study were Cialis (tadalafil) and tadalafil (Cialis).

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 consultation questionnaire information

What are the benefits and the potential risks of Tadalafil?

When taken as a single dose, Tadalafil is more effective in treating erectile dysfunction than fasase, which is used to treat both pulmonary and cardiac problems.

Tadalafil does not have an effect on benign prostatic hyperplasia (BPH).

Although Tadalafil can treat BPH, it cannot be used off-label to treat erectile dysfunction.

What is the active ingredient in Tadalafil?

Tadalafil is the active ingredient in the brand name Cialis. Tadalafil is the active ingredient in GoogleDoc orrin. Not all available ingredients are shown in the above medical questionnaire information.

The information provided on a GPhC prescription is based on current local regulations on prescription medicines and requires advice from a doctor or pharmacist.

What is the active ingredient in Tadalafil capsules?

Tadalafil is the active ingredient in Tadalafil capsules. Each tablet contains 20mg (9 tablets) of Tadalafil. Tadalafil is available in generic forms, e.g. 5mg, 7.5mg, 9.5mg and 12.5mg.

Does Tadalafil work for every healthy heart?

There are no proven cure for erectile dysfunction and some HRT supplements may not work as well as they’d if you are taking Tadalafil.

A health check on yourcomian has been performed andunderegessions.ie has been advised aboutlactulose and taurocholate as alternative ED medicines.

However, a health professional should be contacted beforehand to ensure that they are not used to looking like that.

Description

What is Cialis 20 mg?

Cialis 20 mg is a generic medication that is used to treat the signs and symptoms of erectile dysfunction (ED). Cialis 20 mg is available in a tablet form.

Cialis 20 mg works by relaxing the blood vessels in the penis, which allows men to have a hard, erect penis.

What are the uses of Cialis 20 mg?

Cialis 20 mg is used to treat:

  • erectile dysfunction caused by a medical condition that affects blood flow to the penis
  • erectile dysfunction caused by other health conditions
  • erectile dysfunction caused by a disorder, including diabetes or cardiovascular diseases.

Cialis 20 mg is also used to treat:

  • pulmonary arterial hypertension
  • lung disease
  • liver disease
  • rheumatoid arthritis
  • stroke
  • stroke in cerebral arteries
  • erection in the penis
  • pulmonary artery disease
  • heart disease
  • aortic aneurysm
  • heart attack
  • heart failure
  • stroke in heart of the heart of the heart of the heart of a patient who has heart disease
  • stroke in kidney disease
  • stroke in the kidney of patients with heart disease
  • stroke in patients with kidney disease
  • stroke in liver disease

How is Cialis 20 mg used?

Cialis 20 mg is used to treat the signs and symptoms of erectile dysfunction (ED). Cialis 20 mg is available in tablet form.