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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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C.

Nitrates and other high-dose medications can cause a dangerous drop in blood pressure, leading to dizziness, fainting, or even stroke (Poppers)cohol levels in the blood. When combining Cialis and nitrates, it is important to avoid sweating, which may lead to lower blood pressure.

D. Other Antihypertensive Medications:

Cialis (tadalafil) can cause an dangerous drop in blood pressure, especially dispos of medications off a sensitive patient's sexual health. Combining them can increase side effects, such as headaches or low blood pressure.

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

Do you need an interview to take Tadalafil and how does it compare to other Tadalafilinterviews

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You’ve probably heard of, the most famous drug to treat erectile dysfunction, and you’ve likely been asking yourself what we can do about it. In this blog, we’ll talk about two other drugs that treat erectile dysfunction, and their place in our daily lives. In this article, we’ll look at one of the newest and most popular drugs to treat erectile dysfunction, and then we’ll review the other drugs we use for erectile dysfunction.

What is erectile dysfunction?

Erectile dysfunction is a medical condition in which men suffer from a persistent inability to achieve or maintain an erection that is hard enough to have sex. The main causes of erectile dysfunction include:

  • Impotence
  • Low blood pressure
  • Stress or anxiety

Erectile dysfunction can also be caused by psychological causes such as stress, anxiety or depression. The cause can be physical or psychological. Psychological causes include:

  • Depression
  • Relationship problems

Why is erectile dysfunction so common?

Erectile dysfunction occurs in men at a much higher rate than any other condition.

Most men who have this condition can take an ED drug called Viagra or Viagra Professional to treat their condition. There is also a popular ED drug called Cialis, which has the same active ingredient as Viagra and is used to treat erectile dysfunction.

Tadalafil

Tadalafil is the active ingredient in Viagra and is used to treat erectile dysfunction. It is also used to treat pulmonary arterial hypertension (PAH), a disease that is also known as angina. In fact, the US Food and Drug Administration has approved tadalafil (Cialis) in combination with a nitrate-containing drug to treat PAH.

Erectile dysfunction drugs

Viagra and Cialis

Both Viagra and Cialis are used to treat erectile dysfunction. Viagra is the most popular drug prescribed to treat ED in men. Cialis is the brand name of, a drug that increases blood flow to the penis during sexual stimulation.

Viagra also has the active ingredient sildenafil citrate, which is used to treat PAH. Viagra works by relaxing the muscles in the blood vessels of the penis and increasing blood flow. It can also be taken by people who are sexually excited.

The side effects of Viagra are similar to those of Cialis.

Viagra and Cialis Side effects

Viagra and Cialis side effects usually last for around 4 to 6 hours. The side effects of Cialis may be temporary, but not permanent.

The most common side effects of Viagra and Cialis include:

  • Headaches
  • Dizziness
  • Stomach pain

The side effects of Cialis are similar to those of Viagra. Headaches and dizziness are the most common side effects of Viagra.

Viagra also has the active ingredient tadalafil, which is used to treat PAH. It works by increasing blood flow to the penis and causing it to relax.

Cialis Side effects

The most common side effects of Cialis are similar to those of Viagra. Headaches and dizziness are the most common side effects of Cialis.

The most common side effects of Viagra are similar to those of Cialis.

What is Cialis Daily?

Cialis daily is a treatment that is designed to help men maintain an erection longer and increase blood flow for more erections. It is a prescription medication that is designed to be taken orally, and can be found in the form of a pill. However, it is not a controlled substance and should only be used when medically necessary. This medication is designed to be taken on an as-needed basis, as the user is likely to take it at the same time each day, to maintain a consistent level of blood in the body. The daily dose can be increased if needed, or decreased if the dose is not taken at the recommended time.

How is Cialis Daily used?

Cialis Daily is a prescription medication used to treat erectile dysfunction in men. It can also be found in the form of an erectile dysfunction drug called Cialis. Cialis is a prescription medication that is designed to be taken orally, and can be taken orally at a daily dose of 5 mg, 10 mg, or 20 mg. It is important to note that the daily dose of Cialis should be taken at the same time every day to maintain a consistent level of blood in the body. The daily dose should not be more than 10 mg per day, and the maximum recommended dose is 20 mg. It is important to follow the dosage instructions and consult your doctor before taking Cialis Daily.

How is Cialis Daily taken?

Cialis Daily is taken once per day, at the same time every day, to maintain a consistent level of blood in the body. The daily dose should be taken at the same time every day to maintain a consistent level of blood in the body. It is important to note that the daily dose of Cialis should not be more than 10 mg per day, and the maximum recommended dose is 20 mg per day.

What should I do if I miss a dose?

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take two doses at the same time. It is important to finish the full course of treatment as prescribed by your doctor, even if you feel better. It is also important to stay hydrated, as this helps to decrease blood pressure levels. If you experience any side effects, contact your doctor immediately.

Can I take Cialis Daily for more than a few days?

You should take Cialis Daily as prescribed by your doctor. This will ensure that it is safe for you to take. It is important to take the medication as prescribed by your doctor, and to complete the full course of treatment, even if you feel better. If you experience any side effects, you should contact your doctor immediately. Do not stop taking Cialis Daily without consulting your doctor first, as it may reduce the effectiveness of the medication. If you have any questions or concerns about Cialis Daily, please contact your doctor.

Is Cialis Daily for long term use?

Yes, Cialis Daily for long term use is a treatment that is designed to help men maintain an erection for longer and increase blood flow for more erections. It is a prescription medication that is designed to be taken orally, and can be found in the form of a tablet. It is important to follow the dosage instructions and consult your doctor before taking Cialis Daily, as it is usually taken once per day.

What happens if I miss a dose?

Yes, you can take Cialis Daily as prescribed by your doctor.

Cialis Tablets Price In Pakistan

Cialis 5mg Tablet is used to treat erectile dysfunction (impotence) in men It is also used to treat pulmonary arterial hypertension in men It is used to treat high blood pressure in the vessels of the lungs, reduce the workload of blood pressure and improve blood pressure in the lungs.

How to use Cialis 5mg Tablet:

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Cialis 5mg Tablet may be taken with or without food, but it is better to take it at a fixed time.

The medicine works best when taken on an empty stomach, 1 hour before breakfast. It will not help you if you have time to take it at aACY dateParmak: 10, 30 or 90 minutes before breakfast.

Cialis 5mg Tablet is not suitable for use in women.

Precautions to be taken if you are pregnant or breastfeeding

It is not safe for use during pregnancy or breastfeeding. Do not take Cialis 5mg Tablet if you are pregnant or breastfeeding without passing them on your healthcare.

Cialis 5mg Tablet is not recommended for use in children below 18 years of age.

Side effects of Cialis 5mg Tablet:

More than 1 tablet may cause side effects in some individuals. They usually go away on their own as the body gets used to it.

Serious side effects:

Some individuals may experience symptoms such as changes in mood, weight loss, feeling anxious, agitated, confused, run down or dizzy, clammy skin, fast heartbeat or experience symptoms such as swelling of the face, lips or tongue, numbness, difficulty in swallowing,getting hard up in some individuals. Call a doctor immediately or go to a hospital without delay if any of the above side effects occur.

If the side effects are severe or any side effects go away on their own, do not take the medicine and follow the doctor's advice about the dosage.

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