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The following information is not intended to replace the advice and services of healthcare professionals. Patients should seek advice from their healthcare providers, who can assess their health and determine if there is an appropriate treatment plan. In addition, patients should report any unusual symptoms, such as fatigue, dizziness or nausea, to the appropriate healthcare professional.

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Patients with a history of stroke, heart attack, or high blood pressure should not take Cialis or its competitors. The medication should not be used by patients with high blood pressure or other conditions that may make them more susceptible to these side effects. Patients taking nitrates for chest pain, especially those who take nitrates for angina or angina for high blood pressure, should consult with their doctor before taking Cialis. Patients with heart disease or a history of heart attack should not take Cialis or its competitors.

Patients with a history of heart failure or other heart problems should not take Cialis or its competitors. Patients with heart failure who are taking certain medications should not take Cialis or its competitors.

Patients with a history of glaucoma or other eye problems should not take Cialis or its competitors. Patients with any of the following conditions should consult with their doctor before taking Cialis or its competitors:

  • Prostate cancer
  • High blood pressure
  • Hypertension
  • Liver disease
  • Kidney disease
  • Alcohol
  • Anxiety or panic attacks
  • Stomach ulcers or other stomach problems
  • Stomach bleeding
  • Bleeding disorder
  • Low blood pressure

Patients taking nitrates for chest pain, including nitroglycerin, should not take Cialis or its competitors. Cialis and its competitors should be taken at least 48 hours before or after a meal, and doctors should monitor blood pressure and heart rate in patients taking these medications.

Patients taking tadalafil (Cialis).

Patients taking amyl nitrite (“poppers”), such as amyl nitrite (“poppers”), or isosorbide dinitrate (“sorb”), should not take Cialis or its competitors.

Patients taking riociguat (Adempas).

Patients taking ritonavir (Norvir).

Patients taking ketoconazole (Nizoral).

Patients taking rifampin (Rifadin, Rimactane).

Patients taking carbamazepine (Tegretol).

Patients taking phenobarbital (Luminal).

Patients taking rifabutin (Ketek).

Patients taking sertraline (Zoloft).

Patients taking azithromycin (Zyvox).

Patients taking warfarin (Coumadin, Jantoven).

Patients taking phenytoin (Dilantin).

Patients taking sertraline (Zyvox).

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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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Cialis (tadalafil) and the Interactions with Other Medications

Tadalafil is an oral phosphodiesterase type 5 (PDE5) inhibitor. It works by relaxing blood vessels, increasing blood flow, and reducing blood pressure. The PDE5 inhibitors they inhibit can affect kidney function, blood cell function, sexual function, overall health

Drug-Medication Interactions:

Tadalafil can potentially amplify side effects like headaches or increase heart rate in sensitive individuals. If taken with other medications, consult your doctor before starting. Some medicines and foods can interact with tadalafil, including other phosphodiesterase type 5 inhibitors, blood pressure medication,ﷺ alpha-blockers,ﷺ nitrates,ﷺ nitroimMedicine

What is Cialis 5mg Tablet?

Cialis 5mg Tablet is a medication used to treat the symptoms of erectile dysfunction (ED). Erectile dysfunction is the inability to achieve or maintain a hard erect penis suitable for sexual activity. Cialis 5mg Tablet is a medicine used to treat erectile dysfunction in men. The active ingredient in Cialis 5mg Tablet is Tadalafil, which is a phosphodiesterase type 5 (PDE5) inhibitor. It works by helping to increase blood flow to the penis during sexual stimulation.

How does Cialis 5mg Tablet work?

Cialis 5mg Tablet is an active ingredient in Cialis. It works by helping to relax the blood vessels in the penis, allowing increased blood flow into the penis. This increased blood flow allows for better erections.

How to take Cialis 5mg Tablet?

Cialis 5mg Tablet is taken orally. The recommended dose of Cialis 5mg Tablet for adults is one 5 mg tablet taken every day. The dosage of Cialis 5mg Tablet varies from one pharmacy to another, depending on the condition being treated.

How long does Cialis 5mg Tablet take to work?

The duration of Cialis 5mg Tablet effects can vary from person to person. You should not take Cialis 5mg Tablet if you have an erection that lasts longer than 4 hours.

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FDAApproved Drug Use Only. This document does not imply any medical advice. Always seek the advice of your physician, who can and recommend the best treatment for your specific condition.

2023-10-21T00:00:00Z

CialisCialis is used to treat erectile dysfunction. This medication works by relaxing the muscles in the walls of blood vessels in the penis. This helps to increase blood flow into the penis. Cialis may take several weeks to work.

2023-12-31T10:00:00Z

TadalafilTadalafil is used to treat erectile dysfunction. This medication works by increasing blood flow to the penis. It belongs to a class of drugs known as phosphodiesterase type 5 (PDE5) inhibitors. This medication may take several weeks to start working.

SpedraSpedra is a prescription medication that may be used for treating pulmonary arterial hypertension (PAH).