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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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Alternate Name:Pharmapure RX Esomep-EZS

Description:Tadalafil is used to treat erectile dysfunction and pulmonary arterial hypertension. It is also used to treat a condition called benign prostatic hyperplasia.

Dosage and Posology:Tadalafil ishtm only for treating erectile dysfunction and pulmonary arterial hypertension.

Therapeutic Category:5 EZS.

Tadalafil is most often prescribed for these conditions. In addition, it is also used for prostate cancer. Erectile dysfunction (ED) is the inability to keep a hard and erect penis suitable for sexual activity. Pulmonary arterial hypertension is a disease in which your heart is walled out with a high blood pressure in the arteries that lead to your heart failure and the symptoms of it include heart attack, stroke, shortness of breath, coughing up the blood, and, eventually, death. These events are typically sudden.

A maximum dosage of 10 mg of tadalafil in a 24-hour period is currently recommended for Benign Prostatic Hyperplasia (Bp-PH). Based on the results of the clinical studies that you may have had with this medication, the dosage may be increased to 10 mg once daily. In addition, the manufacturer of Cialis offers a generic equivalent of tadalafil for placing at a lower dosage.

Read More About Erectile Dysfunction

What is Erectile Dysfunction?

Erectile Dysfunction is the inability of a man to achieve or maintain an erection long enough for sexual activity. It usually occurs when a guy is unable to sustain an erection during sexual stimulation or with another physical stimulus.

Erectile Dysfunction can be caused by:

  • Smoking

  • Excessive alcohol consumption

  • Conditions that affect approximately 5% of men with erectile dysfunction

  • Pulmonary Arterial Hypertension

A variety of physical and psychological factors play a role in Erectile Dysfunction. Factors that may increase or decrease a man's ability to achieve and maintain an erection include alcohol, exercise, stress, and alcohol intake. Erectile Dysfunction can also be caused by conditions in which a man's cardiovascular system is damaged, including:

  • A history of heart attack or stroke

  • Liver disease

  • Conditions that affect 3-4% of men with erectile dysfunction

  • A pelvic examination

  • Surgery

  • A lifestyle change

A significant number of men with Erectile Dysfunction develop a penile deformity. This deformity is a rare but dangerous condition that can result in a significant number of deformities per year.

The average age of onset for this deformity is between 21- May 2020, is a surgical procedure that involves:

  • Laparoscopic instrumentation

  • The placement of a small incision

  • Intraurethral or transrectal administration of a vasodilator

  • Proventilation

The drugs that are used in Erectile Dysfunction to prevent erection, include:

  • Amphetamine

  • Non-HD Medications

  • Theophylline

  • Amlodipine

  • Bupropion

Tadalafil is also used to treat pulmonary arterial hypertension and benign prostatic hyperplasia. It is also used to treat a number of other conditions, including erectile dysfunction and benign prostatic hyperplasia. Erectile Dysfunction is not the end-all function of a man's cardiovascular system.

The manufacturers of Cialis suggest using a generic equivalent of tadalafil for at a lower dosage.

Description

Cialis (tadalafil) is a prescription medication used to treat erectile dysfunction (ED) in men. It contains the active ingredient tadalafil, which belongs to a class of drugs known as phosphodiesterase type 5 (PDE5) inhibitors.

Cialis is used to treat erectile dysfunction in men.

It is also used to decrease the risk of developing a heart attack or stroke in men with a previous heart disease or stroke history, as well as in men taking medications that increase blood flow to the penis.

Cialis is available in a convenient oral capsule format.

Cialis is used to treat ED in adult men aged 18 to 64 years who have reached their peak blood flow in the penis.

Cialis may also be used for purposes not listed in this medication guide.

Aperson with erectile dysfunction will have a higher chance of experiencing any of the following events:

• a sudden decrease or loss of hearing

• a sudden hearing decrease or hearing loss

• a weakened cardiovascular system

• a sudden or sustained decrease or loss of vision in one or both eyes.

• a sudden decrease or loss of hearing for more than 2 months.

•chest pain or palpitations

•a prolonged and painful erection

•a sudden loss or reduction of erection power

•a prolonged and painful erection that lasts longer than 4 hours

•a prolonged and painful erection that has not been restored

•a sudden or sustained decrease or loss of erection power

Cialis 60 mg

Prescription Required

Directions

Take this medicine in the dose and duration as advised by your doctor. The dosage is based on your medical condition and response to treatment.

For the best effect, take it at the same time each day to maintain your steady level in your blood. Taking it at the same time each day may help you to remember to take it.

Avoid fatty foods, spicy foods, or excessive alcohol. Do not drink anything with the content of this medicine in it.

Do not take this medicine more than directed. Do not start, stop, or change the dosage without first consulting your doctor.

Your doctor may cause you to adjust your dose. Some medicines may affect your blood pressure or heart rate, and there may be an increased risk of heart problems if you use certain medicines.

If you do not follow the directions provided in your prescription, or if you have any questions, please consult your doctor.

Use this medicine regularly to get the most benefit. The time it takes for it to work, its effects to start working quickly, and for it to work to be effective, may depend on several factors, including your diet, age, and other medical conditions.

Tell your doctor if your condition persists or worsens.

Do not stop taking this medicine suddenly.

Your doctor may change the dose of this medicine, depending on your medical condition and your response to treatment.

Do not share this medicine with anyone else. They will need to read the instructions provided by your doctor.

Side Effects

The side effects reported in thedozen most frequently seen (PRCs) of all events above are listed below.

Cialis is a medication used to treat erectile dysfunction (ED), which is the inability to achieve or maintain a penile erection sufficient for sexual intercourse. Cialis works by increasing blood flow to the penis, facilitating a natural process where a man can achieve and sustain an erection. It can also help improve sexual performance and enhance overall sexual experiences. Cialis has been found to be effective for many men, including those who have difficulties with erectile dysfunction. Cialis can be taken with or without food, but you can take it with or without food. It is important to follow the recommended dosage and not exceed the recommended amount. Cialis is available in several different formulations, including tablets, capsules, and oral solutions. It is important to note that Cialis should only be taken as prescribed by a doctor. It is also important to talk to your healthcare provider before taking any new medication to ensure that it is safe for you to take. Cialis is available in various dosages, including 0.5 mg, 1 mg, 2 mg, and 5 mg. Your doctor can help you determine the appropriate dosage and dosage for your individual needs.

VIDEO

Cialis comes in various strengths, including 0.5 mg, 1 mg, 2 mg, 5 mg, 10 mg, and 20 mg. The dosage is dependent on the patient's age, medical history, and response to treatment. Cialis is available in both tablet and capsule forms. The tablet form is typically taken once daily, while the capsule may be taken several times a day. The recommended starting dose is 10 mg, which can be adjusted according to the patient's response and tolerance.

Cialis is available in different strengths, including 5 mg, 10 mg, and 20 mg. The recommended starting dose is 5 mg, which can be adjusted based on the patient's response and tolerance. Cialis can be taken with or without food, but it is important to take it on an empty stomach. Cialis can be taken on an empty stomach, although it is best to take it at least 30 minutes before planning to have sex. Cialis can be taken with or without water, but it is important to take it with or after a light meal. It is important to take Cialis with or after a light meal. Cialis can be taken with or without a meal, but it is important to take it on an empty stomach. Cialis can be taken with or without water, but it is important to take it on an empty stomach. Cialis can be taken with or without food, but it is important to take it with or after a light meal.

Cialis is available in different strengths, including 5 mg, 10 mg, 20 mg, and 30 mg. The recommended starting dose is 5 mg, which can be adjusted according to the patient's response and tolerance. Cialis can be taken with or without a meal, but it is important to take it with or after a light meal.

Tadalafil belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors. It is used for erectile dysfunction in adult men. For detailed information on the use of tadalafil in men, see.

Tadalafil is used to treat erectile dysfunction. In order to get this medicine, men take it regularly. One must take this medicine at least 1 hour before sexual activity. This may increase the risk of side effects. You will not get an erection if you do not take the medicine regularly. Tadalafil is not for use by women.

This medicine is used for the treatment of erectile dysfunction in adult men.

The recommended dose is 50 mg. If this is not effective for you, or you have any other risk factors, talk to your doctor.

You should take this medicine at the same time each day.

The dose may be increased or decreased depending on the severity of the problem.

Do not take tadalafil more than once daily.

If you have any questions about this medicine, please ask your doctor or pharmacist.

Do not take tadalafil if you are allergic to any of its ingredients.

Do not take this medicine with other medicines that are used to treat erectile dysfunction, or with the following medicines:

  • sildenafil citrate (Viagra)
  • tadalafil (Cialis)
  • trusted as a first-line treatment for pulmonary arterial hypertension

This medicine is for use only with the intention of taking tadalafil as prescribed by your doctor.

Do not give this medicine to anyone less than 18 years old.