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Cialis

Cialis (tadalafil) is a treatment for adult men with erectile dysfunction. This condition, also known as impotence, is common, particularly in older age groups. Cialis works by helping to relax the muscles in blood vessels in the penis, allowing for increased blood flow and facilitating an erection when a man is sexually stimulated. Cialis is usually taken as needed about one hour before sexual activity, usually before sexual activity with about one-third as much as a man can achieve. Cialis can be taken with or without food.

How does Cialis work?

Cialis relaxes muscles in the walls of blood vessels, allowing for increased blood flow and enabling an erection when a man is sexually stimulated. This medication helps men with erectile dysfunction achieve and maintain an erection when they are sexually stimulated. It may be taken either with or without food.

How to take Cialis

Cialis should be taken with a glass of water. The tablet is usually taken as needed about one hour before sexual activity, usually before sexual activity with about one-third of the recommended dose. The pill should not be crushed or chewed.

How long does it take for Cialis to work?

The onset of action can vary depending on a number of factors. However, it usually takes effect within 30 minutes to an hour after taking the tablet. The effects usually last for about four hours. This is the time it takes for some other medications to work and may vary based on individual needs and health conditions.

If you have any questions about taking Cialis or its effects, feel free to reach out to us to schedule an appointment with your doctor.

Note: Cialis is not recommended for women and men should avoid using ED drugs if you are allergic to tadalafil or any other ingredients in the product.

Please note: Cialis tablets contain lactose. If you do not understand how to take the tablets, please consult your doctor or pharmacist.

This medication is available only with your doctor’s prescription.

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What Is Cialis (Tadalafil)?

Cialis (Tadalafil) is the brand name for the active ingredient in the erectile dysfunction medication, Tadalafil. This drug is also the generic name for the brand name, and it is also the brand name for the active ingredient in Cialis. In addition to its use in treating erectile dysfunction, Cialis may also be used to treat pulmonary arterial hypertension (PAH). In addition to treating erectile dysfunction, Cialis may also be used to treat benign prostatic hyperplasia (BPH). It is used to treat pulmonary arterial hypertension by relaxing the muscles in the arteries and improving blood flow to the lungs.

How Does Cialis Work?

The mechanism of action of Cialis is to increase the levels of blood-flow to the penis, which leads to an erection. This mechanism of action makes Cialis effective for treating conditions that don’t respond to other PDE5 inhibitors, such as PAH or ED.

How to Use Cialis?

Cialis should be taken approximately one hour before planned sexual activity and should not be taken more than once daily. It should be taken with food to avoid gastrointestinal side effects. If you’re taking Cialis, it should be taken with food to avoid stomach upset. If you’re taking Cialis daily, you should not take Cialis daily for at least 6 months. If you’re taking Cialis as a single daily dose, it should be taken with food to avoid stomach upset. You should also avoid taking Cialis at bedtime and avoid taking it with food.

How to Take Cialis?

Cialis is available in 2 different strengths: 5mg, 10mg and 20mg. The recommended starting dose of Cialis for the treatment of erectile dysfunction is 5mg once daily.

Cialis Dosages:

You should only use Cialis as a single daily dose of 5mg once daily.

The dosage of Cialis may vary depending on the severity of your ED. It’s also important to follow the dosage guidelines provided by your healthcare provider.

Cialis Side Effects:

Some common side effects of Cialis include:

  • Headache
  • Flushing
  • Nasal congestion
  • Diarrhea
  • Upset stomach
  • Blurred vision
  • Indigestion
  • Back pain

If you experience any of these side effects, contact your healthcare provider right away.

If you have any side effects or have concerns about taking Cialis, it’s important to speak with your healthcare provider or go to your nearest hospital emergency department right away.

The information provided on this page is intended for informational purposes and does not replace advice from a healthcare professional. Always consult with your healthcare provider before using any medication.

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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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This is not a complete list of the side effects caused by Cialis. If you have these, stop taking Cialis and contact your doctor immediately, as it may cause serious side effects in your weakened immune system.

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While many drugs can interact with each other, they all are subject to change. Consult your doctor before taking any new medications, especially those prescribed by a lower-cost drug rep or generics.

C. Other Drug-Food Interactions:

Tadalafil, a phosphodiesterase type 5 (PDE5) inhibitor, can have other potential drug-food interactions. If you take this medication with sildenafil or tadalafil, do not take it alongside Cialis as it may cause low blood pressure.

D. Drug-Nutritional Interactions:

Cialis (tadalafil) can interact with other medications and supplements, potentially altering their effectiveness or increasing the risk of side effects.