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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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What is Cialis?

Cialis (tadalafil) is an erectile dysfunction (ED) medication used to treat the signs of benign prostatic hyperplasia (BPH) in men who have an enlarged prostate. Cialis works by increasing blood flow to the penis, which helps men achieve and maintain an erection when sexually stimulated.

How does Cialis work?

Cialis (tadalafil) works by relaxing the blood vessels in the penis, allowing for increased blood flow when sexually aroused. This helps men achieve and maintain an erection when sexually stimulated.

Cialis dosages

The most common Cialis C20 dosage is 5 mg (10 mg of the tablet), taken 1 to 2 times daily. The maximum recommended dose is 20 mg per day. You can take the tablet with or without food. Do not take more than the recommended dose.

Side effects of Cialis

Cialis side effects are mild and temporary:

  • Headache
  • Indigestion
  • Back pain
  • Muscle aches
  • Facial flushing
  • Upset stomach

These side effects are usually mild and temporary:

  • Flushing
  • Nasal congestion
  • Difficulty in breathing
  • Difficulty in vision
  • Fainting

If you experience any severe or persistent side effects, like chest pain, chest pain, chest pain/angina, severe allergic reactions, prolonged erection (priapism), sudden vision or hearing loss, chest pain, sudden stomach upset, chest pain, or prolonged/sudden hearing loss, consult a doctor immediately.

If you experience any of the above-mentioned symptoms, don’t take Cialis.

Are there any side effects?

Like all medications, Cialis may cause side effects. They can vary in severity and frequency. The most common side effects are:

  • Difficulty in moving objects
  • Blurred vision
  • Ringing in the ears

If you experience any serious or persistent side effects, like chest pain, angina (chest pain), heart attack, or stroke, consult a doctor immediately. Call your doctor immediately if you experience these symptoms.

How should I take Cialis?

Take Cialis exactly as prescribed by your doctor. Take Cialis at the same time each day. Do not take it more often than directed. Follow your doctor’s instructions.

Missed dose:

If you forget to take a dose of Cialis, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue your regular dosing schedule.

If you take a double dose, skip the missed dose and continue your regular dosing schedule.

Overdose:

If you think you have taken too much Cialis, call your doctor or a poison control center immediately. The maximum dose is 20 mg per day, but overdose can be fatal.

Storage information

Store at room temperature in a dry place, away from moisture, heat, and direct light. Keep out of the reach of children.

Disclaimer

This article is for informational purposes only and does not constitute medical advice. Always consult a doctor before using Cialis or any medication.

This information is not a substitute for the information you should know when using medical advice.

The information provided here is not a substitute for the doctor’s advice, diagnosis, or treatment.

Cialis Together for Erectile Dysfunction

Cialis Together tablets are a treatment for adult men who have erection problems (erectile dysfunction). This is when a man cannot get, or keep an erection hard enough for satisfactory sexual activity.

Cialis Together tablets contain the active substance tadalafil. It belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors. It works by relaxing the blood vessels in your penis, allowing blood flow into your penis.

It is important to know that you will not get an erection just by taking Cialis Together tablets. This medicine works with your body’s natural function to get an erection only when you are sexually stimulated.

Cialis Together contains the active ingredient Tadalafil. The ingredient is a phosphodiesterase type 5 inhibitor medicine that temporarily improves blood flow to the penis by relaxing the blood vessels in and around the area.

The Cialis Together medication is available over-the-counter and begins to work about 30 to 60 minutes after taking it. The effects are expected to last up to 36 hours. Cialis Together comes in 10mg tablets and should only be taken when needed.

The active substance Tadalafil is also useful in treating other conditions along with erectile dysfunction. Please consult a Doctor, a Pharmacist or relevant product literature for more information.

Is Cialis Together right for me?

If you suffer from erectile dysfunction (impotence) Cialis Together may be an effective treatment. However, it may not be suitable for you if you have the following:

  • If you are allergic to any of the ingredients in Cialis Together
  • If you have severe heart, liver or kidney problems
  • If you have blood pressure concerns
  • If you have non-arteritic anterior ischemic optic neuropathy
  • If you are taking riociguat
  • If you have other penis-related issues (deformation or painful erections)
Alwaysconsult your doctor immediately for more details

Cialis Together is not suitable for everyone

Cialis Together for females

It is not recommended for use in women. Cialis Together may cause increased libido. It is not known if Cialis Together is safe and suitable for use while taking tadalafil*.*. It is not recommended for use while taking riociguat

How to take Cialis Together

Swallow the tablet whole with a glass of water. You may take Cialis Together, orake before or after food,cup or bowel movements

For women Cialis Together may not be suitable. You may take Cialis Together or amystrol with or after food,cup or bowel movements

Cialis Together for male users

Tadalafil*.*. Take Cialis Together as advised by your doctor. Swallow the tablet as a whole. Do not chew the tablet. A doctor will say what to do if you have any of the following conditions:

  • If you have heart problems
  • If you have blood clotting problems
  • If you are taking other medicines to treat erectile dysfunction
Tadalafil is not suitable for everyone

Can I take Cialis Together for men?

No. Cialis Together is not for use in men. Cialis Together is not for use in women.

It is not recommended to take Cialis Together for purposes that not listed in the manufacturer’s Patient Information Leaflet.

For patients who take nitrate-based medications for chest pain or heart failure, Cialis Together may not be effective. Always monitor your blood pressure while taking Cialis Together.

For patients who take nitrate-based medications for angina (chest pain), Cialis Together may not be effective.

For patients who take riociguat, Cialis Together may increase your erectile dysfunction risk. Discuss with your doctor the risks and benefits for use.

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.

Cialis (tadalafil) can interact with certain foods and beverages, including grapefruit, grapefruit juice, and alcohol, increasing the blood pressure-lowering effects of the medication. Avoiding and consuming these two substances while taking Cialis (tadalafil) is recommended.

  1. : Though not a direct interaction, combining Cialis with Cialis-containing products may increase the effectiveness of the medication, increasing the risk of side effects. Seek medical advice before using with combination medications.
  2. Grapefruit: Grapefruit can increase the levels of tadalafil by inhibiting the enzyme 5-alpha reductase. This enzyme is essential for Cialis' vasodilator and anti-inflammatory properties. Avoid consuming grapefruit.