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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.
Main Interactions:
  • Nitrates: B endothelial nitrate levels and blood pressure are both cause of high blood pressure and fainting. If nitrates become a trigger for Cialis, you should avoid using Cialis.
  • Alpha-blockers: While Cialis can enhance blood pressure-lowering effects, combination use can increase side effects.
  • Other Anti-hypertensive Drugs: Cialis can increase the blood pressure-reducing effects of certain medications. Do not use Cialis with angiotensin- TABLET.

C.

Other Anti-hypertensive Drugs (Ex. angiotensin--starved medications)

  • Other Medicine-medicines used to treat specific bacterial infections: While Cialis can still cause side effects, balance these effects against the infection and consider using an other drug like aloe vera.
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    Cialis Tadalafil (20mg) 8 Tablets

    This product is a Prescription Only Medicine (S4) and is sold by Healthylife Pharmacy, an independently owned and operated pharmacy business. This prescription product requires a valid Australian script.

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    This product requires a valid Australian script.

    Safety Information

    General Safety Information

    Healthylife.

    Before you begin taking Tadalafil generic, its important to carefully read the Patient Information Leaflet. Make sure to review it each time you get a refill.

    Take Tadalafil dosage orally, either with or without food, as directed by your healthcare provider. Tadalafil dosage should not exceed more than once a day. Swallow the tablet whole. Do not split it or crush unless advised.

    Your daily dosage will depend on your medical condition, how you respond to medications, and any other medications you currently take. Before you take ED treatment pills, ensure that you inform your healthcare service provider of any prescription drugs, over-the-counter medicines, and any other supplements you take.

    If you are also using finasteride alongside Tadalafil to treat any symptoms of benign prostatic hyperplasia (BPH), discuss the duration of treatment and dosage you will need with your healthcare provider.

    For erectile dysfunction (ED), tadalafil citrate may be prescribed in two ways:

    • You may take it as needed, usually at least 30 minutes before sexual activity, with its effects potentially lasting up to 36 hours.
    • Your doctor may recommend taking generic Cialis regularly, once a day.

    Follow your doctors instructions carefully based on your specific needs and condition.

    If you are using tadalafil citrate medication for ED dysfunction and BPH, take it daily as directed by your doctor. To ensure you do not forget, take it at the same time each day.

    Keep your healthcare practitioner informed if your medical condition does not improve or worsens during treatment.

    Read the 'Medical Information Leaflet' regularly to get an accurate understanding of how tadalafil citrate works and its potential side effects. If you have any questions or concerns about taking Tadalafil dosage please speak to your healthcare provider. You should also consult your doctor for prescriptions for tadalafil for male patients with erectile dysfunction.

    Source: PhRMA, National Library of Medicine.ch

    Side effects

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    References

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    General information

    Take tadalafil dosage orally, as directed by your doctor. Do not split it or crush it unless instructed to do so by your doctor. If you take generic Cialis (Tadalafil), its effects may not be as potent as its original branded version. Some studies have suggested that symptoms of BPH may begin to improve about a month or two after starting tadalafil treatment. If you have BPH and are seeking treatment for ED, discuss the duration of treatment and dosage you will need with your doctor.

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    Proteases

    Proteases are enzymes that hydrolyze in some cases 90% of the tadalafil it is taken for. They are designed to prevent the phosphodiesterase type-5 (PDE5) from breaking down a substance called phosphodiesterase-PDE1. During transit, the body produces contracted Penis Daily Tadalafil. Tadalafil causes the muscles in your penis to become stiff and painful. This results in an erection. The harder you get, the more penis you have, and the more sensitive the muscles, the tadalafil can cause. For ED, tadalafil may be an effective treatment. Discuss the duration of treatment and dosage you will need with your doctor.

    You may also find it useful for managing symptoms of benign prostatic hyperplasia (BPH). The treatment of choice for BPH is Tadalafil. This medication works by relaxing the muscles in your penis, allowing for increased blood flow to the penis. It is not known exactly how this treatment works, but BPH is a condition that develops after you have an erection that lasts for several hours. It is usually treatable with ED treatment pills or medications.

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    Health Questionnaire Required:

    For your first order with us, after placing an order, you will be prompted to upload your ID and submit our health questionnaire, soour physician canreview your basic health information,in order to mail prescription medications. You will not need to do this for refill orders.

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