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Cialis has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.

Common side effects reported from Cialis use include:

  • Headache
  • Indigestion
  • Heartburn
  • Upset stomach
  • Gas
  • Nausea
  • Flushing

More severe side effects include:

  • Painful erections or erections that last longer than 4 hours
  • Sudden loss of vision
  • Sudden loss of hearing
  • Ringing in the ears
  • Chest pain
  • Shortness of breath
  • Painful urination
  • Increased urination frequency
  • Fainting
  • Dizziness
  • Skin rash
  • Hives
  • Facial swelling

If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.

As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Cialis. Cialis can interact with bodily substances, causing potentially serious adverse reactions.

Specifically, you should inform your health care provider of any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.

In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.

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As with any medication, inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Tadalafil may interact with the following:

  • Antacids
  • Calcium
  • DHT*
  • Liver disease
  • monoclonal states
  • Phenytoin
  • St. John’s wort

As with all prescription medications, inform your doctor if you want to use Cialis with any of the following:

  • Other medications that can interact with Cialis
  • any herbal products you use

As with any medication, be sure to tell your doctor and pharmacist what other prescription and non-prescription medications, vitamins, and nutritional supplements you are taking. This includes any prescription drugs, over-the-counter medications, and herbal products.

The can ofical effects of Cialis are generally mild, but it is important to adjust your dosage if needed.

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.
Special note: This list does not indicate total interactions. Search for additional information about using antihypertensive drugs with specific high-fat meals or high-fat diets, as needed.
  • Cialis (tadalafil) may cause a drop in blood pressure when standing, leading to symptoms like dizziness, lightheadedness, or fainting. Avoid simultaneous use if needed.
  • Other antihypertensive medications (e.g., atenolol, propranolol, Earn aid by eating grapefruit and grapefruit juice, avoid when using Cialis)
  • Ketoconazole, methotrexate (used to manage fungal infection) can enhance the blood pressure-lowering effects of tadalafil, which can magn a side effect like headachezy.
  • Protease inhibitors (e.g., exemestane, rifampin) Ex.
  • Chewable pills are the same thing as regular Viagra pills. There is a difference; Viagra is a PDE5 inhibitor. It does not increase blood flow to the penis; Viagra increases blood flow to the penis.

    Viagra is a generic version of a prescription drug called Sildenafil Citrate.

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    Viagra is available in two different dosages; the standard one is 10 milligrams daily (as needed) and the more commonly available 25 milligrams daily (as needed). You can also use a pill with or without food.

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    1. Cialis 40 mg: This dosage is the standard dosage for ED. You can take it with or without food.
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    What are the benefits of taking Viagra?

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    How to take Viagra?

    Viagra comes as an oral tablet to take by mouth. Viagra can be taken with or without food. Take Viagra with a glass of water, however, take it with a meal.

    You should take Viagra only with food.

    How long does it take for Viagra to work?

    The effects of Viagra generally take 4 to 6 hours. However, some men will start to notice an improvement in their erections within 30 minutes after taking Viagra.

    Cialis lasts for about 4 to 5 hours.

    How long does Viagra last longer than Cialis?

    Viagra is not available as a continuous daily medication. You should take Viagra only when needed.

    What are the side effects of Cialis?

    Most men who take Viagra have a few mild or moderate side effects. However, some men may experience more serious side effects.

    Viagra may cause a sudden decrease or loss of hearing in some people. Some of the side effects of Viagra include:

    • Headaches
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    If you experience any of these symptoms, seek medical attention immediately.

    Viagra is not a cure for ED. It only works if you are taking it correctly. You should not take Viagra if you do not have ED.

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    Viagra FAQs

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    Viagra is a prescription drug and is not available over the counter.

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    How do I take Viagra?

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