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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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• Cialis can interact with bodily substances, making some potentially serious adverse reactions more likely. As a result, you should let your health care provider know if you are currently using any type of medication or protein-based diet.
• Cialis can interact with nitrates and certain antibiotics. This can result in a drop in blood pressure, which can be harmful. Please inform your health care provider of any nitrate or antibiotic you are using.
• Cialis can interact with inducers, depression, or other medications you may have taken. This can result in a significant drop in blood pressure, increasing the risk of severe adverse reactions.
• Cialis can interact with ribofenac diethylamine, a muscle relaxant you may be taking. This can lead to an increase in muscle cramps or weakness.
• Cialis can interact with alpha-blockers, antifungal, HIV protease inhibitors, or other medications you may have taken. This can lead to a sudden decrease in blood pressure, increasing the risk of severe adverse reactions.
• Cialis can interact with male hormonal therapy, especially after sex. This can result in another drop in blood pressure, making some potentially serious adverse reactions more likely.
• Cialis can interact with recreational drugs, including prescription alcohol, non-prescription drugs, and herbal products. This can lead to another drop in blood pressure, making some potentially serious adverse reactions more likely.

How should I take Cialis?

• Take Cialis as advised by your health care provider. Do not exceed the recommended dose.
• Cialis can interact with ribofenac, a specific prescription medication for erectile dysfunction.
• Cialis can interact with androgens, male hormones you may have taken. This can lead to a sudden increase in muscle cramps or weakness.

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.

Aphria

: Both Cialis and nitrates, such as N, lower blood pressure and application pressure, can cause a sudden and dangerous drop in blood pressure (hypotension), leading to dizziness, fainting, or even stroke. It is contraindicated to use TmCease with Nitrates or Alpha-Blockers.

Alpha-blockers: Nitrates and alpha-blockers can cause excessive blood pressure reduction when used together. If needed, this may result in symptoms like dizziness, fainting, or orthostatic hypotension.

Other Drug-Food interactions:

• Onset of action: Both Cialis and alpha-blockers can induce nausea, vomiting, or diarrhea, indicating that the medication is not working properly. It is typically not taken with other medications that temporarily improve blood pressure levels.

Cialis medicine is manufactured by Lupin. Cialis is available in 20mg. Cialis medicine contains generic salt Content Tadalafil. This medicine used to help Treatment of Erectile DysfunctionDetails- 1. Brand name – Cialis 2. Generic – Tadalafil3. Dosage form – tablet4. Used – It is used to help Treatment of Erectile Dysfunction 5. Packaging – 4 tablets6. Strength – 20mg7. Manufactured & Marketed By – LupinWe are exporters & wholesalers of Cialis Medicine. Cialis medicine is available at discounted prices. We can provide the best price for Cialis. We export Cialis medicine to China, USA, London, Europe, Thailand, Russia, Malaysia, Singapore, Vietnam, Dubai. Warning: Cialis Medicine out of the reach and sight of children and away from pets, never share your medicines with others, and use this medication only for the indication prescribed. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. ATTENTION - Above mention price only for reference. If you wish to know about best discounted price or order of any kind of medicine than you just contact us as soon as possible. Please check our contact us page for complete details. Cialis is a prescription drug and should be used under proper medical guidance and advice. Do not share the medicine with others, since they may be suffering from a problem that is not effectively treated by this drug.• Keep all medicines out of the reach of children and away from pets, never share your medicines with others, and use this medication only for the indication prescribed.• The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist. Notice: The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you. Before eating/consuming any medicine kindly do consult with your doctor / Medical adviser / Nurse / Hospital /medicine Institution / Health advisor or pharmacist/ medicine healer. Do not indulge in self medication using internet information. Self medication can be dangerous.

Side Effects: Nausea, Vomiting, Headache, etc. Common side effects of Cialis : Nausea, Vomiting, Headache, etc. Common side effects of Cialis: Headache, Nausea, Vomiting, etc. Side Effects: Dizziness, Nasal Congestion, Mental Health EffectsCommon side effects of Cialis: Nasal Congestion, Mental Health Effects, etc. Side Effects: Erythema, etc. Common side effects of Cialis: Nasal Congestion, Mental Health Effects, etc. Common side effects of Cialis: Nausea, Vomiting, etc. Common side effects of Cialis: Numbness, Loss of Headache, Vomiting, Nausea, Vomiting, vomiting, dizziness, headache, back pain, muscle aches, rash, dizziness, itching, itchy skin, and feet pain. Cialis is available in tablet, oral suspension, and generic form. Cialis is usually taken once daily with or without food. However, your doctor may need to change the dosage according with your medical condition.Patient Information Leaflet

Do not take Cialis if you are allergic to it, or to other medications that you may be taking, or if you have ever had any medical condition (such as kidney disease, liver disease, fits, depression, seizure disorders, etc). Do not use Cialis if you are taking or are taking any other medicines, including those that you just found. Cialis can cause temporary side effects such as headache, back pain, muscle aches, etc. Stop using this medicine and get back to your doctor immediately if you experience any of the above side effects.

Do not take Cialis if you are taking it for erectile dysfunction (impotence). If you are taking tadalafil to help you get an erection while you are taking Cialis, it may not be effective in the long-term. If you are taking tadalafil to help you get an erection while you are taking Cialis, you may be taking too much Cialis.

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.

Read More This Side effects reaction is 25% to 40% lower free tadalafil, while see 25% lower free tadalafil at the same time. As with all prescription medications, report any concerns about any and all medications you are taking.

As with all prescription medications, inform your doctor of any and all medications, prescription drugs, and supplements you are taking.

In addition, let your doctor know if you are pregnant or plan on becoming pregnant.

As with all prescription medications, report any concerns about any of this medication before taking this medication, even if you have not broken it.

Tell them if you are a partial or complete stranger while taking Cialis.

In addition, let your doctor know if you are a smoker, are>[⁴] or if you are>[⁵] or [⁶] hypertensive over the past 6 months.

In addition, let your doctor know if you are a partial or complete stranger while taking Cialis.