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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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C. Prevent Yourself

If you take Cialis with other medications, it is generally advised to avoid combining it with it leading to potential drug-food interactions.

  1. Nitrates: This group of medications treats angina, high blood pressure, and high blood pressure. It works by relaxing blood vessels, which may leading to excessive blood pressure reduction when used together. If taken with Cialis, avoid nitrates or other medications used to treat high blood pressure.
  2. Alpha-blockers: These drugs may enhance the blood pressure-lowering effects of the medications. While this interaction is less severe with Cialis than with nitrates or alpha-blockers, they may still cause dizziness or fainting in sensitive individuals.
  3. Protease inhibitors: Ex. vin-pills...

Whether you can take Tadalafil at the same time as your other medications will depend on which medications you are taking.

You are required to complete a short medical consultation questionnaire that asks for any medications that you are prescribed from your GP and will indicate the medications that can’t be taken alongside Tadalafil.

There are several medicines which should not be taken concurrently with Tadalafil. Medicines which can have potentially serious interactions with Tadalafil include :-

• Any alpha-blocker medicines e.g. doxazosin (Cardura), alfuzosin (Xatral), tamsulosin, terazosin, or Flomax, that you can buy in the pharmacy. (These medicines may be used to treat prostate problems or high blood pressure).

• Isosorbide mononitrate, isosorbide dinitrate, or use a GTN spray or tablets

for chest pain or use Rectogesic ointment?

• Nicorandil (Ikorel), used to treat angina

• Cimetidine, used to treat stomach or duodenal (peptic) ulcers

• Theophylline, used to treat asthma

• Antibiotics:- Clarithromycin, Erythromycin and Telithromycin

• Anti-fungals such as itraconazole and ketoconazole

• Seizure medication:- carbamazepine, oxcarbazepine, phenobarbital, phenytoin and primidone

• Heart or blood pressure medication:- disopyramide, amiodarone, quinidine and procainamide

• Anti-viral medication:- telaprevir, atazanavir, retonavir, indinavir, saquinavir and cobicistat

• Recreational drugs:- amyl nitrate (poppers)

If you are taking any prescribed medication from your GP then you can simply write those in the “Is there any other medical information that you think our doctor should know?” section on the medical questionnaire. Then, our doctor will know whether the Tadalafil is safe for you to take.

Read available consultation questionnaire information online for “Do you agree to take Tadalafil if you have the following”click to view it in a larger format

Tadalafil 25mg

Tadalafil 25mg is a prescription medication for the treatment of erectile dysfunction. It is often the first medicine people need when sexual activity is possible. There are several other medications that can be used to treat erectile dysfunction. Your GP may recommend that you learn more about erectile dysfunction and its treatment, such as, where available, the drugs you can take to help achieve a erection, the most common and Sildenafil’s active ingredients.

Tadalafil will only work if you are sexually active. If you are unable to take Tadalafil, you should consult your GP before taking this medication.

Do not take Tadalafil if you:

  • have ever had an erection that lasted more than 4 hours
  • is pregnant or is is is is is in need of a headache
  • are not planning to father a family child
  • or areFEROOFT

Do not take Tadalafilrehensive About Sexual Tadalafil

Tadalafil is available as tablets such as Tadalafil 25mg and Cialis is available as a tablet as well as as an oral tablet. Tadalafil is used to treat a variety of conditions, from the heart and blood pressure disorders.

There are no studies into the safe consumption of Tadalafil on its own or with any of your other medications

Tadalafil is only available on its own time. You can take your other medications such as Cardura, Alfuzosin (flomax),, that you are available to take at the same time as your Tadalafil 25mg. While you take both, you must consult your GP to ensure they are not different.

As with any drug product, there may be side effects. Generally, patients who experience side effects usually get them within 12 to 24 hours after taking Tadalafil. Side effects usually resolve on their own within 48 hours. Daily Tadalafil use is usually associated with lower incidents and severity of side effects compared to as-needed Tadalafil dosing.

Most common Tadalafil side effects

  • Headache
  • Indigestion
  • Back pain
  • Muscle pain
  • Flushing
  • Stuffy nose

Some more serious side effects have been reported. While rare, it is important to stop taking Tadalafil and contact a doctor right away if any of the following occur:

  • An erection will not go away (priapism). If you have an erection that lasts longer than 4 hours, get medical help right away. If not treated right away, priapism can permanently damage the penis.
  • Sudden vision loss in one or both eyes. Sudden vision loss can be a sign of a serious eye problem called non-arteritic anterior ischemic optic neuropath (NAION).
  • Sudden hearing decrease or hearing loss. Some may also have ringing in the ears (tinnitus) or dizziness.

For a complete list of possible side effects,.

Possible drug interactions

Some drugs/medications may interact with Tadalafil. You should not take Tadalafil if you are taking nitrates (such as nitroglycerin tablets or patches) because the combination of these with Tadalafil could significantly lower blood pressure and lead to fainting or even death. Additionally, do not take Tadalafil if you are taking Cisapride, other ED medications (e.g. Viagra), Adcirca, or Riociguat.

On your intake form, please be sure to provide AgelessRx with all medications, herbs, non-prescription drugs, or dietary supplements you use. Also be sure to report if you smoke, drink alcohol, or use illegal drugs, as some may interact with your medication.

For a complete list of possible drug interactions,.

Other important safety information

Patients who have a condition called “left ventricular outlet obstruction” from valvular problems or heart muscle enlargement may get side effects such as fainting or light-headedness. Because patients with recent heart attacks or stroke, heart pains (angina), heart failure, uncontrolled blood pressure or uncontrolled irregular heart beats, severe liver disease, and retinal eye problems have not been studied, Tadalafil (Cialis) is not recommended for these patients. There may be rare occurrences of priapism or painful, prolonged erections. This is a serious condition that requires immediate medical attention. Patients should seek prompt medical attention if their erection lasts longer than four hours.

After taking a single tablet, Tadalafil can remain in the body for up to two days. It can remain longer if patients have problems with their kidneys or liver, or they are taking certain other medications.

Note:All information included on this page is a summary. It may not cover all possible information. If you have questions about this medication, talk to a doctor, pharmacist, or healthcare provider.

Note: The above statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

See also:,

See also:

  • Lifestyle changes
  • ED (erectile dysfunction) ( charge more than the person will reveal.
  • MAIIn Inflation)
  • Other medications you may be taking
  • Lifestyle and health conditions
  • Liver conditions
  • Hedsons (including AgelessRx)
  • Retinitis pigmentosa ( charge more than the person will reveal)
  • ugation
  • whelmed by others

These products are not intended to diagnose, treat, cure, or prevent any disease.

Cialis and other erectile dysfunction (ED) medicines have been shown to be effective in treating ED. Cialis and other ED medicines are used to treat conditions where sexual stimulation is absent, such as:

  • Erectile dysfunction (ED)
  • Benign prostatic hyperplasia (BPH)
  • Pulmonary arterial hypertension (PAH)

It is important to note that these drugs do not cure ED, but they can help improve symptoms, such as ED, and their use may be necessary.

In patients with mild to moderate ED who do not require ED treatment, a short-acting oral medication called Tadalafil (Cialis) may be prescribed. It works by increasing blood flow to the penis, allowing men to achieve and maintain an erection when sexually stimulated.

This drug is available only with a prescription. It should only be used by men who are experiencing ED or BPH and cannot be used with other ED medicines.

Cialis and other ED medicines

Cialis is one of the most commonly prescribed medicines to treat erectile dysfunction. It is an oral tablet that is taken orally, and it is available in the US and Canada.

It works by relaxing the smooth muscles in the penis, allowing blood to flow into the penis, making it easier to get an erection. This allows the blood to flow more easily, and it can improve the ability to achieve and maintain an erection.

Cialis is effective for many men with ED, but it may take up to 36 hours to work its effect and should be taken only when needed. Men who need to take this medicine often have to take it at least an hour before sexual activity to reap the benefits.

Cialis should be taken with a glass of water, and it can be taken with or without food. This is not recommended for people who have difficulty swallowing tablets.

Cialis and BPH

Cialis, also known as tadalafil, is a medication used to treat conditions where sexual arousal occurs in the early stages of a man’s life. It works by increasing the blood flow to the penis, which helps achieve and maintain an erection. It is effective in treating both ED and BPH.

A Georgia man has been sentenced to two years in prison for allegedly running a high profile online pharmacy website claiming to sell prescription drugs to consumers.

The man, Thomas B. Miller, 59, has been sentenced to 10 years in prison for selling prescription drugs at an unlicensed online pharmacy. According to court documents, Miller was found in possession of 10,000 capsules of Cialis and 20,000 capsules of Viagra and Cialis tablets. The drugs were seized from his residence in an apartment house in Covington. Miller was charged with one count of operating a high profile online pharmacy and one count of selling prescription drugs, according to court documents.

The man was sentenced to 10 years in prison for selling prescription drugs at an unlicensed online pharmacy. The man was found in possession of 10,000 capsules of Cialis and 20,000 capsules of Viagra and Cialis tablets.