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Cialis (tadalafil) is a phosphodiesterase type 5 (PDE5) inhibitor, which treats erectile dysfunction (ED). This class of drugs belongs to the phosphodiesterase type 5 (PDE5) inhibitor class. It works by relaxing the blood vessels in the penis, allowing more blood to flow into the penis when a man is sexually excited. It may also increase blood flow to the penis by relaxing the muscles that line the inside of the penis.

This drug is available as an oral tablet. It is usually taken as needed, approximately 30 minutes before sexual activity. The dosage for this medication is based on the individual’s response to the drug. The dosage should be determined by a healthcare professional, considering factors such as age, overall health, and specific conditions. It is important to take Cialis with food to avoid potential side effects. Do not crush or chew the tablet.

How long does it take for Cialis to work?The duration of Cialis effects can vary. It is important to understand the duration of the effects and how long to continue taking it. It can take up to 36 hours for the effects of the drug to wear off. Cialis is not known to cause vision loss. It is not recommended to take Cialis for longer than 36 hours. This drug should not be used for 36 hours or longer if you have a heart condition or if you have recently had a heart attack. Do not take Cialis for longer than advised.

It is important to note that Cialis should not be taken by women and children. Do not consume alcohol while taking Cialis or any other ED medications. It may cause dizziness and blurred vision. Do not drive, use machinery, or do anything that requires alertness until you know how Cialis affects you. Cialis should not be used for more than 30 minutes at a time, or more than one dose per day. Do not use it more often than prescribed, or more than once a week. Do not use Cialis for more than the prescribed dose, or for longer than recommended.

If you have a known allergy to tadalafil, you should not take Cialis. You should avoid Cialis and alcohol while taking this medication. Alcohol can exacerbate the effects of Cialis and impair your ability to drive and operate machinery. If you have diabetes, Cialis should be avoided, as it can worsen the symptoms of diabetes. If you have heart disease, Cialis should be avoided.

It may be more effective to combine Cialis with a diet, which may lower blood pressure. You should consider taking Cialis and a reduced-calorie diet with some salt and vegetables. You may also need to take a blood pressure medicine such as nitrates, which can cause dizziness. Cialis should not be taken with grapefruit juice. grapefruit juice is not recommended while taking Cialis. Do not eat grapefruit or drink grapefruit juice while taking Cialis. Alcohol can worsen the effects of Cialis and impair your ability to drive or operate machinery. Do not consume alcohol with Cialis.

It may be harder to take this medication if you already have a certain disease. Before taking Cialis, you should read the patient information leaflet from your doctor or pharmacist. If you do not have an approved diagnosis or are not sure how you should take Cialis, speak to your doctor or pharmacist. Cialis should not be taken with any other ED medications, including those for erectile dysfunction.

What are the side effects of Cialis?Like all medications, Cialis can cause side effects. The most common side effects are headache, flushing, nasal congestion, back pain, and indigestion. These side effects usually subside as your body adjusts to the medication. In rare cases, Cialis can cause other side effects, such as vision changes, abnormal heartbeats, or severe allergic reactions. It is important to talk to your doctor about any side effects you experience. If you experience any side effects, they may adjust your dosage or recommend another treatment option. For more information, you can always contact your doctor.

What are the long-term effects of Cialis?Like all medications, Cialis can cause long-term effects. Long-term use of this medication can increase the risk of certain side effects. The most common long-term effects of Cialis include vision loss, dizziness, and fainting. These side effects can last for up to 36 hours after taking the medication. However, they are not permanent. Tell your doctor if you experience any of these side effects.

Viagra, Cialis, Levitra, and Stendra are some of the best-known ED medications. How do these medications work? Let’s jump into this topic to find out. In this article, we’ll explain the differences between Viagra, Cialis, Levitra, and Stendra and give some tips for using them safely.

Viagra (sildenafil)

As you can see, Viagra and Cialis are the two best-known ED medications.

Why Viagra and Cialis are the best-known ED medications?

Here are the main differences between Viagra and Cialis:

  • Viagrais a generic version of Cialis, which is available in various dosages.
  • Cialisis a brand name version of Tadalafil, which is another brand name for vardenafil.
  • Levitrais an ED medication for men who struggle with erectile dysfunction.
  • Stendrais a brand name version of Vardenafil, which is a generic version of sildenafil.
  • is a brand name version of Cialis, which is available in various dosages.
  • is a brand name version of Stendra, which is another brand name version of sildenafil.
  • is a brand name version of Vardenafil, which is a generic version of vardenafil.
  • is a brand name version of Stendra, which is another brand name version of vardenafil.

Viagra (sildenafil) doesn’t work in all cases

It is not known whether Viagra and Cialis work in all cases.

  • works well in all cases.

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

What is Tadalafil?

Tadalafil is the active ingredient in theelfth�'s CIALIS.Itis a medication which allows the brain to adjust to sudden changes in weather and lifestyle factors.

Tadalafil is a phosphodiesterase-5 (PDE5) inhibitor. The phosphodiesterase-5 enzyme breaks down cGMP, which in the body in turn increases blood pressure. cGMP can then be measured in the lungs using the High Blood Pressure Index (HBRI).

When Tadalafil is taken with blood pressure medications, it keeps the muscles relaxed and increases blood flow to the lungs. It does this by relaxing the blood vessels which make the muscles more easily tense.

However, Tadalafil doesn’t increase the blood flow to the penis. It only works when you are face-to-face with the healthcare professional.

When Tadalafil is taken with Nicodermicine, it keeps the blood vessels in the penis relaxed. This increases blood flow into the penis to help your body create an erection.

When Tadalafil is taken with Disopyramide, it keeps the blood vessels in the penis in in hypertension which makes the person have an ischemic condition.

Tadalafil doesn’t increase the amount of blood that is sent to the lungs through the nose in type 2 diabetics. It only increases blood flow to the lungs and it doesn’t have an effect on the amount of chest pain medication taken for migraine headache.

Is there a prescription question / symptom / condition question on Tadalafil?

You must be under 18 years of age to read the patient information questionnaire.

You can ask our doctor any questions that are relevant to you.

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.

If you are taking Cialis or specific high-fat meal, you should monitor these important indicators while using this medication.‍

F.

Cialis (tadalafil) can interact with certain foods and beverages, possibly altering its effectiveness or increasing the risk of side effects. Here are the key drug-food Interactions to be aware of:

  1. Grapefruit and Grape Juice: Grapefruit can increase the levels of tadalafil by inhibiting the enzyme PDE5, which is responsible for breaking down cGMP, a compound that relaxes blood vessels and blood vessels over time. This increase in blood pressure can also amplify side effects, such as dizziness or lightheadedness.
  2. : Though this combination may be less risky than nitrates or alpha-blockers, combining alcohol with Tadalafil may enhance side effects like headaches or increase heart rate in sensitive individuals.

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