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WHAT IS CIALIS?

Cialisis used to treat erectile dysfunction. It is a type of male-specific phosphodiesterase type-5 (PDE-5) inhibitor that helps increase blood flow to specific areas of the body. Cialis is usually taken orally once daily.

How does Cialis work?

The active substance in Cialis is Tadalafil, which belongs to a group of medicines called phosphodiesterase type-5 inhibitors.

These medicines work by allowing the body’s natural blood flow to the penis, which enables a man to get an erection when sexually aroused.

Cialis may also be used for other conditions such as benign prostatic hyperplasia (BPH). This may reduce or prevent further damage to the prostate.

Cialis is a prescription medicine and should only be taken under the guidance of a doctor. It is important to only take Cialis as directed by your doctor, and not exceed the recommended dosage.

When taking Cialis, it is very important to follow the instructions provided by your doctor. This is because taking this medicine during the day is not recommended because taking it at night is potentially dangerous.

This medicine should be taken orally with or without food. If you are taking Cialis and notice any stomach upset, such as diarrhea, loose stools, or stomach pain, consult your doctor immediately.

The most common side effects of Cialis are headaches, flushing, upset stomach, back pain, muscle aches, or pain spreading to the back or side of the stomach.

If you experience any serious side effects while taking Cialis, you should seek medical attention immediately.

Do not take more than the recommended dose or take Cialis more than once a day. This medicine should not be used by individuals under 18 years of age.

Do not use Cialis if you are allergic to any of its ingredients.

In case you have been prescribed Cialis, you should consult your doctor for advice before taking it.

If you have any medical conditions, please inform your doctor or pharmacist. This is because Cialis may affect your kidneys, liver, or blood pressure.

What should I do if I miss a dose?

If you miss a dose, take it as soon as you can. If it is close to the time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take two doses at once.

Do not double the dose to catch up.

Do not give up taking Cialis.

What are the side effects of Cialis?

Common side effects of Cialis are headaches, flushing, upset stomach, back pain, muscle aches, or pain spreading to the back or side of the stomach.

You should contact your doctor if you experience any side effects, even if you have not experienced them in the past.

In case you experience any serious side effects while taking Cialis, you should seek medical attention immediately.

How do I take Cialis?

The recommended dosage of Cialis is usually one pill (40 mg) once daily. If you take more than the recommended dose, contact your doctor to adjust it.

Do not take more than the recommended dose, or take it more than once a day. If you are not sure, consult your doctor for advice.

What if I miss a dose?

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.
The above are only some of the key drug-food interactions that Cialis can have. If you are looking at more than one drug-food interaction, be sure to talk to your doctor and pharmacist to determine which one is best for you. If you are taking multiple medications, be sure to discuss all with your doctor or pharmacist before starting any new drug. This will allow your doctor to ensure that the right combination of medications and diet can be used to manage your disease more effectively.

C.

Cialis (tadalafil) can interact with certain foods and beverages, possibly altering its effectiveness and increasing the risk of side effects.

  1. : Though not a direct interaction, combining Cialis with Cialis. If symptoms persist, please consult a doctor.
  2. Grapefruit

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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.

Read more about Cialis at azermedsklineam

As with most medications, Cialis can cause a serious, severe, or even life-threatening drop in blood pressure. The consequences can range from sudden, if not mistaken, potential heart attack or stroke to death. Although not life-threatening, they can include vision loss, hearing loss, prolongedraud, priapism, and tissue thatlammens or breaks down the penis.

Signs of a arythm

A sudden drop in blood pressure is rare. However, if it occurs early in the course of treatment, especially in the face or chest, especially during the first few hours of treatment, it is more likely to be due to a problem with the glaucoma drug or an underlying medical condition. Priapism can occur within minutes of taking Cialis and can damage the penis causing the user to bleed or have a painful erection.

A heart attack can occur within any first or second portion of treatment. The most common portion of treatment is withPriapism, though it can occur within minutes of taking the medicine.

Priapism can cause the penis to get very weak or no erection at all. This can lead to serious problems, such as a sudden loss of vision in one or both eyes, which can result in permanent blindness.

If Priapism occurs early in the course of treatment, particularly in the face or chest, it is more likely to be due to a problem with the glaucoma drug or underlying medical condition.