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.
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:
If you are taking Cialis or specific high-fat meals may significantly improve the effectiveness and safety of your medication.
Here are the key drug-food Interactions to be aware of:
Erection problems (impotence) are very common, particularly in men over 40.
Most men occasionally fail to get or keep an erection. This is usually due to stress, tiredness, anxiety or drinking too much alcohol, and it’s nothing to worry about.
If it happens more often, it may be caused by physical or emotional problems.
Physical causes Possible cause Treatment Narrowing of penis blood vessels, high blood pressure, high cholesterol medicine to lower blood pressure, statins to lower cholesterol Hormone problems hormone replacement – for example, testosterone Side effects of prescribed medication change to medicine following discussion with GP You may also be asked to make lifestyle changes.
Do lose weight if you’re overweight stop smoking eat a healthy diet exercise daily try to reduce stress and anxiety
Don’t cycle for a while (if you cycle more than 3 hours a week) drink more than 14 units of alcohol a week
Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature.
If you experience any of the following side effects stop using the medicine and seek medical help immediately:
allergic reactions including rashes (frequency uncommon). chest pain – do not use nitrates but seek immediate medical assistance (frequency uncommon). priapism, a prolonged and possibly painful erection after taking CIALIS (frequency rare). If you have such an erection, which lasts continuously for more than 4 hours you should contact a doctor immediately. sudden loss of vision (frequency rare). Other side effects have been reported:
Common (seen in 1 to 10 in every 100 patients)
headache, back pain, muscle aches, pain in arms and legs, facial flushing, nasal congestion, and indigestion. Uncommon (seen in 1 to 10 in every 1,000 patients)
dizziness, stomach ache, feeling sick, being sick (vomiting), reflux, blurred vision, eye pain, difficulty in breathing, presence of blood in urine, prolonged erection, pounding heartbeat sensation, a fast heart rate, high blood pressure, low blood pressure, nose bleeds, ringing in the ears, swelling of the hands, feet or ankles and feeling tired. Rare (seen in 1 to 10 in every 10,000 patients)
fainting, seizures and passing memory loss, swelling of the eyelids, red eyes, sudden decrease or loss of hearing, hives (itchy red welts on the surface of the skin), penile bleeding, presence of blood in semen and increased sweating. Heart attack and stroke have also been reported rarely in men taking CIALIS. Most of these men had known heart problems before taking this medicine.
Partial, temporary, or permanent decrease or loss of vision in one or both eyes has been rarely reported.
All medicines can cause side effects, but. 1 in 10,000 people gets side effects.
St John’s wort (nausea) – do not use with medicine for a long period of time, especially at high doses.idespread skin allergy – often prescribed for acute rhinitis and pustules – – increase the risk of side effects
There is a possible risk of mild severe allergic reactions including rash, itching,/swelling (especially of the face/tongue/throat), severe dizziness, depression, swelling of the hands, ankles and armpit. Treatments can be moved to a larger area following a consultation with a doctor.
Fungal infections, scalp orrespected>:idespread fungus – often prescribed for acute infections, fungi can attach to the skin and cause allergic reactions, such as rashes (allergic reactions)
Some men have sensitive and/or persistent fungal infections, including:
idespreadfungal infection – many species of fungal infection occur on the soles and heels of the feet, along with the ankles and bottom of the feet. This can lead to fungal skin rash, often on the soles and heels.
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.
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:
If you have any questions or concerns about taking Cialis or interactions with Cialis, consult your doctor or pharmacist. Topical Cialis is available in the market in Europe, Asia, and South America, and is approved for use in both prescription and non-prescription formulations. Unlike oral medications that need to be taken by mouth, Cialis is user-friendly, especially for the elderly, and it works well for those with diabetes. Unlike pills that need to be swallow, Cialis has a privacy profile, and it can be shipped quickly and discreetly to your door. Unlike tablets that are scored, Cialis tablets come in a range of dosages, making them a convenient option for those who are sensitive to dosages.
A federal court judge in Colorado ruled last week that a prescription drug that the Food and Drug Administration approves can be sold in Canada.
The Food and Drug Administration rejected the drug, which the court said failed to meet its standards.
The drug is sold in several generic versions — including the brand name Cialis and the generic name Levitra — but not in a generic version.
Cialis and Levitra are the first-ever generics of the erectile dysfunction drug. The FDA first approved them in 2003, after its approval of Vardenafil, the generic name for Viagra.
In 2003, the FDA said the generic version of Viagra and Cialis would be sold over the counter.
The drug, which also comes with the brand name Levitra, had the strongest warning about the drug.
The FDA has yet to rule on the matter, citing several factors, including whether the agency has the authority to approve the generic version and whether the generic can be sold over the counter.
The FDA has said that its safety and efficacy standards are high, but the agency has not approved the drug.
The agency has said the pills are not the most appropriate choice for use, but a decision is still expected.
According to the Food and Drug Administration, an FDA-approved prescription drug that can be sold over the counter in Canada is safe and effective for use, but there are certain safety concerns.
The drug can be sold at retail stores, but some people are not allowed to buy it online. It is also illegal in Canada to sell prescription drugs online without a prescription, though Canadian doctors can legally prescribe drugs for their patients.
The Food and Drug Administration said the safety of the drug was a significant issue for its approval and was expected to be settled by the end of this year.
“The FDA’s approval of Cialis as a generic and Levitra as an FDA-approved prescription drug was an important step for the safety of the brand,” said Dr. Robert F. Kocsis, a clinical pharmacist at the University of Miami’s School of Pharmacy in Miami. “It was a clear step, but we don’t know whether it’s a step that the FDA will take, or it may not go down in history.”
Cialis, which is available without prescription from the FDA in Canada, has been available for use in Canada since the early 2000s, according to some reports.
While there are concerns about the safety of the drug, the drug has been linked to serious side effects, including vision problems and a rare, fatal condition known as priapism.
The FDA approved Cialis, known generically as tadalafil, in 2003.
The drug, sold under the brand name Cialis, was originally developed as a treatment for erectile dysfunction. It was approved by the FDA in 2009.