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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.
__PrectionCall message is now clear in the details of Interactions & Lifestyle & Call/WhatsConnectInteractionsThe information below is confirmed by a pharmacist with regular contact. Please refer to the manufacturer's patient information leaflet for more information. LifestyleThe pharmacist will advise you regarding the use of Lifestyle and Call/WhatsConnect medication, including dosage, potential side effects, and important interactions with other drugs. Lifestyle interactions may change how your body responds to medications or can be dangerous for your health. Here are some key lifestyle interactions that may be concerned you: DietThe pharmacist will advise you regarding the following information:
  1. Diet-related interactions with other drugs
  2. Some medications can affect how your body absorbs certain drugs. This includes prescription and over-the-counter drugs, vitamins, and herbal products. This may affect how your body absorbs certain medications. This also includes drug interactions with food and beverages. These interactions can be serious or not serious. You should not take Lifestyle and Call/WhatsConnect if you have a history of drug reactions.

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.
Rican health

C.

Ex. Viagra can affect the absorption of tadalafil and may increase the time it takes to your next dose, also effects the blood pressure level. It is not recommended to take Cialis with an overdose of Viagra.

D. If you find tadalafil, sildenafil, or any of various other blood pressure medications interactions bother you, you should seek medical advice from your doctor.

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  • Other antihypertensive medications (e.g., atenolol, propranolol, enalapril, lisinopril)

Medically reviewed and written by & Antonio

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This month, Cialis and its generic versions are the same way. They're the same price. The price difference is big. Cialis costs $10 per month without insurance and $20 without insurance. Cialis costs $45 a month with insurance and $30 with insurance. That's pretty much the price of a $10 prescription. And that price difference isn't worth it to you.

In order to be eligible for Cialis, you'll need to have a valid prescription from a doctor. Once you've done that, you can buy the medication from Cialis and take it to a pharmacy for free.

Here are some examples of Cialis and its generic versions:

Cialis 20 mg

$10 for a month’s supplyCialis 20 mg is a prescription medication that’s used to treat erectile dysfunction (ED). In combination with sexual stimulation, Cialis works by increasing blood flow to the penis, which helps men achieve and keep an erection when sexually aroused.

$30 for a month’s supplyCialis 20 mg is a prescription medication used to treat erectile dysfunction (ED).

$45 for a month's supply

$60 for a month's supply

$60 for a month’s supply

$70 for a month’s supply

$80 for a month's supply

$90 for a month’s supply

$90 for a month's supply

$80 for a month’s supply

Cialis Professional

Cialis Professional contains tadalafil, a phosphodiesterase-5 (PDE5) inhibitor used for the treatment of erectile dysfunction and benign prostatic hyperplasia.

Uses

Cialis Professional is used to treat erectile dysfunction (ED) and benign prostatic hyperplasia (BPH). Erectile dysfunction is the inability to achieve or maintain an erection sufficient to be sexual intercourse. BPH is a condition in which the prostate gland in the male body is enlarged. Tadalafil works by relaxing the smooth muscle in the prostate and bladder wall, allowing more urine to pass through. This helps improve urinary symptoms such as difficulty in emptying the bladder and is used to treat erectile dysfunction and BPH.

How to Use Cialis Professional

Take one tablet a day. Do not exceed the stated dose. Cialis Professional is taken by mouth. Cialis Professional is taken with or without food. Take it approximately 1 hour before you plan to have sex. You can take Cialis Professional with or without food. However, do not take Cialis Professional more than once a day.

Side Effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Important Information

Cialis Professional is not suitable for use in women.

Storage

Store at room temperature.

Cialis Professional may be protected from moisture and heat during storage. Protect from light and moisture. Keep this medicine out of reach of children.Cialis Professional is a prescription medicine. Do not use this medicine if you are taking nitrates (medicines used for the treatment of angina, chest pain, or severe heart failure). Tell your doctor if you are taking medicines to treat high blood pressure or a condition that affects the heart or blood vessels. Do not use this medicine if you have a stomach ulcer or other stomach disorders. This medicine should not be used in children under 6 months of age. Tadalafil may cause erectile dysfunction. Tell your doctor if you are taking any of these: alpha blockers, angiotensin-converting enzyme (ACE) inhibitors, angiotensin receptor blockers, bromocriptine, clopidogrel, digoxin, diuretics, insulin, other medications that lower blood pressure, medications that can lower blood pressure, medicines for high blood pressure, other medicines that can lower blood pressure, other medicines that can relax the blood vessels in the penis, medicines that can increase blood pressure, or medicines that can reduce blood pressure.

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 effect is also reported in a small number of people who take Cialis. These people have more likely to experience these side effects of Cialis than people who do not take the medication.

Tell them about any and all medications, prescription drugs, and supplements you are taking before starting Cialis.

As with all prescription medications, inform your doctor of any medical conditionsability of any oral contraceptive you are taking. Cialis can also cause you to lose certain amounts of sperm, which could be used for male infertility.