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.

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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.

EUutteringatherine Hou Qumoura was a foodher and researcher who came up with the name "Cialis" after eating a French breakfast cereal. She was recruited as a collaborator with the University ofée France, France, where she was trained to write her name. She spent three years at the university, where she taught herself food and nutrition, before transferring into the Faculty of Pharmacy at the University ofée France in 2017. After three years, she was successful, completing her Master's at pharmacy and veterinary in 2019. This appointment is expected in the second half of this year.

C.

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

1. : Though not a direct interaction, combining Cialis with high alcohol intake might worsen side effects like headaches or increase heart rate in sensitive individuals.

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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.

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:

1. : Grapefruit can increase the levels of tadalafil by inhibiting the metabolism of tadalafil. This reduces its effectiveness, increases the blood pressure-lowering effects of the medication, and increases the risk of side effects.
2. : Though this interaction does not significantly affect side effects, using it with this medication should be avoided.
3. Maceca: While taking Cialis, take it in aeca-approved quantities, careful monitoring ofipation and dosage is recommended.

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

Tadalafil

Generic name: Tadalafil

Other brand names: Cialis, Adcirca, Adcirca-Tadalafil

Drug class: Phosphodiesterase type 5 (PDE5) Inhibitors

Formula: C8-C24H4O8; Formula: C8-C24H8O8; Molecular Formula: C8H12O8

Pharmacological properties: Tadalafil (C8H24H8O8), the active ingredient in the drug formulation, has a pharmacological effect, primarily for the treatment of erectile dysfunction. It is also beneficial in treating benign prostatic hyperplasia (BPH), a condition affecting the prostate gland. Tadalafil, the active ingredient in the brand name, is used for the treatment of benign prostatic hyperplasia in men and women. Tadalafil is also used to treat pulmonary arterial hypertension, a condition in which high blood pressure in the arteries of the lungs causes symptoms like shortness of breath, fatigue, dizziness, and tiredness. It is also used to treat benign prostatic hyperplasia, a condition affecting the prostate gland. Tadalafil is classified as an oral PDE5 inhibitor. It is approved for the treatment of erectile dysfunction in men, and is also used in pulmonary arterial hypertension to treat pulmonary arterial hypertension. It is also approved for the treatment of pulmonary arterial hypertension, which is a condition in which high blood pressure in the lungs causes symptoms like shortness of breath, fatigue, dizziness, and tiredness. It is also used to treat pulmonary arterial hypertension, which is a condition in which high blood pressure in the lungs causes symptoms like shortness of breath, fatigue, dizziness, and tiredness. Tadalafil belongs to a group of drugs called phosphodiesterase type 5 (PDE5) inhibitors. Tadalafil may be prescribed for the treatment of erectile dysfunction in men and women. It is also used to treat pulmonary arterial hypertension, a condition in which high blood pressure in the lungs causes symptoms like shortness of breath, fatigue, dizziness, and tiredness. Tadalafil is also prescribed for the treatment of benign prostatic hyperplasia (BPH) in men and women.