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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. Long-term Metforminous Interaction:

Taking Cialis and alpha-blockers may cause aospital-based metforminous interaction, wich is more likely to occur with Cialis and metformin than with other medications. This can be a long-term side effect because these medications work in their suppression of metformin absorption. Use of Cialis and metformin together if with any of these potential interactions can increase your risk of experiencing symptoms of diabetes-related neurogenic damage.

D. Other Drug-Food Interactions:

Using Cialis and alpha-blockers with certain foods or substances can increase your risk of significant cardiovascular events (such as heart attack or stroke). If prescribed by a doctor, using Cialis and alpha-blockers with certain substances may increase your risk of developing serious heart complications, such asricular arrhythmias (heart disease that cause irregular heartbeat).

As with any drug product, there may be side effects. Generally, patients who experience side effects usually get them within 12 to 24 hours after taking Tadalafil. Side effects usually resolve on their own within 48 hours. Daily Tadalafil use is usually associated with lower incidents and severity of side effects compared to as-needed Tadalafil dosing.

Most common Tadalafil side effects

  • Headache
  • Indigestion
  • Back pain
  • Muscle pain
  • Flushing
  • Stuffy nose

Some more serious side effects have been reported. While rare, it is important to stop taking Tadalafil and contact a doctor right away if any of the following occur:

  • An erection will not go away (priapism). If you have an erection that lasts longer than 4 hours, get medical help right away. If not treated right away, priapism can permanently damage the penis.
  • Sudden vision loss in one or both eyes. Sudden vision loss can be a sign of a serious eye problem called non-arteritic anterior ischemic optic neuropath (NAION).
  • Sudden hearing decrease or hearing loss. Some may also have ringing in the ears (tinnitus) or dizziness.

For a complete list of possible side effects,.

Possible drug interactions

Some drugs/medications may interact with Tadalafil. You should not take Tadalafil if you are taking nitrates (such as nitroglycerin tablets or patches) because the combination of these with Tadalafil could significantly lower blood pressure and lead to fainting or even death. Additionally, do not take Tadalafil if you are taking Cisapride, other ED medications (e.g. Viagra), Adcirca, or Riociguat.

On your intake form, please be sure to provide AgelessRx with all medications, herbs, non-prescription drugs, or dietary supplements you use. Also be sure to report if you smoke, drink alcohol, or use illegal drugs, as some may interact with your medication.

For a complete list of possible drug interactions,.

Other important safety information

Patients who have a condition called “left ventricular outlet obstruction” from valvular problems or heart muscle enlargement may get side effects such as fainting or light-headedness. Because patients with recent heart attacks or stroke, heart pains (angina), heart failure, uncontrolled blood pressure or uncontrolled irregular heart beats, severe liver disease, and retinal eye problems have not been studied, Tadalafil (Cialis) is not recommended for these patients. There may be rare occurrences of priapism or painful, prolonged erections. This is a serious condition that requires immediate medical attention. Patients should seek prompt medical attention if their erection lasts longer than four hours.

After taking a single tablet, Tadalafil can remain in the body for up to two days. It can remain longer if patients have problems with their kidneys or liver, or they are taking certain other medications.

Note:All information included on this page is a summary. It may not cover all possible information. If you have questions about this medication, talk to a doctor, pharmacist, or healthcare provider.

Note: The above statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

  • Tadalafil (Cialis) is a “prostatitis” medication. It is a phosphodiesterase-5 (PDE5) inhibitor. Patients taking Tadalafil may get symptoms of low blood pressure, including dizziness, light-headedness, fainting, nausea, vomiting, and increased blood pressure. Diarrhea has occurred more often in patients on Tadalafil. The most common symptom is a red, swollen, pink-pill feeling in the upper abdomen. This may be followed by a more serious condition called priapism.
  • In clinical trials, most patients with erectile dysfunction (ED) lost an average of two or three units of blood they got during their course of Tadalafil treatment. Some patients have experienced an erection for only a short amount of time.

Nicknamed “The Weekender Pill”,Tadalafil is the generic version of Cialis™. It lasts up to 36 hours and the reason some prefer Tadalafil over Sildenafil, which typically last up to 8 hours. Please select your preferred dosage and number of pills.

  • Available in 5 mg, 10 mg, and 20 mg
  • Works in as quickly as 30 Minutes
  • Tadalafil lasts up to 36 hours
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* We can ship up to 30 pills at a time. For example, if you order 120 pills, you will get four shipments of 30 pills.

Health Questionnaire Required:

For your first order with us, after placing an order, you will be prompted to upload your ID and submit our health questionnaire, soour physician canreview your basic health information,in order to mail prescription medications. You will not need to do this for refill orders.

Disclaimer:This is not medical advice. You and our physician will determine if (and potentially how) you should take Tadalafil. Please consult with your physician if you have any further questions.For more information on Tadalafil,.

Applies to Tadalafil 20 mgtadalafil 20 mgtadalafil

Product..

Product Name

Tadalafil 20 mg

Active Ingredients

Tadalafil

Manufacturer

Flomax

Uses

Tadalafil is used to treat erectile dysfunction (impotence) in men. It works by increasing blood flow to the penis. This helps men to get or maintain an erection. Men who are sexually transmitted diseases (STDs) such as the type 1 or type 2 diabetes should not take Tadalafil.

Dosage

Tadalafil is available in 5 mg, 10 mg, and 20 mg dosage options. The 10 mg dosage is the most extensive and standard treatment for ED. The 20 mg dosage is also used for pulmonary arterial hypertension and certain types of prostate cancer. The pharmaceutical industry alsoroversly markets Tadalafil for erectile dysfunction; however, the 10 mg dosage is the most commonly accepted generic.

Side Effects

Tadalafil can cause some side effects. Although not all of them are serious, including the following:

  • Headache
  • Flushing
  • Indigestion or stomach upset
  • Nausea
  • Breast pain or tenderness
  • Rash
  • backs or legs pain
  • Muscle aches
  • Itching/swelling/pain/swelling/swelling/rash
  • Runny or stuffy nose

Drug Interactions

Tadalafil can interact with several medications with effects on other systems, including blood pressure and cholesterol levels. Because of this, some people who take Tadalafil will experience side effects, including:

  • Mood changes
  • Hearing loss or ringing in the ears
  • Nausea and vomiting
  • Skin rash

Company

Tadalafil is a trademarked company name and is used under license.

Storage

Tadalafil is stored at room temperature, protected from moisture and sunlight. It is also refrigerated.

The province of British Columbia has been in the crosshairs for over four years. The last time it had been in the same province was in 2015. The province’s health minister had a new policy for the day. Instead of using its own health service, Health Minister Chidambaram Nair has been given a new policy for two reasons: first, he is proposing a reduction of the health service workload and second, the new policy will be seen as a boost to the health minister’s work. “Chidambaram said that Chidambaram would be proposing a reduction of the health service workload for the Health Services Minister, and also to create a health service benefit for health practitioners,” said Nair.

Chidambaram Nair’s new health policy has been a success. He is currently on the Pharmaceutical Service Council as an executive director of Health Canada and also as a health specialist, and the Health Services Minister is currently taking over the health service responsibilities for Chidambaram. The Health Sciences Authority of Ontario also has a new policy on how to manage the health service. “Chidambaram said that Chidambaram will be working on a reduction of the health service workload, so that the Health Sciences Authority can also reduce the workload for the Health Services Minister,” said Nair.

Chidambaram Nair has also been on the Pharmaceutical Service Council. He has been on Health Canada for two years, and the Health Services Minister has been given a new policy for two more years. He is currently in his second year as an executive director. The Health Sciences Authority of Ontario is working on a new health service policy, and a new policy will be seen as a boost to the health minister’s work.

In 2021, Chidambaram said he was on the Pharmaceutical Service Council. He is currently on the Health Canada and also on the Health Services Minister. The Health Sciences Authority of Ontario has a new policy on how to manage the health service. “Chidambaram said that Chidambaram would be proposing a reduction of the health service workload for the Health Services Minister, and also to create a health service benefit for health practitioners.

Chidambaram said that Chidambaram would be proposing a reduction of the health service workload for the Health Services Minister, and also to create a health service benefit for health practitioners. “Chidambaram said that Chidambaram would be proposing a reduction of the health service workload, so that the Health Sciences Authority can also reduce the workload for the Health Services Minister,” said Nair.

Chidambaram Nair is currently on the Pharmaceutical Service Council.

VIDEO

He is currently on the Pharmaceutical Service Council.