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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.

Show More is a provided by Armengirderia. This resource is for informational purposes only and is not intended as medical advice. Armengirderia is not a substitute for seeking advice from your physician. Armengirderia should not be used to treat the symptoms of a physical or mental health condition.Share The Full Drug Summary

Cialis 50mg Tablet Information:

Active Ingredient:CialisManufacturer:TevaReported: Goldstein Drug Products, Inc.

Dosage:The usual starting dose is 10mg, taken approximately one hour before sexual activity. The maximum recommended dosing frequency is once per day.

Side Effects:Headache, indigestion, stomach upset, back pain, muscle aches, and pain. Dizziness, headache, flushing, nasal congestion, and dizziness are all possible adverse reactions.

Notably Fewer Doses of Cialis Take Effect:Tablet-taking males experience slightly more effects. However, the number of tablets in a pack is likely to be very low. Tablets can be taken with or without food, and should be taken at least one hour before any sexual activity.

Cialis Dosage:

Cialis comes in three dosages:

  • 10mg, taken approximately one hour before sexual activity.
  • 20mg, taken approximately an hour before sexual activity.

Cialis Should never Be Taken:Cialis can interact with other medications, causing potentially serious drug interactions. This medication must not be taken with any other medications, vitamins, or natural health products, as some may interact negatively with Cialis.

This drug interaction may not have been diagnosed by your healthcare provider before you take Cialis. If you have any new or worsening symptoms, contact your health care provider immediately.

Do not take more than one dose in 24 hours. Cialis can cause dizziness and lightheadedness in some men. Do not drive, use machinery, or do anything that needs mental alertness for 15 minutes at a time.

Cialis is not approved for use in women. Cialis may make it harder to get an erection.

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.
It's important to consult a doctor before taking Cialis or other "Tadalafil" if you have any of the following conditions:
  • impaired liver function
  • pre-existing severe heart conditions
  • a history of heart attack or stroke
  • a history of fainting
  • a history of an allergic reaction to tadalafil or any other medications>Smoking cigarettes or tadalafil
  • Uncontrolled high blood pressure
  • Diabetes
  • Stroke
  • Stoppingaundice oracetundose syndrome
  • You are taking a loss�of alcohol during your treatment with Cialis.
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