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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.

Read More About Cialis [Treatment Guide]Learn More About Cialis [Treatment Guide]

Medical Disclaimer: The content of this article is not intended to diagnose, treat, cure, or prevent any disease or health condition.

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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Here are the key drug-food interactions:

  1. : Drinking alcohol with Cialis might enhance the blood pressure-lowering effects of the medication, leading to symptoms like dizziness, lightheadedness, or fainting.
  2. : Though not a direct interaction, combining Cialis with these might worsen side effects in sensitive individuals.

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Cialis is a medicine that is prescribed to treat erectile dysfunction in men. It has an effect by relaxing the blood vessels in the penis, increasing blood flow, and helping to achieve and maintain an erection. It is not known if this effect is beneficial for men who are not able to achieve and maintain an erection during sexual activity. In fact, Cialis is not a cure, but it can help men who are looking to have an erection by reducing the size of their erections.

What is Cialis?

Cialis is a medication used to treat erectile dysfunction in men. It is used to increase the flow of blood into the penis, which helps to achieve and sustain an erection. It does not work if the medication is taken with nitrates or nitric oxide donors such as, alpha-blockers, or alpha-adrenergic blockers. The medication is not recommended for use if an enzyme that synthesizes cGMP breaks down testosterone. If cGMP is not present, cGMP levels can be reduced, causing the body to take in more testosterone. Cialis does not prevent the degradation of cGMP, but it allows the body to produce more cGMP.

Cialis Dosage

Cialis is taken orally with or without food. It is usually taken once daily. The usual starting dose is 10 mg, with or without food. The dosage is based on your medical condition and response to treatment.

Cialis Side Effects

The most common side effects of Cialis are headaches, indigestion, flushing, and nasal congestion. These side effects usually resolve on their own without needing to stop taking the medication.

If any side effects persist or worsen, consult your doctor or pharmacist promptly.

Cialis Precautions

Before taking any medication, tell your doctor or pharmacist if you are allergic to tadalafil or any other ingredients of Cialis. Additionally, tell your doctor and pharmacist if you are pregnant or breastfeeding, or are taking any other medications. Cialis should not be used during pregnancy or breastfeeding. Cialis can cause birth defects in the fetus.

Like all medications, Cialis may cause side effects, although not everyone experiences them. Common side effects of Cialis may include:

  • Headache
  • Flushing
  • Nasal congestion
  • Indigestion
  • Nausea

If any of these side effects get serious, or if you have any more side effects, speak to your doctor or pharmacist. Your doctor may perform blood tests to monitor the results.

Can I take Cialis with other erectile dysfunction treatments?

It is important to tell your doctor if you are taking any other medications, including prescription and over-the-counter medications and supplements.

Before taking Cialis, tell your doctor or pharmacist your medical history, especially of:

  • Heart problems
  • High cholesterol
  • High blood pressure
  • Peyronie's disease
  • Low testosterone
  • Doping
  • Kidney disease
  • Parkinson's disease
  • Liver disease
  • Stomach ulcers
  • Bleeding disorders
  • Stomach problems or bleeding
  • Stomach or bowel disorders
  • Stomach problems from surgery or medications
  • Liver problems
  • Bleeding or heart disease
  • Bleeding from an artery, vein, or muscle.

If you are pregnant or breastfeeding, talk to your doctor before taking Cialis. Cialis may cause birth defects in a fetus. Cialis may also cause erectile dysfunction in an infant.

How should Cialis be taken?

The dosage of Cialis depends on the type, strength, and form of the medication you are taking. It is important to take Cialis at the same time each day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand.

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. Antihypertensive Agents and Nitrates

Cialis (tadalafil) can interact with certain antihypertensive medications, potentially altering its effectiveness or increasing the risk of side effects. Here are the antihypertensive medications (thiazide, dihydrothiac,) contraindicated for use in this contradicted interaction:

  1. Blood Pressure meds: Combining Cialis with other medications prescribed for blood pressure problems can cause excessive blood pressure drops. If you do engage in chest pain or high blood pressure reacts, seek medical attention immediately.
  2. Alpha-blockers: Though not a direct interaction, combining Cialis with antorotatory drugs can increase the blood pressure-lowering effects of the medication.
  3. Other Drug-Food interactions:Mixing Cialis with certain foods or medications can alter its effectiveness or increase the risk of side effects.

A few years ago, a doctor prescribed Cialis for his erectile dysfunction and noticed a slight increase in his sexual desire. He decided to try it as soon as he could. He thought it might help him but it did not work and he did not feel aroused. He also found that Cialis was no longer a good option for him. He took the pills and was very happy about it. But he was worried about the possible side effects and did not want to take the pills on his own. He also felt that he had to have a doctor perform an in a hospital. He was worried that he would get into a bad accident and the doctor could not keep him away from his bed. However, he did not want to go to a hospital and get into a hard situation. He decided to go to a local pharmacy and buy a pill. The pharmacist said that he would have to go to the doctor and ask him for a prescription for Cialis. He decided to take the pills and he felt that it would work and he did not have any side effects. He decided to try Cialis and found that he could not take the pills on his own. He did not want to go to a hospital and get into a hard situation.