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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 What You Do

If you have sex with men, you should not use Cialis. Sexual activity can cause changes to your heartbeat or chest pain during sex. If you experience any of these, contact your health care provider immediately.

If you experience any changes in your chest pain, sexual activity should be stopped. Similarly, if you experience pain during sex, contact your health care provider. This may be a sign of cardiac concern.

If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider.

If you experience any of the following, inform your health care provider that you are taking Cialis.

Cialis can interact with bodily substances, making potentially serious adverse reactions possible.

As with all prescription medications, inform your doctor of any medical conditions manage. This includes a medical history, especially heart problems, liver disease, or severe kidney disease.

Cialis can interact with other medications, especially nitrates used for angina or chest pain. Combining these with Cialis can lead to potentially dangerous drops in blood pressure.

If you are using Cialis with other medications, your doctor may monitor you more actively while taking Cialis. This includes taking your medication as directed, as well as taking other precautions.

Let your doctor know if you are taking any of the following before starting treatment:

  • Alpha-blockers
  • Antifungal medication
  • Heart-friendly food
  • Lactose intolerance
  • Ureter labium
  • Increased nitrate intake
  • Medications for high blood pressure or heart failure

If you are taking Cialis with other medications, your doctor may monitor you more actively while taking Cialis.

Warnings and Precautions

This medication can cause serious problems in the eyes, nose, and lungs. If you experience any of the following, inform your doctor immediately.

The UK’s second largest pharmacy chain,has launched a new service called. This is the first of its kind for a new generation of online pharmacies, which sell prescription medicines as well as online purchases.

The service will offer customers 24/7 for their treatment in the UK. As well as providing a 24-hour prescription service, customers can take advantage of the free online option.

The new service is available for a maximum of 60 days from the date of purchase. Customers can also select an option from the menu, and the pharmacy will have their own medicines available for delivery.

The pharmacy has been working with GPhC to create a digital environment for customers to take advantage of the service, with a ‘C’ in the title and the word ‘pharmacy’ added. This will allow customers to make their own purchases from the pharmacy and have it delivered directly to them.

Cialis® (tadalafil) tablets are a prescription medicine used to treat erectile dysfunction. The active ingredient is tadalafil, a PDE5 inhibitor.

Tadalafil is a phosphodiesterase type 5 (PDE5) inhibitor that works by helping to increase blood flow to the penis during sexual stimulation. This can help men to achieve and maintain an erection.

Pharmacy is the first online pharmacy in the UK to offer the service. Customers can take advantage of this free online option by choosing the option on the page, with an option to select their choice of medicine.

The pharmacy will continue to operate from their premises, and customers can continue to receive their prescribed medication for next month. This will provide them with the next supply of medication.

Photograph: Nicky O'Leary/Airlocs/Shutterstock1

Tadalafil is a PDE5 inhibitor used to treat erectile dysfunction. Tadalafil works by helping to increase blood flow to the penis during sexual stimulation.

A prescription is a prescription medicine that a person must take for erectile dysfunction. The medication may be taken on an as-needed basis, with the dosage usually determined by a doctor.

Tadalafil is a phosphodiesterase type 5 (PDE5) inhibitor that helps to increase blood flow to the penis during sexual stimulation.

Tadalafil is available in various strengths, including 5mg, 10mg, and 20mg.

Tadalafil is a PDE5 inhibitor that helps to treat erectile dysfunction.

Photograph: Nicky O'Leary/Airlocs/Shutterstock2

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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. Discontinvable Drug-Food Interactions:

Using Cialis with aContraindicated Use: Cialis (tadalafil) is contraindicated for individuals who are at least 8 years old. Additionally, Cialis should not be used with nitrates or alpha-blockers of any kind during pregnancy or while taking a nitrate medication. Oral contraceptives (e.g., casein, wafers) are generally not suitable for use in individuals under 8 years of age. Cialis should not be used with nitrates or alpha-blockers of any kind while using Cialis with contraindicated this combination.

D. Drug-Food Interactions with Other Medications:

Using Cialis with aContraindicated Use: Cialis (tadalafil) can interact with certain foods and beverages, potentially altering its effectiveness and increasing the risk of side effects.