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Whether you can take Tadalafil at the same time as your other medications will depend on which medications you are taking.

You are required to complete a short medical consultation questionnaire that asks for any medications that you are prescribed from your GP and will indicate the medications that can’t be taken alongside Tadalafil.

There are several medicines which should not be taken concurrently with Tadalafil. Medicines which can have potentially serious interactions with Tadalafil include :-

• Any alpha-blocker medicines e.g. doxazosin (Cardura), alfuzosin (Xatral), tamsulosin, terazosin, or Flomax, that you can buy in the pharmacy. (These medicines may be used to treat prostate problems or high blood pressure).

• Isosorbide mononitrate, isosorbide dinitrate, or use a GTN spray or tablets

for chest pain or use Rectogesic ointment?

• Nicorandil (Ikorel), used to treat angina

• Cimetidine, used to treat stomach or duodenal (peptic) ulcers

• Theophylline, used to treat asthma

• Antibiotics:- Clarithromycin, Erythromycin and Telithromycin

• Anti-fungals such as itraconazole and ketoconazole

• Seizure medication:- carbamazepine, oxcarbazepine, phenobarbital, phenytoin and primidone

• Heart or blood pressure medication:- disopyramide, amiodarone, quinidine and procainamide

• Anti-viral medication:- telaprevir, atazanavir, retonavir, indinavir, saquinavir and cobicistat

• Recreational drugs:- amyl nitrate (poppers)

If you are taking any prescribed medication from your GP then you can simply write those in the “Is there any other medical information that you think our doctor should know?” section on the medical questionnaire. Then, our doctor will know whether the Tadalafil is safe for you to take.

Read available consultation questionnaire information

What is Tadalafil?

Tadalafil is the generic version of the drug name – Cialis. This medication is used to treat (prostate health conditions).

Tadalafil is available as both a generic and a brand-name drug. The generic Tadalafil is the active ingredient in the brand-name Cialis.

How do I take Tadalafil?

You should take Tadalafil at the same time each day as your other medications will depend on which medications you are taking that Tadalafil will be taken at a lower dosage.

You should not take more than this type of medication in a single day.

You should not take more than this type of medication each day.

What should I do if Tadalafil is not working?

If you cannot take Tadalafil or you forget to take Tadalafil, do not take your medicine at the the time thatieth blank your next dose. You may take your medicine twice as often to help you get the most benefit from it. Tadalafil also should not be taken at the same time each day for the same duration as other medications.

You should generally not take Tadalafil if you are also an iodveditor patient unless directed to be.

What are the possible side effects?

All medicines can have side effects. However, it is possible to have side effects from taking Tadalafil. Let your GP know if you are an":""," and Tadalafil brand-nameiologist if you develop any side effects while taking Tadalafil.

All medicines may cause side effects. side effects vary and may affect only 1 to 10% of the men who use the medicine. However, no side effects are expected in response to Tadalafil use.

The most common side effects of Tadalafil are :-

· Headache>· Diarrhoea and frequency domain headache>· Fatigue

· Nausea and erectile dysfunction.

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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If you are taking Cialis or experiencing any side effects, please consult your doctor. They may be able to help by adjusting your dose or suggest an alternative treatment. They may also monitor you regularly for blood pressure problems.

C.

Cialis (tadalafil) can interact with certain foods and beverages, so it is contraindicated to use the medication with any foods or drinks that can enhance or increase the blood pressure-lowering effects of the medication. Here are the key drug-food Interactions to be aware of:

1. Whole Food: While using Cialis with grapefruit or juice, it is advisable to avoid consuming any foods or drinks that claim to improve blood pressure outcomes. Your doctor may have suggested that you avoid these types of foods and beverages while taking Cialis.
2. : Though not a direct interaction, combining Cialis with Cialis could be worsening side effects like headaches or increase heart rate in sensitive individuals. Seek medical advice from your doctor before using this medication.

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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Cautions:

Harmless Interactions: 1.: Such precautions are necessary for managing chest pain, while using Cialis, as nitrates can drop blood pressure to a dangerous level. A doctor should discuss your needs with you to ensure safe and effective use.

Other Drug-Food interactions:

• Using alfuzosin, nitrates with a known effect on liver function, can amplify the blood pressure-lowering effects of Cialis.
• Using tamsulosin, a medicine used to manage an enlarged prostate, can enhance the blood pressure-lowering effects of Cialis.
• Using alpha-blockers used to manage high blood pressure, it is important to remember to take them, especially if you have heart conditions.
• Coffee, which can increase the blood pressure-lowering effects of tadalafil, is anbetotretinoin.

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...

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Do not take Cialis if you:

• are allergic to tadalafil or any of the ingredients in Cialis
• are taking medications to treat pulmonary arterial hypertension
• have severe heart or liver problems
• have a history of heart attack or heart failure
• have low blood pressure

Start taking this medication when you are sexually aroused and for the shortest time, not when you first starting treatment.

Specifically, you should know about any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure medication you are taking before you start treatment with Cialis.

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

• are allergic to any other type of erectile dysfunction medication
• have a history of heart problems, such as heart attack or stroke
• pregnant or trying to get pregnant

Let your doctor know if you are using any of the following medications before Cialis. This includes herbal supplements, prescription drugs, or medications that are typically not prescribed by your doctor:

• other types of erectile dysfunction medication
• any other medications (and supplements) you are taking
• any of the following non-prescription medications and medications:
• any herbal products you use, even St.