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Cialis (tadalafil) is a medication primarily used to treat erectile dysfunction (ED) and premature ejaculation (PE). It works by relaxing muscles and improving blood flow to the penis, facilitating erections during sexual activity.

It comes in the form of a tablet, which is typically taken orally, approximately 30 - 60 minutes before anticipated sexual activity. This extended window of time allows for more spontaneity and improved sexual performance.

Cialis 100mg

Cialis, also known by its generic name tadalafil, is a medication primarily used to treat erectile dysfunction (ED) and premature ejaculation (PE). It comes in the form of a 100mg tablet, which is typically taken orally, approximately 30 - 60 minutes before sexual activity.

How does Cialis work?

Cialis functions by inhibiting phosphodiesterase type 5 (PDE5), an enzyme that regulates blood flow in the penis. By inhibiting PDE5, Cialis helps improve blood flow into the penis, facilitating the achievement and maintenance of an erection during sexual stimulation.

How to use Cialis?

Cialis should be taken orally, approximately 30 - 60 minutes before sexual activity. The recommended starting dose is one tablet, taken as needed, with a full glass of water. However, it is important to note that Cialis may not be suitable for everyone, and it may not be suitable for everyone due to its side effects. It is also important to follow the prescribed dosage and consult a healthcare professional for personalized advice.

Side Effects

Common side effects of Cialis may include:

  • Headache
  • Flushing
  • Nasal congestion
  • Indigestion
  • Back pain
  • Muscle pain

More severe side effects of Cialis may include:

  • Facial flushing
  • Hearing loss
  • Blurred vision
  • Dizziness

If any of these side effects persist or worsen, seek medical attention promptly.

Precautions

Before using Cialis, it is important to inform your healthcare provider about any medical conditions or medications you are taking, especially if you are pregnant, planning to become pregnant, or are breastfeeding. Cialis can interact with certain medications, including nitrates, alpha-blockers, and antifungals. Always inform your doctor about all medications you are currently taking before starting Cialis. This includes over-the-counter supplements, over-the-counter medications, and dietary supplements. Additionally, inform your doctor about your medical history before starting Cialis, as it may interact with it.

Additionally, inform your healthcare provider about any heart conditions you have, as Cialis can interact with certain medications. Inform your doctor about any medications you are currently taking, as they can tell you how to use Cialis more effectively.

It is important to follow the prescribed dosage and consult a healthcare professional for personalized advice. They can provide personalized recommendations and monitor for side effects, before starting or stopping treatment.

Drug Interactions

Cialis can interact with various medications, including nitrates, alpha-blockers, and antifungals. It is crucial to inform your healthcare provider about all medications you are currently taking before starting Cialis. Cialis can also interact with certain drugs, including nitrates, alpha-blockers, and antifungals. It is important to disclose all medications you are currently taking to your healthcare provider.

Additionally, inform your healthcare provider about all antibiotics, including penicillin, aminoglycoside antibiotics such as ampicillin, and erythromycin. Cialis can also interact with alpha-blockers, which are medications used to treat high blood pressure and prostate conditions. Additionally, inform your healthcare provider about all herbal supplements you are currently using, as Cialis can interact with these medications. This includes herbal remedies such as ginkgo biloba and ginseng.

Lastly, it is important to inform your healthcare provider about any kidney or liver conditions you are taking.

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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  • Mixing (Shaping) Cialis:

    Exercises can help improve blood pressure reduction in sensitive individuals. Whether you choose to take Cialis with alcohol, or with a high-fat meal, imbalances in blood flow to the penis can be controlled with medication. If you find that the levels of tadalafil in your blood are dis compressibles with medication, it is recommended to try the medication with Cialis.

  • Cialis vs. Other Medications:

    Cialis is known for its ability to enhance blood pressure reduction effects, but it is important to exercise caution when using it with other medications. Before combining Cialis with other medications, inform your doctor about any other medications you are taking. This can help ensure that the interaction is not due to insurance issues or a other reason.

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.

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Cialis, like all medications, can interact with substances, causing potentially serious adverse reactions. Inform your health care provider if you are taking any of the following:

Read More About Common Adverse Reactions..........................................................................................................................................................................................................................................................................................................................................................................................

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