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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.

Ricanourced &game-controlled pharmacies ( Shuong Ge, Ph. D.; 2012). Imported or specialty drugs & prescription drugs: See FDA's SafeMix and pharmaceutical standards for purity, potency, and purity guides. Pharmaceuticals & biotechnology: See FDA's Biosimilar and drug application standards for purity, labeling, and labeling guides.

As with any drug product, there may be side effects. Generally, patients who experience side effects usually get them within 12 to 24 hours after taking Tadalafil. Side effects usually resolve on their own within 48 hours.

Most common Tadalafil side effects

• Headache
• Indigestion
• Back pain
• Muscle pain
• Flushing
• Stuffy nose

Some more serious side effects have been reported. While rare, it is important to stop taking Tadalafil and contact a doctor right away if any of the following occur:

• An erection will not go away (priapism). If you have an erection that lasts longer than 4 hours, get medical help right away. If not treated right away, priapism can permanently damage the penis.
• Sudden vision loss in one or both eyes. Sudden vision loss can be a sign of a serious eye problem called non-arteritic anterior ischemic optic neuropath (NAION).
• Sudden hearing decrease or hearing loss. Some may also have ringing in the eyes (tinnitus) or dizziness.

For a complete list of possible side effects,.

Possible drug interactions

Some drugs/medications may interact with Tadalafil. You should not take Tadalafil if you are taking nitrates (such as nitroglycerin tablets or patches) because the combination of these with Tadalafil could significantly lower blood pressure and lead to fainting or even death. Additionally, do not take Tadalafil if you are taking Cisapride, other ED medications (e.g. Viagra), Adcirca, or Riociguat.

On your intake form, please be sure to provide AgelessRx with all medications, herbs, non-prescription drugs, or dietary supplements you use. Also be sure to report if you smoke, drink alcohol, or use illegal drugs, as some may interact with your medication.

For a complete list of possible drug interactions,.

Other important safety information

Patients who have a condition called “left ventricular outlet obstruction” from valvular problems or heart muscle enlargement may get side effects such as fainting or light-headedness. Because patients with recent heart attacks or stroke, heart pains (angina), heart failure, uncontrolled blood pressure or uncontrolled irregular heart beats, severe liver disease, and retinal eye problems have not been studied, Tadalafil (Cialis) is not recommended for these patients. There may be rare occurrences of priapism or painful, prolonged erections. This is a serious condition that requires immediate medical attention. Patients should seek prompt medical attention if their erection lasts longer than four hours.

After taking a single tablet, Tadalafil can remain in the body for up to two days. It can remain longer if patients have problems with their kidneys or liver, or they are taking certain other medications.

Note:All information included on this page is a summary. It may not cover all possible information. If you have questions about this medication, talk to a doctor, pharmacist, or health care provider.

​Note: The above statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

Dosage and direction

Instructions on use

Cautions:

• Before taking Tadalafil, tell your doctor if you have ever had an erection that has lasted more than 4 hours (or if you are taking any other medications).
• Avoid alcohol as it can increase the risk of fainting or dizziness.
• If you have certain health conditions, or if you have had a heart attack, a stroke, or other heart problems, tell your doctor.
• Do not take Tadalafil more than once a day.
• If you are taking any other prescribed or non-prescription drug, talk with your doctor about whether you can trust the drug information shown on the provided list.

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Introduction to Viagra and Cialis

Viagra, also known as cialis and sildenafil, is a leading medication in the field of erectile dysfunction treatment. It is mainly used to treat erectile dysfunction, primarily in arriving men for erectile dysfunction treatment. It works by increasing blood flow to the penis, which helps achieve and maintain an erection. Viagra and cialis are both available on the market, but they may differ in their dosage and formulation. The choice between these is mainly determined by factors like your age, overall health, other medications you're taking, and your overall needs. It's important to adhere to your healthcare provider's instructions and not to adjust your dose or dosage without consulting them.

Market for Viagra and Cialis

Viagra and cialis are both FDA-approved medications specifically designed to treat erectile dysfunction. They are considered safe and effective, but they may have some specific market requirements. It's important to note that not all men will be impacted by these drugs. To ensure you get Viagra and cialis at the lowest prices of any other medication, consult with your healthcare provider.

What is Viagra and cialis?

Viagra, which is also known as cialis and is used under the brand name “Cialis”, is a medication that has been approved by the FDA for the treatment of erectile dysfunction. It contains the active ingredient tadalafil, which works by relaxing the muscles in the penis and enhancing blood flow during sexual arousal.

What is cialis and Viagra?

Cialis and Viagra are both FDA-approved medications specifically designed to treat erectile dysfunction.

What is the difference between Viagra and cialis?

Viagra, which is also known as cialis and is used under the brand name “Staxyn”, is available in various formulations to maximize its absorption and decrease the likelihood of experiencing side effects. These medications differ in their dosage and dosing instructions, so it's important to follow your healthcare provider's instructions accurately.

• Viagra:Similar to cialis, Viagra contains the active ingredient sildenafil, which works by increasing blood flow to the penis, resulting in an erection. This medication is considered as a whole to give you better sexual experience.
• How do they work? In general, Viagra mainly belong to a class of medications called phosphodiesterase type 5 (PDE5) inhibitors. These medications help to improve blood flow to the penis, which can result in achieving and maintaining an erection. Viagra and cialis are both available on the market, but they may differ in their dosage and dosing instructions.
• How long does it take Viagra to work? Viagra typically takes a few hours to start working, with most men experiencing an improvement within a few days. However, some individuals may experience side effects such as flushing, headache, and nasal congestion in some cases.
• Are there any drug interactions with Viagra? In Viagra, certain medications may interact with sildenafil, posing a risk to certain chemicals in sildenafil. This includes alpha-blockers, which are used for hypertension,yrimidol inhibitors, which are used for prostate problems, and other drugs that affect blood vessels in the penis, among others.

What are the side effects of Viagra and cialis?

Viagra and cialis, also known as cialis and Viagra, are both FDA-approved medications specifically designed to treat erectile dysfunction.

Safety

Viagra, also known as cialis, is approved by the FDA for the treatment of erectile dysfunction. It works by increasing blood flow to the penis, which helps to achieve and maintain an erection. Viagra and cialis are both available on the market, but they may have some differences. To ensure you get Viagra and cialis at the lowest prices, consult with your healthcare provider.

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 can cause potentially serious adverse reactions that need immediate treatment.

In the event of a serious adverse reaction, it is important to discontinue taking Cialis and contact your doctor.

Do not take Cialis if you are allergic to tadalafil, any other medications, or any of the ingredients in Cialis. Inform your doctor if you are taking any other medications, including other types of prescription drugs.

Before starting Cialis, inform your doctor about your medical history, especially of severe migraine headaches, myasthenia gravis, cerebral arterial hypertension, recent stroke or vision problems, high blood pressure, recent heart attack, recent heart surgery, depression, hepatitis, kidney disease, autoimmune diseases, or certain cholesterol-lowering medications.

If you experience any severe side effects, such as sudden severe headache, red or swollen face,pected severe dizziness, suspected of having a medical condition, it is important to seek medical attention immediately.