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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.

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Cialis can cause potentially serious effects when taken with nitrate medications. This side effect occurs when Cialis reduces the blood pressure in the lungs caused by nitrates. As a result, some people may feel chest pain during sex, groin pain, or a feeling that they cannot feel or keep a warm bath or cold water. If you experience any changes in your blood pressure, contact your health care provider within the first 12 hours of taking Cialis.

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In addition, let your doctor know if you have ever had an allergic reaction to Cialis or any other medications. If you do, ring the national poison control center or go to the emergency room, the list of medications can be long. If you experience a severe skin reaction such as rash, itching, or swelling, seek medical attention immediately.

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Cialis can cause potentially serious effects when taken with medications that can increase the risk of severe drug reactions including acetylsalicylic acid (AAS) and proton pump inhibitors (PPIs). This side effect occurs when Cialis reduces the blood levels of aspirin in the body, leading to a drop in blood pressure that can lead to severe skin reactions or liver problems. As a result, some people may feel heart problems or other symptoms such as headache, nausea, dizziness, or flushing.

As a precaution, let your doctor know if you are pregnant or plan to become pregnant. If you become pregnant, contact your doctor immediately. The use of Cialis may cause harm to an unborn baby if taken at high doses.

Let your doctor know if you are breastfeeding, or plan to breastfeed. This side effect occurs when Cialis reduces the blood levels of nitrates in the body, leading to a drop in blood pressure that can lead to severe skin reactions or liver problems.

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.
Main Interactions:
  • Alpha-blockers (e.g. prazosin, tamsulosin) E.g. econazole
  • Other medications used to improve blood pressure, such as erythromycin, erythrovibro (a HIV virus)

Red Flags:There are no specific drug-food interactions with "poppers" (e.g., amyl nitrite, isosorbide dinitrate). For example, Cialis may interact with tadalafil, leading to dangerously low levels of the medication in the body.

C. Combining the Two:

Taking Cialis with other medications that enhance blood pressure may cause a dangerous drop in blood pressure, leading to dizziness, fainting, or also call medical attention immediately if you experience this interaction.

D.

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.

Approved at::Consult your doctor

Fungal infections are approximately 30% more likely to occur with Cialis use than without Cialisif you take a multivitamin containing the active ingredient tadalafil. According to the manufacturer, Cialis will begin to work within 30 minutes and it may take 30 to 60 minutes for the full effect to occur. However, it is important to note that Cialis can cause potentially serious flushing, a condition that may occur during sexual activity and may require medical attention.

Fungal infections can be difficult to treat. However, there are several treatment options available, including oral and intravenous antibiotics. However, it is important to note that Cialis can also cause an allergic reaction, so it is important to seek medical attention if you notice any of the following symptoms:

  • Difficulty breathing
  • Swelling of the face, lips, tongue, or throat
  • Changes in the way your body looks
  • Pain or swelling of the hands, feet, or ankles
  • Frequency of ejaculation
  • Frequent sexual activity
  • Pain, discomfort, or dizziness

If you experience any other unusual symptoms, contact your doctor immediately. This is not a complete list of Cialis side effects.

Appropriate laboratory and imaging tests must be performed before each use of Cialis.

If you have any changes in your vision, stop taking Cialis immediately and contact your doctor. This is a rare side effect, so it is important to get medical attention immediately.

Appropriate laboratory and imaging tests should not be part of your treatment plan. Cialis can cause potentially serious flushing, a condition that may require medical attention.

Prescription drugs should not be responsible for any side effects that may, but may not, be due to them. A consultation with your doctor is recommended to determine if Cialis is the right treatment for you.

In addition, if you have any changes in your menstrual cycle, contact your doctor before taking any changes. A serious change in your menstrual cycle isaundice, which can cause unexpected health effects.

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