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Cialis

Cialis (tadalafil) is a medication that belongs to the class of phosphodiesterase type 5 (PDE5) inhibitors. It is used to treat erectile dysfunction (ED) in men. It is effective for up to six months and can be used in conjunction with other medications.

How to use Cialis?

The recommended dosage of Cialis is one tablet taken with water approximately one hour before sexual activity. It may be taken on an empty stomach or with a large meal. It should be taken at least 30 minutes before sexual activity. Do not take Cialis more than once per day. It is best to avoid taking Cialis with grapefruit or grapefruit juice, as grapefruit may increase its blood levels and increase the likelihood of experiencing side effects.

Cialis should not be taken by pregnant women or children. It is recommended that Cialis be taken during or just after sexual activity or in the morning. If you have any questions about Cialis, talk to your doctor or pharmacist.

Cialis side effects

Headache

Headache is usually mild and short-lived. However, if you experience an allergic reaction or allergic reaction to Cialis, stop taking Cialis and contact a doctor immediately. Some men may also experience erectile dysfunction.

Headaches usually go away within a few hours. However, they can be long-lasting. If you experience the symptoms listed above, stop taking Cialis and contact your doctor. They may recommend some other treatment methods or ways to manage your symptoms.

If you experience no side effects after using Cialis, tell your doctor. This includes any side effects not listed in this medication guide.

Flushing

Flushing is a warm feeling in the face, neck, or chest. This may be a sign of a new condition. If you experience any of these symptoms, stop taking Cialis and contact your doctor immediately. They may need to adjust your dosage.

Flushing may occur only on the face or neck, and it may last for a few minutes. It may be temporary or it may occur as a side effect. If you experience mild or moderate flushing, your doctor will probably start you on Cialis and gradually increase your dose. Flushing usually goes away on its own within a few hours.

It is not clear how many different Cialis doses do you need to treat each side effect. Some people may take two or three Cialis doses at once. Do not take more than the recommended dose. If you take more Cialis, your doctor may increase your dose.

Nasal congestion

Nasal congestion or congestion may be a sign of an allergic reaction to Cialis. It may cause mild or moderate pain. If you experience any of these symptoms, stop taking Cialis and contact your doctor.

Cialis dosage instructions

How to take Cialis?

Swallow the tablet whole with water or with a full glass of water. It is best to take it at the same time every day. Do not crush, chew, or open the tablet. Swallow it whole with water or with a full glass of water. Do not break, crush, or open it. Do not take a dose greater than 1 tablet within 10 minutes. It is important not to take more than 2 Cialis tablets in a 24-hour period. Do not take more than 3 Cialis tablets in a 24-hour period. If you have any questions or concerns about Cialis, talk to your doctor or pharmacist.

Cialis side effects and drug interactions

Some common Cialis side effects and drug interactions include:

  • Indigestion
  • Back pain
  • Muscle aches
  • Diarrhea
  • Dizziness
  • Nausea
  • Stomach pain
  • Tenderness in the chest

If you experience any serious side effects, it is important you understand these precautions:

  • Tell your doctor if you notice any of these rare side effects:
  • Chest pain that is severe, life-threatening, or has a high chance of causing serious harm.

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Cialis 20 mg Tablet 10's

Directions for use

The recommended daily dosage of direct oral active ingredients is 10 mg. The tablet should be taken once a day, with or without food.

The tablet should be swallowed whole. The drug will slowly build up in the blood stream. If a large quantity of blood has been absorbed through the tablet, the drug should be discontinued and the patient switched on. Do not use more than 6 tablets in 24 hours. Only use direct oral active ingredients if prescribed by a doctor, or if you are taking nitrates. Not recommended for use in patients with the following conditions:

  • severe liver disease
  • kidney or liver disease
  • gout (a disease of the gout area)
  • anuria (a small amount of urine that is unable to filter out urine that has been absorbed)
  • creatinine clearance (as a result of a high potassium level in the blood)
  • hepatic or kidney impairment
  • liver disease
  • non-arteritic anterior ischemia-based conditions (such as acute coronary syndrome)
  • rheumatoid arthritis
  • condition in which the immune system is weakened
  • condition that can lead to an increased tendency to bleed

Read the patient information leaflet before use. Keep it in the original package and mail it to us by 1-3 business days.

Take direct oral active tablets by mouth, with or without food, with a glass of water. You can take them with or without a meal. Do not use direct oral active:

  • orlistat.
  • liraglutide.
  • liraglutide-based.
  • liraglutide-HCl.
  • liraglutide-Omeprazole.
  • orlistat-based.

The tablet can be taken with or without food. However, take with a high fat meal, or take with a low-fat meal at a fixed time (such as 1-2 hours). High-fat meals do not affect the tablet’s absorption in the stomach. If you miss a dose, take it as soon as you have time to absorb the full dose. However, if it is almost time for your next dose, skip the missed dose and wait it is one past that. Take your next dose within 30 minutes, and remember that. Do not take 2 doses together to make up for a forgotten dose of direct oral active.

Directions for use with Direct Oral Active

The recommended daily dosage of direct oral active is 10 mg.

The drug will gradually build up in the blood stream. Do not use:

  • take with other drugs or supplements.
  • take for at least 2 weeks before you plan to take direct oral active.
  • take for at least 4 weeks after you start direct oral active.

The tablet can be taken with or without food, with or without a meal, with or without a meal. If you notice that you are not getting the full dose of direct oral active, or if you find that the stomach is not eating enough, you should skip your missed dose and wait it is time for your next dose. Take your next dose as soon as possible. Do not take 2 doses to make up for a forgotten dose of direct oral active.

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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Cialis (Tadalafil) and Other Drug-Food Interactions:

Ketoconazole, tamsulosin, rifampicin, clarithromycin (medicines used for bacterial infections), and other drug-food interactions have been reported. The underlying mechanism by which these medications interact is unclear, but here are the key drug-food interactions:

  1. Grapefruit and Grape Juice: Grapefruit can enhance the levels of tadalafil by interfering with its metabolism. This may amplify toungleperture levels, which can enhance side effects like dizziness or fainting.
  2. : Though this interaction is not a direct effect of alcohol, combining alcohol and Cialis can worsen side effects like headaches or increase heart rate in sensitive individuals.

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 are the medical questionnaire information?

diagnosis of erectile dysfunction

write out all medications and treatment alternatives as well as all medical conditions and identify any time between doses of Tadalafil

seek medical attention if there’s a known drug reaction with tadalafil

How do I take Tadalafil?

Tadalafil is prescribed for erectile dysfunction as the generic form of Viagra, and for pulmonary arterial hypertension as the brand-name Cialis. Both Tadalafil and Cialis start to have effects within one day of taking the medicine.

Tadalafil only works in sexual arousal treatment. It doesn’t work with arousal-therapy support. Tadalafil doesn’t support support treatment for asthma or the allergic response. If you’re taking Tadalafil as a brand-name drug and our doctor prescribes any of the other medications, then you will not notice any difference. However, you’ll still need to follow the prescribed treatment for three months after your treatment.

What if I take more than the prescribed dose?

Sometimes Tadalafil will not work well if you take more than the prescribed dose.

If you have any questions about why Tadalafil has been prescribed for you then contact our medical questionnaire then you should contact our doctor or the pharmacist on the “Why am I taking this medicine?” page to start taking the medicine.

Tadalafil may be taken with or without food. Do not take Tadalafil with anything close to a heavy, tight or bulging stomach.

Do I need to take Tadalafil with any other medication?

No. Tadalafil is not recommended for use in combination with any other medication. Your doctor, on the other hand, will need to tell you some medications that you can’t take independently.