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If you notice any unusual or engraved features, contact the at MedsGo directly.

You should have a medical check-up with your doctor to ensure you are getting a prescription for sildenafil or tadalafil, or another erectile dysfunction (ED) medicine.

Before taking sildenafil or tadalafil, tell your doctor about all of your medical problems or if you have any of these conditions.

Tadalafil can cause serious side effects, including:

• Allergic reactions such as rash, itching or hives, severe dizziness, trouble breathing
• Confusion or nervousness
• Hair loss
• Swelling of the face, lips, mouth or throat
• Chest pain

If you are taking nitrates or guanylate cyclase stimulators, take care to carefully follow your doctor’s prescription for sildenafil or tadalafil. Nitrates come in a group of medicines called nitroglycerin tablets, amino nitroamine tablets, and spray- tip tablets.

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Tell your doctor about all the prescription medications you are taking, including over-the-counter drugs, vitamins, and herbal supplements.

Certain over-the-counter drugs can affect certain enzymes in the body, which can make medicines less effective or increase their effectiveness.

Take sildenafil or tadalafil exactly as your doctor has prescribed. Follow your doctor’s instructions carefully, and do not take more or less medicine than your doctor tells you to.

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 university researchers calledigateingly described the following as possible drug-food interactions:

Note:belong to the human blood-pressure-lowering drug family, opioids andNon-Opioids, don't have any known interactions with Cialis. If you are taking any of these medications, it is recommended to use a different combination with Cialis.

C.

Cialis (tadalafil) can interact with certain foods and beverages, potentially altering its effectiveness. Here are the key drug-food Interactions to be aware of:

1. : Though not a direct interaction, combining Cialis with Cialis might exacerbate side effects like headaches or increase alcohol consumption while using this medication.
2. grapefruit

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.

The top drug-food interactions forCialisare as follows:

C.

Alcohol and Alcohol with Alcohol: while Cialis can enhance the blood pressure-lowering effects of the medication, its use with alcohol or as prescribed by a doctor can be contraindicated.

Drug-Food Interactions: while Cialis can enhance the blood pressure-lowering effects of the medication, its use with a diet that contains high levels of alcohol and/or drugs that affect blood pressure may enhance side effects like headaches or increase heart rate in sensitive individuals.

D.

Disease interactions

Before you begin taking Tadalafil generic, its important to carefully read the Patient Information Leaflet. Make sure to review it each time you get a refill.

Take Tadalafil dosage orally, either with or without food, as directed by your healthcare provider. Tadalafil dosage should not exceed more than once a day. Swallow the tablet whole. Do not split it or crush unless advised.

Your daily dosage will depend on your medical condition, how you respond to medications, and any other medications you currently take. Before you take ED treatment pills, ensure that you inform your healthcare service provider of any prescription drugs, over-the-counter medicines, and any other supplements you take.

If you are also using finasteride alongside Tadalafil to treat any symptoms of benign prostatic hyperplasia (BPH), discuss the duration of treatment and dosage you will need with your healthcare provider.

For erectile dysfunction (ED), tadalafil citrate may be prescribed in two ways:

• You may take it as needed, usually at least 30 minutes before sexual activity, with its effects potentially lasting up to 36 hours.
• Your doctor may recommend taking generic Cialis regularly, once a day.

Follow your doctors instructions carefully based on your specific needs and condition.

If you are using tadalafil citrate medication for ED dysfunction and BPH, take it daily as directed by your doctor. To ensure you do not forget, take it at the same time each day.

Keep your healthcare practitioner informed if your medical condition does not improve or worsens during treatment.

This discage may be submitted to the null set of the Manual of International Normal Temperature (INNate) recommended for medicines by the manufacturer

or any other documents which may be put to a need.

For further information about null sets, contact the manufacturer directly.

At the time of the analysisraints were included in the medical center in order to ensure that the data were properly handled.

Your medical information may be available upon request.

This document provides general information about null sets and medical topics that may be debated at the null set. The information may not contain all the information that is detailed in this document.

A link to this document can be foundat the top of every page.

Individuals with medical conditions which are not covered in the null set may find it useful to consult with a healthcare professional, such as a doctor, to discuss their symptoms and drugs they take.

References1A& D Laboratory Diagnostics, Inc. 4, 2003. p. [Accessed 18:4].

In: U. S. Pharmacologic Handbook, 5th Edition, 2003, p. 23.

2Pharmacologic Handbook, 6th Edition, 2002, p. 45.3Pharmacologic Handbook, 7th Edition, 2000, p. 79.

4Pharmacologic Handbook, 10th Revision, 2001, p. 5.

5Pharmacologic Handbook, 11th Revision, 2000, p. 22.

6Pharmacologic Handbook, 13th Revision, 2000, p. 24.

727.

8Pharmacologic Handbook, 6th Edition, 2003, p. 33.

9Pharmacologic Handbook, 7th Edition, 2003, p. 30.

10Pharmacologic Handbook, 11th Revision, 2003, p.

11Pharmacologic Handbook, 13th Revision, 2003, p.

1225.

1328.

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