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.
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:
Cialis (tadalafil) is a prescription medication that contains two drugs:
Cialis (tadalafil) can interact with tadalafil, a urinary tract infection used to treat erectile dysfunction. It may increase the blood levels of tadalafil, amplify the blood pressure-lowering effects of the medication, or not work for some individuals. If you experience symptoms like dizziness, lightheadedness, fainting, or pain in the lower abdomen, sexual dysfunction, pain in the chest, or vomiting bloody or black stools, you should consult your doctor.
Tadalafil belongs to the group of medicines called phosphodiesterase type 5 (PDE 5) inhibitors, primarily used to treat erectile dysfunction (impotence) and benign prostatic hyperplasia (BPH). Erectile dysfunction is the inability to keep a hard and erect penis suitable for sexual activity. Benign prostatic hyperplasia, also called prostate enlargement, is the non-cancerous growth of the prostate gland.
Tadalafil contains ‘Tadalafil’, which works by relaxing the blood vessels in the penis; this allows the blood to flow into the penis when the person is sexually excited. Thereby, it helps to treat erectile dysfunction. Tadalafil relaxes the bladder and prostate muscles, thereby reducing enlarged prostate symptoms such as difficulty in urination and urgent need to urinate.
You are advised to take Tadalafil for as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, you may experience certain common side effects, such as headache, back pain, muscle pain, pain in the legs and arms, nasal congestion, indigestion, and facial flushing. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.
Do not take Tadalafil if you are taking nitrates (used to treat angina), riociguat (used to treat pulmonary hypertension) or alpha-blockers; if you have heart problems or stroke, low blood pressure or uncontrolled high blood pressure. Tadalafil is not intended for use in women. Tadalafil may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Tadalafil should not be given to children as safety and effectiveness have not been established. Keep your doctor informed about your health condition and the medicines you are taking to avoid unpleasant side effects.
Read the Tadalafil Patient Information Leafletleaf(s)American Urological Association; 2003; Tadalafil; FDA; 2003; Drugs; 222:1659-1662. FDA approval for nitrates is based on inadequate scientific data, potential serious side effects and possible serious drug interactions. For further information, contact your doctor.Note:The above information is intended to increase awareness of, and is not intended to be complete, all medication information for Tadalafil, other PDE 5 inhibitors, and other similar drugs. It is not a substitute for professional medical advice, diagnosis, or treatment. Call your doctor for medical advice about your health. You should not rely on this information for specific health concerns, only to have their Brothers Physicians or their/ their speciality doctors prescribe the medication. If you have any specific medical condition, then mention it to the doctor.
American Urological Association; 2005; Tadalafil; FDA; 2006; Drugs; 221:1659-1662.American Urological Association; 2002; Tadalafil; FDA; 2003; Drugs; 222:1659-1662.Consult your doctor if you are taking any other medicines, including herbal supplements or vitamins. They should be able to give you the full facts leaf below.
American Urological Association; 1999; Tadalafil; FDA; 2003; Drugs; 222:1659-1662.The above information is intended to increase awareness and is not exhaustive. It may not be complete if there is no active ingredient(s) in the medication. If you have any concerns about this, please speak with your doctor or pharmacist.
American Urological Association; 2004; Tadalafil; FDA; 2005; Drugs; 222:1659-1662.American Urological Association; 2006; Tadalafil; FDA; 2005; Drugs; 222:1659-1662.
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 online for “Tadalafil May Be Safer Than Any Other Dnownst Medication.”You can view consultation questionnaire information on the XYON Health Information website, as well as information on medical questionnaire “On-Demand�” symptoms, medication history and drug interactions “– For medical consultation.”
You can find asked medical questions straight to and from your GP by completing the online “Medical Question” form.
The “Allergies” form contains information on prescription drugs and other treatments and asks for a number of medications that can’t be taken with Tadalafil. When you complete the short medical questionnaire, you can be confident that the treatment will be safe for you to take.
Your most frequent reactions are as follows-
Do NOT take Tadalafil if you:
have or ever have any medical conditions (such as glaucoma, choroidal atrophy, severe liver disease) or any of the other conditions mentioned above.
A Conjugated New Drug Application (CNDC) is required to order Tadalafil. You will be required to provide a phone number and email address when ordering.
is expected to be filled out in a few days. Once that number and email have been castlock at the medication order, generics are to be considered.
Patients who complete the short medical questionnaire are to complete the next medical questionnaire, then take the next questionnaire as soon as possible. Then, you can have a more thorough, fill out the next questionnaire and write in the “Tadalafil’s” 12 symptoms.
If you have not received a response by the the next day, speak to your health officer to ensure that any medication which does’nt contain Tadalafil is safe for you to take.
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 questions from doctorDo you need’s andWhen:
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GP letter or other information that can’t be taken into account?Yes, the GPhC can refer you to an ophthalmologist for further medical assessment and possibly aortic or coronary artery tests.
Read available consultation questionnaire questions from GPHow to ask doctor:
Dr Fox does not ask doctor to take prescription medication as first-line treatment or to make any other necessary arrangements for medication needles.
You should ask doctor for over-the-counter medicines that you are taking as a type of treatment for erectile dysfunction
E.g. tamsulosin, terazosin and vardenafil
If you are taking any prescribed medication for erectile dysfunction you should parcel the order with your GP as normal.
I have had erectile dysfunction for over 6 years and have been able to get in touch with it regularly and feel more natural. I am not pregnant, nor expecting. I cannot have an erection that lasts more than 4 hours.
I don’t have erectile dysfunction and don’t have health conditions, either.
I don’t have any erectile dysfunction problems and don’t have a history of these conditions.
I don’t drink alcohol and don’t smoke. I don’t smoke. I can’t get in a fight with my periods. I am healthy enough and have no known cardiovascular problems.
I don’t get pregnant. I am not overweight. I can’t eat well. I am not fit enough for a working day.
I don’t drink alcohol. I haven’t had anything like that in my life that I would normally use.
I don’t drink other medications.
Stade de France Pharmacy