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.

A high-fat meal is known to elevate tadalafil levels in the blood, increasing the risk of side effects. Avoid consuming a high-fat meal before taking Cialis.

Ciral Foods: While Cialis can be taken with or without food, consuming it with or after another medication can cause a increase in tadalafil levels, leading to adverse effects similar to those of other medications used to treat heart disease.

High-fat meals can increase the blood pressure-lowering effects of Cialis.

Excessive Daily consumption of Alcohol: while taking Cialis, excessive consumption of alcohol can disrupt your ability to take Cialis, increasing the risk of side effects. Seek medical advice from your doctor to determine if the medication is necessary.

Nitrates: Such as nitroglycerin, isosorbide dinitrate, and nitroglycerin combine to cause a significant and potentially life-threatening drop in blood pressure (hypertension), leading to dizziness, lightheadedness, or fainting.

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Cialis Tadalafil (5mg) 28 Tablets

This product is a Prescription Only Medicine (S4) and is sold by Healthylife Pharmacy, an independently owned and operated pharmacy business. This prescription product requires a valid Australian script.

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PACKUM Healthylife Product ratings & reviews Healthylifeledged individual side effects HealthylifencSexual dysfunction is a side effect of erectile dysfunction, which is not necessarily a sexually transmitted disease. If you have been diagnosed with erectile dysfunction by a doctor, you may be eligible for a product recall. If you have been prescribed tadalafil for the treatment of erectile dysfunction, you should not use this product. If you are not sure, please consult your doctor or pharmacist.Dr2812Dr2812Product informationDr2812Disclaimer

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Erectile Dysfunction

Erection problems (impotence) are very common, particularly in men over 40.

Most men occasionally fail to get or keep an erection. This is usually due to stress, tiredness, anxiety or drinking too much alcohol, and it’s nothing to worry about.

If it happens more often, it may be caused by physical or emotional problems.

Physical causes Possible cause Treatment Narrowing of penis blood vessels, high blood pressure, high cholesterol medicine to lower blood pressure, statins to lower cholesterol Hormone problems hormone replacement – for example, testosterone Side effects of prescribed medication change to medicine following discussion with GP You may also be asked to make lifestyle changes.

Do lose weight if you’re overweight stop smoking eat a healthy diet exercise daily try to reduce stress and anxiety

Don’t cycle for a while (if you cycle more than 3 hours a week) drink more than 14 units of alcohol a week

Side Effects

Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature.

If you experience any of the following side effects stop using the medicine and seek medical help immediately:

allergic reactions including rashes (frequency uncommon). chest pain – do not use nitrates but seek immediate medical assistance (frequency uncommon). priapism, a prolonged and possibly painful erection after taking CIALIS (frequency rare). If you have such an erection, which lasts continuously for more than 4 hours you should contact a doctor immediately. sudden loss of vision (frequency rare). Other side effects have been reported:

Common (seen in 1 to 10 in every 100 patients)

headache, back pain, muscle aches, pain in arms and legs, facial flushing, nasal congestion, and indigestion. Uncommon (seen in 1 to 10 in every 1,000 patients)

dizziness, stomach ache, feeling sick, being sick (vomiting), reflux, blurred vision, eye pain, difficulty in breathing, presence of blood in urine, prolonged erection, pounding heartbeat sensation, a fast heart rate, high blood pressure, low blood pressure, nose bleeds, ringing in the ears, swelling of the hands, feet or ankles and feeling tired. Rare (seen in 1 to 10 in every 10,000 patients)

fainting, seizures and passing memory loss, swelling of the eyelids, red eyes, sudden decrease or loss of hearing, hives (itchy red welts on the surface of the skin), penile bleeding, presence of blood in semen and increased sweating. Heart attack and stroke have also been reported rarely in men taking CIALIS. Most of these men had known heart problems before taking this medicine.

Partial, temporary, or permanent decrease or loss of vision in one or both eyes has been rarely reported.

Authiliation Name Manufacturers Co-ijuana, MYSALER, UKPIRYS, UKMIP, SWELLERER, SUSPENSOR

This medication is supplied in a box containing 28 capsules.

Active ingredient: CIALIS

In clinical use

- CIALIS is used to treat male erectile dysfunction (impotence).

Manufacturer: Allergan (Pfizer, Inc.)

In use

- In use: CIALIS helps to improve erectile function in men with erectile dysfunction. It is usually taken orally.

Use in adolescents (aged 12 and above): CIALIS can be used to treat the symptoms of benign prostatic hyperplasia (BPH) in adolescents.

Use in adults: CIALIS is used to treat erectile dysfunction in adult men.

Side effects: Headache, dizziness, back pain, muscle ache, reflux, headache, flushing, nausea, diarrhea, swelling of the eyelids, blue eyes, swelling of the face, lips, or tongue, changes in the hair cycle, a fast heartbeat, a itchy, painful headache, blurred vision, swelling of the hands, feet, and feet, see-saw, pain in the back of the head, pain when standing.

A new study has found that men who had erectile dysfunction were more likely to suffer from a form of erectile dysfunction (ED), and to be more likely to have an adverse reaction to the erectile dysfunction drug Cialis than men who were not taking the medication. A new study found that men who were in the early stages of developing ED, such as those diagnosed with erectile dysfunction, were more likely to be prescribed Cialis than were men who were less than a year old.

The researchers from the University of New Mexico, New Mexico State University, and the University of New Mexico School of Medicine, in New Mexico, conducted a study to determine whether men with ED were at greater risk of developing a form of ED. They used a retrospective chart review to identify those men in their first year of being prescribed Cialis, with at least one other form of ED. They also identified those who were older, in their 30s and above, and were taking the medication as prescribed. They found that in those who had had a diagnosis of ED, the use of Cialis was associated with an increased risk for developing a form of ED, and that the use of Cialis was associated with an increased risk for developing a form of ED.

They noted that the risk of developing a form of ED is higher among men who take medication as prescribed by their doctor, as well as those who have erectile dysfunction. However, the authors said that Cialis was not associated with an increased risk of a form of ED and that they could not exclude other risk factors such as diabetes or obesity, which are the most important risk factors for developing ED. They also noted that the risk of developing a form of ED is increased among men who are in their early 20s and over.

In their study, the researchers found that those who were diagnosed with ED were more likely to develop a form of ED than those who were not. The authors said that they would need to study further to confirm their findings and determine the most appropriate treatment for each of these men. They noted that in the study, men who had a diagnosis of ED were more likely to suffer from a form of ED, and to be more likely to suffer from an adverse reaction to the ED drug. They also said that the study authors did not find evidence that Cialis was associated with an increased risk of developing a form of ED, and the study authors also did not find any association between taking Cialis and an increased risk for developing a form of ED. They also said that they do not recommend Cialis as a treatment for ED in New Zealand.

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The researchers also noted that there were no significant differences in the incidence or severity of any adverse reactions to Cialis when compared with placebo. However, the researchers noted that there were significant differences in the incidence of some of the following adverse reactions: nausea, vomiting, headaches, visual disturbances, drowsiness, drowsiness, and back pain.

In the study, the researchers also noted that men who were diagnosed with ED were more likely to have an adverse reaction to Cialis than those who were not diagnosed with ED. The researchers said that the risk of developing a form of ED is higher among men who are in their early 20s and over, and those who are taking the medication as prescribed by their doctor.

“The risks of developing a form of ED are higher among men who are in their early 20s and over. These men have a higher risk of experiencing ED than younger men, who may be at greater risk for developing a form of ED,” they said.

The study found that men who were diagnosed with ED were more likely to suffer from a form of ED, and to suffer from an adverse reaction to the erectile dysfunction drug Cialis than men who were not diagnosed with ED.

“This study demonstrates that men who are diagnosed with ED are more likely to suffer from a form of ED,” said David Tufte, senior author of the study.

“Our findings raise questions about whether men who are diagnosed with ED have the potential to develop a form of ED.