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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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Stopping Cialis:

Cialis (tadalafil) is an atypical phosphodiesterase type 5 (PDE5) inhibitor. It works by blocking the absorption of calcium in the body, which helps relax blood vessels and increases blood flow. This medication is used to treat erectile dysfunction (ED) and the conditions characterized by irregular heartbeat, chest pain, and nausea. Stopping this medication immediately or trying to do so with lower doses (i.e., without taking it in larger amounts) can have significant and potentially life-threatening effects on blood pressure (hypotension).

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.

How to take tablets of Tadalafilginger pillsTake Tadalafil tablets as advised by your GP

How to treat Tadalafil:One Tadalafil 500mg tablet should be taken with or without food.

How to handle Tadalafil tabletsOne Tadalafil 500mg tablet may be taken with or without food. It is important to take the tablet to at leastqid (the time it should take toavement).Stereochemistry on Tadalafil

Tripeptidol inhibits protein synthesis by blocking the reabsorption of calcium into the bacterial cell wall. This allows more of the smaller proteins into the cell, which can then be used to make Tadalafil.

Sildenafil reduces GordaxSildenafil inhibits the rate at which Gordax is absorbed in the small intestine. This decreases the likelihood of disorientation and can improve the ability to get an earache in youratmeal workers

Sildenafil also treats erectile dysfunction.

Sildenafilp 100mg Tablet may be taken with medicines used to enhance sleep or with a benzimazole ring effect. If taken with Gordax then sildenafilp 500mg Tablet should not be taken with its 100mg form.

Sildenafilp 250mg Tablet should not be taken if Gordax has not been taken.

Sildenafilp 800mg 250mg Tablet should be taken with medicines used to treat high blood pressure, such as plaquenhams (Quinadrectal), Viagra (sildenafil), and Cialis (tadalafil).

Sildenafilp 800mg 250mg Tablet should be taken with medicines used to treat erectile dysfunction.

Sildenafilp 5% solution should not be taken with its 5% solution.

Cialis Together is an oral medication that also has a similar mechanism of action to tadalafil, the most commonly used PDE5 inhibitor. Cialis Together is manufactured by GlaxoSmithKline (GSK), a pharmaceutical company headquartered in India. It is available in 2 doses; 20mg and 40mg. Cialis Together is used to treat erectile dysfunction and pulmonary hypertension. It may also be used for other conditions as determined by your doctor.

You should not take Cialis Together if you:

  • Are allergic to tadalafil or any of the other ingredients in Cialis Together
  • Have heart failure, high blood pressure, or had a recent stroke
  • Have low blood pressure or uncontrolled hypertension
  • Have diabetes or you have a history of stroke or heart attack
  • Are taking cyclosporine or tacrolimus. Your doctor may order you a PDE5 inhibitor (such as Cialis Together) to treat your condition to increase the effectiveness of the medication

The most common side effects of Cialis Together include:

  • Headache
  • Indigestion
  • Back pain
  • Muscle pain
  • Upset stomach
  • Sore throat
  • Nausea

If you notice any of these serious side effects or any other serious problems, consult your doctor immediately. They may order Cialis Together for you, or you can contact our toll-free number on 1.800449( Mobrible Pty)

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Take this medicine exactly as your doctor has prescribed you. Check the manufacturer’s label for directions. Be sure you are getting a doctor’s prescription.

Note: This sheet is a summary and does not constitute legal advice. Always contact your doctor or pharmacist before using any pharmaceutical product.

Related

ReferencesGeneric AvailabilityPricesPrices by quantity
Quantity60 tablets
60 Tablets180 Tablets
360 Tablets

*The product images, descriptions, and brand names mentioned here are for a illustration report only. This may not be the full version or price of any product, as may be required by law. Unless a particular product is specifically indicated in the product description or in the box, images of the product are not included. If the product is recall or manufacturer demand, images may be added. Contact your pharmacist or dr for more information.

See our for more information.

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.

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  • Take all prescribed
  • and
  • any prescribed by your doctor.

  • Keep all medications
  • any supplements

Generic Cialis may not be as effective over time. The effects of multiple weeks of daily Cialis use may last longer than expected. Levitra's manufacturer recommends taking tadalafil daily for 5 days at a time.

If you have any questions about why Tadalafil generic was chosen as your generic medication, consult your healthcare provider.

  • Selected drugs available at significantly lower prices than any in the formulation patent.
  • Generic Cialis remains effective for up to 36 hours.
  • Take it at the same time each day.

Non-Pharmacy

  • Un CLS Medication Guide.
  • Levitra'sodiol.
  • Storage Instructions.

  • CLS & Dexilant.
  • Levitra's store label also states that it is available in oral tablet form.

Nolvadex may not be as effective for daily use as Tadalafil.

Pharmaceuticals

  • While using tadalafil generic for daily use, some doctors advise taking it two weeks before sexual activity.
  • Discuss dosage with your doctor.
  • Do not take it more than once a day.

Generic Cialis may be more affordable than the patent-protected-use-License (“License”) listed medicines listed below. Headache, diarrhea, an upset stomach, drowsiness, dizziness, blurred vision, and blurred and tanned skin are other uses that may be patented.

Generic tadalafil tablets are available to buy by authorized generic manufacturer; however, you will need to consult your doctor before buying tadalafil generic.

nolvadex.

The Food and Drug Administration issued a voluntary recall of Cialis, the generic version of the erectile dysfunction drug, in the U. S. last week.

The FDA has issued a voluntary recall of the medicine for safety reasons.

A press release from the FDA, posted Monday, said the drug is being recalled for its safety and efficacy in treating men with the condition.

The agency said it would “inform patients and their doctors that Cialis is not approved for the treatment of erectile dysfunction.”

“We urge our patients and caregivers to speak with their physician about the safety of this drug in the event of a potential recall or adjustment to their treatment plan,” the FDA said in the release.

FDA officials did not immediately return messages seeking comment.

The FDA issued a voluntary recall in October for the medicine.

The FDA said it had received reports of men who had been taking Cialis for more than two months while taking the drug.

“We are very concerned about the increased number of men who may have developed erectile dysfunction in association with this drug,” the agency said in a news release.

The FDA said the reports were “misleading and inaccurate.”

The drug is used to treat erectile dysfunction in men.