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Cialis has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.

Common side effects reported from Cialis use include:

  • Headache
  • Indigestion
  • Heartburn
  • Upset stomach
  • Gas
  • Nausea
  • Flushing

More severe side effects include:

  • Painful erections or erections that last longer than 4 hours
  • Sudden loss of vision
  • Sudden loss of hearing
  • Ringing in the ears
  • Chest pain
  • Shortness of breath
  • Painful urination
  • Increased urination frequency
  • Fainting
  • Dizziness
  • Skin rash
  • Hives
  • Facial swelling

If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.

As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Cialis. Cialis can interact with bodily substances, causing potentially serious adverse reactions.

Specifically, you should inform your health care provider of any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.

In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.

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Cialis can cause potentially serious side effects, including:

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As with any medication, Cialis can cause serious adverse reactions that need medical attention, including:

  • Stomach pain
  • If you experience any of the following symptoms, contact your health care provider:

If you:

  • Have a heart problem
  • Have a history of blood clots
  • Have liver problems
  • Are taking any other medications
  • Are planning to use Cialis for sex
  • Are planning to use Cialis for recreational use

      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 may also worsen side effects like headaches or increase heart rate in sensitive individuals.
    • Cialis and Alcohol: While Cialis can enhance blood pressure-lowering effects of the medication, itsAdd-On Spliting Add- on is often avoided due to adverse effects.
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      Here are the key drug-food Interactions to be aware of:

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      2. : Although not a direct interaction, combining Cialis with grapefruit or grapefruit juice might significantly enhance side effects like headaches or increase heart rate in sensitive individuals.

      Levitra usage has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious effects, seek medical attention immediately.

      Common side effects reported from Levitra use include:

      • Headache
      • Upset stomach
      • Heartburn
      • Runny nose

      More serious side effects include:

      • An erection that lasts more than 4 hours
      • Loss of vision
      • Blurred vision
      • Dizziness
      • Loss of hearing
      • Difficulty breathing
      • Fainting
      • Swelling

      If you experience any of these side effects, seek medical attention immediately. These are symptoms of a serious adverse reaction to this medication and immediately require treatment.

      As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Levitra. Levitra can interact with bodily substances, causing potentially serious adverse reactions.

      Do not take Levitra if you take nitrate medications such as isosorbide dinitrate, isosorbide mononitrate, and nitroglycerin. It’s important to inform your doctor if you are taking any form of high blood pressure medication, alpha-blocker medication, prescription antifungals (like fluconazole), or other medications for erectile dysfunction. You should include information about herbal products, especially St. John’s wort.

      Do not drink grapefruit juice while taking Levitra.

      Talk to your health care provider about safe drinking practices during treatment with Levitra. Levitra can interact with alcohol and cause potentially serious adverse reactions like those above.

      tweeted: @SpironicTheGMPIn addition, you should include information about safe drinking practices during treatment with Levitra.Levitra, a prescription medication, is a prescription medication. It is used to treat erectile dysfunction (ED) in men. Levitra works by increasing blood flow to the penis, which can help men achieve and maintain an erection. Levitra is available in a tablet or liquid form. Levitra is used alone or in combination with other ED medications (such as vaginal yeast infection cream), to treat erectile dysfunction. Levitra should not be taken more than once a day. Levitra use may cause a temporary decrease in sexual desire and, in some cases, a man may experience decreased erectile function. Tell your doctor if you are taking any of these medications, including any of their products.

      Levitra contains the active ingredient vardenafil. Levitra can potentially interact with substances, causing potentially serious adverse reactions like those above. Levitra should not be taken if you are already taking other medications that could interact with it.

      Specifically, tell your doctor if you are taking any of these medications, including any of their products. If you are taking any form of the medication, including a pill, tablet, or liquid, tell your doctor.

      In addition, tell your doctor if you are taking any form of the medication, including a pill, tablet, or liquid, other liquid, or that comes in a pack that you package into a pack.

      In addition, tell your doctor if you are taking any form of the medication, other medication, or any other inducer of dapoxetine.

      You should know that Levitra is a prescription medication. If you are using this medication and are pregnant, tell your doctor.

      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.

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    • Drug Interactions

      Cialis medicine contains two medicines: tadalafil and vardenafil.

      Cialis medicines can interact with each other:

      as part of a sexual relationship treatment. Cialis medicine may make a specialKeynos could interact with:

      cimetidine

      allopurinol

      nitrates

      muscle relaxants. Cialis medicine can interact with:

      lithium

      prescription antidepressants. Vardenafil can interact with:

      isocarboxazid (Diazepam) can interact with:

      allergy to Vardenafil.

      alpha-blockers used treatment which are used for prostate enlargement.

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