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Cialis

What is Cialis?

Cialis, also known by its generic name tadalafil, is a medication primarily used to treat erectile dysfunction (ED) in men. It contains the active ingredient tadalafil, which belongs to a class of drugs known as phosphodiesterase type 5 (PDE5) inhibitors. This means it works by relaxing the blood vessels in the penis, allowing increased blood flow and facilitating an erection when aroused.

While it's not a common medication, it can also be used to treat certain conditions such as benign prostatic hyperplasia (BPH), pulmonary arterial hypertension (PAH), or pulmonary arterial hypertension (PAH-like).

What is Tadalafil?

Tadalafil belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. It works by relaxing the blood vessels in the penis, allowing increased blood flow and facilitating an erection when aroused.

How does Cialis work?

Cialis, also known as tadalafil, is a medication primarily used to treat erectile dysfunction (ED) in men. It works by increasing blood flow to the penis, enabling an erection when aroused. It's important to note that while tadalafil is a prescription medication, it can be purchased over-the-counter (OTC) at a lower cost.

Tadalafil belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors, which work by blocking the action of cyclic guanosine monophosphate (cGMP). This allows cGMP to accumulate in the smooth muscles of the penis, relaxing the blood vessels, allowing increased blood flow and facilitating an erection.

How should I take Cialis?

The recommended dosage of Cialis varies depending on the individual's health condition and response to treatment. It's important to consult with a healthcare provider to determine the appropriate dosage and duration.

Cialis may take several hours to work, but you should be ready for sexual activity immediately upon taking the medication. It is typically taken once or twice daily, approximately 30 minutes to an hour before engaging in sexual activity. Consuming a high-fat meal may delay the onset of the medication, allowing for less spontaneity.

To maximize its effectiveness, it's recommended to engage in foreplay or engage in foreplay with your partner, as these activities can increase the likelihood of an erection. You may experience the following side effects:

  • Nausea
  • Headache
  • Flushing
  • Dizziness
  • Upset stomach
  • Blurred vision

If you experience any of these side effects, it's important to contact your healthcare provider immediately. They can provide guidance on managing your health effectively and monitor for any side effects.

What should I do if I miss a dose?

If you miss a dose, take it as soon as you remember. If it's close to the time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take a double dose to make up for a missed one.

Do not double up on doses to make up for a missed one.

It's important to note that the medication may not work as well if you have a heart condition or low blood pressure. Regular blood tests and ultrasounds may be needed to monitor your response to the medication.

What are the side effects of Cialis?

While tadalafil is generally well-tolerated, it's important to be aware of potential side effects and to report them to your healthcare provider. Common side effects may include:

  • Headaches
  • Back pain
  • Indigestion
  • Muscle pain

It's also important to report any unexpected side effects to your healthcare provider. They can help you plan a safe and effective treatment plan.

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.

Read more about Cialis's effects and how it may affect you. told what medications you should take if you experience any of the following common side effects:

Low blood pressure ( hypotension ) can occur during Cialis use. This side effect is also reported in rare cases in men taking nitrates.

Erectile dysfunction (impotence) is a sexual problem that may occur during Cialis use.

Sudden decrease or loss of vision in one or both eyes is a serious side effect of Cialis. If you notice any of the following symptoms, contact your health care provider immediately:

Sudden loss of vision in one or both eyes is a serious side effect of Cialis.

Sudden decrease or loss of hearing in one or both eyes is a serious side effect of Cialis.

Chest pain or irregular heartbeat during Cialis use is not a sign of a heart problem.

Feeling dizzy, lightheaded, fainting, or rapid weight gain are other potential side effects of Cialis.

Pale or yellowed out face, lips, or throat are also possible symptoms of low blood pressure. If you experience any changes in these two important ways of measuring red blood cells, contact your health care provider immediately.

Erectile dysfunction may be a symptom of a severe adverse reaction to Cialis. If you experience any changes in your heartbeat or chest pain during Cialis use, contact your health care provider immediately.

Severe allergic reactions to Cialis or any other medication are rare. However, if you notice these symptoms of a severe allergic reaction such as swelling of the face, lips, or throat, contact your health care provider immediately.

Low blood pressure (hypotension) can occur during Cialis use.

Low blood pressure (hypotension) may be a side effect of nitrates.

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.
poses

FAQs

Q: Can Cialis be taken with meals?

A: Cialis can be taken with certain meals, but should you be consuming alcohol with it, consult your doctor to determine if Cialis can be taken with the meal. It is recommended to take Cialis at the same time each day and consult with your doctor if you have any concerns.

Q: Can Cialis be used with other medications?

A: No, Cialis is not suitable for use with other medications used to increase blood pressure, including alpha-blockers, and other medications for heart health. Contact your doctor if you are not sure discuss medications with a doctor.

Q: Is Cialis with nitrates a dangerous combination?

A: No, Cialis with nitrates is not a dangerous combination. It is a type of drug that can cause a sudden drop in blood pressure when used with nitrates or nitimide drugs.

Tadalafil

Generic name:Cialis

Pronunciation(TADALESS-eik)

Brand name(s)

There may be a slightly increased risk of heart problems if you are also taking tadalafil (Cialis®).

Elderly people can benefit from the use of tadalafil (Cialis®). People with mild to moderate kidney disease may also benefit from the use of tadalafil (Cialis®).

See also:

Tadalafil is approved by the US Food and Drug Administration (FDA) as a treatment for erectile dysfunction (ED) in men. It is also approved for the treatment of benign prostatic hyperplasia (BPH).

Tadalafil is used to treat male pattern baldness (androgenetic alopecia) in men. It works by helping to restore the body's natural hair growth. Men who have BPH also need a change to help with erectile dysfunction. To help with ED, tadalafil is sometimes used to treat both ED and BPH (benign prostatic hyperplasia).

Read the Patient Information Leaflet if available from your pharmacist before you start taking tadalafil and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

Take this medication by mouth as directed by your healthcare provider based on your medical condition, symptoms and drug use. The dosage is usually 50mg once daily or 100mg once daily. A should start at

not to take this medication at a dose that suits your individual needs.

Some foods and other medications can increase your absorption of tadalafil and can increase your chance of side effects. To help you manage your symptoms, your doctor will be able to tell you which medications and supplements you should take this medication. These supplements may be taken with or without food.

To reduce the risk of side effects, your doctor may increase your mealtime dosage if you are taking this medication before you eat. This way, you can still get all the medication you need without having to take multiple doses at once.

To improve the effect of the symptoms of ED, your doctor may recommend changing your daily routine to minimize the risk of ED.

To help you remember, your doctor may also increase the dosage of tadalafil (Cialis®) that you are prescribed. Your dosage may be listed below based on your condition and your “Dosage, Administration and History of your ED” information.

Some ED medications can have side effects. These may include (but are not limited to):

Other medications may also cause side effects. These may include any other medications or supplements you may be taking.

Common side effects of tadalafil (Cialis®):

Headache

Dizziness

Nausea

Stomach upset

Flushing (warmth, redness, or tingly feeling)

Indigestion (flatulence)

Diarrhea

Numbness or tingling in the stomach or intestines

Oral pills (tablets, capsules, wafers)

Swelling of the ankles, feet, or lower legs (thrush)

Visual changes (fainting)

Vomiting

Stomach pain

Blurred vision

Blurred vision (e.g.