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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.

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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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Cialis (Tadalafil) Paired Press

Updated at the earliest by the online physician contracted to play the bard, Topical Cialis (tadalafil) is used to treat erectile dysfunction and the symptoms of benign prostatic hyperplasia (BPH). It belongs to a class of medicines known as phosphodiesterase type 5 (PDE5) inhibitors. It works by relaxing the muscles in the walls of the blood vessels, allowing them to expand, thereby increasing blood flow. This increases the number of blood flowillary supply to the penis, allowing the user to achieve and maintain an erection. The Press helps improve blood flow to the penis and relax the muscles, thereby facilitating an erection.

If you're considering taking Cialis to treat BPH, it's important to follow the instructions provided by your healthcare provider. When taking Cialis, it is recommended that you avoid excessive alcohol, as it may interfere with the medication's effectiveness.

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Cialis Together for ED Tablets

Cialis Together is a treatment for adult men with erectile dysfunction. It is a combination of two medications:

  • Tadalafil (Cialis®)
  • Tadalafil and sildenafil (Viagra®)

Cialis Together is taken as a single dose, usually 1-2 hours before sexual activity. The dosage is based on your medical condition. The maximum recommended dosing frequency is once per day.

Cialis Together for ED Medications

Cialis Together tablets come in doses of 2.5 mg, 5 mg, 10 mg, and 20 mg. You should take them as needed, about 30 minutes to an hour before sexual activity. The recommended dosing frequency is once per day. Cialis Together is not recommended for continuous daily use.

How Cialis Together works

Tadalafil belongs to a class of drugs known as phosphodiesterase type 5 (PDE5) inhibitors. It works by relaxing the blood vessels in the penis, thereby increasing blood flow during sexual stimulation.

This increased blood flow helps a man get and keep an erection. Cialis Together relaxes the blood vessels in the penis, allowing more blood to flow into the penis, which in turn enhances the ability to get an erection. The effects last for 4-6 hours.

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How to take Cialis Together

Cialis Together should be taken as soon as you can, but it can take 1-2 hours to start working. Follow your doctor’s instructions when using Cialis Together. Do not take more Cialis Together than prescribed. Do not crush, break, or chew Cialis Together tablets. Take Cialis Together as directed by your doctor, usually about 1 to 2 hours before sexual activity. Cialis Together can be taken with or without food.

Side effects

Like all medications, Cialis Together can cause side effects. Most of these side effects are temporary and go away after a few hours. However, if you experience any serious side effects, such as chest pain, nausea, or sudden vision loss, stop taking Cialis Together and call your doctor straight away.

What to do if Cialis Together is not effective

If you think you may have taken too much Cialis Together, stop taking the medication and see your doctor regularly. Sometimes a sudden drop in blood pressure can occur. If this happens, tell your doctor immediately.

Cialis Together interactions

  • Do not take Cialis Together with nitrates.
  • Take Cialis Together at the same time each day.
  • Do not take Cialis Together more than once a day without consulting your doctor.
  • Cialis Together can increase your risk of experiencing erectile dysfunction.
  • Cialis Together is not recommended for use in men with low blood pressure who have diabetes.

Cialis Together contraindications

  • Do not take Cialis Together if you have had a heart attack, stroke, or life-threatening stroke within the last 6 months.

Viagra and Cialis: Uses, Benefits, and Safety

1. What is Viagra?

Viagra is a medication used to treat erectile dysfunction (ED) in men. The drug belongs to a class of medications called phosphodiesterase type 5 (PDE5) inhibitors, which helps relax muscles and increase blood flow to the penis. It is important to note that Viagra should only be used under the guidance and prescription of a healthcare professional. However, it is also available over the counter without a prescription in the United States. While there may be side effects, these are generally mild and temporary.

2. Dosage and Administration

Viagra is available as a tablet, which is usually taken orally. The dosage and timing of the dose may vary depending on the individual and the specific condition being treated. It is important to follow the instructions provided by your healthcare provider and not exceed the prescribed amount. It is important to complete the full course of treatment even if symptoms improve, even if your condition worsens. It is also essential to inform your healthcare provider of any other medications you are taking, as they can interact with Viagra and cause potential side effects. It is also important to note that Viagra can interact with certain foods, medicines, or certain drugs, making it essential to disclose all the medications you are taking to your healthcare provider.

3. Storage and Disposal

It is important to store the medication properly, as the medication should be kept out of reach of children. It is also important to dispose of expired or expired medication in a way that is not harmful to the environment. When purchasing Viagra, it is important to choose an online pharmacy that is licensed by the FDA. However, it is advisable to consult with a healthcare professional before starting any new medication regimen.

4. Potential Side Effects

The most common side effects of Viagra are headaches, facial flushing, and indigestion. However, there are also more serious side effects that should be discussed with your healthcare provider. If any of these are experienced or bothersome, it is important to contact your healthcare provider immediately. If any of these side effects persist or worsen, it is recommended to contact your healthcare provider immediately.

5.

Store Viagra at room temperature, away from moisture and direct light. Dispose of expired or damaged medication safely and properly. Keep the medication out of reach of children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Protect the medication from direct sunlight. The expiration date should be printed on the label of the package.

6. Adverse Reactions

Some individuals may experience side effects while taking Viagra, including headaches, flushing, and blurred vision. These side effects are generally mild and temporary, but it is important to consult a healthcare professional if any of these are experienced. However, it is also important to disclose any other medications or supplements you are taking, as they can interact with Viagra and cause potential side effects. It is important to note that Viagra can interact with certain foods, medications, or certain drugs, making it essential to disclose all the medications you are taking, including over-the-counter and prescription drugs. It is also important to inform your healthcare provider of any other medications or supplements you are taking, as they can interact with Viagra and cause potential side effects. It is important to follow the instructions provided by your healthcare provider, and not exceed the recommended dosage.

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