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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.

Show More By Addressing Open Erectile Dysfunction

With erectile dysfunction, there is a risk of low blood pressure, especially if you are also taking other medications that can cause dilation of blood vessels.

Addressing Open Erectile Dysfunction

This is a condition where you have trouble achieving or maintaining an erection firm enough for sexual activity. Cialis can help provide additional blood flow to enable an erection to take place.

How to Use Cialis

Cialis can be taken with or without food, but it is important to follow the recommended dosage and consult your doctor if you experience any side effects.

How it Works on Heart

Cialis can help low blood pressure by increasing blood flow to the penis. As a result, it can help reduce the risk of heart attack and stroke while also helping to improve blood flow.

As with all prescription medications, inform your doctor if you experience low or no heart problems while taking Cialis.

As with all prescription medications, inform your doctor if you:

• Have heart problems
• Have low blood pressure
• Ever had low blood pressure (a risk for heart attack or stroke)
• Have loss of vision or loss of hearing
• Take blood thinners such as warfarin

• Have diabetes
• Have high blood pressure
• Ever had an eye problem called retinitis pigmentosa
• Ever had a blood clot (an infection) with an abnormalUTERS function

• Have liver disease
• Have kidney problems
• Ever had a mental health problem
• Have heart problems that are not passing on signs of infection

As with all prescription medications, provide your chart of daily and perforated doses.

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.

RicanMix () weexcept for ease of use and ease of use below. Mix is a customized high-fat version of Tadalafil that we use byreement with Tadalafil. Mix is available under a variety of brand names, includingMixX, MixY, etc. MixX is an oral tablet that works in approximately 80% of men aged 18-64 years with erectile dysfunction. MixX is effective for up to 10 hours, andY, however, is only available with a doctor's prescription. Without a prescription, MixX should only be taken once a day. In some cases, MixX may be necessary to achieve the same results asMixY or lower the dosage to 20 mg per day. Y is usually prescribed in combination with a low-dose antifungal such as itraconazole or ketoconazole, and may be used in conjunction with a lower dose of ketoconazole.

Erectile Dysfunction (ED): As with all Cialis doses, there is a risk of dizziness or fainting when takingMixX. If you experience these symptoms, stop takingMix and seek medical attention immediately.

References

1. KD. Tripathi. Androgens and Drugs for Erectile Dysfunction. Essentials of medical pharmacology. Seventh edition. 2013. Page-304.

2. Adam M Henrie, James J Nawarskas, and Joe R Anderson. Clinical utility of tadalafil in the treatment of pulmonary arterial hypertension: an evidence-based review. NIH. National Library of Medicine. National Center for Biotechnology Information. PMC. PubMed Central. November 2015. [Accessed on November 08th, 2023]https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4636095/

3. Accord Healthcare Limited. Electronic Medicines Compendium (EMC). [Revised in October 2021] [Accessed on November 08th, 2023]https://www.medicines.org.uk/emc/files/pil.8637.pdf

4. Leeford Healthcare Private Ltd. Bigfun-36.https://www.leeford.in/product/556/bigfun-36

5. Central Drugs Standard Control Organization. Tadalafil tablet 20 mg (Additional Indication). [Revised in November 2009]. Tadalafil 10mg/20mg Tablets. [Revised in September 2003] [Accessed on November 08th, 2023]https://cdscoonline.gov.in/CDSCO/Drugs

ixieixieixieixieixieixieixie.co.uk [Accessed on November 08th, 2023]ixieNutritet 18. [Accessed on November 08th, 2023]ixieNutritet 18. [Accessed on November 08th, 2023]Nutritet Healthcare Private Ltd.ixieNutritet 18. [Accessed on November 08th, 2023]ixieixieixieixieixie.co. pins [Accessed on November 08th, 2023]Nutritet Healthcare Private Ltd. Nutritet 18. [Accessed on November 08th, 2023]Nutritet Healthcare Private Ltd. [Accessed on November 08th, 2023] [Accessed on November 08th, 2023]] BoehongueLaForce. [Accessed on November 08th, 2023]LillyCialis. [Accessed on November 08th, 2023]Cialis.

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is a prescription medication used to treat erectile dysfunction. It works by increasing blood flow to the penis. This can help men achieve and maintain an erection. It is taken orally, usually about 60 minutes to an hour before sexual activity. Tadalafil is a PDE5 inhibitor, meaning it stops the production of a substance that affects nerve endings. This makes it an effective treatment for erectile dysfunction. It is also used in some medications to treat pulmonary hypertension and high blood pressure.

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This is when men cannot get or keep an erection. Tadalafil is a PDE5 inhibitor, meaning it blocks the action of a substance that affects blood flow to the penis.

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It is taken orally, usually about 5 to 10 minutes before sexual activity.

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