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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Date	Was Found
11/12/20
12/3/20	11/13/20
13/1/20	11/14/20
20/1/20	11/16/20

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Cialis vs. nitrates: Side Effects

While Cialis is generally safe and effective when used as instructed, it is important to be aware of the potential side effects and consult your healthcare provider to determine the most suitable medication for you.

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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You should ensure that your specific pharmacy is properlyic team to ensure that any interactions are properly managed and that all medications are discontinued. Make sure to ask your healthcare provider if you have any questions or concerns about using Cialis or any interactions with your healthcare provider.

C.

Cialis (tadalafil) can interact with certain foods and beverages, possibly altering its effectiveness and increasing the risk of side effects. Here are the key drug-food Interactions to be aware of:

1. Grapefruit: Grapefruit can increase the levels of tadalafil by inhibiting the enzyme phosphodiesterase-5 (PDE5). This enzyme is responsible for breaking down cyclic guanosine monophosphate (cGMP), a compound that relaxes blood vessels.
2. : Though this interaction is not a direct interaction, combining Cialis with certain alcohol consumption might worsen side effects like headaches or increase heart rate in sensitive individuals.

Cialis Together for Erectile Dysfunction

Cialis Together tablets are a treatment for adult men who have erection problems (erectile dysfunction). This is when a man cannot get, or keep an erection hard enough for satisfactory sexual activity.

Cialis Together tablets contain the active substance tadalafil. It belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors. It works by relaxing the blood vessels in your penis, allowing blood flow into your penis.

It is important to know that you will not get an erection just by taking Cialis Together tablets. This medicine works with your body’s natural function to get an erection only when you are sexually stimulated.

Cialis Together contains the active ingredient Tadalafil. The ingredient is a phosphodiesterase type 5 inhibitor medicine that temporarily improves blood flow to the penis by relaxing the blood vessels in and around the area.

The Cialis Together medication is available over-the-counter and begins to work about 30 to 60 minutes after taking it. The effects are expected to last up to 36 hours. Cialis Together comes in 10mg tablets and should only be taken when needed.

The active substance Tadalafil is also useful in treating other conditions along with erectile dysfunction. Please consult a Doctor, a Pharmacist or relevant product literature for more information.

Is Cialis Together right for me?

If you suffer from erectile dysfunction (impotence) Cialis Together may be an effective treatment. However, it may not be suitable for you if you have the following:

• If you are allergic to any of the ingredients in Cialis Together
• If you have severe heart, liver or kidney problems
• If you have blood pressure concerns
• If you have non-arteritic anterior ischemic optic neuropathy
• If you are taking riociguat
• If you have other penis-related issues (deformation or painful erections)

Alwaystoe Doctor Prescription discount cards are available to men who have had an operation the past year or any partner has had before. The information provided here is based on data provided by the manufacturer. Please discuss with your healthcare professional any concerns or needs to be addressed in the same way.

Male erectile dysfunction is more than just a physical condition. It can be due to a number of other factors, as well. Please seek medical advice if you have any one of these symptoms and worried signs.

If you are taking any other medicines (including any medicines necessary for you) talk to your doctor first. Some drugs can interact with Cialis Together.

Please check with your doctor before taking Cialis Together the next day.

If you are taking other natural ingredients - like antiviral drugs or herbals - please include them!

Please ensure that you have a doctor’s prescription before taking Cialis Together.

For further details, please contact manufacturer.

Cialis Together prices

Cialis Together pricesreetings, The treatment of erectile dysfunction (impotence) is based on data from the manufacturer's website. The manufacturer's website does not contain this data and it is not recommended to use the discount cards provided by the manufacturer.

Tadalafil is a synthetic compound that belongs to the phosphodiesterase-5 (PDE-5) inhibitor group. It is used to treat:

• erectile dysfunction (impotence) in adult men
• tuberculous iticias (excessive, painful or painful growth of the skin, or stuffs the penis)
• tumors in the penis
• tiredness and tiredness in men with arterial hypertension

Tadalafil is available in tablets of 10mg, which is suitable for men who have had an operation the past year or a partner has had before. However, it may not be suitable for men who have blood pressure issues or other concerns. Please discuss with your healthcare professional any concerns or needs to be aware of in the same way as if you took Cialis Together.

Please note that Cialis Together is not recommended for use by women. It is only intended for the adult male individual who has been advised by a doctor to use the medication safely. If you are interested in purchasing Cialis Together please contact manufacturer.

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