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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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If you experience any adverse effects or allergic reactions, please consult your doctor, then consult with your doctor. You should avoid consuming grapefruit or grapefruit juice while taking Cialis, as they can affect blood pressure and exacerbate side effects.

C.

Cialis (tadalafil) can interact with certain foods and beverages, possibly altering its effectiveness or increasing the spread of side effects. Let your doctor know if you are taking, or have recently taken, any of the following:

• Calcium carbonate: Alarmingly reduced the effectiveness of Cialis.
• ampoo: A mild hers.
• cheese over the counter: Attempt to avoid the consumption of foods containing large doses ofWARNINGS: If you take Cialis with calcium carbonate or iron-containing supplements, avoid taking the medication.
• Alcohol- and grapefruit-based juices: Grapefruit may increase the blood pressure-lowering effects of Cialis.

Before you begin taking Tadalafil generic, its important to carefully read the Patient Information Leaflet. Make sure to review it each time you get a refill.

Take Tadalafil dosage orally, either with or without food, as directed by your healthcare provider. Tadalafil dosage should not exceed more than once a day. Swallow the tablet whole. Do not split it or crush unless advised.

Your daily dosage will depend on your medical condition, how you respond to medications, and any other medications you currently take. Before you take ED treatment pills, ensure that you inform your healthcare service provider of any prescription drugs, over-the-counter medicines, and any other supplements you take.

If you are also using finasteride alongside Tadalafil to treat any symptoms of benign prostatic hyperplasia (BPH), discuss the duration of treatment and dosage you will need with your healthcare provider.

For erectile dysfunction (ED), tadalafil citrate may be prescribed in two ways:

• You may take it as needed, usually at least 30 minutes before sexual activity, with its effects potentially lasting up to 36 hours.
• Your doctor may recommend taking generic Cialis regularly, once a day.

Follow your doctors instructions carefully based on your specific needs and condition.

If you are using tadalafil citrate medication for ED dysfunction and BPH, take it daily as directed by your doctor. To ensure you do not forget, take it at the same time each day.

Keep your healthcare practitioner informed if your medical condition does not improve or worsens during treatment.

irlwindsndTadalafil Generic Cialis®

Tadalafil for the treatment of erectile dysfunctionCialis®is the brand name for tadalafil citrate. To ensure you are using the best treatment option, you should:

• If you are using generic Cialis for ED, consult your doctor for detailed instructions.
• Do not take more than 1 tablet a day.
• Under a similar regimen, including Tadalafil dosage, you can take

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legalize ED. If you suffer from symptomatic or as-needed use of this product, see your doctor immediately.

Cialis may interact with:

• Other medications or therapies used to treat BPH, including other BPH medications such as class of antidepressives and alpha-blockers
• Heart and blood vessel disease
• High blood pressure
• Some medications for high blood pressure, such as certain blood pressure medication used for asthma and chronic obstructive pulmonary disease

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Cialis® can be taken with or without food. However, a small amount of LOUP® may be taken on an empty stomach, with or without food. It is important to avoid excessive consumption of grapefruit or grapefruit juice when taking Cialis®. Talk to your doctor about the potential interaction with erectile dysfunction.

ED treatment can cause serious side effects. Please consult your doctor for a full list of potential side effects.

Common side effects of tadalafil generic

These include:

• Headaches
• Flushing
• Diarrhea
• Nausea

Please note that these side effects are very rare and temporary. If you experience these symptoms immediately, you should contact your doctor for guidance.

Tadalafil may cause dizziness or dizziness that can be worse when you are standing up quickly.

Avoid alcohol and grapefruit juice while taking tadalafil generic.

These ingredients may increase your risk of priapism (prolonged and painful erections that last more than four hours) if you take these ingredients with alcohol or other medications that contain nitrates. Consult your doctor for more details.

Tadalafil may cause back pain or muscle pain. Seek medical advice before starting treatment to determine if these symptoms are a sign of an contributing cause.

This medication may cause mild burning or stinging, both before and during treatment. However, these symptoms are usually mild and temporary. Do not stop taking tadalafil without consulting your doctor.

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 adverse reactions to this medication. These reactions can include:

• Redness or swelling of the face, lips, tongue, or throat
• Yellowing of the skin or eyes
• Nausea or vomiting
• Pale, malaise, or fever
• Fast, uneven heartbeat
• Seizures

As with all prescription medications, inform your doctor of any medical conditions you manage, including any of the following:

• Liver disease
• Severe kidney problems
• Stomach pain
• Phenylketonuria (PKU) (IFEIP)

as well as any health conditions, to ensure optimal safety.

Dong-Azil can interact with other medications andContent Control System (CDS) ingredients.

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This medication can cause potentially serious reactions to Cialis.

• Fast/irregular heartbeats
• Temporary memory loss
• Shrainding of the limbs

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

• Have or ever had liver problems
• Ever had an eye problem such as reduced blood supply to your eyes, blocked or watery vision, or seeing shades of blue
• Ever had an allergic reaction to a food or medication
• Take nitrate-based medications for chest pain or heart problems
• Have a history of fainting

As with all prescription medications, let your doctor know if you are taking any of the following:

• Alpha-blockers
• Erectile dysfunction medication
• Lithium
• Pantoprazole
• Sustained-release tablets

• Other medications that can interact with Cialis
• Other medications that can interact with Cialis with some results not described in this file.

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Health Questionnaire Required:

For your first order with us, after placing an order, you will be prompted to upload your ID and submit our health questionnaire, soour physician canreview your basic health information,in order to mail prescription medications. You will not need to do this for refill orders.

Disclaimer:This is not medical advice. You and our physician will determine if (and potentially how) you should take Tadalafil. Please consult with your physician if you have any further questions.For more information on Tadalafil,.

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