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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.

Read more about Cialis's side effects. told about any reactions.
  • Soreness in tendons
  • Severe pain in shoulder, neck, orundown
  • As with all prescription medications, inform your doctor if you experience any of the following side effects:

    • Joint pain
    • Muscle aches
    • Back pain
    • Seizures

    As with the entirety of these side effects, inform your doctor if you experience any changes in your doctor’s doctor-patient relationship or mental health condition until advised. This could cause you to lose interest in sex, eat losses, or stay in bed for longer than 4 hours.

    As with all prescription medications, inform your doctor if you experience any nausea, vomiting, thinning(erythro-crush), or swelling of the soles of your eyes, hands, feet, or ankles. If you experience any vision loss, contact your health care provider immediately.

    As with the entirety of these side effects, inform your doctor if you experience any nausea, vomiting, thinning(erythro-crush), or swelling of the sols of your eyes, hands, feet, or lips.

    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.
    Human papilloma virus protein C-IIIalpha-cytopete rifampicin or other protein C-IIIalpha-cytopete rifampicin can also interact with tadalafil, increasing the risk of side effects. Here are the drug-protein C-IIIalpha-cytopete interactions:

    Cialis (tadalafil) can affect Cialis (tadalafil) by interfering with its metabolism, leading to an increased level of tadalafil in the blood. This accumulation may amplify side effects like dizziness or worsen side effects like pulmonary hypertension. When using Cialis with protein C-IIIalpha-cytopete rifampicin for the first time, you should avoid consuming high protein C-IIIalpha-cytopete rifampicin as it may prolong the active metabolite peak blood pressure.

    C.

    Nitrates (e.g., nitinol, nitrofurantoin) can lower blood pressure and can affect the blood flow to the penis, which may reduce how sensitive you are to the medication.

    Cialis Dosages

    Cialis (tadalafil) is an oral medication that is primarily used to treat erectile dysfunction (ED) in men. It is a phosphodiesterase-5 (PDE5) inhibitor, which relaxes the muscles in the walls of blood vessels, thereby increasing blood flow to particular areas of the body. It works by inhibiting an enzyme called cGMP-specific phosphodiesterase type-5 (PDE5), which breaks down cGMP. cGMP causes the smooth muscles in the penis to relax, which in turn allows increased blood flow into the penis, resulting in an erection.

    What are the Dosage Indications of Cialis?

    Cialis is intended for use by men who cannot take other medications containing sildenafil, tadalafil, vardenafil, or any other component of this drug class. It should only be taken as prescribed by a healthcare professional, as the dosage is not the same for everyone.

    Who may be using Cialis?

    Patients using Cialis should be monitored closely by their healthcare provider to ensure that they are not experiencing any adverse effects.

    How does Cialis work?

    Cialis (tadalafil) relaxes muscles in the walls of blood vessels, allowing for increased blood flow to the penis. This helps improve erectile function.

    What are the Common Side Effects of Cialis?

    Common side effects of Cialis include:

    • Flushing
    • Headaches
    • Nasal congestion
    • Indigestion
    • Back pain
    • Muscle aches
    • Runny nose
    • Blurred vision
    • Erection lasting longer than 4 hours (priapism)
    • Blurred vision lasting longer than 6 hours (Pulmonary arterial hypertension)

    What Precautions and Contraindications should be taken before using Cialis?

    Before using Cialis, patients must inform their healthcare provider about their medical history, especially cardiovascular risk factors, including high or low blood pressure, heart disease, kidney or liver disease, and diabetes.

    Patients with conditions like heart failure, liver or kidney disease, or those who have undergone operations that are not approved by the FDA may not be prescribed Cialis. Patients should be cautious when using Cialis if they have certain medical conditions, such as uncontrolled high or low blood pressure, diabetes, or a history of stroke or cardiovascular disease.

    Patients who are taking medications, including nitrates (e.g., nitroglycerin, isosorbide) or alpha-blockers (e.g., metoprolol), should be monitored for side effects and should use caution when using Cialis.

    Cialis is not recommended for women or children. Women who are pregnant or may become pregnant should not handle the medication. Cialis should be used only under the guidance of a healthcare professional.

    What are the Possible Side Effects of Cialis?

    Patients taking Cialis, especially those who are not taking other medications, may experience side effects such as:

    • Headache
    • Dizziness
    • Dyspepsia
    • Ringing in the ears

    Patients with pre-existing heart conditions, such as a history of stroke or blood clot, low blood pressure, liver disease, or a history of heart attack, should be monitored closely for side effects.

    Patients with kidney or liver disease should use caution when using Cialis.

    Patients prescribed Cialis for erectile dysfunction who are over the age of 18 may experience headache, back pain, indigestion, nasal congestion, nasal congestion, nasal congestion with or without dizziness, and muscle pain.

    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 side effects. If you think you are having a side effect, do not take more than the stated dose. Cialis can cause potentially serious adverse reactions if taken at the height and quantity recommended by your doctor.as from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from from.

    Healthy citizens are not citizens of the same as far as this as it being an improper use of prescription drug. Pharmacy technicians are not to be taken into consideration when determining the appropriate dosage of this medication. This medication can cause potentially serious adverse reactions if taken at the height and quantity recommended by your doctor.

    Read more about how you can inform your doctor if you are using Cialis if you have recently had heart surgery.