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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.
EUrosten (Cialis)

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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.

Read the "Tadalafil generic" label investigates the science behind Tadalafil and provides a science-backed view of erectile dysfunction.and the science behind BPH.ie you will not get pregnant while taking tadalafil generic. It is not known if tadalafil works for all men, even dinner parties are not guaranteed to.Understand your erectile dysfunction: Generic Cialis doesn't contain generic tadalafil. It is a prescription medication and may cause harm. This drug is amorning-after pill; ED is a sexual problem affecting men of all ages.

Tadalafil generic contains the same active ingredient as Cialis. Discuss whataven't work. Also, consider taking tadalafil daily for Cialis for example, while using it for BPH it may not be as effective. Discuss the risks and benefits with your doctor.

Sometimes erectile dysfunction symptoms develop suddenly, causing dizziness, headache, and insomnia. Other times, BPH symptoms may include nasal congestion, flushing, heartburn, and weakness near the time you take your first dose of Tadalafil. It's important to complete the full prescribed course of treatment, even if your erection improves, to clears up the symptoms.

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If you need more information, speak with your pharmacist or healthcare provider for assistance. You will be able to ask more specific questions under a doctor's guidance.

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Effective treatment for ED. The tablet belongs to a class of medications known as PDE5 inhibitors. It works by relaxing muscles in the penis and improving blood flow when PDE5 activity is inhibited. This drug can be taken either with or without food.

Your doctor will determine the appropriate dose of tadalafil generic you are taking to you, depending on your age, severity of your symptoms, and your response to the medication. Follow your doctor's instructions.

If you are using generic Cialis for BPH – tadalafil is available – take it at the same time each day. Avoid taking a double dose to make up for a previous one.

Your doctor will determine the right dose of tadalafil for you, depending on your age and severity of your symptoms. Do not change your dosage of tadalafil without your healthcare provider's guidance.

Taking extra tablets improves your chance of success. If you take too much tadalafil, your symptoms may improve, or there may be a worsening in your symptoms.

Take the medication as directed by your doctor, usually once a day.

Nicknamed “The Weekender Pill”,Tadalafil is the generic version of Cialis™. It lasts up to 36 hours and the reason some prefer Tadalafil over Sildenafil, which typically last up to 8 hours. Please select your preferred dosage and number of pills.

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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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_Health Question NIH FindHealth Question NIH Find is a question and answer service that responds to the petition by health questionnaire users. For helpand question support totodayorfor a broader range of questions, please visit.

Thank you for your time and submission. You have answered the petition!

Health Question NIH FindToday, we are pleased to announce that the FDA has approved Tadalafil Daily, which is available through a pharmacy, for men 18 and older with ED to treat ED (erectile dysfunction).Copyright © 2025 Health Question NIH.

The following FDA approvals are for the approved Tadalafil Daily dosage options:

  • For men 18 and older with ED:
    • For men 18 and older with ED: Tadalafil Daily (10 mg) – This dosage is effective for up to 36 hours.
    • For men 18 and older with ED: Tadalafil Daily (20 mg) – This dosage is effective for up to 8 hours.
    • For men 18 and older with ED: Tadalafil Daily (5 mg) – This dosage is effective for up to 36 hours.

Thank you for your submission. You have responded to the petition!

Today, we are pleased to announce that Tadalafil Daily, which is available through a pharmacy, is a generic version of the brand-name Cialis™. We’ve determined that this is the best fit for men 18 and older with ED and are shipping Tadalafil Daily to treat ED.

Cialis 20mg Tablet contains the active ingredient Tadalafil. It belongs to the family known as PDE5 inhibitors. It is used to treat adult male sexual function problems (erectile dysfunction-ED) in cases of enlarged prostate, if so increasing the risk of urinary tract infection (UTI).

Cialis 20mg Tablet will only work with the ability to achieve an erection. However, you can also enhance the effect of sexual stimulation by taking it.

It is recommended to take Cialis 20mg Tablet with at first sign of sexual arousal between 25 minutes before sexual activity and then to sexual arousal between 45-60 minutes before. Do not increase the dose more than the frequency of taking it.

You can take it as needed, up to a maximum dose of Cialis 20mg Tablet within a 24-hour period. However, do not take it more than once every 24 hours.

The active ingredient in this medicine is Tadalafil. It is a prescription medicine that requires avee to take. However, it is dosed to get maximum effectiveness. Do not give it to others, nor to your partner.

Do not consume this medication if you are pregnant or breastfeeding.

For further information, consult with your doctor.

Cialis 20mg Tablet is an prescription medicine used OTC.

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 in some people. Specifically, cialis can cause potentially severe adverse reactions if taken at least 30 minutes before sexual activity. Stop taking Cialis and get your doctor right away if you notice any symptoms of a severe adverse reaction like dizziness, headache, or unexplained vaginal bleeding.