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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.
A final@>

If you are taking Cialis or tadalafil at a drugstore or online pharmacy and are having issues, it is important to speak with your doctor first. This is because Cialis can interact with these common medications including medications used to manage different types of erectile dysfunction (also known as impotence). This can lead tomlurational to avoid possible interactions between Cialis and these medications including but not limited to;

Also, if you experience any symptoms like flushed or bubbly abdomen, persistent erectile dysfunction, or difficulty getting or maintaining an erection, seek immediate medical attention.

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See your doctor for more details on these interactions.

LONDON (Reuters) - Eli Lilly and Co said on Monday that it would offer the generic version of its erectile dysfunction drug Cialis for patients to take at a cheaper price

Lilly said it will begin selling its generic version of the popular erectile dysfunction drug at a price similar to its branded version in the United States, said the pharmaceutical company, which will now be able to sell the generic version of Cialis at a cheaper price.

The launch of Cialis and the generic version of Viagra came on the market in the United States in 1998, Lilly said.

The new drug will be called Tadalafil, and will be sold as an oral tablet at about half a million tablets, Lilly said.

The price will depend on how much you pay for the tablet, which can be much cheaper than the branded version of the drug, the company said.

Lilly said it is committed to maintaining the patent for the generic version of Cialis until at least December 2020, after which time it will have to take steps to protect the patent, Lilly said.

Under the new terms of the patent, which will expire in 2031, Lilly said it would begin selling the generic version of Cialis at a price similar to its branded version in the United States.

Lilly said it would begin selling the generic version of Cialis at a price similar to its branded version in the United States and that it would also take steps to protect the patent.

Lilly said it was committed to maintaining the patent for the generic version of Cialis until at least December 2020, after which time it will have to take steps to protect the patent, it said.

The company has also been developing a new product called Tadalafil-C, which is the branded version of the drug.

The company said it expects to launch the product at least late-stage due to the patent expiry and a patent dispute that could affect the quality and pricing of the drug, which is already on the market.

Lilly said it would also launch a second drug, a drug aimed at treating the condition, in late-stage trials, with Cialis.

Cialis is the longest-acting and most effective treatment for erectile dysfunction, but may take longer to work, the company said.

Lilly will sell the Cialis generic version at the price it expects to pay for the brand version, Lilly said.

The company said the price will depend on how much you pay for the pill, which can be much cheaper than the branded version, and will make certain that the price will not be more than the branded version. Lilly said it would take the same amount of money as its branded version to cover the cost of the drug.

Lilly said it was committed to maintaining the patent for the generic version until December 2020, after which time it will have to take steps to protect the patent.

Lilly said it had planned to sell the Cialis generic version at a more affordable price, with a price for the branded version of the drug from around $10 to $20, depending on the price of the branded version, Lilly said.

Lilly said it was pleased that the price of the branded version of Cialis was comparable to the price of the branded drug, and was now able to sell the generic version at a cheaper price.

Lilly said that the company would be interested in launching its second drug, called Sildenafil citrate, in late-stage trials in the United States.

Lilly said it is committed to maintaining the patent for the second drug until the patent expiry in December 2020, after which time it will have to take steps to protect the patent.

Lilly said it is also working with manufacturers and distributors of pharmaceutical products to improve their formulations of the drug, such as that of Cialis.

Lilly said it was confident that the branded drug would be more affordable and that the price of its branded version would be more affordable to patients in the United States.

Lilly said it was confident that the drug would be more affordable and that the drug would be priced in the United States.

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Adverse effects are rare side effects or side effects that are serious or life threatening.

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 Moreuspressant side effects:

Although rare, if you experience any extra arousal or responsiveness during sex, contact your health care provider immediately.

Addyi® Cialis® Levitra® St. John’s wort

Dosage Information

Cialis can be taken with or without food. The lowest effective dose is Cialis, not Levitra.

The effects of Cialis may take effect within 30 minutes. However, sexual stimulation is unlikely, and the drug is unlikely to produce an erection for more than 4 hours. Do not take Cialis more than once a day.

For safety, Cialis is not indicated for use in women.

Consider using an alternative medication to Cialis for higher effectiveness

St.

Cialis

Laxos (lyso-triclofibrate)

Liraglutide

Lipitor (nifedipine)

Lorlafaxine

Lorazepam (choladine)

Lopinavir

Lipitor