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Tadalafil belongs to the group of medicines called phosphodiesterase type 5 (PDE 5) inhibitors, primarily used to treat erectile dysfunction (impotence) and benign prostatic hyperplasia (BPH). Erectile dysfunction is the inability to keep a hard and erect penis suitable for sexual activity. Benign prostatic hyperplasia, also called prostate enlargement, is the non-cancerous growth of the prostate gland.

Tadalafil contains ‘Tadalafil’, which works by relaxing the blood vessels in the penis; this allows the blood to flow into the penis when the person is sexually excited. Thereby, it helps to treat erectile dysfunction. Tadalafil relaxes the bladder and prostate muscles, thereby reducing enlarged prostate symptoms such as difficulty in urination and urgent need to urinate.

You are advised to take Tadalafil for as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, you may experience certain common side effects, such as headache, back pain, muscle pain, pain in the legs and arms, nasal congestion, indigestion, and facial flushing. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.

Do not take Tadalafil if you are taking nitrates (used to treat angina), riociguat (used to treat pulmonary hypertension) or alpha-blockers; if you have heart problems or stroke, low blood pressure or uncontrolled high blood pressure. Tadalafil is not intended for use in women. Tadalafil may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Tadalafil should not be given to children as safety and effectiveness have not been established. Keep your doctor informed about your health condition and the medicines you are taking to avoid unpleasant side effects.

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In order to understand the benefits of taking cialis, you need to understand its benefits. Cialis is a popular drug that contains an active ingredient tadalafil. It is commonly used in the treatment of erectile dysfunction (ED), a condition that affects men of all ages.

Cialis works by increasing blood flow to the penis, which helps to achieve and maintain an erection. It works by helping to relax the muscles in the blood vessels supplying the penis, allowing for an erection to take place. However, Cialis does not protect you against sexually transmitted diseases like HIV or sexually transmitted diseases like Hepatitis C.

Effects of Cialis

Cialis is a popular medication used to treat erectile dysfunction. It works by increasing blood flow to the penis, which helps to achieve and maintain an erection. It may also be used to treat premature ejaculation (PE).

The medication works by increasing blood flow to the penis, which helps to achieve and maintain an erection. However, it is important to note that Cialis does not cure erectile dysfunction, and it may help to improve sexual function. It is important to consult a healthcare professional before starting any treatment for erectile dysfunction.

Dosage and Usage

Cialis is a medication that is used to treat erectile dysfunction, and it is typically taken orally. It is typically taken as needed, approximately 30 minutes to an hour before sexual activity. It is important to follow the prescribed dosage and duration of use to minimize any potential side effects.

The dosage and duration of use may vary depending on the condition being treated and the individual's response to the medication. It is recommended to take the medication at the same time each day to maintain consistent levels of the medication in your body. It is important to take Cialis with a full glass of water at the same time each day to maintain a consistent level of the medication in your body.

Precautions and Warnings

Before taking Cialis, it is important to discuss the following precautions and warnings with your healthcare provider:

  • Consulting a Healthcare Provider:It is important to consult a healthcare provider before taking Cialis to ensure that the medication is appropriate for your individual health condition.
  • Monitoring for Side Effects:It is important to monitor your progress and any potential side effects while taking Cialis as the medication may affect your ability to engage in sexual activity.
  • Monitoring for Other Medications:It is important to monitor your progress and any other medications you are taking to ensure that Cialis is safe for you to use.
  • Monitoring Your Health:
  • Using Other Medications:It is important to inform your healthcare provider about any other medications you are taking to ensure the medication is safe for you to use.

Interactions

Cialis can interact with certain medications, including nitrates. It is important to inform your healthcare provider about any other medications you are taking to ensure the medication is safe for use. Additionally, Cialis can also interact with some medications that increase blood pressure or other medications that decrease blood pressure. It is important to note that any medication you are taking can interact with Cialis, potentially leading to serious side effects.

Precautions

Before taking Cialis, it is important to disclose all medications you are currently taking to ensure that you are taking the medication safely. It is also important to inform your healthcare provider about any existing medical conditions or medications you are currently taking to ensure that Cialis is appropriate for your health condition.

Warnings

Cialis can cause dizziness and fainting. It is important to inform your healthcare provider if you have any of these conditions before taking Cialis:

  • Severe dizziness or fainting:If you experience any of these symptoms, call your healthcare provider right away. This can indicate a serious condition.
  • Heart problems:If you have a heart condition or have a heart rhythm problem, it is important to call your healthcare provider right away. This can indicate a need to have any type of medical tests or procedures.

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.
EU access to PubMed Central.

Keyword nitrates (e.g., nitroglycerin), alpha-blockers (e.g., tamsulosin, erythromycin) common drug-food interactions

C.

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

  1. : While taking Cialis, you may experience low or no side effects like headaches or dizziness.
  2. : While taking Cialis, you may need to take a larger dose to achieve the same level of benefits. While you can, it is recommended to take the lowest effective dose for the most effective results.

Whether you can take Tadalafil at the same time as your other medications will depend on which medications you are taking.

You are required to complete a short medical consultation questionnaire that asks for any medications that you are prescribed from your GP and will indicate the medications that can’t be taken alongside Tadalafil.

There are several medicines which should not be taken concurrently with Tadalafil. Medicines which can have potentially serious interactions with Tadalafil include :-

• Any alpha-blocker medicines e.g. doxazosin (Cardura), alfuzosin (Xatral), tamsulosin, terazosin, or Flomax, that you can buy in the pharmacy. (These medicines may be used to treat prostate problems or high blood pressure).

• Isosorbide mononitrate, isosorbide dinitrate, or use a GTN spray or tablets

for chest pain or use Rectogesic ointment?

• Nicorandil (Ikorel), used to treat angina

• Cimetidine, used to treat stomach or duodenal (peptic) ulcers

• Theophylline, used to treat asthma

• Antibiotics:- Clarithromycin, Erythromycin and Telithromycin

• Anti-fungals such as itraconazole and ketoconazole

• Seizure medication:- carbamazepine, oxcarbazepine, phenobarbital, phenytoin and primidone

• Heart or blood pressure medication:- disopyramide, amiodarone, quinidine and procainamide

• Anti-viral medication:- telaprevir, atazanavir, retonavir, indinavir, saquinavir and cobicistat

• Recreational drugs:- amyl nitrate (poppers)

If you are taking any prescribed medication from your GP then you can simply write those in the “Is there any other medical information that you think our doctor should know?” section on the medical questionnaire. Then, our doctor will know whether the Tadalafil is safe for you to take.

Read available consultation questionnaire information

"Tadalafil" means “Treatment for Erectile Dysfunction”

Dr Foxidential patient information:

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See also:

pokec

Medicines used to treat erectile dysfunction

Tadalafil is part of a class of medicines called phosphodiesterase type 5 (PDE5) inhibitors. This means it helps to maintain an erection when you’re sexually stimulated. The drug works by helping to increase blood flow to the penis when you’re sexually aroused. It will not work if you are not sexually aroused. Erectile dysfunction (ED) is the inability to get or maintain an erection suitable for sexual activity. Dr Foxidential doctors will only prescribe Tadalafil when you have been diagnosed with erectile dysfunction by your GP. Erectile dysfunction is idifiing often and only when you are under the age of 18.

maclean

Common brand names

maclean is an alpha-blocker medication

It is used to treat erectile dysfunction. It is usually given after sexual stimulation.

maclean is a phosphodiesterase 5 (PDE-5) inhibitor

It is a type of medicine called a phosphodiesterase-5 (PDE5) inhibitor. This is when a type of medicine is inhibited from working well by a medicine called Cialis®. Cialis® is a prescription medication that works by keeping the body's blood vessels working to its maximum capacity during arousal.

Cialis® is also an ED medication. It helps to maintain an erection where you are sexually stimulated.

Cialis® is usually given as an injection into the penis.