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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.

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As a pharmacist, you can offer personalized assistance by completing a health questionnaire and answering a few questions about your health.

In addition, you should inform your health care provider of any medical conditions you manage. Your health care provider may need to speak to you about alternative medications or lifestyle changes that are more cost-effective.

If you experience any of the following side effects, seek medical attention immediately:

• Ffledged erections
• Sudden loss of hair
• An erection that doesn't go away

If you experience any of the above, inform your health care provider of any medicine you are taking.

You should mention any of the following when filling out the health questionnaire:

• Alpha-blockers (such as doxazosin, tamsulosin, or alfuzosin)
• Aldosterone
• St. John’s wort
• HIV protease inhibitors (such as nelfinavir, ritonavir)
• Nitrates
• Sildenafil
• Riociguat
• Isosorbide dinitrate
• theophylline

You should also mention a medical condition the health care provider prescribed this medicine to better understand. This can include a heart condition, high blood pressure, liver conditions, or a certain disorder or medication that the health care provider finds novel. This health information may not address your health conditions.

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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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 more Cialis can cause a dangerous drop in blood pressure. These are symptoms of a severe adverse reaction to this medication that require immediate response, regardless of whether it is in the body or your system.Listest Drug/Treatment Call

In the event of a sudden and severe allergic reaction to Cialis, call your doctor immediately. If you experience any of the following, you should wait and consult your health care provider:

• Symptoms of a severe allergic reaction (such as difficulty breathing, swelling of your face, lips, tongue, or throat)
• Severe dizziness
• Severe stomach pain
• Severe pain in your stomach
• Severe or persistent diarrhea
• Severe or persistent vomiting
• Seizure (convulsions)

If you experience any side effects, contact your doctor or pharmacist. These are symptoms of a severe adverse reaction to this medication that require immediate treatment, regardless of whether it is in the body or your system.

As with all prescription medications, inform your doctor or pharmacist of any medical conditions you currently manage. They may%);

• If you are pregnant, planning on becoming pregnant, or are breastfeeding
• If you have ever had an allergic reaction to any medication
• If you are taking or are planning to take any other medications
• If you have any aback of your stomach, including any supplements
• If you are experiencing an erection that lasts more than 4 hours, such as a sudden erection during sexual activity
• If you experience pain in your arms or legs
• If you experience chest pain during sexual activity
• If you experience vision changes
• If you experience any changes in your vision including a red eye
• If you experience any severe side effects (such as sudden loss of vision, blurred vision, inability to read or speak, problems with vision such as a prolonged lack of vision, or a decrease in vision)

In the event of a sudden and severe allergic reaction to this medication, call your doctor immediately.

The most common side effects of Tadalafil include headache, back pain, muscle pain, and flushing. These side effects are generally mild and temporary. However, if these side effects persist or become bothersome, it is important to consult a doctor. Tadalafil is a member of the Cialis family of medications, which are primarily used to treat erectile dysfunction (ED). Tadalafil works by increasing blood flow to the penis, which helps a man achieve and maintain an erection. It can be taken as needed, 30 minutes to an hour before sexual activity. This medication can take effect within 30 minutes to an hour, and its effects can last up to 36 hours. It is important to note that sexual activity may not work as well if you do not take Tadalafil 30 minutes to an hour before sexual activity. This medication is not approved for use in women or children. If you are pregnant, planning a pregnancy or breastfeeding, or are breast-feeding, consult your doctor before taking Tadalafil. Tadalafil can cause side effects in some individuals. Common side effects of Tadalafil include headache, flushing, indigestion, nasal congestion, dizziness, and stomach upset. In rare cases, more serious side effects such as sudden vision or hearing loss, chest pain, or difficulty breathing may occur. In the event of any side effects, contact your doctor immediately. In the event of a serious allergic reaction (anaphylactic reaction), contact your doctor. Tadalafil is not approved for use in women and children. It is also not approved for use in children. Men who are overweight or have a BMI over 30 should not take Tadalafil. Tadalafil can also be used in women who are breast-feeding. It is important to note that Tadalafil is not approved for use in children. Women who are or may become pregnant should not handle crushed or broken Tadalafil tablets. It is also important to follow the recommended dosage and consult with a doctor if any side effects do not go away. In the event of a serious allergic reaction to Tadalafil, you should refrain from any activity that requires your utmost care from immediately placing your hands or feet down on the floor. Tadalafil is not approved for use in children under the age of 18 years. It is not known if Tadalafil passes into breast-milk or if it could harm a nursing baby. If you have any questions or concerns about Tadalafil, it is important to consult with your doctor before taking Tadalafil. In the event of a serious side effect, contact your doctor immediately. In the event of a side effect that does occur, it is important to contact your doctor immediately. Tadalafil is not approved for use in women or children. It is important to follow the recommended dosage and consult with a doctor if any side effects do not go away. If you experience any side effects, contact your doctor immediately. If you notice any changes in your vision or other side effects, contact your doctor immediately.