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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.
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Side effects of Topical Cialis

Cream:

Blurred vision(convex vision)

Back pain, (difficulty sleeping, daytime pain)

Omission:

Muscle pain, (muscleentary lifestyle)

C. Muscle pain/discomfort

Headache, ( headache, nausea, dizziness)

Nausea/vomiting, (vomiting less than 1 time per day)

D. Allergic reaction:

For Cialis, a mild allergic reaction, such as hives, difficulty breathing, or symptoms of liver problems.

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 Nov 2024USEMA Pharmacy virusesShow More

The viruses “Shingles” and “Zoster” have developed in association with Cialis usage. As a result, Shingles and Zoster may cause symptoms like pain, numbness, or tingling in the arms, feet, or legs, as well as a sudden loss of vision or hearing. The viruses’ symptoms may be severe, but they do not need treatment.

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As a result, Zoster and Shingles may cause symptoms like pain, numbness, or tingling in the arms, feet, or legs, as well as a sudden loss of vision or hearing.

How to use Tadalafil

Cialis comes in various dosages, including:

  • 10 mg: 2 tablets
  • 20 mg: 4 tablets

Your doctor will determine the appropriate dosage of Tadalafil in order to take this medication regularly. Depending on your condition, the dosage may be increased to 20 mg or decreased to 2 tablets.

Tadalafil is available in different strengths, including 10 mg, 20 mg, and 40 mg. Your doctor will determine the appropriate strength for you based on your medical condition, response to treatment, and how you feel after taking it.

Precautions for Tadalafil

Tell your doctor about all the pre-existing medical conditions you have, allergies to tadalafil, and other medications you may be taking to avoid any possible interactions with other medications you are currently taking.

Certain medications can pass into your system and affect how Tadalafil works. These include:

  • Nitrates
  • Alpha blockers
  • Medications that affect blood pressure
  • Certain antidepressants
  • Certain blood pressure medications, including beta blockers and antifungals
  • Certain drugs for high blood pressure
  • Certain drugs used to treat high blood pressure (such as certain drugs used for high blood pressure or prostate conditions)
  • Certain drugs used to treat angina or high blood pressure (such as certain drugs used to treat angina or heart failure)
  • Certain drugs used to treat erectile dysfunction
  • Certain drugs used to treat diabetes
  • Certain drugs used to treat high blood pressure

Tell your doctor if you are pregnant or breastfeeding. Tadalafil should be used only if clearly needed. Do not stop taking Tadalafil without first talking to your doctor.

Tell your doctor about all the products you use, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

Tadalafil may interact with certain medications. Tell your doctor about all the medicines you are taking, including vitamins, minerals, and herbal products.

Some medicines may affect how Tadalafil works. Tell your doctor if you are using any of the following:

  • Nitrates for blood pressure medications (such as nitroglycerin)
  • Alpha blockers (such as doxazosin, tamsulosin)
  • Medications used to treat high blood pressure (such as alfuzosin, gizmodo, terazosin, tamsulosin)
  • Certain drugs used to treat high blood pressure (such as angiotensin II receptor antagonists, ezetimibe, ezetro, fenfluramine)
  • Certain drugs used to treat high blood pressure (such as atenolol)
  • Certain medications used to treat high blood pressure (such as diltiazem, verapamil)

If you take a medication that interacts with tadalafil, do not stop taking it without talking to your doctor. Taking more than the recommended dose can increase your risk of side effects.

If you take too much tadalafil, your doctor may need to adjust your dosage.

Tadalafil dosage

The typical Tadalafil dosage for erectile dysfunction is 2.5 mg to 5 mg, taken orally once daily. The recommended starting dosage is 2.5 to 5 mg, taken orally once daily. The maximum recommended dose is 40 mg per day. Do not take Tadalafil more than once daily. If you take more than the recommended dose, you may experience side effects such as dizziness, lightheadedness, and fainting.

Your doctor may start you on a low dose (usually 5 mg) and increase the dosage slowly to the lowest effective dose. Your doctor may monitor your blood pressure regularly while you take this medication.

The recommended starting dose is 5 mg.

The recommended starting dose is 10 mg.

Your doctor may adjust your dosage if you experience symptoms of erectile dysfunction.

Personalized Treatment Plan & Dose Optimization

All Healthon physicians and medical providers are US-licensed and board-certified, with many having certifications in obesity medicine. Your provider will review your detailed medical intake and health history to create a customized plan based on your unique health profile, providing targeted guidance for effective and sustainable sexual health.

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Healthon’s Taldalafil is a cost-effective alternative to brand names Cialis®. It offers the same active ingredients and therapeutic effects at a lower price.

Expedited Shipment & Automated Refill

All orders include free expedited delivery from our partner pharmacy, complete with tracking numbers. Our automated refill process ensures timely medication delivery, allowing you to focus on your health and well-being.

Nutritional & Fitness Curriculum

Healthon is more than just a prescription provider. Our evidence-based curriculum supports lasting improvements in food, nutrition, exercise, and daily habits, integral to medical sexual health programs.

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Tips & Services for Ordering

Follow the provided instructions on how to order online. It’s simple and convenient:Select an online provider from the dropdown below and complete your order.

The store will not sell any medication without a prescription from your doctor, the Food and Drug Administration (FDA) has ruled.

FDA has ruled that Cialis for use in the treatment of erectile dysfunction, Cialis for use in the treatment of benign prostatic hyperplasia, Tadalafil for use in the treatment of erectile dysfunction, and Dapoxetine for use as an antidepressant. Cialis for use in the treatment of erectile dysfunction and benign prostatic hyperplasia and Tadalafil for use as an antidepressant may be prescribed by a doctor in a variety of settings, including the treatment of benign prostatic hyperplasia, and to a certain extent it is appropriate for men who have difficulty achieving or maintaining an erection.

Cialis for use in the treatment of benign prostatic hyperplasia, Cialis for use in the treatment of benign prostatic hyperplasia, Tadalafil for use as an antidepressant, Dapoxetine for use as an antidepressant and Tadalafil for use as an antidepressant may be prescribed by a doctor in a variety of settings. Cialis for the treatment of erectile dysfunction and benign prostatic hyperplasia may be prescribed by a doctor in a variety of settings. The drug is not approved for use in the treatment of benign prostatic hyperplasia or the treatment of erectile dysfunction.

Cialis for use in the treatment of benign prostatic hyperplasia, Tadalafil for use as an antidepressant, Dapoxetine for use as an antidepressant and Tadalafil for use as an antidepressant may be prescribed by a doctor in a variety of settings.