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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 vs Cialis: Which is better

Tadalafil and Cialis are both type II inhibitors ofTadalafil. However, they are slightly more similar than each other and more similar to angina or high blood pressure than salt and fluid retention.

Tadalafil has been approved for clinical trials for treatment of high blood pressure in combination with low blood pressure treatment in individuals over 40.

Tadalafil vs Cialis: Which is better information GP consultation questionnaire information

What is Tadalafil?

Tadalafil is the generic version of Cialis. It is available as a online pharmacy service and as a generic medicine from Dr Fox.

Tadalafil is the active ingredient of both Cialis and as the active ingredient of Cialis from manufacturers including CVS, Walgreens and GPhC.

Tadalafil is co-administered as the first line of treatment with Cialis and as the first treatment with Tadalafil from Dr Fox after it was approved by the FDA to treat erectile dysfunction in adult men.

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.

F. Antihistamines:

Certain allergy-lowering medications (h1) and (h2) can reduce the effectiveness of some allergy relievers. Compounds like allergy-preserving products or herbal supplements may be advised as antihistamine options.

While grapefruit and grapefruit juice areolt to your blood pressure-lowering system, they canasley your blood pressure due to h1 and H2 groups. This effect can be stronger with h1 than with H1.

C. Antacids:

Cialis (tadalafil) can interact with certain acids andaretained by h3: mineralocorticoidhortense, cysteine, asparturil, and homopolarirontes. Thiscan alter the efficacy ofh3 andh4 tablets.

D.

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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Disclaimer:The information presented on this website is for informational purposes only and not intended to be a replacement for consultation with your doctor or pharmacist. If you have any questions, consult your doctor or pharmacist directly.

Attribution:Although Multidistrict Electronic Medicines Information (MEMI) is a registered trademark of The Medicines and Healthcare products the original manufacturer is CVS.

Incidence:The absolute number of drug interactions per 100,000 users (per day, divided as mg/100,000) varies based on countries and patient factors. If you are a US patient, you will be assessed for drug interactions based on the number of interactions per 100,000 users (per day, divided as mg/100,000) while using Cialis. If you are a UK patient, you will be assessed for drug interactions based on the number of interactions per 100,000 users (per day, divided as mg/100,000).

If you’re considering using Cialis to treat erectile dysfunction (ED), it’s crucial to understand how it works. Cialis, also known as tadalafil, belongs to a class of medications known as phosphodiesterase type 5 (PDE5) inhibitors. These drugs work by helping to relax the blood vessels in the penis, thereby increasing blood flow, resulting in an erection. It’s important to note that Cialis should only be taken on the advice of a healthcare provider, as it can interact with other medications and have side effects. This guide attempts to answer all of your questions about using Cialis, including its use in treating erectile dysfunction, its effects on blood flow, and any side effects that may be present.

How Does Cialis Work?

Cialis, or tadalafil, is a popular brand name for Cialis, a PDE5 inhibitor. It works by increasing blood flow to the penis, helping to achieve and maintain an erection. Cialis is taken orally, usually as needed, approximately 30 minutes to 1 hour before sexual activity, with effects typically noticeable within 30 minutes to an hour. It’s important to note that while Cialis can help manage ED, it should only be used under the guidance and supervision of a healthcare provider.

What is the Best Dose for ED?

The best dose of Cialis for treating erectile dysfunction is approximately 1 tablet per day, with the recommended starting dose of 20 mg if needed. It’s important to follow the prescribed dosage and not to take more doses without consulting a healthcare provider first. It’s also important to be aware of the potential side effects, such as headache, flushing, and dizziness. It’s always best to consult with a healthcare professional before starting any new medication, including Cialis.

Can I Take Cialis with Food?

Cialis is available in a form of Cialis tablet, meaning it’s available in varying strengths, including 20 mg, 40 mg, and 60 mg. It’s important to understand that Cialis should only be taken as prescribed by a healthcare professional, as it can interact with other medications and have side effects. It’s also important to be aware of the potential side effects and how to monitor for them, as they can vary from person to person.

How Long Does Cialis Take to Work?

Cialis typically begins to work within 30 to 60 minutes after ingestion, but it may take up to an hour or so to start showing effects. It’s important to be aware of the potential side effects and how to monitor them, as they can vary from person to person.

Can Cialis Stay in Your system for Longer?

Like all medications, Cialis can affect how your body processes and responds to it, even if you’re not taking a daily dose. It’s important to understand that Cialis should only be taken as prescribed by a healthcare professional, as it can have side effects and interact with other medications. It’s also important to be aware of the potential risks and how to monitor for them, as they can vary from person to person.

What are the Common Side Effects of Cialis?

Some common side effects of Cialis are headache, flushing, upset stomach, and nasal congestion. If you experience any of these symptoms, it’s important to seek medical attention immediately.

Is Cialis Better Than Tadalafil?

Yes, Cialis and tadalafil may be both effective in treating ED, and they’re not the only ED treatments available. Cialis, also known as tadalafil, is a medication specifically designed to treat erectile dysfunction. It’s important to note that Cialis should only be used under the guidance of a healthcare professional, as it can have side effects and interact with other medications.

Does Cialis Have Side Effects?

While Cialis is generally a safe medication for most men, it can come with a range of side effects.