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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.
Faq:

When not to use it: If you have a or have a high blood pressure, it may be more effective to:

  • Avoid grapefruit and grapefruit juice while taking fenofibricacil. If you have a high blood pressure, consuming grapefruit with it can worsen side effects like headaches or increase heart rate
  • Ask your pharmacist about this option
  • It is recommended to take fenofibricacil at the start of a meal to enhance blood flow to the penis

Fact:

Fact

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Some drugs can interact withasley

A new study finds men with erectile dysfunction who are seeking treatment to maintain an erection for up to four years were less likely to have serious health conditions, including a history of stroke or heart attack, a history of cancer or blood clots, and a history of prostate or urinary tract surgery.

While men with ED may still have symptoms that may require treatment such as a reduced sex drive or erections, it's not uncommon for them to experience symptoms that may need treatment such as difficulty getting or keeping an erection, a condition referred to as priapism. Men who are seeking treatment to keep an erection may be eligible for medical help if they have symptoms of a heart attack, stroke, a condition called angina, a heart condition known as “chest pain,” a heart condition known as angina pectoris, a heart condition known as a mitral valve prolapse, a heart condition known as left ventricular outlet obstruction, a heart disease called angina, a heart condition known as angina pectoris pectoris, a heart disorder known as angina, or a blood clot.

Men who experience serious health conditions are more likely to seek medical help. Men who have a history of an illness that can lead to life-threatening conditions and are at high risk of a future heart attack, such as a stroke, a heart condition known as angina pectoris, a heart condition known as left ventricular outlet obstruction, or a blood clot.

“These men are at increased risk of a future heart attack because of the health of their circulatory system,” says Dr. Steven Nissen, a urology professor at the Cleveland Clinic’s Cleveland Clinic and a co-author of the study.

Nissen says he’s been working on the study in order to better understand why ED is so common in men with diabetes. He says that ED is caused by a combination of genetic factors and physical factors, and that many men are born with this condition.

According to the American Urological Association, about 40 percent of American men suffer from ED, and ED can cause a variety of health conditions, including:

  • High blood pressure
  • High cholesterol
  • Diabetes
  • Low blood pressure
  • Obesity

Nissen says that ED can also contribute to a range of other health problems, including:

    Nissen says that some of the ED medications used in the study were sold under names that were similar to their names on some popular drug stores.

    The drugs used were sildenafil (Viagra), vardenafil (Levitra), and avanafil (Stendra).

    Nissen says that the drugs used in the study were sold under names that were similar to their brand-name counterparts on some popular drug stores.

    The drugs were taken orally. The pills that are used in the study are called sildenafil tablets. The pills that are used in the study are called tadalafil.

    Sildenafil is sold under the brand names Adcirca and Cialis. Cialis is sold under the brand names Levitra and Vardenafil.

    Vardenafil is sold under the brand names Vardenafil and Levitra. Vardenafil is sold under the brand names Levitra and Cialis.

    Adcirca and Cialis are both used to treat erectile dysfunction.

    Levitra and Vardenafil are both used to treat erectile dysfunction.

    Levitra is sold under the brand names Vardenafil and Cialis.

    Avanafil is sold under the brand names Levitra and Cialis.

    Cialis is sold under the brand names Cialis and Levitra.

    Avanafil is sold under the brand names Vardenafil and Cialis.

    Tadalafil is sold under the brand names Cialis and Levitra.

    Vardenafil is sold under the brand names Vardenafil and Cialis.

    You’ve probably heard of Viagra. It’s one of the most popular prescription medications ever. But what if it’s just for the treatment of ED? Here are a few tips to make it even easier:

    First and foremost, you should always speak to your doctor or pharmacist before taking any new medication.

    If you have questions or concerns about Viagra or other Cialis medications, talk to your doctor or pharmacist.

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    ‍Cialis® vs Viagra

    When it comes to treating erectile dysfunction (ED), Cialis and Viagra are two of the most popular prescription medications. But what if they’re just for the treatment of ED? Here are five steps to help you make the most of them:

    • Choose the Best Price: Viagra can be more affordable than Cialis, and Cialis can be more accessible. So, when you’re ready to get the medication, you can choose from a variety of prices.
    • Ask Your Doctor about It: The best price for Viagra is usually around $60 for a supply of 30 tablets, and you can get the same medication for as little as a per tablet price. Viagra also comes in a variety of different forms, including pills, syrups, and injections.
    • Choose the Right ED Medication: If you can’t get the pill, Viagra can be purchased with a prescription from a doctor. They can write you a prescription if the price is appropriate, or they can buy Viagra directly from your pharmacy.
    • Take It Right Away: Cialis and Viagra are fast-acting, and they leave no time for you to take the medication with you. They’re great for spontaneous intimacy, as you’re less likely to worry about broken drugs.
    • Choose Your Price: Viagra can be purchased for as little as $15 for a 30-tablet supply, and you can get the same medication for as little as $8 for a 30-tablet supply.
    • Take It Safe: Viagra is FDA-approved for treating ED, and it’s recommended to only take it safely for up to 24 hours.
    • Avoid Douches and Stiffness: If you’re worried about weak erections while taking Cialis, Viagra might be the right medication. They’re generally taken about 30 minutes before sex, and they’re easy to remember.
    • Take It As Needed: If you’re ready to have sex as soon as you can, Viagra can be taken as need your comfort in knowing that you’re not having to plan ahead.
    • Stay On The Need-Do side: If you’re ready to have sex on a whim, Viagra can be taken as need your doctor’s advice.

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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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    Gonorrhea is a medical condition that occurs when a small group of immune system cells contract and grow outside the body. These bacteria then multiply and cause a wide range of symptoms. While most cases are similar, there have been some reports of gonorrhea spreading to other parts of the body. This condition, known as atrophic vaginitis, is a rare but serious condition that can cause distress, self-harm, and even death. Please speak with your doctor if you have any concerns.

    If you experience any of the following symptoms, contact your healthcare provider immediately:

    • Sudden vision changes
    • Sudden pain in the ear
    • Sudden hearing decrease
    • Sudden prolonged dizziness
    • Sudden light sensitivity
    • Sudden nausea
    • Sudden swelling of the ankles, feet, or legs

    Gonorrhea can be treated with a variety of nonsurgical and surgical treatments. The most common treatment options are:

    • Penile impotence surgery
    • Oral sex enhancement medications
    • Surgical drainage of gynocomastia
    • Caverject medication

    Although Cialis can be an effective treatment for atrophic vaginitis, it’s important to note that this medication can also be used to treat other conditions, such as pulmonary arterial hypertension.

    If you experience any side effects, such as a rash, flushed skin, or an abdominal pain, seek medical attention immediately. These side effects are usually temporary and may resolve on their own.