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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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  1. Do not take this medicine if you are also taking a PDE5 inhibitor, such as isosorbide dinitrate or doxazosin, used to manage blood pressure (angina)
  2. Do not take this medicine if you are also taking a nitrates type drug, used to treat angina
  3. Expect: difficulty in controlling heart rate, or a rapid increase in blood pressure, tochkins license.

C.

Cialis (tadalafil) can interact with certain foods and beverages, which can affect the blood-pressure-lowering effects of the medication. Here are the key drug-food Interactions to be aware of:

  1. : Grapefruit can increase the levels of tadalafil by inhibiting the enzyme alpha-IVESCOD (as in alpha- nitrosysteine protein 50).

Before you begin taking Tadalafil generic, its important to carefully read the Patient Information Leaflet. Make sure to review it each time you get a refill.

Take Tadalafil dosage orally, either with or without food, as directed by your healthcare provider. Tadalafil dosage should not exceed more than once a day. Swallow the tablet whole. Do not split it or crush unless advised.

Your daily dosage will depend on your medical condition, how you respond to medications, and any other medications you currently take. Before you take ED treatment pills, ensure that you inform your healthcare service provider of any prescription drugs, over-the-counter medicines, and any other supplements you take.

If you are also using finasteride alongside Tadalafil to treat any symptoms of benign prostatic hyperplasia (BPH), discuss the duration of treatment and dosage you will need with your healthcare provider.

For erectile dysfunction (ED), tadalafil citrate may be prescribed in two ways:

  • You may take it as needed, usually at least 30 minutes before sexual activity, with its effects potentially lasting up to 36 hours.
  • Your doctor may recommend taking generic Cialis regularly, once a day.

Follow your doctors instructions carefully based on your specific needs and condition.

If you are using tadalafil citrate medication for ED dysfunction and BPH, take it daily as directed by your doctor. To ensure you do not forget, take it at the same time each day.

Keep your healthcare practitioner informed if your medical condition does not improve or worsens during treatment.

irlwinds do not take it again should:
  • If you experience planning do not take it immediately before sexual activity, but within the first 24 hours of your last dose to less than 72 hours after it was taken.
  • Rare side effects of tadalafil include headache, tiredness, nausea, dizziness, enlarged prostate, urinary retention, and flushing. If these side effects persist, or are severe, consult your doctor.
  • If you experience priapism, a prolonged and possibly painful erection that lasts more than 4 hours, see your doctor about continuing treatment.

To relieve the side effects, tadalafil citrate may be prescribed in 2 ways:

  • Take it at the same time each day as prescribed. If you experience sensitive side effects or priapism ( erection lasting longer than 4 hours), stop taking tadalafil citrate and seek medical attention.
  • Or, you may take another medication at the same time, such as another 5 mg dosage or lower tadalafil dose, with or without sexual activity. It is important to only take tadalafil if your doctor directed you to do so.

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How does Tadalafil work?

Tadalafil citrate belongs to a class of medications known as phosphodiesterase type 5 (PDE5) inhibitors. It works by relaxing blood vessels and increasing blood flow to the penis during sexual stimulation. This increases blood flow and helps you achieve and maintain an erection when sexually aroused.

By blocking the PDE5 enzyme, Tadalafil relaxes the blood vessels and increases blood flow. This enhances blood flow and enables an erection to be sustained when sexually stimulated. This mechanism of action distinguishes Tadalafil from other tadalafil drugs.

Once relaxed, blood vessels and blood vessels in the penis will widen, which improves blood flow. This increases sexual arousal and enhances sexual response. There is no need to take more than the recommended dose to achieve an erection.

Once an erection has occurred, the penis may regain adequate blood flow. This helps maintain an erection during sexual activity.

Only your doctor will be able to prescribe Tadalafil and prescribes which medication is right for you. Your doctor will determine the appropriate dosage and duration of treatment for you. To ensure your safety and the effectiveness of the treatment, we suggest that you follow your doctor's instructions.

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 online for “Tadalafil 30mg/Grape/Beach”

What is Tadalafil 30mg/Grape/Beach?

Tadalafil 30mg/Grape/Beach is a treatment for male sexual dysfunction (a erectile dysfunction that doesn’t go away). It is often the first line of treatment after intercourse, but it can be taken with or without food. The effects can last for up to 36 hours.

How does Tadalafil 30mg/Grape/Beach work?

Tadalafil 30mg/Grape/Beach works by relaxing the blood vessels in your penis, but you don’t have erectile dysfunction. Viagra works by relaxing the blood vessels in your penis, but you don’t have erectile dysfunction. Tadalafil is a phosphodiesterase type-5 (PDE5) inhibitor.

Tadalafil 30mg/Grape/Beach is available in a range of doses

You should order a 25mg dose next day so that your GP may still know if you are taking this medication.

How long does Tadalafil 30mg/Grape/Beach lasts for?

Tadalafil 30mg/Grape/Beach lasts for up to 36 hours after taking it.

Tadalafil 30mg/Grape/Beach contains generic Cialis®

Do you have Tadalafil 30mg/Grape/Beach treatment prescribed?

If Tadalafil 30mg/Grape/Beach is taken with vidalenteicole or cialis, then do so from the same tablet. You can take a dose 5% off when taking Tadalafil 30mg/Grape/Beach.

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