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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.

Open the door to interactions with Cialis. Let cialis know if you are taking or have recently taken any other medications. Cialis can interact with nitrates used for heart rescue, so avoid and take not available by prescription.

If you have ever had a heart attack while taking nitrates, Cialis can cause a sudden drop in blood pressure that can be serious. Open the door to potential interactions there. Cialis is not available over the counter.

Many medications can affect how Cialis is administered, including prescription drugs, nonprescription medications, and herbal supplements.

In addition, let your doctor know if you have or have ever had liver or kidney disease. Cialis can cause a decrease in a person’s liver function, so avoid and take available by prescription.

If you are using Cialis and you are interested in obtaining treatment, talk to your health care provider about any medications you are taking.

Doxycycline can increase the risk of some sexually transmitted infections such as the while you take Cialis.
  • Cialis can cause a sudden decrease in blood pressure that can be serious
  • If you experience any changes in your vision, chills, or chest pain during sex, contact your health care provider immediately.

    Doxycycline can increase the risk of some sexually transmitted infections such as the while taking Cialis.

    In addition, let your health care provider if you have or have ever had liver or kidney disease.

    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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    Tadalafil and sildenafil are two of the most common ED drugs in the United States, but there are other drugs that may be better suited for you if you prefer them.

    Some of the more well known medications on the market, such as Viagra, can be more convenient than others, but they have other side effects that are not listed above. You should always talk to your doctor or pharmacist before starting any new medication.

    How long does it take to see results from Viagra?

    A little bit of blood flow can happen when taking the medication, but if it takes a little longer than usual, you might not be able to take it.

    The medication works by relaxing the muscles in your penis, which increases blood flow to your penis. This helps you achieve and maintain an erection.

    How long does it take to see results from sildenafil?

    Sildenafil is taken as needed, about 30 minutes before sexual activity. But if you take it too soon, there is a chance of priapism (an erection that lasts longer than four hours) or even permanent erection. The side effects are usually mild and temporary.

    This medication works in a similar way to Viagra. If you take sildenafil too quickly, there is a chance of priapism or permanent erection, which can result in damage to the penis, priapism, and permanent erection. Sildenafil can also cause other side effects, which include headaches, flushing, upset stomach, and indigestion.

    What are some common side effects of sildenafil?

    Most side effects are mild and temporary. Some of the side effects of sildenafil are:

    • Headaches
    • Back pain
    • Muscle pain
    • Diarrhea
    • Fever
    • Loss of appetite

    If you experience any side effects that you think are caused by the medication, contact your doctor immediately.

    It’s important to follow the dosage instructions provided by your doctor. Never adjust the dosage without consulting them. Your doctor will advise you on the proper dose and frequency for each individual case.

    The most common side effects are mild and include:

    • Headache
    • Nausea
    • Stomach upset

    Contact your doctor or visit a specialist immediately if you experience:

    • Chest pain
    • Shortness of breath
    • Vaginal itching or discharge
    • Rash

    If you experience any of these side effects, contact your doctor or pharmacist immediately.

    If you notice any other side effects, contact your doctor or pharmacist immediately.

    Before taking sildenafil, always inform your doctor or pharmacist of all the products you use, including prescription drugs, vitamins, herbal products, and recreational drugs. They can provide you with a list of all the products they have purchased, and provide you with a list of all their information.

    Sildenafil and tadalafil are generally not safe for everyone. It can lead to serious and sometimes life-threatening complications in some people.

    How should I take sildenafil?

    Follow all directions on your prescription label. Your doctor may occasionally change your dose. It is important to take sildenafil as directed by your doctor, and to be consistent as possible. Do not take more or less than prescribed. Never take more than the prescribed dose. Do not take the medication more often than directed.

    It’s important to have a medical consultation with your doctor to determine the best course of treatment.

    Sildenafil is not suitable for everyone.

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    Highlights

    • Sildenafil, the generic form of Viagra, is a risky drug for some.
    • Most people don’t know that side-by-side with sildenafil or its generic equivalents, as well as ingredients like Cialis, Staxyn, and Viagra, can be effective for erectile dysfunction (ED).
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