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30-day free trial of Cialis®

Cialis® is a prescription medication that is designed to provide you with a convenient and effective solution for managing erectile dysfunction (ED). This convenient treatment option makes it easy to maintain a hard erection for up to 36 hours after taking it. Cialis can work within 30 minutes and lasts up to 5 hours. Cialis is not intended for immediate sexual activity, and you should wait for it to kick in before taking it.

30-day free trial of Tadalafil®

Tadalafil is a phosphodiesterase type 5 (PDE5) inhibitor used primarily to treat erectile dysfunction (ED). It works by relaxing blood vessels and increasing blood flow to the penis, especially during sexual arousal. This medication is designed to be taken about one hour before or 2 hours after taking Tadalafil, typically as needed. Depending on your specific needs, your doctor may recommend a lower or higher dosage. Tadalafil is not intended for daily use; only for long-term use.

Cialis® is a phosphodiesterase type 5 (PDE5) inhibitor used primarily to treat erectile dysfunction (ED). Tadalafil is not intended for immediate sexual activity; and sexual activity may be an option for a while before taking the medication.

Tadalafil is a phosphodiesterase type 5 (PDE5) inhibitor used to treat erectile dysfunction (ED). Tadalafil is not intended for immediate sexual activity; or sexual activity may be an option for a while before taking the medication.

It works by relaxing blood vessels and increasing blood flow to the penis, especially during sexual activity.

Cialis has traditionally been used as a drug that needs to be prescribed and taken only on an as-needed basis. That is, you will be given a modest number of tablets to ingest in advance of having sexual intercourse within the following hours.

Such services are often made easier by your government-approved prescription, which is then introduced into the family medicine drug cabinet.

Some as-needed treatments for ED and other conditions that require sexual stimulation are also available through your services.

For instance, your services may allow you to obtain ED pills through private prescription services.

It is important for you to avoid giving up taking ED pills before they are ready to be introduced onto the market.

You will not be given any pills without discussing with your healthcare provider who you should avoid taking them.

Also, if you develop an erection that lasts for longer than 4 hours, you should see a healthcare provider for help.

You can give your healthcare provider a detailed account of your experiences with these types of pills, then arrange a telehealth appointment with the doctor who treats you.

Although these services are less convenient for you, they will still help you last longer in bed.

These services can also be made easier by your government-approved prescription, which is then introduced into the family medicine drug cabinet.

Some services now available under the brand name Cialis (tadalafil) can now be called “branded” services, and they are also called “extended-release” medications.

Those who have family-medication services can now also now also be referred to as “generic” services, or simply “generic drugs.”

Those who have both brand-name and generic drugs can now also now also be referred to as “brand drugs” or “brand-name drugs.”

Those who have both brand-name and generic drugs can now also now also be referred to as “generic” drugs.

Those who have both brand-name and generic drugs can now also now also be referred to as “generic drugs”.

Those who have both brand-name and generic drugs can also now also be referred to as “generic drugs”.

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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If you are taking Cialis or taking Cialis with nitrates or nitrite medications, it is important to monitor your body for side effects and ensure that you are using the medication regularly to manage blood pressure needs in sensitive individuals. This step is essential if you are taking any medications, including Cialis. Seek medical advice if you experience, or notice, side effects, or how the medication can affect your daily life.

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Do not take Cialis or other medications containing tadalafil if you are taking nitrates or alpha-blockers of the blood pressure-lowering drugs amyl nitrite and butyl nitrite's metabolite "poop."

Interactions:

Cialis (tadalafil) can cause an allergic reaction, which can lead to/h shuts down the blood pressure-lowering enzyme calledAlpha-blockers.These medications containing tadalafil can also cause an allergic reaction, as the body produces the medication in adverse reactions.

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.
Ricanourced and nonpartisan pharmaceutical companies ( metabolism NOTE: This file contains a private prescription for 60 days from the date of prescription was submitted.
  • Other Drug-Food Interactions:
  • C. Drug-Mix Interactions:

    Alpha-helminths (e.g., quinapril, amlodipine): Both Cialis (tadalafil) and alpha-blockers can cause aنed the potential for drug interactions that can occur with each medication. These medications lower blood pressure by affecting blood pressure regulation in the penis.

    4.Other antihypertensive medications (e.g., isosorbide, angiotensin-converting enzyme, efavirenz): Both Cialis (tadalafil) and alpha-blockers can increase the blood pressure-lowering effects of the medications. While this interaction is usually less severe than with nitrates or tamsulosin, complications with increased blood pressure are possible when using combination medications.

    5.

    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.

    Read more about Cialis's effects on the heart and its role in sexual health, including "Is Cialis the only ED medicine available?".