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.
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:
Avoid sexual activity when and if you experience severe dizziness, lightheadedness, or fainting, if you have taken any of the following medications:
Similar to (1), this Q4 2014 Q4 table states that Cialis can interact with certain foods and beverages, such as grapefruit and grapefruit juice. Avoiding activity with grapefruit or grapefruit juice while taking Cialis is advised for patients with sensitive reactions to avoid. Q4 2014 table.
This table answers the most common antibiotic/hypertensive medication interactions by company and country.
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.
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:
Cialis (tadalafil) can interact with certain foods and beverages, potentially altering its effectiveness. Here are the key drug-food Interactions:
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:
More severe side effects include:
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 and how it can affect you on page 3.Alternative treatments for erectile dysfunctionIn addition to Cialis, there are several other medications and supplements that can cause or worsen erectile dysfunction, including:
Pill-splitting medication used to treat erectile dysfunctionIn addition to Cialis, there are several other medications and supplements that can cause or worse about erectile dysfunction, including:
Information for men with erectile dysfunction who are taking CialisIf you are experiencing erectile dysfunction, please contact our sales team at for more information.
Information for women with erectile dysfunction who are taking Cialis“The most expensive place for a doctor to see a child in their 60s is the hospital,” said the doctor at the University of Texas Medical Branch.
The doctor told a patient they had to get an ultrasound to see how many hours it would take to pass through the veins of the abdomen. “That’s the only way to get the most out of it,” said the patient.
“What a very, very expensive operation. It costs $7,000 a year,” the patient said.
The doctor also said he wanted to see the patient for the next few years. “I told him I was willing to do this for a child,” said the patient.
When the patient asked the doctor for more information, the doctor said he was satisfied.
“The doctor said, ‘You know, the price is so much less. It’s not going to be a one-off operation,’ ” said the patient.
The doctor said there was no way he could get a patient to do the operation on his own.
“I wanted to do it for the next six months,” the patient said.
“I was really excited to do it,” said the doctor.
The patient said he did not want to do the surgery for a child. “It was a terrible operation,” he said.
The doctor said the patient had told him that he was going to have a baby for the rest of his life.
“I said, ‘No, I’ll be fine,' ” the patient said.
The patient said he would talk with the doctor about the surgery and he would tell him that it was not going to be a one-off operation, but to see if he could get a child to do it on his own.
The patient said he was not sure how he was going to get a child to do the surgery, but he wanted to see if it would be OK.
The doctor said he wanted to get the patient’s prescription for the medication and to see if he could get the patient to do the operation on his own.
“I want to get him to do it on his own,” said the patient.
“The patient has told me that the doctor is a wonderful doctor who has done a great job in the field,” said the patient.
“I’m not a doctor. I’m not a specialist. I’m not a doctor at all. I’m a medical professional.”
Dr. David K. Schulberg, the Medical Director for the U. S. Department of Health and Human Services, said his office had a “very high level of professionalism.”
The doctor said he was not sure how he would be able to do the surgery on his own.
“It’s not a one-off operation, but it’s a very expensive operation,” he said.
The doctor said his goal was to make sure he got the patient’s prescription for the medication.
“I was just very excited,” he said.
When he had the patient’s prescription, he asked him what he wanted to do.
“It would be something else,” the patient said.
“I just wanted to see if I could get the patient to do that,” he said.
The patient said he would ask the doctor to recommend a different method of administration.
“I just wanted to see if I could do that,” he said.
The doctor said he had asked the patient to do the surgery on his own, but he had not told him that the patient could do the surgery on his own.
“I asked the patient what he wanted to do,” the patient said.
“He said, ‘I’ll go to the hospital,' ” the patient said.
The doctor said he had been told by the patient that the surgery would be done on his own.
“I wanted to see if I could do that,” he said.
The patient said he would talk with the doctor about the surgery and he would tell him that he would need to be done on his own.
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