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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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Get medical attention immediately by threatening or documenting any symptoms associated with your erectile dysfunction. This is particularly critical for patients with diabetes, high blood pressure, high cholesterol, or an irregular menstrual cycle.

Do not consume alcohol while using this medicine, as it may increase the risk of side effects.

Cialis Together for Erectile Dysfunction

Cialis Together tablets are a treatment for adult men who have erection problems (erectile dysfunction). This is when a man cannot get, or keep an erection hard enough for satisfactory sexual activity.

Cialis Together tablets contain the active substance tadalafil. It belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors. It works by relaxing the blood vessels in your penis, allowing blood flow into your penis.

It is important to know that you will not get an erection just by taking Cialis Together tablets. This medicine works with your body’s natural function to get an erection only when you are sexually stimulated.

Cialis Together contains the active ingredient Tadalafil. The ingredient is a phosphodiesterase type 5 inhibitor medicine that temporarily improves blood flow to the penis by relaxing the blood vessels in and around the area.

The Cialis Together medication is available over-the-counter and begins to work about 30 to 60 minutes after taking it. The effects are expected to last up to 36 hours. Cialis Together comes in 10mg tablets and should only be taken when needed.

The active substance Tadalafil is also useful in treating other conditions along with erectile dysfunction. Please consult a Doctor, a Pharmacist or relevant product literature for more information.

Is Cialis Together right for me?

If you suffer from erectile dysfunction (impotence) Cialis Together may be an effective treatment. However, it may not be suitable for you if you have the following:

  • If you are allergic to any of the ingredients in Cialis Together
  • If you have severe heart, liver or kidney problems
  • If you have blood pressure concerns
  • If you have non-arteritic anterior ischemic optic neuropathy
  • If you are taking riociguat
  • If you have other penis-related issues (deformation or painful erections)
Also, Cialis Together contains lower than what is usually used to buy Cialis (enclitol).
  • If you are taking fosinopril (Xerasol) or valsartan (andelafore)
  • If you take other blood pressure-lowering medicines ….. Cialis Together may cause blurred vision, especially with the light-headedness it brings up, or other problems with the vision loss.
  • If you take other medicines, please make sure the relevant one is registered in your medicinebelt register. The medicines you take are likely to be of high, life-threatening importance to you.
  • Cialis Together is not suitable for everyone. If you are pregnant, planning to become pregnant, or you have any medical conditions, talk to your doctor.
  • For more information on Cialis Together and sexual health please visit the register
  • For more information on Cialis Together and related medications please read the
  • For more information on vardenafil please visit the register
  • Vardenafil (adalafil) 5mg Tablet (10mg)

    How to take Cialis Together

    Take Cialis Together by mouth with or without food. Your doctor may start you at a low dose and gradually increase it. It is important not to take more than one dose in your lifetime. However, the maximum dose is 6 daily for more than 10 years.

    Swallow the tablets whole. Do not chew or crush the tablets. A tablet should be swallowed with a glass of water. Cialis Together tablets are taken daily at least O2 dysphoric disorder (EDD) pill if you want it to stay above the normal dosage.

    Do not take Cialis Together if you have ever had an erection that lasted for more than 4 hours. Sexual stimulation is a possible side effect of Cialis Together.

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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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    Cialis can cause adehydes to becomeepsia and sweating. This side effect is more common in women than men. As a result, it is recommended that you tell your health care provider if you have an anagen or telogen side effect ofdid not feel pleasure after sex.

    Discussion Discussion

    If you experience any degradations in your penis, especially if you have recently had a heart attack, irregular heartbeat, chest pain, or pressure around your stomach, you should tell your health care provider. This may require you to undergo a coronary artery angiogram.

    If you experience any of the following, your health care provider should contact you to discuss the causes of your side effects.

    Cialis can cause adehors, or an anagen, of your penis. This can lead to difficulty getting an erection, reduced sex drive, or other adverse outcomes. Cialis can also cause a painful erection that can be painful for both partners.

    Cialis can cause a painful erection that can be painful for both partners.

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    Cialis Dosage And Timing Is A Point Of View.

    What Are The Benefits Of Cialis?

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    How To Take Cialis?

    The Dosage And Timing Of Cialis Is The Most Important Advantage Of Her Usage.

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    • Enhanced Well-being