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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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As part of a comprehensive health assessment, health care providers can recommend health care services that are best for you. If you don’t have a health care provider, you can create a free online assessment using the provided information in the provider's online consultation. The online consultation goes to each health care provider’s computer and is complete. If you complete the online assessment, your health care provider will review your data and rate you safest, at home, than they will take care of you.

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Cialis is not suitable for everyone. First, there is potential for side effects. These can include:

  • Gastrointestinal issues
  • Muscle aches
  • Back pain

If you experience any of the above, contact your health care provider right away.

Note:Healthcare providers should have had a comprehensive online assessment prior to the provider's initial appointment.

Cialis Benefits

  • Cialis (tadalafil) can improve erectile function by increasing blood flow to the penis.
  • This can lead to a longer erection.
  • Cialis can help men with heart problems improve sexual performance.
  • This side effect is typically mild and temporary.

Cialis Interactions

  • As with any medication, Cialis can interact with nitrates and guanylate cyclase stimulators. Nitrates can cause a dangerous drop in blood pressure.
  • Alpha-blockers can increase blood pressure, which could cause dizziness, fainting, or heart attack if taken at the wrong time.
  • Cialis can also interact with HIV protease inhibitors, the prostate-specific antigen-encapsulated medications used to treat high blood pressure.
  • Lower blood pressure can cause fainting or vision changes.
  • Alpha-blockers can increase the risk of low blood pressure.
  • Cialis can also interact with nitrates used for chest pain, as this can cause a dangerous drop in blood pressure.

When I was in college, I used to buy some of the same pills for ED. One of the things that I learned about taking the drug was that the erectile dysfunction drug Cialis, or tadalafil, wasn't really a magic pill, it was just a "happy pill." But when I first started taking the drug, I had no idea that it was going to work. I was just surprised when I heard that Cialis was a "pro," since it was on the list of "pro" drugs.

The first time I took Cialis, I felt like I was going to die. I was like, "Oh, my gosh, that's not a very good idea!" I felt like I was going to die. I had heard that it is better to be on a medication than a normal person.

In order to save my life, I had to try to get my blood pressure to normal. In fact, I have been using Cialis for four years, and I was finally able to get back to being normal again. So, in terms of the drug's effects on my life, I was able to have some time to reflect on what I was doing, and why I wasn't doing anything.

The first time I took Cialis, I was really angry that it was going to be like a "happy pill." I thought that I could do something with the medication, but I was also thinking that I would have to give up all of my life and start over again. I knew that I was going to have to try Cialis again, and that was the right thing to do.

I started taking Cialis again, and I started talking to my doctor about it. After all, if it were up to me, I would just be going back to taking it. But I was so angry and angry that I didn't even think about it.

My doctor prescribed Cialis for me. I had been taking it for a year, and I started noticing that it was working. It did what it should have done, but I was so angry that I started to get sick.

One day I started taking it again. It was so hard to take it, because it was so painful. I was so angry that I started to take it again. And then I had a lot of the same problems with it that I had with Cialis.

The next time I took it again, I was so angry that I started to get a lot of panic attacks, and I had a lot of trouble sleeping. I was so upset that I didn't get up for a few hours, and then I started to think that maybe I was going to die, because it was going to be so bad that I could not go to bed anymore. And so I started to worry, and I started to think that maybe I was going to die.

Then I thought, "Well, why not just go back to taking Cialis?" And it didn't happen. It just started to come back.

After that, I started to have an interesting conversation with my doctor. The doctor explained to me that I had an allergic reaction to Cialis. And so he started to tell me that the drug has caused some problems, and that I had no problem taking it again.

The doctor said, "Okay, you've got to take it as soon as you can." But I was so angry that he thought that maybe it was going to work, and he didn't say anything.

And so, I started to feel really sick, and I started to think that maybe I was going to die. I knew that this was going to happen. But I also was thinking that maybe I was going to die. I thought, "Well, why not just go back to taking Cialis?"

The next time I took it again, I was so angry that I started to eat too much. And I was also angry that I was going to die. I was so angry that I started to eat again.

And I suddenly had a horrible stomach that was so bad that I had to take something else.

So I was so angry that I started to eat again.

Sildenafil Citrate (Cialis) for Men

Sildenafil Citrate is a medicine that belongs to the drug class called PDE5 inhibitors. Sildenafil belongs to the class of medicines known as phosphodiesterase type 5 (PDE5) inhibitors. This medicine is also known as Tadalafil. Sildenafil has a strong effect on male sexual organs and is used for treating erectile dysfunction in men. Cialis is a prescription drug. This drug is taken by mouth.

For the use of men and women, it is recommended to take this medicine on an empty stomach.

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We have a wide selection of generic Cialis. It is one of the most common medicines used in the world. It is used for the treatment of erectile dysfunction in men.

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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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C. Drug-Fungal Interactions:

Cialis (tadalafil) can interact with certain foods and beverages, leading to a drop in blood pressure that can be harmful to your heart or other bodily functions. You may also experience the side effects of nitrates and alpha-blockers when taken with Cialis. If you take Cialis with these medications, you may experience these effects.

5.Ketoconazole, antifungal supplements: Ketoconazole and antifungal medications both lower blood pressure and can increase the risk of side effects. Place your restrictions on Ketoconazole and antifungal supplements while using Cialis.

6.Protease inhibitors: Ex.