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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. Antifungal Interactions:

Trams of aspirin and antifungal medications are known toophenyl affect blood pressure in susceptible individuals. This may reduce effectiveness and increase the risk of side effects. Seek medical attention if you notice any signs of an allergic reaction such as difficulty breathing, swelling of the face, lips, tongue, or throat.

While using Cialis, avoid consuming alcohol,�penter'swen, caffeine, aspirin, or antifungal medications. The combination of these two medications may cause a drop in blood pressure with dizziness or fainting.

D.

Both Cialis and antifungal medications can alter the effectiveness of either medication and may enhance side effects. Seek medical attention for both medications.

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G.

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 and how it may affect you on the PEDellyPosted on PEDelly.com

As with any medication, Cialis can cause serious adverse reactions that need medical attention. This is due to the fact that Cialis does not interact with physical substances. Therefore, anyone who gets these headaches should stop taking it and contact their healthcare provider.

Read more about PEDelly on PEDelly.com

As with all prescription medications, Cialis can cause serious adverse reactions that need medical attention.

Whether you can take Tadalafil at the same time as your other medications will depend on which medications you are taking.

You are required to complete a short medical consultation questionnaire that asks for any medications that you are prescribed from your GP and will indicate the medications that can’t be taken alongside Tadalafil.

There are several medicines which should not be taken concurrently with Tadalafil. Medicines which can have potentially serious interactions with Tadalafil include :-

• Any alpha-blocker medicines e.g. doxazosin (Cardura), alfuzosin (Xatral), tamsulosin, terazosin, or Flomax, that you can buy in the pharmacy. (These medicines may be used to treat prostate problems or high blood pressure).

• Isosorbide mononitrate, isosorbide dinitrate, or use a GTN spray or tablets

for chest pain or use Rectogesic ointment?

• Nicorandil (Ikorel), used to treat angina

• Cimetidine, used to treat stomach or duodenal (peptic) ulcers

• Theophylline, used to treat asthma

• Antibiotics:- Clarithromycin, Erythromycin and Telithromycin

• Anti-fungals such as itraconazole and ketoconazole

• Seizure medication:- carbamazepine, oxcarbazepine, phenobarbital, phenytoin and primidone

• Heart or blood pressure medication:- disopyramide, amiodarone, quinidine and procainamide

• Anti-viral medication:- telaprevir, atazanavir, retonavir, indinavir, saquinavir and cobicistat

• Recreational drugs:- amyl nitrate (poppers)

If you are taking any prescribed medication from your GP then you can simply write those in the “Is there any other medical information that you think our doctor should know?” section on the medical questionnaire. Then, our doctor will know whether the Tadalafil is safe for you to take.

Read available consultation questionnaire information questions will include:

Q: What you need to know before taking Tadalafil?

A: Any questions about medical conditions, herbs, Joined our medical questionnaire service. We answer all your questions in weeks pass before they are asked by our doctors. We also send in questionnaire questions to your / your GP as a part of our’”medical questionnaire service” / your GP’s suggestion

Q: Is Tadalafil safe for you?

A: We answer any questions you have about Tadalafil or any other medicine which is given to treat your medicine. We give all our medicines at a 100mg dose, which is the maximum dose which is available. We send our medicines from our GP’s surgery to our hospital medicine department for disposal. There are many ways to deal with medicines. We send our medicines discreetly to our hospital medicine department where they are packed in blister packs and sent to our doctors’ surgery where they are branded and stored at home.

Q: Is there any risk of interactions with other medicines since you are taking Tadalafil?

A: There is no risk of interactions with other medicines since you are taking Tadalafil. We are happy to let you know if there is a possibility of taking any medicines without a prescription.

Q: What is the Tadalafil brand name?

A: Tadalafil is the generic name for Teva Cialis. You can also call it the drug.

A: We only offer the branded generic brands of Tadalafil.

Q: What else should you know about Tadalafil?

A: Before taking Tadalafil, you should read the medication information board which you are reviewed by your doctor. We have several information boards which are read by our doctors and which are changed. We send our medicines from our doctor’s surgery to our hospital medicine department for disposal.

Buy Cialis 5% Cream 2g

It is a type of medicine called a tadalafil and is used to treat erectile dysfunction (ED) in men. It can help improve sexual performance and reduce the risk of brokenness in men. Cialis 5% Cream can be applied to the penis and the area of the penis and may be taken about 30 to 60 minutes before sexual intercourse. The first time taking Cialis 5% Cream is generally safe for most men, but the second time taking it, as mentioned before, may be more dangerous than taking the last dose. Taking Cialis 5% Cream again is not recommended. If you have any questions about Cialis 5% Cream use to treat erectile dysfunction, talk with your doctor or pharmacist before using it with this medicine.

What is Cialis 5% Cream used for?

Cialis 5% Cream is used to treat erectile dysfunction (ED) in men. Erectile dysfunction may be a symptom of another condition, such as high blood pressure, high cholesterol, or diabetes. Erectile dysfunction can cause a lack of sexual desire, inability to get or keep an erection, or difficulty getting or keeping an erection.

Cialis 5% Cream can also be used to treat benign prostatic hyperplasia (BPH). This medicine is sometimes used in men with an enlarged prostate to treat high urine flow or for urinary symptoms. This medicine can help reduce the symptoms of BPH. It is important to tell your doctor about any previous medicines you are taking, including prescription and non-prescription medicines, vitamins, and herbal supplements.

Cialis 5% Cream can also be used to treat pulmonary arterial hypertension (PAH). This medicine is also sometimes used to treat high blood pressure in the lungs. It may be used to treat PAH in men. This medicine can help lower high blood pressure.

Cialis 5% Cream is used to treat erectile dysfunction in men who do not get or keep an erection hard enough for sexual activity. This is because erectile dysfunction may make it difficult for a man to get and keep an erection.

Cialis 5% Cream should not be used if you:

Are allergic to tadalafil or any of the other ingredients of this medicine (listed in section 6).

You are pregnant. You are breastfeeding. You are taking any medicines to treat angina, and therefore you are aged over 65 years. You are taking or you are taking any other medicines that contain a substance called phosphodiesterase type 5 (PDE5) in your body. These medicines are medicines that can stop the flow of blood from the penis. These medicines are not usually used in women.

You are taking any of the medicines listed below.

You are not breastfeeding. You are taking or you are taking any medicines that treat your blood pressure. These medicines will reduce the effect of this medicine.

You are taking or are taking any other medicines listed below. These medicines will help you stop the blood from flowing through the penis. These medicines will also help you keep an erection hard enough for sexual activity.

You are taking or are taking any of the medicines listed above. These medicines will help you keep an erection hard enough for sexual activity. These medicines will also help you to get an erection hard enough for sexual activity.

You are taking or are taking any of the medicines listed below.

These medicines will help you to keep an erection hard enough for sexual activity.

You are not sure. Please talk to your doctor or pharmacist before you use this medicine.

These medicines will help you to stop the blood from flowing through the penis.

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How Much Does Cialis Cost in South Africa?

How much does Cialis cost in South Africa?

It depends on the country you are looking at. Generally, the cost of a brand-name Cialis will be much lower than that of another drug that may have lower side effects than Viagra. For example, Viagra is the generic name for Cialis. The cost of generic Cialis can be even lower, depending on where you buy it from. The cost of Cialis can also depend on the dosage you are prescribed. For example, you can buy Cialis in the South Africa market. However, the cost of a brand-name drug is much higher in South Africa than in any other country. A lower price will be much more beneficial to you.

What Are the Side Effects of Cialis Generico?

Some of the most common side effects of Cialis can be quite uncomfortable and annoying. For example, one can experience indigestion, headaches, and flushing. If you are having these side effects, it is important to inform your doctor about them. They can help you to reduce these side effects.

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Is there a Generic Cialis in South Africa?

Yes, a generic Cialis is available.