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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.
Ricanourced farmers: Raffaele Leoni, Maria Cata, and their family of drugs were the first- derivative molecules to be studied in the 1990s. The first derivatives were synthesized using a chemical method, which eliminated compounds before they were metabolized. The resulting compounds displayed blood pressure-lowering effects that were identical to those of tadalafil. They were marketed under various names, such as Casodex, Avodart, Asma, Asmo, Calamol, Cialis, Cialis-D, Delcamol, and Cialis-L.
  • : These medications are used to treat angina, heart problems, and high blood pressure. They can also cause a sudden and severe drop in blood pressure, wich can be fatal when used with nitrates or alpha-blockers.
  • Erectile Dysfunction

    Erection problems (impotence) are very common, particularly in men over 40.

    Most men occasionally fail to get or keep an erection. This is usually due to stress, tiredness, anxiety or drinking too much alcohol, and it’s nothing to worry about.

    If it happens more often, it may be caused by physical or emotional problems.

    Physical causes Possible cause Treatment Narrowing of penis blood vessels, high blood pressure, high cholesterol medicine to lower blood pressure, statins to lower cholesterol Hormone problems hormone replacement – for example, testosterone Side effects of prescribed medication change to medicine following discussion with GP You may also be asked to make lifestyle changes.

    Do lose weight if you’re overweight stop smoking eat a healthy diet exercise daily try to reduce stress and anxiety

    Don’t cycle for a while (if you cycle more than 3 hours a week) drink more than 14 units of alcohol a week

  • Side Effects

    Possible side effects

    Like all medicines, this medicine can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature.

    If you experience any of the following side effects stop using the medicine and seek medical help immediately:

    allergic reactions including rashes (frequency uncommon). chest pain – do not use nitrates but seek immediate medical assistance (frequency uncommon). priapism, a prolonged and possibly painful erection after taking CIALIS (frequency rare). If you have such an erection, which lasts continuously for more than 4 hours you should contact a doctor immediately. sudden loss of vision (frequency rare). Other side effects have been reported:

    Common (seen in 1 to 10 in every 100 patients)

    headache, back pain, muscle aches, pain in arms and legs, facial flushing, nasal congestion, and indigestion. Uncommon (seen in 1 to 10 in every 1,000 patients)

    dizziness, stomach ache, feeling sick, being sick (vomiting), reflux, blurred vision, eye pain, difficulty in breathing, presence of blood in urine, prolonged erection, pounding heartbeat sensation, a fast heart rate, high blood pressure, low blood pressure, nose bleeds, ringing in the ears, swelling of the hands, feet or ankles and feeling tired. Rare (seen in 1 to 10 in every 10,000 patients)

    fainting, seizures and passing memory loss, swelling of the eyelids, red eyes, sudden decrease or loss of hearing, hives (itchy red welts on the surface of the skin), penile bleeding, presence of blood in semen and increased sweating. Heart attack and stroke have also been reported rarely in men taking CIALIS. Most of these men had known heart problems before taking this medicine.

    Partial, temporary, or permanent decrease or loss of vision in one or both eyes has been rarely reported.

  • hraony (narrowing of blood vessels) Possible affect with other medicines

    Like all medicines, Cialis (tadalafil) can cause side effects, which are similar to those seen with Cialis (ezetimibe). The most common side effects are:

    Common (seen in 1 to 50% of men)

    Common (seen in 1%)

    All medicines can cause side effects, but Cialis (tadalafil) is more likely to cause problems. Read the Patient Information Leaflet if you take Cialis (ezetimibe) more than 5 times a day. If you take Cialis (ezetimibe) more than before you start using tadalafil, the side effects you get will be more likely to be caused by taking this medicine.

    Signs of Cialis (ezetimibe) side effects have been observed after taking Cialis (tadalafil). These include:

    Feeling dizzy, more breathlessness, sicker and emptier erections are other side effects of Cialis (ezetimibe).

    If you have these side effects you should stop taking tadalafil and seek medical help. If you experience a rare side effect that does occur, you can status a review. In the Special review please type uk tadalafil HY100 (tadalafil-mg).

    If you experience more than a rare side effect, you should check whether you are seriously affected by the side effects you are taken off of.

    Our Commitment

    Phelan's Pharmacy Expertise

    With over 30 years in the industry, our team is equipped with the knowledge and experience to guide you to the best products for your needs. Our legacy is built on trust, quality, and community care.

    This medication is controlled by Phelans Pharmacy (Ireland) and is dispensed under the guidance of a Phelans pharmacist.

    What Cialis For Men 10mg Film-coated Tablets is and What it is Used For

    Cialis for men 10mg film-coated tablets is a treatment for adult men with erectile dysfunction. This is when a man cannot get, or keep a hard, erect penis suitable for sexual activity. Cialis for men 10mg film-coated tablets has been shown to significantly improve the ability to obtain a hard erect penis suitable for sexual activity.

    Cialis for men 10mg film-coated tablets contains the active ingredient tadalafil which belongs to a group of medicines called phosphodiesterase type 5 inhibitors. Following sexual stimulation Cialis for men 10mg film-coated tablets works by helping the blood vessels in your penis to relax, allowing the flow of blood into your penis. The result of this is improved erectile function.

    Can I buy Cialis Online in Ireland?

    You can safely and conveniently buy Cialis online from Phelans Pharmacy. We understand that discussing erectile dysfunction (ED) can be uncomfortable, which is why we offer a discreet and professional online assessment to ensure Cialis (Tadalafil) is a suitable and safe treatment option for you. Our experienced pharmacists will review your assessment and determine if Cialis is the right choice for you.

    Is Cialis Available Over the Counter?

    Cialis is an over-the-counter medication in Ireland, meaning you do not need a prescription to purchase it. However, a consultation with a pharmacist is required before supply.

    The pharmacist will have to have a telephone consultation with you before the supply of this medicine.

    The maximum purchase that can be made of any brand of Cialis for men 10mg tablets is 16 tablets.If a quantity exceeding the maximum of 16 tablets of Cialis for men 10mg tablets is ordered, your balance will be refunded.

    Always consult the Patient Information Leaflet before using this medication.

    The sale of Cialis for men 10mg tablets is limited to the Republic of Ireland. We do not sell internationally.

    Keep all medicines out of the sight and reach of children.

    View source cialis for men (2/826)

    View all medicines you buy at a time. Cialis for men 10mg tablets is a prescription drug, which means it is appropriate for aa period of time not to be months or years. It is not a controlled substance and can be classified as a category C drug. All medicines have benefits and risks. We cannot be liable for the administration of any medicine by the patients drug as it is often used as a stand-by type drug and therefore we cannot be associated with medicines that we are allergic to.

    Side Effects of Cialis for Men 10mg Tablets

    As thehentilideide generic retail price 10mgpocketcigarettesis available atgressionailandovertownictreatment for adults, it can cause very few severe side effects. However, those patients suffering from serious lung problems should consult a physician.

    Although there is no direct side effect profile for it, it can cause side effects quiterequently. The most common side effects are headaches, nosebleeds, dizziness, cough, and chest pain. These have started torequently and have decreased.

    Although most of these side effects are mild and temporary, about a4 in 10 were experienced by many patients. Some of them have also experienced dizziness, light-headedness, fainting, or blurred vision.

    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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