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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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Interactions:

  • Alpha-blockers (e.g., prazosin, tamsulosin)atonin your heart beat faster when using Cialis with alpha-blockers than when using it without alpha-blockers.
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  • Ex. vardenafil

Cialis (tadalafil) can interact with certain foods and beverages, potentially altering its effectiveness or increasing its risk of side effects.

  1. : Grapefruit can interfere with the effectiveness of tadalafil by decreasing the absorption of the drug.

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Health Questionnaire Required:

For your first order with us, after placing an order, you will be prompted to upload your ID and submit our health questionnaire, soour physician canreview your basic health information,in order to mail prescription medications. You will not need to do this for refill orders.

Disclaimer:This is not medical advice. You and our physician will determine if (and potentially how) you should take Tadalafil. Please consult with your physician if you have any further questions.For more information on Tadalafil,.

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Sildenafil (Viagra) - 5 mg, 10 mg, 20 mg

Sildenafil (Viagra) is a FDA approved (FDA-approved) oral phosphodiesterase type 5 (PDE5) inhibitor. Sildenafil is used to treat erectile dysfunction (ED) and pulmonary arterial hypertension (PAH).

Pulmonary Arterial Hypertension (PAH) - 5 mg, 10 mg, 20 mg

Pulmonary arterial hypertension is a disease of the heart, causing high blood pressure in the lungs. PAH can cause shortness of breath, angina, and chest pain. For maximum efficacy, taking Tadalafil daily is recommended.Important:Do not take Tadalafil daily or every day or combine it with other PDE5 inhibitors. Consult your doctor if you have any questions.

Tadalafil Daily (20 mg)

Tadalafil (20 mg) is taken daily with or without food. Taking it once daily is often used for ED. Unlike Sildenafil (Viagra), Tadalafil (20 mg) does not require a doctor’s approval. Please note that Tadalafil (20 mg) is not FDA-approved for pulmonary arterial hypertension (PAH).

Do not combine with other PDE5 inhibitors.

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:

Ketoconazole, tfqafamethoxate, tfqafampeon, and tfqafenilapid all can interact with the fungusFungalisherring. This may alter how its medication works.

Here are the key drug-fungal fungi interactions:

  • Blood Pressure: Cialis can raise the risk of dizziness or lightheadedness when standing. Avoid engaging in these activities for medical reasons, as this can lead to fainting or further dizziness.
  • Blood Sugar: In combination with sexual activity, low blood pressure may causeahoofulousness or fainting in sensitive individuals.
  • Erectile Dysfunction (ED): In cases of erectile dysfunction, the medication increases blood pressure by increasing the heart rate or helping to decrease the blood pressure-lowering effects of the medication.

Is Cialis Legal In Mexico?

Yes.

Classified as a prescription-only medication by the Mexican drug authorities as well as a controlled substance by the Mexican health authorities.

Dosage and Administration of Cialis

The dosage of Cialis varies depending on the individual and the specific health condition it is used in. It should not be taken more than once in 24 hours. Stopping the medication completely within this period can lead to a significant health conditionality.

How to Take Cialis

The dosage of Cialis varies depending on the individual and the specific condition it is used in. Stopping it once, as mentioned, can lead to a significant health conditionality.

Administration and Dosage

The dosage of Cialis can vary depending on the individual and their condition.

Side Effects of Cialis

As with any medication, there is potential for side effects. Common side effects include headaches, facial flushing, and upset stomach. Rare but serious side effects include sudden severe allergic reaction or chest pain with shortness of breath. If any of these symptoms occur, seek medical advice immediately.

Common Side Effects

  • Headache
  • Facial flushing
  • Stomach pain
  • Dizziness
  • Indigestion
  • Muscle pain

Uncommon Side Effects

  • Sudden decrease or loss of vision
  • Sudden decrease or loss of hearing
  • Chest pain
  • Seizures

Precautions and Warnings

Before taking Cialis, tell your doctor if you have kidney problems or liver problems. Cialis can affect the way it works and may affect vision. This medication should not be used by men under 18 years of age who have a severe heart problem such as a heart attack or stroke.

Before taking Cialis, tell your doctor if you are allergic to it or if you have any other allergies. Cialis may cause drowsiness or dizziness, which may be a sign of a serious side effect.

Cialis should not be taken by men who are taking nitrates, as this combination can cause a severe drop in blood pressure. Use with caution in pregnant women and in children under the age of 18 years.

Cialis should be used with caution in children and adolescents under the age of 10 years. Cialis can cause drowsiness and make it easier to take the medicine.

Do not share Cialis with others, even if they have the same symptoms as you. If you have a disease that affects blood pressure, you should use caution.

If you take Cialis for a long time, it may make it harder for you to get an erection. You should use caution when using this medication with other medicines that could affect its action.

Do not give this medication to children or adolescents under 18 years of age. These medicines can cause drowsiness and make it easier to take the medicine.

Warnings and Precautions

Cialis Drug Interactions

Cialis can interact with other medicines, affecting how they work. This can cause unwanted effects, such as:

  • a decrease in blood pressure
  • a fall in blood pressure that may cause dizziness or fainting
  • a change in color of the eyes
  • in the amount of urine
  • in rare cases, an irregular heartbeat
  • a severe side effect called priapism, which can be painful and cause a long-lasting discomfort

Nitrates

Cialis can interact with nitrates, causing a dangerous drop in blood pressure. This can cause a severe drop in blood pressure, leading to dizziness, fainting, or heart attack or stroke.