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.
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:
As a condition treated, you stand; however, this interaction does not affect you personally. You may feel dizzy or lightheaded when you take Cialis, and your breathing rate can also feel faster than you might be able to stand. Your doctor will probably start you on a low dose and gradually increase it, which will not only improve your condition but may also help prevent side effects.
If you have any questions about taking Cialis or any health concerns, contact your doctor or a pharmacist for advice. Drug-drug interactions are a condition for which there are currentlyUnknowns. NOice talks to his doctor because he has no idea if it is safe.
If you take Cialis with other medications, it is recommended that they be separated by at least 6 hours from each other. This may affect the way Cialis works, especially if you are using alpha-blockers or other drug-food interactions.
The Florida attorney general’s office and state attorneys general sued after a state judge ruled that Cialis, the generic version of the drug, may not be available to purchase. (Ansari)
The lawsuit says the state’s Health and Human Services Agency, the state’s own state agency, granted a temporary restraining order to Cialis’ sales representatives for illegal marketing of the drug.
“Cialis is a prescription drug, and the federal Food and Drug Administration has determined that it has the potential to harm patients and other health care professionals. The FDA has ordered the FDA to stop sales of Cialis,” said the lawsuit, filed in U. S. District Court in Florida.
The drug is prescribed for the treatment of erectile dysfunction in men. Cialis is the generic name of the drug.
The drug contains tadalafil, the active ingredient in Cialis, and it is used to treat erectile dysfunction. Cialis works by relaxing the muscles of the penis and allowing for increased blood flow to the area, causing an erection.
“Cialis is the brand name for the generic version of Tadalafil, the generic equivalent of Cialis. The FDA has determined that Cialis does not have the potential to harm patients and other health care professionals,” said the lawsuit. “The FDA has requested the generic drug from the United States and requested the FDA to stop the sales of Cialis from being available to patients.”
“The federal agency has requested the FDA to stop the sale of Cialis in the United States,” the lawsuit states. “The FDA has ordered the FDA to stop the sale of Cialis in the United States.”
In September 2011, the FDA said the drug’s marketing efforts were illegal and that the drug was in violation of the law. It was alleged that the FDA’s investigation found that the drug was marketed to treat erectile dysfunction.
Cialis is the generic version of Viagra, which is used for the treatment of erectile dysfunction in men. In 2010, the U. Food and Drug Administration approved the drug for the treatment of erectile dysfunction in men.
“Although the FDA has approved Cialis for erectile dysfunction treatment, it has not approved the drug’s use for any other indication,” said the lawsuit.
Cialis is sold in several generic forms, including:
“The FDA has instructed the FDA to withdraw the generic Cialis, and the FDA is also requiring Cialis to be available in the U. to treat erectile dysfunction,” said the lawsuit.
The FDA and state attorneys general also said that the lawsuit’s allegations that Cialis has the potential to harm patients and other health care professionals have not been substantiated. The FDA will take “an important step” to investigate the lawsuit, said the attorney general’s office.
“If it were to go to court, we would be very interested in pursuing the case in a court of law,” said the attorney general’s office.
In October 2012, the FDA issued a to the states of Florida and Georgia. The agency also issued a request to the states to allow Cialis to be marketed as a generic version of Cialis. The FDA said the drug could be sold in generic form.
In December 2013, the state’s attorney general’s office released a statement saying that the state of Florida is aware of the state’s request and will seek to have Cialis available to the state.
“The state of Florida is aware that a generic version of Cialis may not be available. The state has also requested the state to submit a case management letter,” the statement said. “All states in the U. are currently in violation of the law and this lawsuit is being investigated as part of the federal investigation.”
The lawsuit is seeking a temporary restraining order from the state of Florida and federal attorneys general, which they said is being investigated.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:
More severe side effects include:
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.
azole_pill_readAs with most medications, this drug can cause a dangerous drop in blood pressure. This is a rare side effect, but it is considered serious. The virus that causes flu-like illness called Spotted�s VLing can cause dizziness, fainting, and heart attack. As with most drug-induced side effects, they are reversible when you stop taking Cialis.
Azole_pill_readCialis_pill_readSince Cialis can cause serious drug-drug interactions, many have had to use erectile dysfunction medication. However, many men have chosen not to use Cialis.
Instead, they have beenwired to use nitrates, designed to reduce blood pressure. The combination of nitrates and certain drugs called nitric oxide donors causes a dangerous drop in blood pressure. Brand-name Cialis is also nitrates that contain aspartame.
Enteras_pill_read
This medication is a nitrite. To avoid a sudden drop in blood pressure, institute a list of safe drops in blood pressure when starting Cialis.
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
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.
At risk of[dl: 1.25]
Do not use on children
Do not use in breastfeeding
Some medicines, including blood thinning agents, have been shown to lower blood pressure while also causing harmful effects on the penis. These include blood thinning medication, e.g. azole antifungals, efavirenz, ritonavir, saquinavir, saquinavir spp., indinavir, and so forth.
There is some evidence that alcohol may also lower blood pressure, although the evidence is not strong.
There is some evidence that, at high doses, certain medicines may cause a drop in blood pressure. These include medicines called nitrates used for heart problems, such as nitroglycerin, at high doses, amifostine, at high doses of CIALIS®, and so forth.
There is some evidence that certain heart medicine, such as amlodipine, may lower blood pressure. These include medicines called angiotensin-converting enzyme (ACE) inhibitors, such as captopril, losartan, losartan-diarrhoea, and so forth.
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