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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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Do not take Cialis (tadalafil) with:

Ex. Tadalafil 20 mg or other "poppers" (e.g., amyl nitrite)

Pregnancy and Breastfeeding:

During open-label studies, no direct interaction was necessary. However, higher doses may cause serious side effects including heart attack or stroke. Here are the Pregnancy and Breastfeeding Tips:

  • Take Tadalafil with food.Grapefruit and grapefruit juice can increase the levels of tadalafil in your blood. This increases the absorption of tadalafil and may increase the risk of side effects.
  • Avoid grapefruit and grapefruit juice.Although they may reduce tadalafil levels, they may contain other medications that can increase or decrease its effectiveness.
  • Maintain a healthy weight.Healthier fats can raise blood pressure when used with Tadalafil.

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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  • Cialis can cause fluid build up in the nose, throat, and lungs
  • This medication can make it harder for an individual to breathe
  • People taking Cialis may experience dizziness or fainting, which may be severe
  • Sexual performance issues can make it more difficult for an individual to have an orgasm
  • Sexual dysfunction can make it more difficult to get an erection
  • Sexual performance issues can make it more difficult to have an orgasm
  • Sexual dysfunction can make it more difficult to have an erection
  • Sexual dysfunction can make it more difficult for an individual to have an erection
  • Sexual performance problems can make it more difficult to have an erection
Show More Side Effects Of Cialis To Show At Webmd
  • Gastrointestinal upset
  • Back pain
  • Muscle aches

Cialis can cause potentially serious adverse reactions that need immediate treatment.

Kusch JA, Mathers JN. Effects of Cialis on the body and the nervous system. J Androl Endocrinol Metab. 2006;80(suppl):29-30.

Kusch JA, Mathers JN. Cialis: what it’s doing to men’s mental health and sexual performance. Drugs. 1998;69(suppl):22-24.

Kusch JA, Mathers JN, et al. Effects of Cialis on male sexual function in men with erectile dysfunction. Int J Impot Res. 2017;12(6):878-84. doi: 10.1016/j.

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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.

What are the side effects of Cialis?

Like all medicines, this medicine can cause side effects, although not everybody gets them. However, everyone is different, and the most common side effects include:

  • Headache
  • Flushing
  • Facial flushing
  • Gastrointestinal pain
  • Nasal congestion
  • Indigestion
  • Muscle aches
  • Back pain
  • Upset stomach
  • Fungal infections
  • Trouble sleeping
  • Pains inattle price syndrome
  • Erectile dysfunction
  • Headache that is severe
  • Painful forking/recurrent repayments

Can I buy generic Cialis over the counter?

The product isnon-branded.

What is Cialis (Tadalafil)?

Cialis is the brand name for tadalafil. It is a medication used to treat erectile dysfunction (ED) in men.

How does Cialis work?

Cialis increases blood flow to the penis to help men get an erection. This allows more blood to reach the penis and make it hard enough for sexual activity. Cialis is used for men who have trouble getting or keeping an erection. The recommended dosage is 10 mg once daily. If a man cannot take the medication, his doctor may recommend an alternative medication such as sildenafil (Viagra).

How should Cialis be taken?

The usual dose is one tablet taken before sex. Depending on the individual’s response to the medication, a doctor may prescribe a lower dose to help limit side effects. Take the tablet with a full glass of water. Do not take more than one tablet in 24 hours. This medication can be taken with or without food. Cialis is not recommended for women or children.

What are the side effects of Cialis?

Some men may experience side effects. If you experience an erection while taking Cialis, stop taking the medication and seek emergency medical attention.

Contact your doctor immediately if you experience any severe side effects.

Who can take Cialis?

Cialis is suitable for men who have trouble getting or keeping an erection. It is also used to treat benign prostatic hyperplasia (BPH).

If you are taking nitrates for heart conditions, a blood test may be done to monitor your blood pressure.

Cialis is usually taken 1 to 3 hours before sexual activity. Swallow the tablet whole with a full glass of water. Do not crush or chew the tablet. Do not take Cialis with grapefruit juice.

Do not take Cialis if you are allergic to any of its ingredients. It should not be taken if you are allergic to any of the following:

  • Nitrates
  • Alpha-blockers
  • Muscle relaxants
  • Other medicines

Read the Medication Guide provided by your pharmacist before you start using Cialis and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

Do not take Cialis if you are pregnant or intend to become pregnant. It is not known whether Cialis is safe to take during pregnancy. It may harm an unborn baby. Cialis is not recommended for use by breastfeeding women. Consult your doctor before taking Cialis.

Who can use Cialis?

Cialis is safe for use in men who are at least 18 years old and are using a lower dose of 5 mg or 20 mg of Cialis. Cialis is not recommended for use in women who are breastfeeding.

Cialis can be used alone or with other medications.

Do not take Cialis if you are taking nitrates for heart conditions. It is not recommended for use.

What should I do if I forget to take a dose?

If you forget a dose, take it as soon as you remember. If it is close to the time for your next dose, skip the dose and continue with your regular dosing schedule. Do not take a double dose.