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Not all possible interactions are listed in this medication guide. Cialis (tadalafil) and Viagra (sildenafil) are both prescription drugs used to treat erectile dysfunction (ED), but taking them together is generally not recommended. Mixing these medications can lead to dangerously low blood pressure and a higher risk of side effects.

Mechanism of action

Cialis is not approved for use by anyone younger than 18 years old. Cialis is usually taken only once per day. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended. Cialis can be taken with or without food.

Comparison with actions of other PDE5 inhibitors

For erectile dysfunction, take Cialis just before sexual activity but not more than once per day. Cialis can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill. Do not take Cialis for erectile dysfunction if you are taking Adcirca for pulmonary arterial hypertension. Store at room temperature away from moisture and heat. When used alone, Cialis may cause small reductions in blood pressure, but if used with nitrates or guanylate cyclase stimulators like riociguat (brand name: Adempas) your blood pressure may dangerously drop. Do not use these drugs with Cialis.

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You could get dizzy, faint, or have a heart attack or stroke. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Cialis only for the indication prescribed.

Brand Name

muscle pain, back pain, pain in your arms, legs, or back. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may generic cialis soft 20mg report side effects to FDA at 1-800-FDA-1088. Tell your doctor about all your current medicines and any you start or stop using, especially: medicines to treat erectile dysfunction or pulmonary arterial hypertension; medicines to treat erectile dysfunction or pulmonary arterial hypertension; antiviral medicine to treat hepatitis C or HIV/AIDS; antiviral medicine to treat hepatitis C or HIV/AIDS; drugs to treat high blood pressure or a prostate disorder; or drugs to treat high blood pressure or a prostate disorder; or Other drugs may interact with tadalafil, including prescription and over-the-counter medicines, vitamins, and herbal products. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Tadalafil is a medicine that is commonly used for the following conditions.

What Special Precautions Should I Follow?

Avoid taking tadalafil with nitrates and any other types of meds that may cause nitric oxide release. Do not double the dose in case if you didn’t take Cialis on time; just skip that dose and proceed with a planned schedule. Do not take any other ED treatment drugs (e.g. Store Cialis pills in a dry place away from direct sunlight and out of reach of children. Generic name: tadalafil [ ta-DAL-a-fil ] Other brand names of tadalafil include: Adcirca, Cialis Drug class: Impotence medications Cialis relaxes muscles of the blood vessels and increases blood flow to particular areas of the body.

Q. How Does Vidalista 40 Work?

Cialis is used to treat erectile dysfunction (impotence) and symptoms of benign prostatic hypertrophy (enlarged prostate). Another brand of tadalafil is Adcirca, which is used to treat pulmonary arterial hypertension and improve exercise capacity in men and women. Do not take Cialis while also taking Adcirca, unless your doctor tells you to. Do not take Cialis if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs such as "poppers". Taking tadalafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure. Erectile dysfunction, a condition where you have trouble getting or keeping an erection Pulmonary arterial hypertension, a condition where you have high blood pressure in the blood vessels that carry blood from your heart to your lungs Benign prostatic hyperplasia (BPH), a condition where the prostate gland has become enlarged Tadalafil may also be used for other conditions as determined by your healthcare provider.

Use Case Onset Time Duration Typical Dosage Notes
Erectile Dysfunction 30-60 min Up to 36 hours 40 mg Taken as needed
Pulmonary Hypertension N/A N/A 40 mg daily Under medical supervision
BPH Symptom Relief N/A N/A 40 mg daily Not for ED in this case

Tadalafil works by blocking the activity of an enzyme called phosphodiesterase 5 (PDE5).

Interaction Type Common Drugs / Substances Effect Advice
Nitrate drugs Nitroglycerin, isosorbide dinitrate Dangerous drop in blood pressure Never combine without medical guidance
CYP3A4 inhibitors Ketoconazole, erythromycin Increased Cialis levels Dose adjustment needed
Alpha-blockers Doxazosin, tamsulosin Orthostatic hypotension Monitor blood pressure

This enzyme usually stops some types of muscles from relaxing, including the muscles lining some types of blood vessels.

  • The benefits of treating ED include improved self-esteem, relationships, and quality of life.
  • Dosage for BPH is different than for ED; a doctor will determine the correct purpose and dose.
  • Dehydration can increase the risk of side effects like dizziness and low blood pressure.
  • Non-arteritic anterior ischemic optic neuropathy (NAION) is a potential vision-related risk.
  • The drug is metabolized primarily by the liver enzyme CYP3A4.

By blocking PDE5, the muscles will relax and blood flow increases. For erectile dysfunction, it increases blood flow to the penis when aroused.

Comparing Which Lasts Longer

Some medicines can cause unwanted or dangerous effects when used with Cialis. Tell your doctor about all your current medicines, especially riociguat (Adempas). Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis. Get medical help at once if you have nausea, chest pain, or dizziness during sex.

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Stop using Cialis and get emergency medical help if you have sudden vision loss. You should not take Cialis if you are allergic to tadalafil. Taking Cialis with certain other medicines can cause a sudden and serious decrease in blood pressure. Do not take this medicine if you also use: riociguat (to treat pulmonary arterial hypertension); or riociguat (to treat pulmonary arterial hypertension); or a nitrate drug (for chest pain or heart problems) such as nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, or recreational drugs such as amyl nitrate or nitrite "poppers". a nitrate drug (for chest pain or heart problems) such as nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, or recreational drugs such as amyl nitrate or nitrite "poppers". This makes it easier to get and keep an erection.

  • Cialis 40 mg can be effective for enhancing male sexual performance.
  • It’s important to know that sexual stimulation is necessary for an erection.
  • Avoid taking Cialis if you experience chest pain or have recent heart attack symptoms.
  • Consult your doctor if you experience vision changes or ear ringing.
  • The drug should be used with caution if you have liver or kidney disease.
  • Avoid high-fat meals around the time of taking Cialis to ensure proper absorption.
  • You may experience flushing or indigestion as common side effects.
  • Inform your partner about medication use to ensure mutual understanding.
  • Use Cialis responsibly to avoid psychological dependence.
  • Do not take more than the prescribed dose to prevent overdose risks.
  • Monitor for changes in blood pressure levels and report to your doctor.
  • Always keep your healthcare provider informed of all health changes.

For pulmonary arterial hypertension, tadalafil relaxes the blood vessels in the lungs. This lowers blood pressure and reduces strain on the heart. For benign prostatic hyperplasia, tadalafil relaxes the muscles of the bladder and prostate, making it easier to urinate and reducing symptoms.

Country Registration Status Prescriptions Required Over-the-counter Availability
USA Approved Yes No
UK Approved Yes No
Canada Approved Yes No
Australia Approved Yes No

Tadalafil should be stored at room temperature, between 68 F to 77 F (20 C to 25 C). It can be exposed to temperatures between 59 F to 86 F (15 C to 30 C) for shorter periods of time, such as when transporting it. The most common side effects of tadalafil are listed below. The side effects may vary depending upon the condition being treated.

Are There Alternative Names for the Brand and Generic Cialis?

Some tadalafil can remain in your bloodstream for 2 or more days after each dose you take (longer if you have liver or kidney disease). To make sure this Cialis is safe for you, tell your doctor if you have ever had: angina (chest pain), high or low blood pressure; angina (chest pain), high or low blood pressure; pulmonary hypertension (unless you are taking tadalafil for this); pulmonary hypertension (unless you are taking tadalafil for this); a condition called pulmonary veno-occlusive disease (narrowing of the veins that carry blood from the lungs to the heart); a condition called pulmonary veno-occlusive disease (narrowing of the veins that carry blood from the lungs to the heart); liver or kidney disease (or if you are on dialysis); liver or kidney disease (or if you are on dialysis); vision loss, or retinitis pigmentosa (an inherited condition of the eye); vision loss, or retinitis pigmentosa (an inherited condition of the eye); a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia; a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia; a physical deformity of the penis (such as Peyronie's disease), or an erection lasting longer than 4 hours; a physical deformity of the penis (such as Peyronie's disease), or an erection lasting longer than 4 hours; health problems that make sexual activity unsafe. health problems that make sexual activity unsafe. Sudden vision loss has occurred in a small number of people taking medicines like tadalafil (Viagra or others). Most of these people already had certain eye problems or had high cholesterol, diabetes, coronary artery disease, a history of smoking, or were over 50 years old).

Missed Dose

It is not clear whether the medicine was the actual cause of vision loss. Cialis is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. It is not known whether tadalafil passes into breast milk or if it could affect the nursing baby. Tell your doctor if you cialis vidalista 60mg are breast-feeding. Tell your healthcare provider if you have any of these side effects that bother you.

  • Generic Cialis 40 mg is available through authorized pharmacies with a prescription.
  • It is crucial to avoid counterfeit drugs by purchasing from reputable sources.
  • The medication’s patent has expired, enabling generic versions to be sold at lower costs.
  • Ensure consultation with a healthcare professional before starting treatment.
  • Do not share Cialis 40 mg with others; it is prescribed based on individual health needs.
  • Be aware of potential withdrawal effects if you stop taking the medication abruptly.
  • Keep a record of any side effects to discuss with your doctor during follow-ups.
  • Cialis is sometimes used off-label for other medical conditions like pulmonary hypertension.
  • Properly dispose of unused medication to prevent misuse.
  • Patients should understand that medications do not protect against sexually transmitted infections.
  • Combining Cialis with recreational drugs is unsafe and can lead to dangerous reactions.
  • Follow all medical advice strictly for safe and effective treatment.

Pain in your muscles, back, arms, or legs There may be other side effects of tadalafil that are not listed here. Contact your healthcare provider if you think you are having a side effect of a medicine.

Popular FAQ

As Cialis is used as needed, you are not likely to be on a dosing schedule. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Drinking alcohol with this medicine can cause side effects. Grapefruit and grapefruit juice may interact with tadalafil and lead to unwanted side effects. Avoid the use of grapefruit products while taking this medicine.

Understanding Cialis

Get emergency medical help if you have signs of an allergic reaction to Cialis: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop and get medical help at once if you have nausea, chest pain, or dizziness during sex. You could be having a life-threatening side effect. Stop using this medicine and call your doctor at once if you have: a light-headed feeling, like you might pass out; a light-headed feeling, like you might pass out; an erection is painful or lasts longer than 4 hours (prolonged erection can damage the penis); an erection is painful or lasts longer than 4 hours (prolonged erection can damage the penis); ringing in your ears or sudden hearing loss; or ringing in your ears or sudden hearing loss; or heart attack symptoms - chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating. heart attack symptoms - chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating.