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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.

Read more about Cialis's effects on erectile dysfunction. (Pproduct/Getty)

As you can see, sexual activity can have some adverse effects, so it is important to disclose any medical conditions before starting treatment with Cialis.

Information for women taking Cialis or Viagra.

As with most medications, Cialis can cause side effects, although not everyone will experience these. Some side effects may require medical attention as a side effect report.

Common side effects of Cialis or Viagra.

Side effects with Cialis include:

Common side effects of Cialis

Note: This list is not a complete list of potential side effects. If you have any questions about how to interpret the information in this chart, consult your healthcare provider. Cialis should not be taken or used in conjunction with any other medications or other CNS-acting substances, as that could increase the risk of side effects.

Information for men taking Cialis or Viagra.

As with many medications, Cialis can cause side effects, so it is important to discuss these with your healthcare provider. As with many medications, Cialis can interact with bodily substances, making potentially serious adverse reactions more likely.

As with many medications, Cialis can cause side effects, so potential interactions with other medications should be discussed with your healthcare provider. Cialis can interact with other medications, so a short medical history should be discussed with your healthcare provider.

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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    Ingredients

    Cialis, Tadalafil, and alpha-blockers contain the following ingredients:

    1. Tadalafil
    2. Co-trimoxazole
    3. Protease inhibitor cimetidine

    Each formulation has its own set of ingredients and how they work can affect each other.

    Tadalafil is a phosphodiesterase type 5 (PDE5) inhibitor. It works by increasing blood flow to the penis during sexual stimulation, helping you achieve and maintain an erection when sexually aroused.

We have had our prescription medication filled at an all in one store.

The prices of the different medications are the same. The prices listed below are for a one of the best quality medications, not the prices in the United States.

Here are the prices for all the medications used to treat erectile dysfunction:

  • Viagra (sildenafil) $1.07 to $1.10 per pill
  • Cialis (tadalafil) $1.07 to $1.10 per pill
  • Spedra (norepinephrine-dbable-tadalafil) $1.07 to $1.10 per pill
  • Avanir $1.07 to $1.10 per pill

Note that the wholesale price of a medication can vary depending on the company providing the medication and the quantity of the medication. If the medication is dispensed by an independent pharmacy, the price can also be changed.

Below is a list of the most common generic medications dispensed by independent pharmacies in the United States:

  • Lanoxin (lansoprazole) $5.03 to $7.45 per pill
  • Rabeprost (abemalt) $5.03 to $6.65 per pill
  • Avanafil $5.03 to $7.15 per pill

Here is a partial list of the most common brand name medications available for purchase at brick-and-mortar pharmacies:

  • Cialis (tadalafil) $8.03 to $14.98 per pill

We have provided the list of the most common generic medications at wholesale prices above because the prices listed will help you make an informed decision about which medication is right for you.

* * * *

The above list has not been evaluated by the U. S. Food and Drug Administration (FDA) and is not intended to change.

Cialis (tadalafil) (Pfizer, Inc.)

Cialis (tadalafil) is a prescription medication used to treat erectile dysfunction (ED) in adult men. It is prescribed to adult men on an as needed basis and is taken orally. It is not used to treat erectile dysfunction alone. It is also not approved for women.

Cialis (tadalafil) is also used to help men with erectile dysfunction (ED) achieve and maintain an erection. It is not intended for use by women.

Many men do not realize that tadalafil works differently from men who take pills. It works by relaxing the blood vessels in the penis, allowing for increased blood flow, and increasing the diameter of the formed erections.

It is important to take tadalafil at least 30 minutes before sexual activity. It will take at least 4 hours after you take tadalafil to work best.

Do not take tadalafil if you are taking medications that are known to cause drowsiness or dizziness. Inform your doctor or pharmacist if you have experience taking these medications. Do not take tadalafil if you are taking medications that may cause a serious condition such as heart problems or stroke.

Do not take tadalafil if you are taking medications that may cause a serious condition called priapism (also known as erectile dysfunction).

This medication may increase your blood pressure, leading to dizziness, fainting, or fractures of the hip, wrist, or spine. You should not drive or do anything that requires your full attention if you experience these symptoms.

Do not take tadalafil if you are having surgery or are receiving other medication that may cause priapism.

This medication may temporarily decrease your ability to drive a vehicle oriving. Be sure to tell your doctor and pharmacist if you are likely to experience any changes.

Do not use tadalafil if you are taking other medications that may cause a serious condition called priapism (erection of the penis).

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.
A high-fat meal, taking a lower dose of Cialis or an alpha-blocker, or with a grapefruit or grapefruit juice may enhance the blood pressure-lowering effects of tadalafil. While these can reduce the effect of Cialis, they may not enhance its effectiveness or increase its risk of side effects.

C.

Cialis (tadalafil) can interact with certain foods and beverages, potentially altering its effectiveness. Here are the drug-food interactions to be aware of:

  1. : Though not a direct interaction, combining Cialis with high Cialis intake might worsen side effects like headaches or increase heart rate in sensitive individuals.
  2. Grapefruit or Grapefruit Juice: These products contain flavoring agents, which can enhance blood pressure-lowering effects of tadalafil, leading to symptoms like dizziness or lightheadedness. Contact your doctor if you find you are unable to consume grapefruit or grapefruit juice while taking Cialis.