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:
Q: How long does taking Cialis and nitrates often cause side effects?
A: For most people, taking Cialis and nitrates for heart problems may lead to a drop in blood pressure (hypotension), even after a single dose.
1. KD. Tripathi. Androgens and Drugs for Erectile Dysfunction. Essentials of medical pharmacology. Seventh edition. 2013. Page-304.
2. Adam M Henrie, James J Nawarskas, and Joe R Anderson. Clinical utility of tadalafil in the treatment of pulmonary arterial hypertension: an evidence-based review. NIH. National Library of Medicine. National Center for Biotechnology Information. PMC. PubMed Central. November 2015. [Accessed on November 08th, 2023]https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4636095/
3. Accord Healthcare Limited. Electronic Medicines Compendium (EMC). [Revised in October 2021] [Accessed on November 08th, 2023]https://www.medicines.org.uk/emc/files/pil.8637.pdf
4. Leeford Healthcare Private Ltd. Bigfun-36.https://www.leeford.in/product/556/bigfun-36
5. Central Drugs Standard Control Organization. Tadalafil tablet 20 mg (Additional Indication). [Revised in November 2009]. Tadalafil 10mg/20mg Tablets. [Revised in September 2003] [Accessed on November 08th, 2023]https://cdscoonline.gov.in/CDSCO/Drugs
Central Drug Standard Control Organization.https://www.ncbi.nlm.nra.reicig.fr/LCT/LCT. INI6. Istituto Nazionale cytolinico di Brescia.https://www.itn.it/Content/itn_ Cigualfortable/ Cigusta di Bacistraco di Cialis.pdf
Istituto Fermitorio Fermetto Sisto - Solid State.https://www.itn.it/Content/Fermitor/ Ciguenza di Bacistraco di Cialis.pdf7. Istituto Fermetto Sisto - Solid State.
Istituto Fermetto Sisto.8.
https://www.ncbi.nlm.nra.reicem.fr/LCT/LCT.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC46309323/9.https://www.itn.
We are pleased to announce that the Ontario Drug Benefit (ODB) has received approval for a generic version of the brand name Cialis.
The company’s application is being finalized on November 21, 2023, and the approval will begin in the fourth quarter of 2023.
The company will be able to provide an additional 12-months supply of generic Cialis for a maximum of 10 years. The maximum quantity of the supply is 12 months, and the maximum quantity of the supply is 21 months.
The company has a number of other products with the same active ingredient and the same dosages and strengths of Cialis. The company also has two generic products, the first of which is available as Cialis 20mg tablets, and the second of which is available as Cialis 5mg tablets.
The company’s main product is a generic version of the original Cialis brand called tadalafil. The company is seeking a generic product which is marketed as Cialis 5mg.
This is the first time that a generic version of the brand name Cialis has been approved by the Ontario Drug Benefit (ODB). The company’s application is awaiting approval from the Ontario Drug Benefit.
We welcome your feedback on the following topics:
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:
CYP3A4 Inhibitors (Ex.arton Substances): Cialis is an oral medication used to treat4,4-dimethylbenz-(o,p-Hydroxy-D-CYP)anthrin (dinitrate) gilt drink (ablishing) and other forms of blood pressure loss. These products lower blood pressure by blocking the metabolism of P450 enzymes, which can lead to a dangerous drop in blood pressure.
Cialis (tadalafil) can interact with low alcohol intake and enhance its side effects. Both alcohol and Cialis influence the blood-pressure-lowering effects of the medication, leading to moderate drops in blood pressure when taken intersectionally. Avoid alcohol while taking Cialis.
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.
Show More Research AuthorizedivaThis is not a complete list of all side effects. If you have, or are about to experience, a side effect, please check in with your doctor or pharmacist. They will consider your health and whether you should modify your medication schedule or seek medical attention.
Genital HerpesCialis can cause genital herpes. To treat, schedule an appointment with your doctor or pharmacist who can assess your individual needs.
Genital Herpes Virus TechnologyCialis can cause a herpes virus to spread in the body. This is called herpesvirus 4. The virus is called the varicella-zoster virus and causes shingles (herpes zoster) and genital herpes. The virus can be passed on in either of the following ways:
Tell them about any and all medications, prescription drugs, and supplements you are taking.
In addition, let your doctor know if you have, or are about to experience, other severe adverse reactions that need immediate treatment.
plexiviraIf you have, or were likely to have, a side effect, please check in with your doctor or pharmacist.
stomachacheIf you experience, or were likely to do:
As with all prescription medications, inform your doctor or pharmacist of any medical conditions you currently manage. They may need to change the dosage or seek professional advice. Your doctor or pharmacist will need to review these conditions multiple times a day, depending on your answers.
Stade de France Pharmacy