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.

Karnataka State Drugs And Chemicals (PKDC) approvals and manufacturers.Key PlayersCialis (Tadalafil)24 reviews5

Pregnancy and Cialis Interactions:

For pregnancy and breastfeeding- consult the drug-name and dosage information for Cialis.To protect from risks, always consult your healthcare provider about your pregnant or breastfeeding situation. If you are pregnant or plan to become pregnant, discuss your risks and the benefits of Cialis with your healthcare provider. Cialis can cause side effects such as headache, dizziness, lightheadedness, fainting, or cold symptoms in sensitive individuals.

If you are breastfeeding, consult your healthcare provider before using Cialis.

Abuse of Cialis:

Cialis can be used for purposes that are not listed in this medication guide. Consult your healthcare provider before using Cialis for this use.

Tadalafil 20 mg

Tadalafil

Generic name:Tadalafil - oral

Pronunciation(TADAL-oh-MYA-ju)

Brand name(s)Cialis

Tadalafil is used to treat erectile dysfunction (ED) and to treat symptoms of benign prostatic hyperplasia (BPH). In combination with sexual stimulation, tadalafil works by increasing blood flow to the penis to help a man get and keep an erection.

Read the Patient Information Leaflet if available from your pharmacist before you start taking tadalafil and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

Take this medication by mouth as directed by your doctor, usually once daily with or without food. Your doctor may then increase the dose to more than once daily. This medication may also be increased or decreased based on your age, kidney disease you have or have had, other medicines you are taking or have taken, response to treatment, side effects, and dosage.

To treat symptoms of BPH, take this medication on an empty stomach (fat diet) or with a light meal.

Do not increase your dose of tadalafil or take it in larger amounts or give your dose as often as needed, unless your doctor tells you to. If you are taking other medications, talk to your pharmacist before taking tadalafil.

Take this medication regularly in order to get the most benefit from it. To help you remember, take it at the same time each day. If you are not sure what to do, contact your doctor or pharmacist for advice or to have your doctor checked before you start taking tadalafil, needed or repeated once daily.

When you take tadalafil, your blood pressure should be checked regularly to get the most benefit from it. Tell your doctor if your condition lasts or gets worse.

Tadalafil may cause dizziness or lightheadedness while you are taking it. Do not drive, use machinery, or do anything that will make you feel safe during the day. If you get dizzy or lightheaded, tell your doctor or pharmacist promptly.

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.

__\x The data for “1 tablet of Cialis” is not available on theurbedurbed Health website.DRUG INTERACTIONS

L behavior
Nitrates	Lethargic behavior such as avoiding grapefruit and grapefruit juice, increasing the levels of tadalafil in your blood, or increasing the intake of other drugs like alprostadil
Alpha-blockers	Lactic behavior such as fainting, rapid dizziness, or orthostatic hypotension
Other Drug-Food Interactions	Drinking large amounts of alcohol can increase the risk of side effects, such as headaches, dizziness, or orthostatic hypotension

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.

Save

Cialis is an anti-type 2 diabetes medication that can help reduce blood pressure in individuals with hypertension. It is primarily used to treat erectile dysfunction (ED) in men. While the medication can be prescribed as one of two medicationstypes for certain conditions, Cialis is specifically designed for managing type 2 diabetes. This medication works by increasing blood flow to the penis, helping to reduce the incidence and severity of ED.

Cialis is a popular medication used for treating both erectile dysfunction and the management of the symptoms of benign prostatic hyperplasia (BPH). While BPH is characterized by an enlarged prostate, Cialis can help improve urinary flow and symptoms of erectile dysfunction. It is not recommended for use in BPH.

C. Other Drug-Food Interactions:

You should not take Cialis or other type II diabetes medication if you are taking:

• Sildenafil
• ac caffeinated products (Ex.

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