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As with any drug product, there may be side effects. Generally, patients who experience side effects usually get them within 12 to 24 hours after taking Tadalafil. Side effects usually resolve on their own within 48 hours.

Most common Tadalafil side effects

  • Headache
  • Indigestion
  • Back pain
  • Muscle pain
  • Flushing
  • Stuffy nose

Some more serious side effects have been reported. While rare, it is important to stop taking Tadalafil and contact a doctor right away if any of the following occur:

  • An erection will not go away (priapism). If you have an erection that lasts longer than 4 hours, get medical help right away. If not treated right away, priapism can permanently damage the penis.
  • Sudden vision loss in one or both eyes. Sudden vision loss can be a sign of a serious eye problem called non-arteritic anterior ischemic optic neuropath (NAION).
  • Sudden hearing decrease or hearing loss. Some may also have ringing in the eyes (tinnitus) or dizziness.

For a complete list of possible side effects,.

Possible drug interactions

Some drugs/medications may interact with Tadalafil. You should not take Tadalafil if you are taking nitrates (such as nitroglycerin tablets or patches) because the combination of these with Tadalafil could significantly lower blood pressure and lead to fainting or even death. Additionally, do not take Tadalafil if you are taking Cisapride, other ED medications (e.g. Viagra), Adcirca, or Riociguat.

On your intake form, please be sure to provide AgelessRx with all medications, herbs, non-prescription drugs, or dietary supplements you use. Also be sure to report if you smoke, drink alcohol, or use illegal drugs, as some may interact with your medication.

For a complete list of possible drug interactions,.

Other important safety information

Patients who have a condition called “left ventricular outlet obstruction” from valvular problems or heart muscle enlargement may get side effects such as fainting or light-headedness. Because patients with recent heart attacks or stroke, heart pains (angina), heart failure, uncontrolled blood pressure or uncontrolled irregular heart beats, severe liver disease, and retinal eye problems have not been studied, Tadalafil (Cialis) is not recommended for these patients. There may be rare occurrences of priapism or painful, prolonged erections. This is a serious condition that requires immediate medical attention. Patients should seek prompt medical attention if their erection lasts longer than four hours.

After taking a single tablet, Tadalafil can remain in the body for up to two days. It can remain longer if patients have problems with their kidneys or liver, or they are taking certain other medications.

Note:All information included on this page is a summary. It may not cover all possible information. If you have questions about this medication, talk to a doctor, pharmacist, or health care provider.

Note: The above statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

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In the face of mounting pressure to tighten the laws surrounding sexual performance in North America, the Canadian province of Ontario’s new sexual health system is likely to be one of the most contentious issues in the country.

The Ontario Sexual Health Authority (PSHA) is expected to announce a plan to implement a new, proactive sexual health system, following the recent announcement of changes in the Ontario Department of Health’s sexual health legislation.

The provincial sexual health legislation was introduced in 2021 with the aim of expanding sexual health and wellbeing in the province.

The Ontario legislation, which is meant to ensure sexual health and well-being in women, would have the potential to reduce the risk of a wide range of health problems and diseases related to sexual activity, including erectile dysfunction and premature ejaculation.

The new legislation, known as the Ontario Sexual Health and Health Improvement Act, was introduced into the province’s sexual health legislation in October 2023. It will take the province up to five years to implement the new sexual health legislation. It will also take effect on January 1, 2024, but will be effective from January 1, 2025, following a two-year period.

“The Ontario legislation, which will be implemented through a new sexual health initiative, will be a very effective way for the province to improve sexual health and well-being in the province,” says, an Ontario sexual health and wellness specialist and sexual health specialist in sexual health.

“It will be a clear demonstration that sexual health and wellbeing are important to the overall quality of life in women, and will not be denied to everyone who suffers from these health problems.”

The Ontario legislation would also require sexual health and wellbeing as a criterion for the province to implement the new sexual health legislation.

The Ontario legislation will only be implemented by a provincial sexual health and wellness specialist.

“Sexual health and wellbeing will not be granted to everyone,” says. “It is clear that sexual health and wellbeing are important to the overall quality of life in women, and that sexual health and wellbeing are important to the overall quality of life in men.

“Sexual health and wellbeing are important to women and their families and the community.”

The Ontario legislation would have a broader impact in terms of the sexual health and wellbeing that the Ontario province would enjoy and should provide for sexual health and wellbeing in women.

“Sexual health and wellbeing are important to women in Canada and they should be treated as such,” says, a sexual health specialist in sexual health and sexual wellness in the province.

“The Ontario legislation would be more effective to strengthen sexual health and wellbeing in women, and that is what we will be implementing in the province.”

Sexual health and wellbeing is an important topic in the province.

“Sexual health and wellbeing is an important topic in the province.”

“Sexual health and wellbeing will not be granted to everyone,” says, a sexual health specialist in sexual health and sexual wellness in the province.

“Sexual health and wellbeing are important to women in Canada and they should be treated as such,” says. “Sexual health and wellbeing are important to women in Canada and they should be treated as such, and that is what we will be implementing in the province.”

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 This Part II Summary of Adverse Reactions+ 2040-28-KIS Health & Wellness Supplements+ 2040-28-Treatments

What is Cialis used for?

Cialis can be used by adults and children of all ages who are currently taking or have recently taken nitrates or nitric oxide donors.

However, Cialis is not recommended for use in children younger than 18 years of age.

Cialis can also be used for purposes other than those listed in this medication guide.

Cialis can be taken with or without food.

However, Cialis can be taken with or without food.

What is the recommended dosage for Cialis?

The recommended dosage for Cialis is one tablet taken 30 minutes to four hours before sexual activity.

Generally, the recommended dosage for Cialis is one tablet taken 30 minutes to four hours before sexual activity.

The maximum recommended dosing frequency is once per day.

The recommended starting dose for nitrates is 10 milligrams (M) once a day.

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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C. Combining Tadalafil and Cialis:

Taking Tadalafil and Cialis together can cause a significant and potentially life-threatening drop in blood pressure (hypotension), leading to dizziness, fainting, or orthostatic hypotension. If you or your doctor does not see any sign of improvement, please consult your healthcare provider. In the US, theOSSIPED consultation is [email protected]

Q. Can I take Cialis and alpha-blockers together?

A: Cialis and alpha-blockers can both lower blood pressure, so it is important to take the medications simultaneously to get the best blood pressure reduction. Taking the medications with Tadalafil and Cialis can reduce the risk of side effects and Strutest can be used in sensitive individuals for whom Tadalafil and Cialis are not suitable.

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Drug Interactions:

When you’re taking any medication, there is no one-size-fits-all approach to your needs. It depends on the individual, and when you are taking your medication, it has to be considered as a whole. When you’re taking Cialis, theinteractionwith Cialis or Levitra, or with Viagra, it has to be considered as a whole.

When you’re taking any medications, there is no one-size-fits-all approach to your needs.

Medications:

Interactions: