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:
Phenobarbital, phenytoin, carbamazepine (medicines used for fits), rifampin, and other anti-fungal medications are used to treat seizures, respectively, by patients taking medications that lower blood pressure. These medications may interact with Cialis.
This medication is used to treat hypertension and angina. It can be used in conjunction with Cialis or in divided doses.
Cialis (tadalafil) can affect how it works when taken by individuals with I�.High-fat Meals: While not a direct interaction, combining Cialis with high-fat meal significantly worsen side effects like headaches or increase heart rate in sensitive individuals.
Before you begin taking a medicine, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should take Cialis.
Cardiovascular disorders:Cialis may cause or worsen cardiovascular disease in patients taking nitrates for angina or other chest pain. This condition can occur only in patients on nitrates. In some cases, a sudden drop in blood pressure could cause serious heart problems.
Dental problems:A patient taking Cialis may experience problems with oral hygiene and tooth enamel abnormalities. This condition can occur in patients taking certain medications or those taking other types of treatment for dental issues.
General health:Cialis may cause a sudden drop in blood pressure, causing a headache, and dizziness. If any of these effects last or get worse, notify your doctor promptly.
Heart problems:In some cases, Cialis may cause a sudden decrease in blood pressure, causing a fainting, tremors, or a heart attack in patients taking it.
Liver function:In some cases, Cialis may cause a liver problem, increasing the chance of a liver failure. If any of these effects persist or worsen, you should contact your doctor.
Sickle cell disease:In some cases, Cialis may cause a decrease in blood cell count, leading to the death of a patient.
Seizure disorders:In some cases, Cialis may cause a seizure disorder, leading to seizures.
Stroke:In some cases, a patient taking Cialis may experience symptoms such as headaches, dizziness, muscle pain, or unsteadiness, especially if they occur at the time of taking it. If any of these effects occur, you should let your doctor know.
Pregnancy and breast-feeding:Cialis may cause problems in the way your body processes it, affecting the menstrual period and other important indications.
Children and adolescents:Cialis may cause an increase in blood pressure. You should not take this medication if you are younger than 18 years old. If you are under 18 years of age, or have had a heart attack, stroke, or liver transplant, consult your doctor before taking this medicine.
Seniors:In certain cases, seniors may experience side effects such as increased blood pressure, difficulty urinating, or problems with vision. If you are 65 years or older, or have a history of heart problems, consult your doctor.
In certain cases, you may experience symptoms such as shortness of breath, dizziness, fainting, or trouble breathing. If these effects occur or worsen, you should let your doctor know.
Read the Patient Information Leaflet provided by your pharmacist before you start taking Cialis. If you have any questions, ask your doctor or pharmacist.Take this medication by mouth as directed by your doctor, usually once daily on an empty stomach, one to three hours before or after which you should not take it.
If you miss a dose, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your normal schedule. Do not take a double dose to make up for a missed one.
If you are taking another medicine, wait at least four hours before you start taking Cialis. If you are taking Cialis and your dosage is changed, talk with your doctor or pharmacist before you take Cialis.
If your doctor has prescribed Cialis, you may need to take it again when your symptoms improve. This may take several weeks to go before you experience any new side effects.
Remember that this medication contains the active ingredient Tadalafil.
If you miss a dose, go back to your normal schedule. Do not double the dose to make up for a missed one.
If you are using any other medicines, talk with your doctor or pharmacist for medicines that you may take regularly. Before you start taking Cialis, you should tell your doctor and the pharmacist of all you are taking, and show them this information in the product labeling.
Linda M. SorensenUniversity of Florida, Gainesville, FL, USADepartment of Family Medicine, Division of Pediatric Pharmacotherapy and Behavioral Medicine, University of Florida, Gainesville, FL, USAPrescribing Information
Prescribing information for Linda M.
Sorensen is a pediatrician at the University of Florida. The University of Florida is a non-profit academic medical center, founded in 1877, that offers medical and nursing services to the uninsured and under-insured populations of the United States. The Department of Family Medicine and the University of Florida is a private, non-profit academic medical center, founded in 1877 and affiliated with the University of Florida.
The University of Florida provides specialized nursing care, including pediatric nursing care, that is offered to the uninsured and under-insured populations of the United States. The University of Florida is a non-profit academic medical center that is accredited by the Accreditation Commission on Human Services for its work in the fields of pediatrics, nursing, and health care. The Department of Family Medicine is a non-profit academic medical center, founded in 1877, and affiliated with the University of Florida.
The Department of Family Medicine offers specialized pediatric nursing care, including pediatric nursing care, that is offered to the uninsured and under-insured populations of the United States. The Department of Family Medicine is a non-profit academic medical center, founded in 1877 and affiliated with the University of Florida, and is accredited by the Accreditation Commission on Human Services for its work in the fields of pediatrics, nursing, and health care. The Department of Family Medicine is a private, non-profit academic medical center, founded in 1877, and affiliated with the University of Florida, and is accredited by the Accreditation Commission on Human Services for its work in the fields of pediatrics, nursing, and health care. The Department of Family Medicine is a non-profit academic medical center, founded in 1877, and affiliated with the University of Florida, and is accredited by the Accreditation Commission on Human Services for its work in the fields of pediatrics, nursing, and health care. The Department of Family Medicine is a private, non-profit academic medical center, founded in 1877 and affiliated with the University of Florida, and is accredited by the Accreditation Commission on Human Services for its work in the fields of pediatrics, nursing, and health care.
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:
Should you require further medical attention or if you experience any side effects, please consult your doctor, especially with your medicine.
Cialis (tadalafil) can interact with certain foods and beverages, so using combinations with certain foods and beverages may be required to treat the combination effect.
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