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General information

Cialis, also known by its generic name tadalafil, is a widely used medication for treating erectile dysfunction in men. It is primarily known for its ability to improve erectile function by increasing blood flow to the penis, thereby facilitating an erection.

What are its uses?

Cialis is primarily used to treat erectile dysfunction (ED) in men. It works by increasing blood flow to the penis, helping achieve and maintain an erection during sexual stimulation.

How does it work?

Cialis contains the active ingredient tadalafil, which belongs to a class of medications called phosphodiesterase type 5 (PDE5) inhibitors. It works by relaxing the blood vessels in the penis, allowing for increased blood flow and facilitating an erection when sexually aroused.

How to use it?

For most men, Cialis must be taken orally with a glass of water. The dosage and duration of treatment can vary depending on the individual and the condition being treated. It's important to follow your doctor's instructions and not to exceed the recommended dosage.

Dosage

The recommended starting dose of Cialis is 20 mg (1 tablet) taken about 30 minutes before sexual activity. This dosage can be increased to 40 mg (5 tablets) or decreased to 10 mg (5 tablets) based on individual response and tolerability. It's important to complete the full course of treatment to ensure Cialis is effective.

Side effects

Like any medication, Cialis can cause side effects in some individuals. Common side effects include:

  • Headache
  • Flushing
  • Nasal congestion
  • Indigestion
  • Stuffy nose
  • Upset stomach
  • Back pain

More severe side effects may include:

  • Chest pain or irregular heartbeat
  • Severe dizziness
  • Trouble breathing

Storage

Cialis should be stored at room temperature, away from moisture and direct heat. Keep the medicine out of reach of children and pets.

Precautions

Before taking Cialis, tell your doctor if you have a history of heart problems, high or low blood pressure, liver or kidney disease, or a history of stroke or heart attack. Cialis can also interact with certain medications, such as nitrates, which are often prescribed for chest pain.

Important safety precautions

  • Cialis should not be taken by individuals who are taking any type of nitrate-based medication, such as nitroglycerin tablets or patches, or any type of oral or intravenous drug such as amyl nitrate
  • Individuals with severe heart problems, recent heart attack, or stroke, a recent history of heart attack, or a history of priapism may require a lower dose of Cialis
  • Individuals taking certain heart medications (e.g., amiodarone, disopyramide, sotalol) may have experienced decreased blood flow as a result of taking Cialis
  • Individuals with certain heart problems or a history of heart disease should exercise caution when using Cialis
  • Individuals with sudden loss of vision or sensitivity to one of two main tasks:
  • Cialis will only work when sexual stimulation is sexually arousal transmitted.
  • Individuals with a history of priapism (a prolonged and painful erection lasting more than 4 hours) or other serious side effects of Cialis should not take Cialis
  • Individuals with a history of heart problems or a history of heart disease should not take Cialis
  • Individuals who have recently had a heart attack or stroke, as Cialis can lead to an increased risk of cardiovascular disease

If you are allergic to tadalafil or any of its ingredients, or any of its ingredients, any of the above medications, you should not take Cialis. However, tell your doctor if you have recently had a heart attack, or if you have the blue tinge to your eyes (reduced blood flow).

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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Cialis and Nitrates (Ex. Stendra)

Ask your doctor or pharmacist about nitrates and alpha-blockers. If Cialis is not effective or if you take an alpha-blocker, discuss this with your doctor. Nitrates are often prescribed with medications because they are believed to lower blood pressure more quickly and significantly than alpha-blockers like Cialis do.

Top Drug-Interactions:

: Dr. Keflex has published numerous safety and efficacy studies on Cialis, which are often used with medications like nitrates or alpha-blockers to manage lower blood pressure. By increasing blood pressure, Cialis can help reduce dizziness, fainting, or orthostatic hypotension.

Alpha-blockers (e.g.

Cialis (Tadalafil) for sale in the US, Canada, Mexico, Europe and Australia is an effective treatment for erectile dysfunction (ED). It is available in the form of a pill or soft gel, and is available in the form of a tablet. This is the first medication which was launched in the USA specifically for the treatment of erectile dysfunction.

How Does it Work?

Cialis for sale in the US is an effective treatment for erectile dysfunction. It is a prescription medicine used to treat men with impotence. It is a phosphodiesterase type 5 (PDE5) inhibitor. This medication belongs to the class of drugs known as PDE5 inhibitors. This medication works by relaxing the muscles in the blood vessels of the penis, allowing for an erection when sexually aroused. It is important to note that Cialis does not increase sexual desire. This medication does not treat the underlying causes of ED. Instead, it will provide an effective and quick solution for ED.

Side Effects

As with all medications, there may be some common side effects associated with Cialis such as the most common are:

  • Headache
  • Back pain
  • Flushing
  • Indigestion
  • Dizziness

Precautions to Consider

If you experience any of these symptoms, it is important to speak to your doctor or pharmacist. If the symptoms persist or worsen, it is important to contact your doctor.

How to Use the Drug

The recommended starting dose of Cialis for sale in the USA is 5 mg taken orally once a day. This dosage is taken only when you are sexually stimulated. The maximum recommended dose is 10 mg per day.

The maximum recommended dose of Cialis for sale in the UK is 5 mg per day. Your doctor may adjust this dosage as your body adjusts to the medication. You should not take the medication more than once per day.

Side Effects to Be Aware of

If you experience any of the following symptoms, be sure to seek medical attention immediately:

  • Heart palpitations
  • Swelling of the face
  • Facial flushing
  • Ringing in the ears
  • Difficulty in breathing

If you notice any other side effects that you think may be related to the use of Cialis, it is important to contact your doctor.

If you experience any of the following symptoms, you should talk to your doctor or pharmacist:

  • Chest pain

    Buy Cialis 5mg in Australia – Effective ED Treatment Without Prescription

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