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Before taking this medicine:Do not take this medicine if you are allergic to tadalafil, or by any other ingredient in this medicine. This is because this combination of medication contains a mixture of both medications. This is why it is important that you inform your doctor about your history with any other medicines you are taking, as well as any allergies you may have. You should also inform your doctor if you are taking any other medications, including supplements or herbal remedies. Some examples of medications that may cause an allergic reaction include nitrates, alpha-blockers, diuretics, sleeping pills, H2 antagonists, H2-antagonists, antibiotics, and certain anti-fungal medicines. This can lead to symptoms such as

• rash, difficulty breathing, itching, swelling, swollen face, lips, tongue, or throat
• fever, swollen glands in the stomach
• stomach or intestinal ulcers

Before having surgery:Take this medicine exactly as described in the manufacturer’s pamphlet. Do not take more or less medicine than the prescribed dose. This will help to reduce the chance of any side effects and ensure the medicine is right for you. If you are not sure about the doses, talk to your doctor or pharmacist before taking this medicine. Take this medicine in the dose and duration as advised by your doctor. If you are not sure, talk to your doctor or pharmacist in case you need to take this medicine longer or divided medicine.

The most common side effects of CIALIS are headache, facial flushing, indigestion, nasal congestion, dizziness, flushing, nasal polyps, muscle pain, nausea and vomiting. These side effects usually settle when the medicine is discontinued. If any serious side effects occur, such as difficulty breathing, severe stomach pain or signs of a heart attack, seek immediate medical attention.

The packaging and materials used in making this medicine are for the very well-being of the patient only. These medicines do not have any effect on you or your child.

Product Description Dysfunction is the inability to achieve or maintain an erection. Dysfunction can stem from various physical or emotional factors. It is more likely if you:

• have heart problems or are at risk of, or are at risk of causing, heart disease or stroke
• have a history of heart problems or are at risk of, or have a history of, stroke or diabetes
• have or are at risk of low libido
• have abnormal liver or kidney function
• have high cholesterol
• have high blood pressure
• have or have a history of heart disease
• have a history of diabetes
• have or have a history of high blood pressure
• are allergic to tadalafil, or by any other medication

Dosage Information:

• Take one tablet about 30 minutes before sexual activity
• Take the medicine about one hour before sexual activity
• Do not take more than one tablet in 24 hours, except on medical advice
• This medicine is not intended to cure or treat any other condition.
• This product may interact with other medications or supplements, including supplements or food
• You should not use if you have:

Active Ingredient:CIALIS 150mg (Tadalafil) 60 Tablets. Each tablet contains a maximum of three tablets.

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.

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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.

Standard Interactions:

interaction	name	url
Cialis (tadalafil)	Treatment of erectile dysfunction
Hormone replacement therapy

F.

Tadalafil can interact with certain foods and beverages, and lanagra can enhance the blood pressure-lowering effects of tadalafil, leading to symptoms like dizziness or fainting. Avoid consuming these medications while taking Cialis.

G.

Cialis (tadalafil) can interact with certain foods and beverages, and lanagra can enhance the blood pressure-lowering effects of tadalafil, leading to symptoms like dizziness or fainting.

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.

Cialis 1mg daily ( once a day. This is NORMAL for use on more than one use.Callithin 10mg (1 dose per day.

Cialis can interact with nitrates used to treat chest pain, such as isosorbide dinitrate and isosorbide mononitrate, and nitroglycerin.

Cialis can interact with certain blood pressure medication, such as Yorkers’ nitrate-containing products, alpha-blockers, and cholesterol-lowering agents.

Licensed Cialis (Tadalafil) online

The Food and Drug Administration (FDA) classify and approve prescription medications for the treatment of erectile dysfunction/impotence. However, Cialis is not approved for these conditions.

The approved uses of Cialis include benign prostatic hyperplasia (BPH), male pattern baldness, and the treatment of pulmonary arterial hypertension. These conditions are characterized by a high blood pressure in the arteries of the lungs, which can lead to symptoms like shortness of breath, dizziness, and fainting. Cialis is approved for these conditions only by your doctor.

Use Cialis as needed: Your doctor will determine the need for Cialis use in your conditions.

Do not use Cialis if you are allergic to tadalafil or any other ingredients in Cialis.

If you are experiencing any health problems, please see your doctor for consultation.

Pulmonary Arterial Hypertension (PAH)

PAH is a chronic disease that affects the right atrium, leading to a sudden decrease in blood pressure. Symptoms of high blood pressure in the lungs include shortness of breath, shortness of breath from walking, and dizziness.

Pulmonary arterial hypertension can affect different parts of the body, including the heart, causing damage to the arteries in the lungs. This condition affects PAH symptoms like dizziness, drowsiness, and fainting.

PAH can be treated with Cialis, such as:

• A starting dose of 10 mg once daily.
• A starting dose of 5 mg once daily.