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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 about Cialis's effects and how it may affect your health in more detail. told if you experience any severe adverse reactions and seek medical attention. If you experience any of these, contact your health care provider.
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  • If you experience any changes in your vision, like this condition known as non-arteritic anterior ischemic optic neuropathy (NAION), get medical help right away. If you experience this, get medical help right away.
  • As with all prescription medications, notify your doctor of any and all medications you are taking, use, or to order from this provided that all of the following conditions are fulfilled.

    You are encouraged to take full responsibility for how your prescription is dispensed.

    Any information you provide is for general guidance only.

    Any questions regarding the legality or contents of this product will be submitted to FDA's toll-free program of links, which can be accessed by logging in or placing your order.

    told if you experience any severe adverse reactions and seek medical attention right away. If you experience these, contact your health care provider. In the U. S., U. S. versions of Cialis and other ED medications are available for purchase on our site. Max Strength Cialis tablets are available in 20 mg, 40 mg, and 60 mg strengths.

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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.
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    There are a number of things to consider when deciding on a -how long will the effect last- prescription for Cialis. Understanding these things can help you determine if this medicine is right for you and would be ideal for you if you have any questions or concerns.

    Cialis comes as a pill that you swallow and an extended-release tablet. The extended-release tablets come in a variety of sizes, including 2.5mg, 5mg, 10mg, 20mg, and 30mg. Cialis usually lasts between 4-6 hours, but some people may take it for up to 36 hours. Do not take Cialis more than once a day. Cialis can be taken with or without food, but it is recommended to take it at a fixed time to avoid making the person feel sick.

    The effects of Cialis are typically felt within 20-30 minutes after taking the pill. The effects can last for up to 36 hours, depending on the person's metabolism and the dose.

    For individuals who have frequent erectile dysfunction, Cialis may not be effective for a longer period of time. It can be taken continuously to help men regain their erectile function.

    Cialis is available as an extended-release tablet, which lasts for up to 36 hours. It is not recommended to take Cialis more than once a day.

    How long will the effect last?The effects of Cialis will depend on the person's metabolism. Some people will feel the effects for a shorter duration. For instance, people who take 10mg Cialis daily for men with ED usually experience more spontaneity.

    For men who are older, Cialis may not be effective for a longer time. It can be taken continuously to help men regain their erection. It is recommended to take Cialis at the same time every day to avoid making the person feel sick.

    What is the best time for Cialis?The best time to take a Cialis dose depends on the individual's age, weight, and condition. For example, people who have frequent erectile dysfunction may take Cialis at least once a week. For the average adult, Cialis may not be effective for up to 36 hours.

    For some individuals, Cialis may be taken more than once a day. The person should take the drug at the same time every day. However, the person should not take it more than once a day, or else they may feel tired or sick.

    For those with a history of heart disease, Cialis may not be effective for a longer time.

    For those who have high blood pressure, Cialis can be effective for up to 36 hours. The person should not take the drug more than once a day or else they may feel tired or sick.

    For those who are a bit older, Cialis can be effective for up to 36 hours.

    For some people, Cialis may not be effective for a longer time.

    For those who have liver or kidney disease, Cialis can be effective for up to 36 hours.

    For some individuals, Cialis may not be effective for a longer time.

    How long will it last?For instance, some people may experience effects for a longer duration. For the average adult, Cialis can be effective for up to 36 hours.