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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.
Aphorosephine is a medication used to manageEhrlichiosis: In dogs, tadalafil's effect is intended to treat erectile dysfunction, while in cats, it can reduce this condition'sairy characters. Aphorosephine can also be used to treat pulmonary hypertension in dogs.

C.

Here are the key drug-food Interactions:

  1. Dairy Products: While not a direct interaction, combining Cialis with certainairy products might counteract the effects of tadalafil, worsening side effects like dizziness or blurred vision.
  2. Anticoagulants (e.g., Warfarin, Coumadin): While not a direct interaction, combination with anticoagulants might counteract the effects of tadalafil, worsening side effects like increased risk of blood clot.
  3. Antiebulences (e.

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Cialis 20 mg - 2 Tablets

$120.50

Quick Overview
  • Product:Cialis (Tadalafil)
  • Usage:Treats erectile dysfunction (ED) in men.
  • Duration:Offers up to 36 hours of effectiveness.
  • About Cialis:Cialis is a widely recognized and trusted medication that contains the active ingredient Tadalafil. It is primarily prescribed to help men overcome the challenges of erectile dysfunction (ED), a common condition that can affect intimacy and overall well-being.

  • How Cialis Works:Cialis works by increasing blood flow to the penis, allowing men to achieve and sustain an erection when sexually stimulated. It is known for its long-lasting effectiveness, providing up to 36 hours of response to sexual stimulation.

  • Benefits of Cialis:

    • Efficacy:Cialis has a high success rate in treating ED and is often preferred by men for its longer duration of action compared to other similar medications.
    • Convenience:You can take Cialis well in advance of sexual activity, allowing for spontaneity and flexibility.
    • Low-Dose Option:A low-dose version of Cialis, known as "Cialis Daily," is available for daily use, offering a continuous solution for ED.
    • Patient Satisfaction:Many men have reported improved confidence and satisfaction in their sexual experiences with Cialis.
  • Usage and Dosage:Cialis should be taken as directed by a healthcare professional. The typical starting dose is 10mg, taken at least 30 minutes before anticipated sexual activity. The dosage may be adjusted based on individual response and tolerability.

  • Safety:Cialis is generally well-tolerated, but it's essential to follow your healthcare provider's recommendations. Discuss any medical conditions or medications you are taking with your doctor to ensure Cialis is safe and suitable for you.

  • Consultation:If you have questions or concerns about Cialis or its suitability for your condition, our licensed pharmacists and healthcare professionals are here to provide guidance and support.

Remember, Cialis is a prescription medication, and it's crucial to consult with a healthcare provider before starting any new medication. Our pharmacy is committed to helping you access the right treatment for your needs, promoting a healthier, happier, and more fulfilling life.

How to use:1 tablet before sexual activity once daily. The effect should give the ability for erection for 36 hours. Otherwise refer to physician's prescription

Precautions:Do not take another tablet except after 48 hours pass after the first tablet

Qiao Ming is a retired General Police Major - Police Station - Hong Kong. She is a retired General Police Major - Police Station - Hong Kong.

Nicknamed “The Weekender Pill”,Tadalafil is the generic version of Cialis™. It lasts up to 36 hours and the reason some prefer Tadalafil over Sildenafil, which typically last up to 8 hours. Please select your preferred dosage and number of pills.

  • Available in 5 mg, 10 mg, and 20 mg
  • Works in as quickly as 30 Minutes
  • Tadalafil lasts up to 36 hours
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Looking for Tadalafil Daily?.

* We can ship up to 30 pills at a time. For example, if you order 120 pills, you will get four shipments of 30 pills.

Health Questionnaire Required:

For your first order with us, after placing an order, you will be prompted to upload your ID and submit our health questionnaire, soour physician canreview your basic health information,in order to mail prescription medications. You will not need to do this for refill orders.

Disclaimer:This is not medical advice. You and our physician will determine if (and potentially how) you should take Tadalafil. Please consult with your physician if you have any further questions.For more information on Tadalafil,.

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The information provided here is not a substitute for professional medical advice, diagnosis, or treatment. You should not rely upon the content provided on this site. If you have any additional questions, please talk to your doctor.

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Medication Acquisition

TadalafilOffers an extended 36-hour window of opportunity for, a medication that has revolutionized the treatment of erectile dysfunction. This extended window of opportunity allows for greater spontaneity and reduces the likelihood of experiencing negative side effects. Its extended window of opportunity allows for, the generic form ofCialis,to be available sooner. Unlike generic drugs, Tadalafil is taken orally, and side effects are rare. Most men who take Tadalafil experience only mild side effects such as headache, facial flushing, nasal congestion, and indigestion. However, more serious side effects, such as prolonged erection (priapism), sudden vision or hearing loss, or prolonged and serious chest pain, can occur. If you experience any serious side effects, you should contact your doctor immediately.

Dosage and Administration

Tadalafil is available in 5 mg, 10 mg, and 20 mg pills. The maximum dosage for erectile dysfunction medications is 2.5 mg per day. For men with erectile dysfunction, a starting dose of 10 mg should be used whenever possible. Start by experiencing mild erectile dysfunction without the need for sexual stimulation. If you experience more severe erectile dysfunction, you may need to adjust your dosage. For men with erectile dysfunction who experience difficulty achieving or maintaining an erection, 10 mg should be used. Starting doses of 20 mg are not recommended. Consult your doctor before using more than 20 mg of Tadalafil in any way except for oral healthcare.

Possible Side Effects

Like all medications, may cause side effects. However, not everyone will experience these problems. If you experience any unusual side effects, you should stop taking the medication immediately and contact your doctor.

Cialis

Cialis (tadalafil) is a phosphodiesterase type 5 inhibitor used to treat erectile dysfunction. Cialis (tadalafil) may also be used for purposes not listed in the approved uses. Cialis (tadalafil) may also be used for purposes other than those listed in this medication guide.

What is Cialis (tadalafil)?

Cialis (tadalafil) is used to treat erectile dysfunction. Erectile dysfunction means that men with ED are unable to get or maintain a hard erection. It may also be called impotence. Cialis increases blood flow to the penis during sexual stimulation to help a man get and keep an erection. Cialis may also be used to treat or prevent erectile dysfunction. Cialis may be used alone or in combination with other medications to treat ED. Cialis may also be used to prevent blood clots in the lungs, such as right-sided heart failure. Cialis may also be used to treat pulmonary arterial hypertension (PAH). Cialis is also sometimes used to treat pulmonary arterial hypertension (PAH-T).

What is Cialis (tadalafil) used for?

Cialis (tadalafil) may also be used for purposes not listed in this medication guide.

How does Cialis (tadalafil) work?

Cialis (tadalafil) works by relaxing the blood vessels in the penis, allowing blood to flow into the penis when you get sexually excited, and improving blood flow into the penis during sexual arousal. This increases the time it takes to have an erection. Cialis (tadalafil) works only to treat ED. It does not protect against sexually transmitted diseases (such as HIV, hepatitis B, gonorrhea, syphilis). This medication may also be used for purposes not listed in this medication guide.

When should Cialis (tadalafil) not be taken?

Cialis (tadalafil) should not be taken if you are allergic to tadalafil or any of the other ingredients of this medication. Tell your doctor or pharmacist if you are taking any of the following medications: nitrates (often given for chest pain), amyl nitrite, butyl nitrate ("poppers"), nicorandil, or cimetidine ("Tagamet"), if you are taking cyclosporine (often given for organ transplant or bone marrow transplant).

Can you take Cialis (tadalafil)?

What should I tell my doctor before taking Cialis (tadalafil)?

Before taking Cialis (tadalafil), tell your doctor or pharmacist your medical conditions, questions, allergies to foods, other medications, and other substances, and any other conditions you have, especially if they are medications that you are taking. Tell your doctor if you are taking any of the following medications: riociguat (Adempas), ritonavir (Norvir), and tipranavir (Aptivus). Nitrates may be dangerous for people with certain heart or kidney problems or those taking certain medications that lower blood pressure.

What are the possible side effects of Cialis (tadalafil)?

Like all medicines, Cialis (tadalafil) can cause side effects. However, this does not necessarily mean that you will experience all of the side effects. If you experience a side effect, stop taking Cialis and call or see a health care provider. Some side effects of Cialis (tadalafil) can be serious. If you have had a heart attack or stroke while taking Cialis (tadalafil), talk to your doctor about the risks and benefits of Cialis (tadalafil).

If you are allergic to Cialis (tadalafil), tell your doctor. If you have heart disease, talk to your doctor before taking Cialis (tadalafil) or any other medications for conditions like high blood pressure, high cholesterol, or liver problems.