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Does Cialis interact with other medicines?

Cialis (tadalafil) is a prescription medication used to treat erectile dysfunction. Cialis works by increasing blood flow to the penis when it is stimulated. Viagra (sildenafil) and Levitra (vardenafil) are similar to Cialis, but the major difference is that Cialis can last up to 36 hours. Cialis can interact with many medications and health conditions. Cialis should not be taken if you are using a nitrate drug for chest pain. If you become dizzy or nauseated after taking Cialis, or if you have pain, numbness, or tingling in your chest, neck, arms, or jaw, call your doctor immediately. The most common side effects of Cialis are warmth or redness in the face or chest, stuffy nose, sore throat, memory problems, headache, diarrhea, muscle pain or back pain. For more information about Cialis consult your physician. If you would like to submit another question, return to Everyday Health. Burton Dunaway, PharmD.

 

20 mg (for “on-demand” dosing) Each yellow, almond-shaped, film-coated tablet, marked on one side with “C20”, contains tadalafil 20 mg. Nonmedicinal ingredients: croscarmellose sodium, hydroxypropyl cellulose, hydroxypropyl methylcellulose, iron oxide, lactose monohydrate, magnesium stearate, microcrystalline cellulose, sodium lauryl sulfate, talc, titanium dioxide, and triacetin.  A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. You should only take Viagra if it has been prescribed for you by a qualified doctor or healthcare professional. This is important because your doctor is able to make an informed decision about any potential risks when prescribing a medication. However, if you choose to bypass a doctor’s consultation, whether it be online or face-to-face, then you leave yourself open to unsafe practices.

Use with caution in patients with the following underlying conditions which can be particularly sensitive to the actions of vasodilators including VIAGRA – those with left ventricular outflow obstruction (e.g., aortic stenosis, idiopathic hypertrophic subaortic stenosis) and those with severely impaired autonomic control of blood pressure. Physicians should warn patients that prolonged erections greater than 4 hours and priapism (painful erections greater than 6 hours in duration) have been reported infrequently since market approval of VIAGRA. In the event of an erection that persists longer than 4 hours, the patient should seek immediate medical assistance. If priapism is not treated immediately, penile tissue damage and permanent loss of potency may result . Stop and get medical help at once if you have nausea, chest pain, or dizziness during sex. You could be having a life-threatening side effect. Selected from data included with permission and copyrighted by First Databank, Inc. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, expect as may be authorized by the applicable terms of use.

If you are also taking an alpha blocker medication (such as doxazosin, tamsulosin) to treat an enlarged prostate/BPH or high blood pressure, your blood pressure may get too low which can lead to dizziness or fainting. Your doctor may start treatment with a lower dose of tadalafil or adjust your alpha blocker medication to minimize your risk of low blood pressure. Tadalafil is also used to treat symptoms of benign prostatic hyperplasia (BPH) in men with enlarged prostates. It helps to relieve symptoms such as the frequent need to urinate, painful urination, or the sensation of not completely emptying the bladder. It does this by relaxing muscles in the prostate and bladder. Tadalafil may be used to treat men who experience both erectile dysfunction and BPH. It is not to be used on a recreational basis or to enhance sexual performance, as doing so can prove counterproductive. If you take Viagra in order to improve the duration and strength of your erection, you could end up developing ED when you try to engage in sex without it.

Selected from data included with permission and copyrighted by First Databank, Inc. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, expect as may be authorized by the applicable terms of use. CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment. VIAGRA should be used with caution in patients with anatomical deformation of the penis (such as angulation, cavernosal fibrosis or Peyronie’s disease), or in patients who have conditions which may predispose them to priapism (such as sickle cell anemia, multiple myeloma, or leukemia). However, there are no controlled clinical data on the safety or efficacy of VIAGRA in patients with sickle cell or related anemias. Other medications can affect the removal of tadalafil from your body, which may affect how tadalafil works. Examples include azole antifungals (such as itraconazole, ketoconazole), macrolide antibiotics (such as clarithromycin, erythromycin), HIV protease inhibitors (such as fosamprenavir, ritonavir), hepatitis C virus protease inhibitors (such as boceprevir, telaprevir), rifampin, among others.

The frequency of patients reporting improvement of erections in response to a global question in four of the randomized, double-blind, parallel, placebo-controlled fixed dose studies (1797 patients) of 12 to 24 weeks duration is shown in Figure 7. These patients had erectile dysfunction at baseline that was characterized by median categorical scores of 2 (a few times) on principal IIEF questions. Erectile dysfunction was attributed to organic (58%; generally not characterized, but including diabetes and excluding spinal cord injury), psychogenic (17%), or mixed (24%) etiologies. Sixty-three percent, 74%, and 82% of the patients on 25 mg, 50 mg and 100 mg of VIAGRA, respectively, reported an improvement in their erections, compared to 24% on placebo. In the titration studies (n=644) (with most patients eventually receiving 100 mg), results were similar. 2.5 mg (for once-a-day use) Each yellow-orange, almond-shaped, film-coated tablet, marked on one side with “C2½”, contains tadalafil 2.5 mg. Nonmedicinal ingredients: croscarmellose sodium, hydroxypropyl cellulose, hydroxypropyl methylcellulose, iron oxide, lactose monohydrate, magnesium stearate, microcrystalline cellulose, sodium lauryl sulfate, talc, titanium dioxide, and triacetin.

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