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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 What You Need to Know When You Startthritis Reactions After Taking Cialis and What to Do if You miss a dose. Read More What You Need to Know when you start touch therapy with Cialis before you take it.

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.
RicanMixAction is the cause of this reaction - the people on this page have experience with this product may have a negative effect on both Rhea and ShadowMix. See the full list of drug-food interactions for more information.
  • Incorrect use could cause mild side effects such as headaches, dizziness, lightheadedness, or fainting.

    Most side effects in dogs and cats are mild, but some reactions in animals can be severe.

  • If using other drugs that may interact with Cialis, you should let your veterinarian know.

    This is not a complete list of interactions. If you have a severe side effect, contact your doctor or pharmacist.

  • If you have any concerns or questions about your drug or application, please consult a doctor or pharmacist.

    This page contains a few interactions common and rare side effects that may be affected by foods, drugs, or medications.

  • If you’re looking for a solution to manage ED, Cialis might just be the next logical step. As the name implies, this drug treats erectile dysfunction by increasing blood flow to the penis. It’s a potent drug, with a long history of use dating to the early 20th century. While Cialis is effective in treating men who have tried Viagra, it’s also popular with women’s health professionals, especially in cases where the sex drive is already present.

    But while Cialis is an easy-to-use drug, you might have more questions about how it interacts with your body and health. Here’s what you need to know:

    What is Cialis?

    Cialis, also known by its generic name tadalafil, is one of the most commonly prescribed drugs for the treatment of erectile dysfunction. The drug works by increasing blood flow to the penis, which can lead to an erection when sexually stimulated. However, its main purpose is to provide a temporary solution for a man with ED.

    Cialis is taken orally, with or without food, as prescribed by your doctor. This medication is not a cure for ED and can help you manage symptoms.

    How does Cialis work?

    When Cialis is taken, it inhibits an enzyme called PDE5, which is responsible for breaking down an enzyme called phosphodiesterase type 5 (PDE5). By blocking PDE5, Cialis can increase the levels of a chemical called cGMP, which is responsible for relaxing the muscles around the penis.

    By inhibiting PDE5, Cialis can increase the amount of cGMP produced, leading to an erection when sexually aroused. This action helps to relax the smooth muscles in the penis, allowing for better blood flow.

    It’s important to note that Cialis is not a cure for ED. It can be a temporary solution, depending on your individual needs. However, if Cialis isn’t effective in treating your ED, it may help to lower your expectations.

    How long does Cialis last?

    The duration of Cialis varies depending on the specific condition you’re dealing with, as well as your medical history. It can last up to 36 hours, allowing for convenient access to the drug without the need for frequent dosing.

    It’s important to note that Cialis does not work immediately if you’re on nitrates, as this can lead to a serious drop in blood pressure. However, if you experience dizziness or lightheadedness while taking Cialis, it’s best to avoid this medication and seek medical attention immediately.

    Side effects of Cialis

    Like any medication, Cialis can cause some side effects. The most common side effects include:

    • Dizziness
    • Headache
    • Flushing
    • Nasal congestion
    • Back pain

    These side effects are usually mild and temporary, but if you experience any severe or persistent side effects, immediately consult a doctor.

    In rare cases, more serious side effects like a prolonged erection lasting more than 4 hours or prolonged and painful urination may occur. These could be life-threatening and require immediate medical attention.

    If you experience any severe or persistent side effects, it’s important to contact your doctor immediately. They can adjust the dosage or suggest alternative treatments.

    Interactions with other medications

    When taking Cialis, it’s important to be aware of potential drug interactions with other medications you’re already taking. Some common interactions include:

    • Nitrates: Taking Cialis with a nitrate medication can lead to a dangerous drop in blood pressure, which can be dangerous.
    • Alpha-blockers: Taking Cialis with alpha-blockers can lead to dangerous drops in blood pressure, which can be dangerous.
    • Other medications: Taking Cialis with nitrates or alpha-blockers can lead to dangerous drops in blood pressure, which can be dangerous.

    If you experience any side effects or have concerns about how your medications interact with Cialis, it’s important to speak with your doctor. They can provide guidance on safe dosage adjustments, potential interactions with other medications, and potential side effects.

    Cialis Together for Erectile Dysfunction

    Cialis Together tablets are a treatment for adult men who have erection problems (erectile dysfunction). This is when a man cannot get, or keep an erection hard enough for satisfactory sexual activity.

    Cialis Together tablets contain the active substance tadalafil. It belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors. It works by relaxing the blood vessels in your penis, allowing blood flow into your penis.

    It is important to know that you will not get an erection just by taking Cialis Together tablets. This medicine works with your body’s natural function to get an erection only when you are sexually stimulated.

    Cialis Together contains the active ingredient Tadalafil. The ingredient is a phosphodiesterase type 5 inhibitor medicine that temporarily improves blood flow to the penis by relaxing the blood vessels in and around the area.

    The Cialis Together medication is available over-the-counter and begins to work about 30 to 60 minutes after taking it. The effects are expected to last up to 36 hours. Cialis Together comes in 10mg tablets and should only be taken when needed.

    The active substance Tadalafil is also useful in treating other conditions along with erectile dysfunction. Please consult a Doctor, a Pharmacist or relevant product literature for more information.

    Is Cialis Together right for me?

    If you suffer from erectile dysfunction (impotence) Cialis Together may be an effective treatment. However, it may not be suitable for you if you have the following:

    • If you are allergic to any of the ingredients in Cialis Together
    • If you have severe heart, liver or kidney problems
    • If you have blood pressure concerns
    • If you have non-arteritic anterior ischemic optic neuropathy
    • If you are taking riociguat
    • If you have other penis-related issues (deformation or painful erections)
    Always follow the instructions on the pharmacist’s product selection.Active ingredient and dosage: The active ingredient and dosage of Cialis Together is listed at the end of this leaflet. (Pricing comes in individual doses).Non-arteritis-C-like that is not Visa/ exempted, erectile dysfunction that does not require dose adjustment or special medical adviceAlways follow the instructions on the pharmacist’s product selectionAlways read the leaflet carefully.

    What are the possible side effects?

    Our products are all safe and suitable for use after extensive examination and medical advice. All patients have reported side effects with Cialis Together.

    Common side effects of Cialis Together:
    • Headache
    • Indigestion
    • Nasal congestion
    • Heartburn
    • Nausea

    Can I take Cialis Together for my erectile dysfunction?

    It is important to speak to your doctor if you have any of the following conditions:

    • If you have heart problems
    • If you have blood pressure problems
    • If you have recently had a stroke or a heart attack
    • If you have recently had any type of blood disorders
    • If you have any problems with your liver or kidneys
    • If you have any rare hereditary problems of which there are many

    Always follow the instructions on the pharmacist’s product selection.

    What side effects are there?

    The following side effects have been reported with the use of Cialis Together. If you are not sure, speak to your doctor or a pharmacist. We strive to present safety to you by offering only the information contained with the product.

    The following side effects have been reported most commonly with Cialis Together. If you have any questions, please ask your doctor or a pharmacist. Please speak to your doctor.