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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Here are the key drug-food interactions:

1. Spedra: Tadalafil, a phosphodiesterase-5 (PDE5) inhibitor, has been shown to enhance the blood pressure-lowering effects of medications like Viagra. Avoid consuming high-fat or grapefruit-containing meals with this combination.
2. Cialis: Drinking alcohol with and without PDE5 inhibitors could cause side effects such as headaches, dizziness, or fainting. Seek medical attention if you experience severe dizziness or fainting while using Cialis.
3. Alpha-blockers: While Cialis can be used as a second medication, its as a long-term treatment.

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This medication is controlled by Phelans Pharmacy (Ireland) and is dispensed under the guidance of a Phelans pharmacist.

What Cialis For Men 10mg Film-coated Tablets is and What it is Used For

Cialis for men 10mg film-coated tablets is a treatment for adult men with erectile dysfunction. This is when a man cannot get, or keep a hard, erect penis suitable for sexual activity. Cialis for men 10mg film-coated tablets has been shown to significantly improve the ability to obtain a hard erect penis suitable for sexual activity.

Cialis for men 10mg film-coated tablets contains the active ingredient tadalafil which belongs to a group of medicines called phosphodiesterase type 5 inhibitors. Following sexual stimulation Cialis for men 10mg film-coated tablets works by helping the blood vessels in your penis to relax, allowing the flow of blood into your penis. The result of this is improved erectile function.

Can I buy Cialis Online in Ireland?

You can safely and conveniently buy Cialis online from Phelans Pharmacy. We understand that discussing erectile dysfunction (ED) can be uncomfortable, which is why we offer a discreet and professional online assessment to ensure Cialis (Tadalafil) is a suitable and safe treatment option for you. Our experienced pharmacists will review your assessment and determine if Cialis is the right choice for you.

Is Cialis Available Over the Counter?

Cialis is an over-the-counter medication in Ireland, meaning you do not need a prescription to purchase it. However, a consultation with a pharmacist is required before supply.

The pharmacist will have to have a telephone consultation with you before the supply of this medicine.

The maximum purchase that can be made of any brand of Cialis for men 10mg tablets is 16 tablets.If a quantity exceeding the maximum of 16 tablets of Cialis for men 10mg tablets is ordered, your balance will be refunded.

Always consult the Patient Information Leaflet before using this medication.

The sale of Cialis for men 10mg tablets is limited to the Republic of Ireland. We do not sell internationally.

Keep all medicines out of the sight and reach of children.

VIDEO

What are Cialis Maximum IntakeStates?

Eight maximum intake levels are required for Cialis to work. It is required for Cialis to work inknowledge the state that it will effectively obtain maximum effective results from it.

Medicines like Cialis are used to improve erectile function in men with mild to severe erectile dysfunction when they have it not exceeded. These medications are designed to be taken with sexual stimulation.

It is only if Cialis is left for a maximum of 16 consecutive times per day to provide the same effect, for a total of 32 consecutive times per day, that the level of intake necessary to obtain the maximum effective result is not exceeded. This is valid for one year and only allowed during the maximum level of intake.

Do not allow more than a maximum amount of intake per day.

The pill should not be taken more than once a day is permitted inintended community sexual activity.ardsner.ideosubchina.

Cialis (Tadalafil) for sale is a prescription medication used to treat erectile dysfunction (impotence) in men. It belongs to a group of drugs known as phosphodiesterase type 5 (PDE5) inhibitors. It works by increasing blood flow to the penis during sexual stimulation, which helps men to achieve and maintain an erection. Cialis is available in a convenient and easy to swallow tablet form. Cialis can be taken orally, usually once or twice daily, and the dosage can be adjusted over time based on individual response and tolerance. It is usually prescribed for once-a-day use, and is generally taken between 30 and 60 minutes before sexual activity. It is important to note that the recommended daily dosage of Cialis for men with erectile dysfunction should not exceed one tablet in 24 hours.

Benefits of Cialis for Erectile Dysfunction Treatment

• It is important to take Cialis as prescribed and to have sexual stimulation on an ongoing basis to achieve an erection.
• It can help men with erectile dysfunction to achieve and maintain an erection when sexually aroused.
• It is not recommended for men who are taking nitrates or alpha-blockers, as they may lead to serious health risks.
• It is essential to maintain a healthy lifestyle that can reduce the risk of erectile dysfunction and improve the quality of life for men with this condition.
• In men with an anatomical deformity of the penis, Cialis helps to achieve an erection by relaxing the blood vessels and nerves that supply blood to the penis. This allows blood to flow into the penis when a man is sexually aroused and helps to achieve and maintain an erection.
• In men with an anatomical deformity of the penis, Cialis helps to achieve and maintain an erection by relaxing the blood vessels and nerves that supply blood to the penis.

Benefits of Cialis for Sexual Performance

• Tadalafil can be used to treat erectile dysfunction, but it is important to be aware of the risks associated with its use.

Precautions and Side Effects

If you experience any side effects while taking Cialis, it is important to consult a healthcare professional for a full medical evaluation. They will be able to recommend appropriate medications and treatments, which can help to alleviate symptoms of erectile dysfunction.

Whether you can take Tadalafil at the same time as your other medications will depend on which medications you are taking.

You are required to complete a short medical consultation questionnaire that asks for any medications that you are prescribed from your GP and will indicate the medications that can’t be taken alongside Tadalafil.

There are several medicines which should not be taken concurrently with Tadalafil. Medicines which can have potentially serious interactions with Tadalafil include :-

• Any alpha-blocker medicines e.g. doxazosin (Cardura), alfuzosin (Xatral), tamsulosin, terazosin, or Flomax, that you can buy in the pharmacy. (These medicines may be used to treat prostate problems or high blood pressure).

• Isosorbide mononitrate, isosorbide dinitrate, or use a GTN spray or tablets

for chest pain or use Rectogesic ointment?

• Nicorandil (Ikorel), used to treat angina

• Cimetidine, used to treat stomach or duodenal (peptic) ulcers

• Theophylline, used to treat asthma

• Antibiotics:- Clarithromycin, Erythromycin and Telithromycin

• Anti-fungals such as itraconazole and ketoconazole

• Seizure medication:- carbamazepine, oxcarbazepine, phenobarbital, phenytoin and primidone

• Heart or blood pressure medication:- disopyramide, amiodarone, quinidine and procainamide

• Anti-viral medication:- telaprevir, atazanavir, retonavir, indinavir, saquinavir and cobicistat

• Recreational drugs:- amyl nitrate (poppers)

If you are taking any prescribed medication from your GP then you can simply write those in the “Is there any other medical information that you think our doctor should know?” section on the medical questionnaire. Then, our doctor will know whether the Tadalafil is safe for you to take.

Read available consultation questionnaire information on Tadalafil and, or

If you are taking Tadalafil and have any questions about the Tadalafil AT 1.5mg tablet or your medical condition, side effects, benefits, or risks, please do not hesitate to contact our pharmacist or the University of Specialized Medicine for advice on any questions.

How to take Tadalafil

Take Tadalafil as needed, with or without food. It is sometimes prescribed to you to treat an enlarged prostate or to treat a muscle problem.

Ask your doctor if you need to take a Tadalafil treatment before you go feeling betterDoes Tadalafil interact with other medicines in the tadalafil

may work?

Yes - you may be taken with Tadalafil at the same time as your other medications. The key thing is to talk to your doctor before taking Tadalafil.

Tell your doctor if you are using the RCSV Erectile Dysfunction treatment program online or ​​if you are using the Medicare CVS Caremark Medication Guide

If you are not sure if you are taking this medicine or if you have any side effects, please describe them in the questionnaire. Please not all your questions are right for you.

Tell your doctor if you are using the Medicare CVS Caremark Medication Guide

If you are not using the Medicare CVS Caremark Medication Guide you will need to ask your doctor if you are taking any prescribed medication from your GP or if you are taking any prescribed medication from your pharmacist. The answer to that question depends on the size of your prostate, as well as on whether or not you are taking Tadalafil. If you are taking Tadalafil for urinary problems or erectile dysfunction, or if you are taking Tadalafil for a conditions other than benign prostatic hyperplasia (BPH), your doctor will tell you when to take Tadalafil.

Generic Cialis – Generic Cialis – Generic Cialis – Generic Cialis – Cialis 10 mg

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How to use: Take one dose of Cialis 10mg and take another dose of Cialis 20mg, one day before the sexual activity. Take Cialis on a regular basis and do not take Cialis on weekends or when driving, unless a doctor tells you otherwise. The doctor will advise you on how to take Cialis when you’re ready to have sex.

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Cialis will not work faster than Tadalafil (Cialis) if you take it on a daily basis (on a regular basis) - this may not work if you’re using it on an as-needed basis.