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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.
‍ Mexiletil (tadalafil) can also interact with tadalafil and cause a potential drop in blood pressure, leading to dizziness, fainting, or even stroke. Here are the drug- Mexiletil:

C.

Tadalafil (Cialis) can interact with certain foods and beverages, such as alcohol, leading to symptoms like dizziness or lightheadedness. If taken with Cialis, avoid using any alcohol-containing drinks while using tadalafil.

Dapoxetine (Pratt) can also interact with tadalafil and cause a potential drop in blood pressure, leading to dizziness, lightheadedness, or fainting. These effects are usually mild and last only a few minutes or so, but you should consult your doctor before taking them.

D.

Pratt (adalafil) can interact with certain foods and beverages, such as alcohol and alcohol dehydrate medications by blocking their metabolism.

Viagra 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 Viagra use include:

  • Headache
  • Heartburn
  • Congestion
  • Nasal bleeding (bloody nose)
  • Nausea
  • Diarrhea
  • Muscle aches or pains
  • Flushing
  • Facial pain or tenderness
  • Vision changes
  • Light sensitivity

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 Viagra. Viagra can interact with bodily substances, causing potentially serious adverse reactions.

Specifically, you should inform your health care provider of any nitrate 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.

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Nov 30, 29 | Quote
  • Viagra has been shown to cause some mild side effects.
  • Viagra may interact with bodily substances, causing potentially serious adverse reactions. Specifically, let your health care provider know if you are taking any nitrates, medications for chest pain, or any alpha-blockers you use.
  • If you have any questions about Viagra, consult your health care provider for a prescription.
  • Viagra may interact with the following:
  • If you are taking nitrates for chest pain, do not take Viagra unless your doctor recommends it.
  • If you are taking medications for chest pain, do not take Viagra unless your doctor recommends it.
  • If you are taking any alpha-blockers you use, do not take Viagra unless your doctor recommends it.
      • If you are taking medications for pain during sex, do not take Viagra unless your doctor recommends it.
      • If you are taking any other medications, talk to your health care provider about worsens sexual response.

      The NHS says it will not reimburse for any of the medicines it will no longer be able to sell to patients who cannot buy or have the prescription.

      The NHS has announced the following:

      • The prescription of Viagra and other erectile dysfunction medicines should be paid for by the NHS.
      • The NHS will not reimburse for any of the medicines it will no longer be able to sell to patients who cannot buy or have the prescription.

      However, a spokeswoman for the NHS Association of Healthcare Professionals said: “The Department of Health and Ageing, as part of the General Medical Council’s consultation into the treatment of erectile dysfunction, has been contacted with individuals who would like to know more about the use of Viagra and its possible effects on the body. The Department of Health and Ageing is currently working with the NHS to provide alternative treatments for erectile dysfunction.

      “The Department of Health and Ageing is currently working with the NHS to provide alternative treatments for erectile dysfunction. The Department has also completed a review of the available evidence for the safety and effectiveness of these products and is currently working with the NHS to determine if there is sufficient evidence that the products are safe and effective.”

      The spokeswoman said: “The Department of Health and Ageing is currently working with the NHS to provide alternative treatments for erectile dysfunction.

      “We are currently working with the Department of Health and Ageing to ensure that the NHS provides the best treatment for erectile dysfunction and is committed to ensuring that any medicines that are bought over the counter will not cause further harm to patients.

      “Our hope is that any of these products will be approved by the FDA and are considered safe and effective by the NHS, and that they will not put men at risk of sexually transmitted infections and other serious health complications, including sexually transmitted infections.

      “We are currently working with the Department of Health and Ageing to provide alternative treatments for erectile dysfunction and are committed to ensuring that any medicines that are bought over the counter will not cause further harm to patients.”

      The NHS Association of Healthcare Professionals

      The National Institute for Health and Care Excellence (NICE) has released a ‘Guide to Improving the Effectiveness of Medicines for the Treatment of Erectile Dysfunction’.

      The NHS Association of Healthcare Professionals says the NHS has made progress in improving the use of medicines for the treatment of erectile dysfunction.

      The NHS is committed to providing better treatment for erectile dysfunction and is working with the Department of Health and Ageing to develop new medicines to improve treatment for erectile dysfunction.

      The Institute of Health and Welfare, the National Institute for Health and Care Excellence (NICE), the National Institute for Health and Clinical Excellence (NICE), and the National Institute for Health and Care Excellence (NICE) are working on the NHS’s responsibility for improving the effectiveness of medicines for erectile dysfunction.

      The NHS has announced that it will not reimburse for any of the medicines it will no longer be able to sell to patients who cannot buy or have the prescription.

      However, a spokesman for the Department of Health and Ageing said: “The Department of Health and Ageing is currently working with the NHS to provide alternative treatments for erectile dysfunction. The Department has completed a review of the available evidence for the safety and effectiveness of these products and is currently working with the NHS to determine if there is sufficient evidence that the products are safe and effective.”

      The National Institute for Health and Care Excellence has released a ‘Guide to Improving the Effectiveness of Medicines for the Treatment of Erectile Dysfunction’.

      The Institute of Health and Welfare, the National Institute for Health and Care Excellence, and the National Institute for Health and Clinical Excellence are working on the NHS’s responsibility for improving the effectiveness of medicines for erectile dysfunction.

      The Institute of Health and Welfare, the National Institute for Health and Care Excellence (NICE), and the National Institute for Health and Clinical Excellence (NICE), are working on the NHS’s responsibility for improving the effectiveness of medicines for erectile dysfunction.

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