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.

Key points of this review: 1. Grapefruit and grapefruit juice may interfere with tadalafil (Cialis) effectiveness1.

• Grapefruit may increase the levels of tadalafil by inhibiting a large drug combination that affects blood vessels and organs.
• Cialis can increase the effectiveness of vasodilators by blocking the action of a large substance in the body, potentially increasing the risk of side effects1-. It is not possible to determine whether combining grapefruit or other products with Cialis, tadalafil, or alpha-blockers, to achieve better blood pressure levels, to increase heart rate, or better blood pressure control, to supplement a routine regimen1.
• Avoid consuming grapefruit or grapefruit juice while taking Cialis, tadalafil, or alpha-blockers, as they can increase side effects like headaches or dizziness1.

Nitrates (e.g.

Cialis Product Name:

Cialis (tadalafil) is a prescription medication that is used to treat erectile dysfunction (ED) in men. It is available as a generic version called tadalafil. Cialis works by increasing blood flow to the penis, which helps men who have ED to have longer and firmer erections.

Cialis Product Generic Name:

Tadalafil is the brand name of the drug Cialis. This brand name is mainly used for treating ED. Cialis is available as a generic version called tadalafil.

How to Use Cialis:

Before you start using Cialis (tadalafil) let your doctor know if you have any of the following. You should not exceed 4 doses in 24 hours.

Take Cialis approximately 30 minutes, before you plan to have sex.

Do not take more than one dose of Cialis per day.

Cialis may take longer for you to start to have healthy erections. However, you may still have issue with your blood vessels returning or being damaged.

Before you are administered Cialis, let your doctor know if you have any of these serious side effects: blue changes (e.g., flushing, headache, stomach pain, back pain, muscle aches, pain in arms or legs, stuffy nose, difficulty sleeping), sudden hearing loss, priapism (prolonged erection that causes pain in penis), or heart attack or stroke. Other side effects may not have been discussed with your doctor. Cialis (tadalafil) may also cause some common side effects including headache, constipation, diarrhea, nausea, and upset stomach.

Before you are given Cialis (tadalafil) talk to your doctor if you have any of these:

• heart problems, such as heart failure or irregular heartbeat
• low blood pressure, such as uncontrolled hypertension or heart failure, recent heart attack, heart failure with or without stroke, heart failure with potential heart attack, or heart failure with potential risk factors for heart disease
• low blood pressure, such as recent heart attack or stroke, heart failure with risk factors for heart disease such as high blood pressure or diabetes, heart failure with potential risk factors for stroke or heart disease, priapism (prolonged erection that causes pain in penis), or kidney problems

Do not give Cialis (tadalafil) to a child or teenager. Its safety has not been established. Cialis is available in tablet form and as a liquid tablet. Cialis must be taken exactly as prescribed.

Cialis (tadalafil) is a prescription medication. Do not take Cialis if you are pregnant, trying to get pregnant, or breastfeeding.

How to Use Tadalafil:

Before you start using Tadalafil (tadalafil) let your doctor know if you have any of these:

• any of these serious side effects: chest pain, shortness of breath, high or low blood pressure, fast or irregular heartbeat, nausea, vomiting, enlarged prostate, dizziness, headache, trouble sleeping, or unusual changes in behavior such as increased activity, and/or trouble walking
• awareness of the side effects: sudden vision changes, sensitivity to light, sudden hearing loss, prolonged erection, sudden hearing loss, or sudden vision changes

Tadalafil may cause some common side effects including headache, headache, and upset stomach.

Other side effects may not have been mentioned with Tadalafil. Speak to your doctor about these possible side effects.

Warnings:

You should not use Tadalafil (tadalafil) if you are taking nitrates or recreational drugs called "poppers" including amyl nitrate and butyl nitrate.

Sold and Supplied by Healthylife Pharmacy

Generic Tadalafil (20mg) 8 Tablets

This product is a Prescription Only Medicine (S4) and is sold by Healthylife Pharmacy, an independently owned and operated pharmacy business. This prescription product requires a valid Australian script.

Healthylife provides general product information such as nutritional information, country of origin and product packaging for your convenience. This information is intended as a guide only, including because products change from time to time. Please read product labels before consuming. For therapeutic goods, always read the label and follow the directions for use on pack. If you require specific information to assist with your purchasing decision, we recommend that you contact the manufacturer via the contact details on the packaging or email us at [email protected]. Product ratings and reviews are taken from various sources including Bazaarvoice. Healthylife does not represent or warrant the accuracy of any statements, claims or opinions made in product ratings and reviews.

This party is moderated by Healthylife Pharmacy, review by Bazaarvante & Prabhakaran

Ivory Delivro 20 mg Generic Tadalafil

Healthylife offers a generic equivalent of tadalafil in the United Kingdom, typically 20 mg. This medication is similar to Cialis in terms of duration of action and effects. Generic forms of Tadalafil are also available, although smaller quantity is usually more cost-effective. Contact Healthylife directly at 717-972-7888 if you have any questions or need flexibility.

Tadalafil 20mg Generic Tadalafil

Generic forms of Tadalafil are also available, although small quantity is usually more cost-effective.

Healthylife does not suggest that prescription of tadalafil or any other medication in this product be taken within 4 hours of each other or within 7 days of the next prescription will be sent immediately. However, if you are unable to take prescription of tadalafil or any other medication within 7 days, please do not consider taking the party as a substitute for medical advice.

Currently, Healthylife does not claim to provide you with the same quality as other online pharmacies. However, you should consider other alternatives if you are unable to access your medication. Bazaarvante & Prabhakaran provide important contact details including phone, email or live phone number. Please read their contact information before ordering.

Otherwise, you can choose the dosage and quantity of this medication from Healthylife. Please read the instructions and warnings on pack carefully and consult your healthcare professional before taking this medicine.

Cialis 20mg Generic Tadalafil

Currently, Healthylife does not offer any generic equivalent of tadalafil in the United Kingdom. However, you should be aware of manufacturer's USD 20 coupon for Generic Tadalafil 20mg.

Bazaarvante & Prabhakaran provide important contact details such as phone, email or live phone number.

Cialis 40mg Tadalafil

Healthylife offers a generic equivalent of tadalafil in the United Kingdom, typically 40 mg.

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.

How should Cialis be taken?The order of the day

Cialis can be taken with or without food.

The recommended dose is one half of the daily dose.

The recommended dosage is one half of the daily dose.

The manufacturer, recommended range, and dose of Cialis are provided in the manufacturer's information. However, the manufacturer's product information is not available for Cialis. Do not adjust your dose of Cialis or use a different medication without consulting your health care provider.

Shake the medication well before taking.

The following reactions are usually observed in the first 2 to 4 hours of taking Cialis:

• Stuffy or runny nose
• Difficulty passing urine
• Feeling sick
• Trouble concentrating

If you experience aاج�دی (runny nose, stuffy nose, or dizzy feeling), contact your doctor immediately:

• Feeling faint
• Unusual heartbeat
• Vomiting
• High blood pressure
• Yellowing of the skin or eyes
• Quick bruising

In rare cases, Cialis can cause severe allergic reactions or other systemic side effects. If you experience any of these, contact your doctor immediately:

• Symptoms of a severe allergic reaction
• Ringing in the chest

As with all prescription medications, inform your doctor of any medical conditions you used to you manage, including if you have recently had heart surgery or experience chest pain during sex.

Tell your doctor if you are pregnant, may become pregnant, or think you may be pregnant or breast-feeding.What is the prescription drug for?