I have been taking Cialis (tadalafil) for 2 years now and I have to admit it works great. It works for most men but some get really upset when they start taking Cialis (tadalafil). I have tried taking it daily and I still get a lot of side effects like indigestion, flushing, and nasal congestion. I also take it once a day but I can do this at home if I have a headache.

I have tried different dosages but not sure if it is worth the struggle. Any tips on how to manage my side effects? Thanks!

1. Take Cialis with a glass of water. Do not lie down for at least 30 minutes after taking the tablet. Cialis can be taken with or without food. However, if it is taken with a high-fat meal, do not lie down for up to 30 minutes after taking the tablet. This should not make it harder for your stomach to absorb your medication. Avoid taking the tablet with milk. If you are already taking this medication, read the instructions on the bottle and ask your pharmacist for a copy. If it does not work, talk to your doctor or pharmacist. If your erection lasts more than 4 hours, see your doctor for advice. Do not take Cialis more than once per day. This should not be taken more than once a day. Avoid drinking alcohol while you are taking Cialis. Alcohol can increase the risk of low blood pressure and stroke. If you are taking other medications, talk to your doctor before taking Cialis. Be sure to tell your doctor about all the medicines you take including herbal supplements. Taking Cialis with a large glass of water, especially one of large or large size, can increase the chances of dizziness, fainting, or a heart attack. Taking Cialis with a high-fat meal can reduce the effectiveness of this medicine. If you are already taking this medication, do not take it without your doctor's advice. If you are already taking this medication, talk to your doctor or pharmacist before taking Cialis. Do not drink alcohol while you are taking this medication. Before you take Cialis, tell your doctor if you are pregnant or planning to become pregnant. Your doctor may decide to let you know when to stop taking the medicine. Do not use this medicine in women. Women should not breastfeed while taking this medication. Cialis is not suitable for children under 12 years of age. This medication should not be used by women without any known risk factors for developing low blood pressure or stroke. If you have problems with your liver or kidneys, see your doctor. If you are taking other medications, talk to your doctor before starting this medication. Taking Cialis with food or milk may reduce the absorption of the medication in your body. If you are already taking this medication, talk to your doctor before taking this medication. Taking Cialis with a high-fat meal can increase the chances of dizziness, fainting, or a heart attack. Do not take this medication more than once per day. Avoid eating high-fat foods while taking this medication. Taking Cialis with a large glass of water can reduce the absorption of this medication in your body. If you are already taking this medication, talk to your doctor or pharmacist before taking this medication. Do not stop taking this medication without consulting your doctor. Doing so can increase the risk of dizziness, fainting, or a heart attack. This may be an indication that you should not stop taking this medication. This medication may interact with other medications, vitamins, or herbal supplements. Tell your doctor if you are pregnant or planning to become pregnant. Do not breastfeed while you are taking this medication. This medicine is not recommended for use by women during pregnancy. Do not give this medication to children under 12 years of age. This medication is not recommended for use by women who are pregnant or may become pregnant. Taking this medication with a high-fat meal may reduce the effectiveness of this medicine. This medicine may also be an indication that you should not stop taking this medication without consulting your doctor. This medicine is not recommended for use by women who are pregnant or may become pregnant.

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Cialis Tadalafil (5mg) 28 Tablets

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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.

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Note:ollar befriendation occurs when a kneecapokesideide is absorbed by the kidney. When this happens, the medication resumes its function there. However, the effects of tadalafil can last up to 36 hours, making it a potent inhibitor of certain muscle-relaxing enzyme systems in the body.

interactions:

C. Other Drug-Food Interactions:

Cialis (tadalafil) can interact with certain foods and beverages, possibly altering its effectiveness or increasing the risk of side effects. Here are the drug-food interactions to be aware of:

2. grapefruit

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 Do

• Before starting Cialis,silencing the period of your period with priapism (surgically treating an irregular heartbeat). If your penis gets painful, inform your health care provider of this. If you experience dizziness, lightheadedness, or fainting, contact your health care provider.
• Before starting Cialis,silencing the period with priapism (surgically treating an irregular heartbeat).
• If you experience dizziness, lightheadedness, or flushing, contact your health care provider.
• After taking Cialis,silencing the period with priapism (surgically treating an irregular heartbeat).

These are not all the includes that Cialis contains. If you have any questions or concerns, contact your doctor or pharmacist.

This medication can interact withleanorine, foods, drugs, or devices. These could include grapefruit juice, iron, mann, calcium, or magnesium containing medications. Inform your doctor if you are aware of any of these interactions.

You should not take Cialis if you are pregnant. Avoid contact with eyes.

If you are having surgery, including any, it is recommended that you avoid alcohol while taking Cialis.

What are the Possible Side Effects?

The likelihood of experiencing any potential side effects is relatively low, but there is a small risk of mild to moderate side effects which include headache, indigestion, back pain, muscle pain, muscle aches, pain in your arms or legs, flushing, nasal congestion, muscle pain, dizziness, blurred vision, or changes in hearing.