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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 questions before starting treatment

Tadalafil interactions

When taken at the same time as Viagra, you can potentially have two possible outcomes:-

  • A prolonged erection.
  • Anaphylactic reactions such as anaphylaxis.
  • Anaphylactic reactions with an exception of asthma.

The more common interactions are :-

  • Atrial flutter lasts at least 4 hours after the first dose.
  • Any dangerous allergic reaction to medications.

The more serious interactions are as follows-

  • Allopurinol may cause dangerous allergic-type reactions, including:
  • rashes, itching or hives, difficulty breathing or swelling of the face, lips, tongue or body.
  • Specific rash.
  • Maclees. Unless otherwise agreed by your doctor, all the products listed below are only available with a GPs conversation.

Source:

How to split Tadalafil

Choosing between Viagra and Cialis is about balance. If one is to be taken at the same time as Tadalafil, then the other can be taken at any time. If the Tadalafil is taken any earlier, then the product may be taken at the same time as the all-inclusive treatment but not both treatments. Taking in all inclusive treatment is in the tadalafil. Tadalafil in particular needs to be taken in the usual way to get the most benefit from it. Try not to take in all the time. Try not to take in all the time if you have any reason to believe that it will do no good to do in any way other than be taken away by force.

If one all-inclusive treatment is to be taken at the same time as the other, then you will need to be on your way or you may be on your way to a rush. Make sure you do not take your first treatment in March while you are taking Tadalafil.

Nicknamed “The Weekender Pill”,Tadalafil is the generic version of Cialis™. It lasts up to 36 hours and the reason some prefer Tadalafil over Sildenafil, which typically last up to 8 hours. Please select your preferred dosage and number of pills.

  • Available in 5 mg, 10 mg, and 20 mg
  • Works in as quickly as 30 Minutes
  • Tadalafil lasts up to 36 hours
  • Subscribe to Save optionNEW!
Looking for Tadalafil Daily?.

* We can ship up to 30 pills at a time. For example, if you order 120 pills, you will get four shipments of 30 pills.

Health Questionnaire Required:

For your first order with us, after placing an order, you will be prompted to upload your ID and submit our health questionnaire, soour physician canreview your basic health information,in order to mail prescription medications. You will not need to do this for refill orders.

Disclaimer:This is not medical advice. You and our physician will determine if (and potentially how) you should take Tadalafil. Please consult with your physician if you have any further questions.For more information on Tadalafil,.

criteria for health questionnaire
health questionnaire required
Name ( Required)Tadalafil (5 mg, 10 mg, 20 mg)
physical examination and blood pressure16/05/2022
laboratory16/05/2023
urinalysis5/01/2024
medical historyHighly uncommonly treated.
dosage10 mg, 20 mg, 45 mg, 65 mg, 90 mg, 180 mg
side effectsHeadache, stomach pain, indigestion, back pain, muscle aches, pain, muscle aches, flushing, cold symptoms, nasal congestion, vision changes, sudden vision loss, sudden hearing loss, ringing in your ears, seizures, dizziness, diarrhea, dry mouth, stomach pain, headache, indigestion, back pain, muscle pain, nausea, vomiting, diarrhea, loss of appetite, sore throat, joint pain, muscle pain, pain in abdomen, pain in legs and back, muscle pain, stomach pain, blurred vision, red eyes, leg cramps, headache, leg cramps, blurred vision, toothache, back pain, muscle weakness, fever, back pain, diarrhea, back pain, muscle pain, congestion, back pain, muscle aches, sore throat, leg cramps, upset stomach, vision changes, sudden vision changes, seizures, dizziness, toothache, weakness in one side, soft spots, skin pain, stomach pain, skin rash, back pain, skin rash, weakness, redness in face, leg cramps, leg stiffness, fever, leg cramps, muscle pain, congestion, weakness, redness in mouth, pain in legs, pain gets in the eyes, nose, nose, stomach, dizziness, diarrhea, headache, leg cramps, muscle pain, joint pain, muscle pain, joint disorders, ringing in your ears, dizziness, joint pain, toothache, weakness in one side, fever, dizziness, cough, earache, dry cough, earacheX,How should be declared?1. Your health information is safe and should be disclosed. 2. In order to receive a discount, you must first select your preferred dosage and quantity of pills (5 mg, 10 mg, 20 mg), and 2. Please enter your medical history and your desired dosage (5 mg, 10 mg, 20 mg), and 3.

Many men experience erectile dysfunction (ED), which can affect men of all ages. Lately, there’s been buzz about alternative medications like Cialis, which are specifically designed to improve sexual performance but are less likely to cause long-lasting ED. Is it safe? Not as easily as it sounds. There are many other ED medications out on the market, but what are they good and how do they compare? This article focuses on Cialis, which is an PDE5 inhibitor that works by increasing blood flow to the penis to help a man get and maintain an erection.

What is Cialis?

Cialis is aPDE5 Inhibitorthat was first approved by the FDA in 2003. It’s one of the most popular PDE5 inhibitors on the market, and it’s widely used and trusted. Cialis is available in various forms, including tablets, implants, and liquid solutions, making it a go-to treatment for ED. Here’s a closer look:

Is Cialis Safe for Sexual Performance?

Yes, Cialis is widely used for ED, and it’s one of the most effective medications available for this condition. The FDA has approved it for this condition only in certain medical specialties, such asrology or orthopedic surgery. The generic form of Cialis, tadalafil, is manufactured by Cipla, a pharmaceutical company.

Is Cialis Suitable for Everyone?

Cialis is typically more suitable for men over 65, but there are some factors that influence its suitability for everyone. The dosage and duration of treatment can vary from person to person, and the severity and frequency of symptoms can be different among patients. Generic versions of Cialis are also available, so you can ensure that you’re getting the best and most effective treatment possible for your specific needs.

How Long Does Cialis Take to Work?

Cialis typically starts working within 30 minutes to an hour after ingestion, with effects lasting up to 4 to 6 hours. This is enough time for sexual activity for most men, so you should be ready for sexual activity for most of your working life.

Generic Cialis vs. Brand name Cialis: Which is Better!

The FDA has approved Cialis (tadalafil) for the treatment of ED only in certain medical specialties, such asrology or orthopedic surgery. The generic form of Cialis is also manufactured by Cipla, a pharmaceutical company.

The Bottom Line

ED medications like Cialis are effective, and they’re not a good option for everyone. Here’s a quick comparison:

MedicationDosageDuration of EffectSide EffectsPrice
Cialis30-60 minutes$2.44$1.99$0.78
Tadalafil$2.50$2.27$1.17
Cialis + Tadalafil$4.83$4.85$3.17

The generic form of Cialis comes in a wide range of dosages and dosage types, so you can ensure that you’re getting the best and most effective treatment for your needs.

Cialis vs.

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.
A final may be necessary to avoid the following drug-food interactions:
  1. Starchy Cauliflower: Though not a direct interaction, combining Cialis with high-fat meals may aggravate side effects, like headaches or increase heart rate in sensitive individuals.
  2. Citrus foods: Though not a direct interaction, eating large amounts of Cecilia can enhance blood pressure-lowering effects of the medication, leading to potentially more efficient relief of symptoms.
  3. Potato Anabosage: Though not a direct interaction, combining Tadalafil and rootsetine can worsen side effects, like headaches or increase heart rate in sensitive individuals.