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Indications/Uses

Treatment of: Physical insease disorder of the heart; Pulmonary arterial hypertension.

Dosage/Direction for Use

Cialis (tadalafil):Treatment of physical insease disorder of the heart:-Treat physical insease disorder of the heart (pulmonary arterial hypertension).

Esomeprazole should be taken at least 2 hours before or 6 hours after the above-mentioned treatment(s) and before or after angina therapy.Treat physical insease disorder of the heart (e.g. treating in advance).

Administration

Grapefruit juice is an alternative treatment for physical insease disorder in patients: 18 years or over. Grapefruit juice may increase the effect of cialis (tadalafil) and should be used with caution. Precautions: Do not take more than directed. Avoid alcohol. Pregnant and breastfeeding women must wash hands immediately after taking Cialis or cialis (tadalafil) or for the best effect.

Contraindications

Tadalafil and any product containing it are contraindicated in children.

Warnings/Precautions

Tadalafil should be used with caution in patients with a history of hypersensitivity to any of the excipients. Cialis should be used with caution in the elderly in patients with a history of hypersensitivity to alphabain, to any of the ingredients in Cialis or similar products. Caution is advised in patients with coronary heart disease or with risk factors for cardiovascular disease. Avoid adrenergic replacement therapy as it increases the effect of Cialis.Pregnancy:Not recommended during pregnancy. Caution is advised in pregnancy when using tadalafil during pregnancy. There is some evidence that Cialis during pregnancy may result in a fetal birth defect. Caution is also advised in pregnancy when using tadalafil in sexually transmitted infections (eg. gonorrhoea or bacterial vaginitis).

Check with your doctor before using this product if:

  • you are allergic to tadalafil, or any of the ingredients in this product
  • you are taking nitrate-based angina medications such as amyl nitrite
  • you have been told by your doctor that you have an arterial hypertension (high blood pressure in the arteries carrying blood to your heart)
  • you have had a stroke or heart attack within the past 6 months
  • you have had at least 1 severe attack of a coronary artery in your lifetime

This is a takes longer for the effect of tadalafil to develop. Therefore, before using Cialis (tadalafil) tell your doctor or pharmacist. Your doctor may need to adjust your dose or recommend another treatment.

With Prolonged Therapy:

Caution is recommended in patients using prolonged drugs during their treatment with Cialis (tadalafil).

Use in Children:

There is no specific advice on use in children. Caution is advised in pregnancy, when using tadalafil in pregnancy or if breastfeeding. This product is not recommended during breastfeeding. This medicine is available in tablet and capsule form.

Storage

Store at room temperature (20 to 25°C) away from light and moisture. Do not store above 4°C.

Clammatory/Hypertensive Conditions

Tadalafil may increase blood pressure in some patients.

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.
Descripte da sua intera conness (interactionurrent).agnavir (AIDs).

C.

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

  1. : While not a direct interaction, combining Cialis with Cialis might affect your experience of side effects: headaches, dizziness, lightheadedness, or fainting in sensitive individuals.
  2. : While innocent but worsens side effects like headaches or increase heart rate: mitigate these effects while using Cialis.
  3. : Though taken to treat symptoms, Cialis can be taken with or without food.
  4. Avoid Reading Foods Interactions: While there is no direct interaction, avoid reading Foods Interactions and consult your doctor before taking Cialis with Foods Interactions.

2023-08-16

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is one of the most frequently prescribed drugs to treat erectile dysfunction and impotence. Cialis is a very popular brand name that can be found in many countries in the world. Cialis is one of the most popular drugs for erectile dysfunction and also used to treat pulmonary arterial hypertension. Cialis is also known as ‘the little blue pill’ and has been available since the early 20th century. You can buy Cialis online from any of the major pharmaceutical stores in the United States, Canada, and Australia. Cialis is a brand name and is widely available in many countries. Cialis is available in different strengths, and can be taken either with or without food, and also for the treatment of pulmonary arterial hypertension.

The Cialis brand has a long history in the world of drug and cosmetic surgery. The first product to be introduced was the Cialis which was developed in the early 1960s by a team of scientists from the University of Toronto. In the early 1960s, it became the first drug to be prescribed by a licensed physician. In the UK, it is available in four different strengths, the Cialis is available in the strengths of 5mg, 10mg, 20mg, and 40mg. The original Cialis brand is now available in the following countries:

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