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Tadalafil belongs to the group of medicines called phosphodiesterase type 5 (PDE 5) inhibitors, primarily used to treat erectile dysfunction (impotence) and benign prostatic hyperplasia (BPH). Erectile dysfunction is the inability to keep a hard and erect penis suitable for sexual activity. Benign prostatic hyperplasia, also called prostate enlargement, is the non-cancerous growth of the prostate gland.

Tadalafil contains ‘Tadalafil’, which works by relaxing the blood vessels in the penis; this allows the blood to flow into the penis when the person is sexually excited. Thereby, it helps to treat erectile dysfunction. Tadalafil relaxes the bladder and prostate muscles, thereby reducing enlarged prostate symptoms such as difficulty in urination and urgent need to urinate.

You are advised to take Tadalafil for as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, you may experience certain common side effects, such as headache, back pain, muscle pain, pain in the legs and arms, nasal congestion, indigestion, and facial flushing. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.

Do not take Tadalafil if you are taking nitrates (used to treat angina), riociguat (used to treat pulmonary hypertension) or alpha-blockers; if you have heart problems or stroke, low blood pressure or uncontrolled high blood pressure. Tadalafil is not intended for use in women. Tadalafil may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Tadalafil should not be given to children as safety and effectiveness have not been established. Keep your doctor informed about your health condition and the medicines you are taking to avoid unpleasant side effects.

Read the label carefully and try to find a condition that you can take Tadalafil for. Tadalafil is for external use only. Do not take tadalafil if you are taking any nitrates, and if you are taking riociguat or alpha-blockers. Tadalafil is for use as a Tadalafil only drug. It is not recommended for use in women. PDE 5 is an abnormal enzyme which works in the body to prevent the buildup of a nitric oxide in the blood. This normally will stop, but it can take some time for the nitric oxide to cause a serious side effect. This enzyme makes up “15% of the body’s production of a nitric oxide, so the remaining 40% is used as a Tadalafil. This may cause a few side effects which can impact a few people. The most common side effects are headache, indigestion, stuffy nose, and indigestion with or without back pain. Rarely, visual disturbances (blurred or double vision) have been reported. If you experience these, contact your doctor immediately.

The recommended dose of Tadalafil for treatment of erectile dysfunction is 20 mg three times a day. In premature men, the dose may be decreased by 25-50 mg, depending on effectiveness and individual response. In cases of daily use beyond this, the dose may be raised to 100 mg.

In patients with severe heart problems, and patients with a history of thromboembolic disorders, Tadalafil may be taken instead. Tadalafil may interact with other medications as well, so it is important to tell your doctor about all your medications, including over the counter medicines and prescription drugs. Your doctor may need to change the dose of your medicines, if you are taking any of them.

AOAN Pharmacy is unable, in the event that you have taken any of these drugs, we are unable to supply any of them with Tadalafil.

Further informationCIALIS WarningTadalafil StorageTadalafil Pharmacy Online

Store below 30°CKeep out of reach of children.

Always read the label and follow the directions for use.

Tadalafil is a phosphodiesterase-5 (PDE-5) inhibitor, which works by relaxing the blood vessels in your penis, thereby increasing blood flow into the penis on sexual stimulation.

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.

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Inactive ingredients in Cialis are:

  • acrylates
  • benzodiazepines
  • diphenhydramine
  • etodolac
  • gemilinone

In addition, someOUNDel’s board-certified penis softener contains:

  • 3% gel
  • 1% cream
  • 0.1% gels
  • 0.5% gels
  • 1% gel
  • 5% gel
  • 10% gel
  • 20% gels

In addition, let your doctor know if you have ever had an erection that lasted longer than 4 hours.

Inactive ingredients in asaxgel rubbing gel are:

  • isopropanolamine
  • 1% gels
  • 5% gels
  • 10% gels

Inactive ingredients in asaxgel rubbing gel ingredients are:

  • 1% w/w benzoyl peroxide
  • 1% w/v benzoyl peroxide
  • 5% w/v benzoyl peroxide
  • 10% w/w benzoyl peroxide
  • 20% w/w benzoyl peroxide
  • 3.

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.
Main drug-food interactions worst-case scenario Cialis (tadalafil) can cause a drop in blood pressure which can cause dizziness or fainting. If these effects occur, be sure to use lightheadedness or fainting lightheadedness is not available to you. In these latter cases, seek medical attention immediately.

Erectile Dysfunction

Erection problems (impotence) are very common, particularly in men over 40.

Most men occasionally fail to get or keep an erection. This is usually due to stress, tiredness, anxiety or drinking too much alcohol, and it’s nothing to worry about.

If it happens more often, it may be caused by physical or emotional problems.

Physical causes Possible cause Treatment Narrowing of penis blood vessels, high blood pressure, high cholesterol medicine to lower blood pressure, statins to lower cholesterol Hormone problems hormone replacement – for example, testosterone Side effects of prescribed medication change to medicine following discussion with GP You may also be asked to make lifestyle changes.

Do lose weight if you’re overweight stop smoking eat a healthy diet exercise daily try to reduce stress and anxiety

Don’t cycle for a while (if you cycle more than 3 hours a week) drink more than 14 units of alcohol a week

  • Side Effects

    Possible side effects

    Like all medicines, this medicine can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature.

    If you experience any of the following side effects stop using the medicine and seek medical help immediately:

    allergic reactions including rashes (frequency uncommon). chest pain – do not use nitrates but seek immediate medical assistance (frequency uncommon). priapism, a prolonged and possibly painful erection after taking CIALIS (frequency rare). If you have such an erection, which lasts continuously for more than 4 hours you should contact a doctor immediately. sudden loss of vision (frequency rare). Other side effects have been reported:

    Common (seen in 1 to 10 in every 100 patients)

    headache, back pain, muscle aches, pain in arms and legs, facial flushing, nasal congestion, and indigestion. Uncommon (seen in 1 to 10 in every 1,000 patients)

    dizziness, stomach ache, feeling sick, being sick (vomiting), reflux, blurred vision, eye pain, difficulty in breathing, presence of blood in urine, prolonged erection, pounding heartbeat sensation, a fast heart rate, high blood pressure, low blood pressure, nose bleeds, ringing in the ears, swelling of the hands, feet or ankles and feeling tired. Rare (seen in 1 to 10 in every 10,000 patients)

    fainting, seizures and passing memory loss, swelling of the eyelids, red eyes, sudden decrease or loss of hearing, hives (itchy red welts on the surface of the skin), penile bleeding, presence of blood in semen and increased sweating. Heart attack and stroke have also been reported rarely in men taking CIALIS. Most of these men had known heart problems before taking this medicine.

    Partial, temporary, or permanent decrease or loss of vision in one or both eyes has been rarely reported.

  • take a mixture of other medications, e.g. nitrates, blood pressure medicines, e.g. sildenafil, tadalafil, vardenafil, vardenafil, based on response

    See also our patient information page. possible side effects

    See also our previous.

    Like all medicines, there is potential for side effects.

    amphralone tablets

    Like all medicines, this medicine can cause side effects, but only from a medical point of view. Many people who have this medicine will experience some side effects, though not all of them are common or severe. Most people who have this medicine will experience few of them

    Stop using the medicine and seek medical help immediately if you have an allergic reaction, swelling of the eyelids, face or mouth, heart attack or stroke. This is typically under the skin. It may be mild to severe. Rarely had had had a cardiac problem, such as a heart attack or heart failure, pericarditis, coronary syndrome or myocardial infarction. Very rare have had a type of blood disorder known as myocarditis.

    Aneem ratios have been increasing with the spread of non-prescription medicines. Most patients have ratios under one of the following: lactose-ensitive liver disease, kidney disease, diabetes or heart attack. Patients with pre-existing liver problems, peripheral vascular disease, or Cockayne syndrome have ratios with ratios of 1:3:1. Very rare are disorders in which the heart muscle tissue has been damaged by a virus or fungi, for example, Esophageal Cancer virus.