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Cialis 20mg Tadalafil is a treatment for adult men with erectile dysfunction. This is when a man cannot get, or keep a hard, erect penis suitable for sexual activity. Tadalafil has been shown to significantly improve the ability to obtain a hard erect penis suitable for.

Cialis works by helping toin Enhance erectile function.

How to Use

Take one tablet about an hour before sexual activity. Swallow the tablet whole with a glass of water. Do not crush, chew or split thecapsule. You may take the tabletif you have difficulty swallowing it. Don’t take more than once a day.

Precautions

Do not take if you:

  • Take any nitrate medicine for chest pain or heart failure
  • Have or had heart problems, such as angina, heart failure, or recent heart attack
  • Have or hadystemically problems making it more likely that they could happen
  • Have a disease that increases the risk that arteries willoral would block if taken with tadalafil

Ingredients

Each tablet contains 20 mg of tadalafil.

Contraindication

Not suitable for men aged 18 or over.

Side Effects

The most common side effects are headaches, indigestion or back pain, muscle aches, flushed (libido-boosting), flushing or redness in your face or penis. This is not a complete list of side effects that you may experience. If these side effects last or get worse, tell your doctor as soon as you begin taking tadalafil. Consult your doctor if you are not sure about anything at all, before you take tadalafil.

Ajax is a prescription medication for ED. Our doctors are expert doctors who understand the importance of taking priority in caring for your health. Our patients benefit from a well-established technique in which they receive the medication as scheduled. This ensures that the treatment is effective for as long as the prescription is written. When taking This medication, it’s important to avoid grapefruit juice as it may increase the effectiveness of this drug.

Warnings

Do not take this medication if you:

  • Do not have an erection
  • Have an increased tendency to ejaculate
  • Have problems with low blood pressure
  • Have a disease that increases the risk that arteries willoral would inhibit if taken with tadalafil
  • Have one of the following conditions:
    • Prostate problems drug abuse
    • Aescholinoma
    • Diclofenac

    These conditions may occur only in certain men. Do not exceed the recommended dose.

    Pharmacy Information

    We offer a wide range of meds for ED and PA. Our doctors are doctors who understand the importance of taking priority in caring for your health. We ensure that the treatment is effective for as long as the prescription is written. When taking this medication, avoid grapefruit juice as it may increase the effectiveness of this drug. Please consult your doctor if you are not sure about anything else related to your ED or PA problem.

    This is when a man cannot get or keep a erection suitable for sexual activity. This is when Tadalafil has been shown to significantly improve the ability to obtain a hard erect penis suitable forThis is when a man cannot get or keep a hard erect penis suitable for sexual activity.This is when a man cannot get a hard erect penis suitable for sexual activity. This is when Tadalafil has been shown to significantly improve the ability to get a hard erect penis suitable for

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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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C.

Here are the key drug-food Interactions:

  1. : Grapefruit can increase the levels of tadalafil by interfering with its metabolism. This may amplify to levels similar to alcohol when used with this medication.
  2. : Though this combination may be more effective in sensitive individuals, moderation of alcohol intake is recommended while using Cialis.
  3. : While this combination may be more effective in sensitive individuals, moderation of consumption is recommended while using Cialis.
  4. : Though not a direct interaction, combination Cialis with high caffeine intake might worsen side effects like headaches or increase heart rate in sensitive individuals.

D.

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.

Before taking Tadalafil (Tadalafil)

You should discuss your medical history with your doctor before taking Tadalafil. This medicine should not be used to treat BPH unless it has been prescribed for you. Your doctor will decide if your condition needs medical attention and whether Tadalafil can be taken daily or as directed by your doctor. You should not use Tadalafil if you have any medical conditions, including a heart problem or stroke.

Tadalafil should not be used in patients with a history of allergy to any herb or food. Before taking Tadalafil, tell your doctor if you are allergic to any other medicines or any other drugs. The most common side effects of Tadalafil include headache, back pain, muscle pain, nasal congestion, dizziness, and lighting up intense flushing. If you are taking this medicine or have any other medications, your doctor will probably not experience the most common side effects, but persistent side effects are possible.

You should know that Tadalafil may cause dizziness, so drive with caution. Avoid driving with Tadalafil. Tadalafil is not recommended for use in children as dizziness should be a possibility.

Tadalafil (Cialis)

You are advised to take Tadalafil for as long as your doctor has prescribed it. Tadalafil should only be taken for as long as your doctor has instructed you. This medicine should be used for only a limited time after you have been prescribed it. In some cases, you may experience side effects such as headache, back pain, muscle pain, indigestion, and facial flushing. However, you are advised to talk to your doctor if you experience only mild side effects.

The effects of Tadalafil may last for up to 36 hours. You should not take Tadalafil if you are taking any of the following medications.

This medicine may cause an upset stomach; in other words, you should know that Tadalafil may cause an upset stomach. If any of the following side effects become bothersome, get medical help immediately and stop taking Tadalafil: Dizziness, headache, loss of appetite, muscular cramps, dizziness, or fainting. In some cases, Tadalafil can cause nausea and vomiting. In any case, avoid using Tadalafil and thoroughly discuss your medical history with the doctor.