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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 and Grape Juice: Compounds with properties in urine can impact the absorption of tadalafil in terms ofyang fruit and grapefruit juice levels. This may increase side effects like headaches or dizziness.
  2. : Though this does not occur with alcohol, combining Cialis with Cialis-containing products might significantly increase the blood pressure-lowering effects of the medication, leading to symptoms like dizziness or fainting. Before using Cialis, consult your healthcare provider for potential side effects.
  3. : While tadalafil can be taken with or without food, consuming it with a high-fat meal may delay its onset of action.

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.

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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,.

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Health Question

Do you:have any health problems?

Yes, you do! Our physician willLLOW you around for30-60 minutes, and you should receive your order within 48-72 hours of your appointment. You will need to fill out a health questionnaire, which we can’t accept, because you’re required toijing January 24, 2020 form!

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Tadalafil is the new generic version of Cialis™. Not all of the active ingredients will be present in this product. However, some of the ingredients have been tested to make them more palatable to. Talk to your doctor about the best way to take this medicine. Tadalafil lasts for36 hours!

Generic Tadalafil lasts for30-60 minutes! This is designed to, so that you can get back to doing things the moment your momento is complete. We also offer free shipping on all orders over $99. This fast delivery makes getting this medicine easy and faster than you would if you, saving both time and money!

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Before you begin taking Tadalafil generic, its important to carefully read the Patient Information Leaflet. Make sure to review it each time you get a refill.

Take Tadalafil dosage orally, either with or without food, as directed by your healthcare provider. Tadalafil dosage should not exceed more than once a day. Swallow the tablet whole. Do not split it or crush unless advised.

Your daily dosage will depend on your medical condition, how you respond to medications, and any other medications you currently take. Before you take ED treatment pills, ensure that you inform your healthcare service provider of any prescription drugs, over-the-counter medicines, and any other supplements you take.

If you are also using finasteride alongside Tadalafil to treat any symptoms of benign prostatic hyperplasia (BPH), discuss the duration of treatment and dosage you will need with your healthcare provider.

For erectile dysfunction (ED), tadalafil citrate may be prescribed in two ways:

  • You may take it as needed, usually at least 30 minutes before sexual activity, with its effects potentially lasting up to 36 hours.
  • Your doctor may recommend taking generic Cialis regularly, once a day.

Follow your doctors instructions carefully based on your specific needs and condition.

If you are using tadalafil citrate medication for ED dysfunction and BPH, take it daily as directed by your doctor. To ensure you do not forget, take it at the same time each day.

Keep your healthcare practitioner informed if your medical condition does not improve or worsens during treatment.

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If you are experiencing erectile dysfunction, tadalafil citrate may not be for you. Discuss the risks and benefits with your healthcare provider before taking it.

For pulmonary hypertension, tadalafil citrate may be prescribed in two ways:

  • You may take it independently of your doctor for a few minutes before having sex, if needed.
  • Your doctor may provide you with a lower dose if convenient alone is not successful. You may take it the next time you get a refill.

Follow carefully your doctor's instructions before taking.

  • Doses are often provided as a maintenance option. However, it is important to get the healthcare professional’s professional recommendation when taking generic Cialis for erectile dysfunction (ED).
  • If you are using tadalafil for ED dysfunction and severe vision or hearing loss, be sure to follow your doctor’s directions carefully.

For menstrual cramps, tadalafil citrate may be prescribed in two ways:

  • You may take it regularly, either once a day
  • Your doctor may have prescribed it twice a day.

Follow the prescribed treatment plan for duration and quantity. Do not take it more frequently than directed.

If you are using tadalafil for erectile dysfunction and BPH, take it regularly, either once a day or daily, as directed by your doctor.

Do not exceed the recommended dose. Do not take it for more than a few days at a time.

If you experience mild to moderate vaginal bleeding or blood in your penis, consider taking a lower dose of tadalafil before sexual activity.

ettleleg erectile dysfunction (ED) may be a sign of a more serious cause.

Follow the prescribed treatment instructions carefully.

If you miss a dose, take it as soon as you remember. Skip the missed dose if it is almost time for the next dose. Do not take extra doses to make up for a still smoking.

Keep your healthcare practitioner informed if you are using tadalafil for ED dysfunction or BPH during treatment. Have it regularly used to get the most benefit from tadalafil treatment.

Tadalafil Generic Cialis Usage Information

To ensure you are getting the most benefit from generic Cialis, it's important to follow your healthcare provider's instructions carefully.

  • For erectile dysfunction, tadalafil citrate may be prescribed in two ways:

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