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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.
cemic dose information 3.68 times the risk of hyponatremia (a medical condition that causes too much blood pressure) 5.62 times the risk of severe hypo-onatremia (a medical condition that causes too little blood pressure)

C.

Cialis (tadalafil) can interact with certain foods and beverages, possibly altering its effectiveness or increasing thesharing of the medication.

  1. Alcohol and grapefruit juice may increase the level of tadalafil in your blood. This can amplify side effects like dizziness or fainting. Avoid consuming alcohol and grapefruit with tadalafil.
  2. Thoughts about avoiding combination medications
  3. Liver Disease: While not a direct interaction, combining Cialis with liver dysfunctionexamine the use of Cialis with the addition of a liver-preserving medication.

Salt Composition in both

Salt Composition

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PlatinumRx is dedicated to delivering dependable and trustworthy information to empower our customers. However, the information presented here is solely for general informational purposes and should not be utilized for diagnosing, preventing, or treating health issues. It is not intended to establish a doctor-patient relationship or serve as a substitute for professional medical advice.

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Who Has This Drug?

Cipcal tablet is licensed for the treatment of pulmonary arterial hypertension in adults and children. It is a medication containing Ciprime, a type of white, bacterial, and white to off-white, amorphous, polysylmethoxylable hydrocarbon; Ciprime is a type of amorphous, crystalline, and amorphine drug in tablet form that is used to treat a wide range of conditions. It works by increasing blood flow to the lungs, allowing for easier breathing. Cipcal tablet is available in tablet form, and is used to treat the symptoms of pulmonary arterial hypertension (PAH) in adults and children. Cipcal tablet is also used in combination with other medicines to treat benign prostatic hyperplasia (BPH), a noncancerous enlargement of the prostate.

Cialis (Tadalafil) Tablets in Zürich - Buy Cialis (Tadalafil) Online in Zürich

Cialis (Tadalafil) is a medication used to treat erectile dysfunction (ED) in men. It is a phosphodiesterase type 5 (PDE5) inhibitor used to treat ED in men. It works by relaxing the blood vessels in your penis, allowing blood to flow into your penis when you get sexually excited.

Tadalafil helps men with ED achieve and maintain an erection when they are sexually stimulated. Cialis can help you achieve and maintain an erection, even when you cannot get an erection. It is a phosphodiesterase type 5 (PDE5) inhibitor, which works by relaxing the blood vessels in your penis.

Before you buy Cialis in Zürich, tell your doctor and pharmacist about any heart, kidney, liver, or nervous system problems, including low blood pressure, low blood pressure, or heart problems, including high blood pressure, or any conditions that would make ED a real health problem for you. This medicine should only be used by men who have not yet reached the stage of heart disease or have certain pre-existing medical conditions.

Cialis may make your erection last longer if you relax. It may make it harder for you to get or maintain an erection if you are sexually aroused or if you are getting excited.

It may also make it more difficult for you to get and keep an erection. Cialis (Tadalafil) can make it more difficult for you to get or maintain an erection if you are getting sexually excited or sweating.

Cialis can make it more difficult for you to get and maintain an erection if you are sexually aroused or if you are getting excited.

If you are worried about the effects of Cialis on your sexual performance, it is recommended to speak to your doctor before using it. Cialis (Tadalafil) should not be used by men who are currently using nitrates, as it may cause a dangerous drop in blood pressure.

Cialis (Tadalafil) can make it more difficult for you to get or maintain an erection.

Tell your doctor if you have any of the following health problems or any of the following conditions:

  • heart failure or other heart problems, as it may cause the blood vessels to narrow, which may cause ED
  • low blood pressure, angina (chest pain)
  • liver disease
  • a certain family history of ED, or if you are currently using nitrates for heart problems

Some conditions may make Cialis (Tadalafil) more difficult to use. Tell your doctor if you are currently using any of the following medicines:

  • other medicines for erectile dysfunction
  • other medicines for benign prostatic hyperplasia (BPH)
  • nitrates or nitric oxide donors (such as isosorbide dinitrate)
  • alpha-blockers for prostate problems
  • dextromethorphan
  • cimetidine
  • medicines used for fungal infections such as ketoconazole, itraconazole, and voriconazole

If you are using Cialis (Tadalafil) for erectile dysfunction, tell your doctor or pharmacist about all the medicines you take. This includes prescription and non-prescription medicines, vitamins, and herbal supplements.

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.

Read more about Cialis's effects and what you can expect at.Learn more about the reported side effects at.AED (Generic for tadalafil)2300Back pain1800120012113FatigueJaundice1Severe diarrhoea2Severe headacheSevere pain in the chestSudden vision loss0

Special Precautions

If you have a cardiovascular condition, recently had a stroke, or heart attack, you should not use Cialis. If you have low blood pressure, high blood pressure without a confirmed heart problem, you should not use Cialis. If you have low blood pressure, heart problems, such as heart failure, have a history of heart attack, or stroke, you should not use Cialis.

If you have a history of heart problems, such as heart attack or stroke, you should not use Cialis.

If you experience severe itching or hives on your skin, Rub Cialis into your skin with a large amount of clothing. Wash your hands after you start using Cialis. Avoid exposure to sunlight or bright UV light.

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