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If you’ve been prescribed a drug or an oral medication, you’re likely familiar with the list of things that are known as contraindications, so you’re not alone if you are wondering about those lists. These contraindications are, by and large, not a problem for many people. For example, you’re not allowed to take the following medications: (including Viagra, Cialis, Levitra, and Vardenafil): (for those with a medical condition that would make it impossible for them to take this medication): (for those who don’t have erectile dysfunction: Cialis, Vardenafil): (for those who have taken the drug on a daily basis or for a specific reason: erectile dysfunction); (for those who have taken the medication for an extended period of time: Cialis, Levitra, and Vardenafil): (for those who are on Cialis: Viagra, Cialis, Vardenafil). The list doesn’t apply to anyone taking any of the following medications: (for those who are taking (for example: alpha blocker medications, anticonvulsants) or for any other reason: certain heart or blood vessel conditions) or (for any reason: any kind of other medication, including prescription drugs). The list of contraindications is a bit more complex for some people, including those who have diabetes, cardiovascular disease, or kidney disease.

Side effects of Cialis

Cialis, like any medication, can cause some side effects, but not everyone will experience them. The most common side effects of Cialis are:

  • Headaches
  • Nausea
  • Diarrhea
  • Flushing
  • Blurry vision
  • Rash
  • Stomach pain

If you experience any of these side effects, or if you have any side effects from Cialis, don’t worry. If you have a medical condition that makes it impossible for you to take this medication, or if you are taking any medications, you’re not alone. For example, you may not be allowed to take the following:

  • Alpha blockers (for example:, such as Cenforce,, or )
  • Anticonvulsants (such as (),,,, )
  • Beta blockers (such as, such as )
  • CYP2C9 (for example, )
  • Prodrugs (such as )
  • Protein binding drugs (such as,,, )
  • Lipid lowering drugs (such as )
  • Oral contraceptives (such as )
  • Tadalafil (for example, )
  • Cialis (for example, )
  • Generic medications (such as )
  • Vardenafil (such as )
  • Viagra (such as,, )
  • Levitra (such as, )
  • Pamidronate (for example, )

Some of the contraindications for Cialis are:

  • Cardiovascular disease
  • Liver disease
  • Kidney disease
  • Kidney function
  • Pulmonary disease
  • Seizure disorders
  • Uncontrolled hypertension
  • Uncontrolled diabetes
  • Vitamin B12 deficiency
  • Alcohol
  • Alcoholism
  • Breast cancer
  • Parkinson’s disease
  • Tendonitis
  • Pregnancy
  • Stress
  • Risk of heart disease
  • Use of alcohol (including, )
  • Pregnant

Other contraindications for Cialis

If you’re taking any of the following medications, or if you have any other medical conditions, you’re not alone.

Cialis Together for Erectile Dysfunction

Cialis Together tablets are a treatment for adult men who have erection problems (erectile dysfunction). This is when a man cannot get, or keep an erection hard enough for satisfactory sexual activity.

Cialis Together tablets contain the active substance tadalafil. It belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors. It works by relaxing the blood vessels in your penis, allowing blood flow into your penis.

It is important to know that you will not get an erection just by taking Cialis Together tablets. This medicine works with your body’s natural function to get an erection only when you are sexually stimulated.

Cialis Together contains the active ingredient Tadalafil. The ingredient is a phosphodiesterase type 5 inhibitor medicine that temporarily improves blood flow to the penis by relaxing the blood vessels in and around the area.

The Cialis Together medication is available over-the-counter and begins to work about 30 to 60 minutes after taking it. The effects are expected to last up to 36 hours. Cialis Together comes in 10mg tablets and should only be taken when needed.

The active substance Tadalafil is also useful in treating other conditions along with erectile dysfunction. Please consult a Doctor, a Pharmacist or relevant product literature for more information.

Is Cialis Together right for me?

If you suffer from erectile dysfunction (impotence) Cialis Together may be an effective treatment. However, it may not be suitable for you if you have the following:

  • If you are allergic to any of the ingredients in Cialis Together
  • If you have severe heart, liver or kidney problems
  • If you have blood pressure concerns
  • If you have non-arteritic anterior ischemic optic neuropathy
  • If you are taking riociguat
  • If you have other penis-related issues (deformation or painful erections)
Also, Cialis Together may not be for you on full stomach. It may be an opportunity to talk to your doctor if you do not feel better too soon.
  • If you are taking tadalafil to treat erectile dysfunction. Tadalafil works by relaxing the blood vessels in and around the penis, leading to increased blood flow.
  • If you take regular blood tests at least one hour before sexual activity
  • If you take any other medicines during Cialis Together treatment
  • If you use Cialis Together for more than a few years
  • If you have had an allergic reaction to Cialis Together or any other phosphodiesterase 5 inhibitors
  • If you have any problems with your eyes or vision, please consult a doctor.
  • For full health and side effects consult a doctor at the the time you take Cialis Together.
  • For a dose check out the product literature.
  • For more information about Cialis Together and theLicensed Medicines and Health Care productsDosage form

    The maximum dose used is 10mg.

    What does Cialis Together do to my body?

    Cialis Together works by helping the blood vessels in your penis to get and keep an erection. It temporarily improves blood flow to the penis by relaxing the blood vessels in your penis, allowing blood to flow into your penis when you are sexually stimulated.

    Cialis Together is a well-known treatment for erectile dysfunction. However, many men feel dizzy, drowsy, fainting or have difficulty breathing. Also, many men have tremors or Leg pain.

    For best results Cialis Together will work best when taken 30 to 60 minutes before sexual activity. Taking Cialis Together with a meal may help improve your timing.

    Cialis Together for heart problems

    Cialis Together tablets contain the active substance tadalafil and the active ingredient Tadalafil. The Cialis Together medication works by improving blood flow to the penis. This temporarily improves blood flow into it. Remember that your doctor has provided adequate doses of Cialis Together during your treatment.

    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.
    It's important to consult your healthcare provider to discuss whether Cialis is an appropriate option for you, as may need to be used concurrently with a medication that may affect how blood pressure is processed. If you have any questions about Cialis or whether it is suitable for you, contact the medical professional or consult your doctor.
  • Erectile Dysfunction Medications: While studies are the most extensively studied high-fat/high-fat/no-fat/no-noose ED medication mix, Cialis may be prescribed in aOOOOOL with it, or may be used in aQUs with other erectile dysfunction medications.
  • C.

    If you take Cialis with food or may take other medications to alleviate symptoms of erectile dysfunction, this may have the same impact on its processing effects.

    5.Alpha-blockers: Alpha-blockers can increase the blood pressure-lowering effects of Cialis, while alpha-blockers can also have fatal side effects.

    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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