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.
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:
Side effects of Cialis (Tadalafil)
onythilantherbalcommun-killersCialis (tadalafil) can cause various side effects. The most common side effects of tadalafil include:
When using Cialis with nitrates or alpha-blockers, also check the side effects and the specific interactions between the medications. For detailed information, follow the manufacturer’s
onythilantherbal>page.Last updated 14 September 2023
On 14 March 2023, the UK Medicines regulator approved an application to reclassify the erectile dysfunction medication Cialis. When marketed asCialis Together(tadalafil 10mg), it will be a ‘P’ (pharmacy) medication, and so available ‘over the counter’ in pharmacies – see. This follows the 2018, ‘P’ classification of (sildenafil 50mg) which has been available OTC, without a prescription, since then.
This decision is good news for men’s health …. Erectile dysfunction can be a debilitating condition, so it’s important men feel they have fast access to quality and legitimate care
Dr Laura Squire, MHRA’s Chief Officer for Healthcare, Quality and Access
Unfortunately, there is a strong black market in the UK for ED medicines, which are often unlicensed or counterfeit. UK Border Force and the MHRA seize millions of pounds of these fake products from criminals annually. This new classification of tadalafil 10mg will enable men who suffer from ED to obtain it safely from a local pharmacy.
Sanofi, the drug manufacturer, is expected to launch Cialis Together later in 2023. Cialis Together will be available to purchase in pharmacies without a prescription by men over 18 with erectile dysfunction. Cialis Together tablets will contain 10mg tadalafil and the maximum pack size will be 8 tablets. Other doses and pack sizes of Cialis and tadalafil will still be available on prescription through doctors and specially trained pharmacists. Before purchase in a pharmacy there must be an assessment with a pharmacist, who will check that Cialis Together is appropriate and safe, or whether consultation with a GP is necessary.
Men suffering with ED will have another treatment option with the convenience of purchasing it in their local pharmacy, including pharmacies found inside supermarkets (eg. Tesco, Asda, Sainsbury’s). The pharmacist will ask some health questions, may check blood pressure, and will advise on treatment with Cialis Together or Viagra Connect, or the need to consult a GP. Pharmacies usually have a private room for such discussions.
Cialis Together is a 10mg tadalafil product for use at least 30 minutes prior to anticipated sexual activity. Its effects can last. It is not recommended for daily use. The maximum recommended dose of Cialis Together will be one tablet in 24 hours. Prescription Cialis and tadalafil will still be available at different doses.
Dr Fox welcomes the wider access to ED medication for men that Cialis Together classified as a ‘P’ OTC medication will provide. We at Dr Fox are aware of the difficulties men have in discussing ED with their GPs and in accessing ED medication. We know that Cialis is effective and safe for most men and this change provides another option for obtaining ED treatment. Pharmacists are health professionals who are able to give ED advice but they will also know when to refer men who would benefit from a doctor’s assessment. ‘P’ medicines can also be supplied on prescription, and we will offer Cialis Together, when available, alongside our other competitively priced ED products.
Dr Claire Pugh, Dr Fox Medical Director
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Find out moreAt origin from as low as £2 a tablet from September 2018, Cialis Together has been approved for sale in the UK.
Lervenheldto the risk of cardiovascular events and deaths, and was not at all concerned about Viagra’s negative effects on patients taking the drug.
However, the warning label for Cialis recommends the drug be prescribed only when patients are at high risk of cardiovascular events, death, or death-related hospitalization for cardiovascular events.
The warning label for Cialis states that patients taking the drug may experience a decrease in the likelihood of having a heart attack or stroke, or an increase in risk of having a stroke or heart attack, or a decrease in risk of having a heart attack or stroke, or a reduction in risk of developing a heart failure.
Patients taking Cialis may experience decreased sexual desire and performance, decreased libido, and erectile dysfunction. In fact, Viagra is the only drug that was FDA-approved for this indication, and Viagra is the only drug that has been approved for this use.
In addition to the drug’s label, a warning about the potential cardiovascular risks of taking the drug may also be included in the label for Cialis. This warning includes the following, along with a description of the side effects:
Patients taking Cialis report mild or moderate side effects, including:
Although the warning label for Cialis does not mention side effects, patients may experience a decrease in sexual desire and performance, decrease in erectile function, or a decrease in sexual desire or performance.
If you’re considering taking Cialis for the first time, here are some tips to help you get started:
If you have any questions or concerns about your health or medications, talk to your doctor or pharmacist.
Cialis WarningThe Cialis warnings are based on clinical studies conducted by the FDA, and may not apply to Cialis users. Because Cialis is an FDA-approved drug, the drug must be prescribed and taken as prescribed.
For more information about Cialis, including what to do if you have questions about using it, and other information about Cialis,.
Before starting Cialis, tell your doctor or pharmacist if you are allergic to tadalafil, any other medications, or any of the ingredients in Cialis.
Do not take Cialis if you have had an erection that lasts longer than 4 hours. If you have a condition that affects your penis, you should not take Cialis. It is not known whether Cialis and Viagra will harm a man’s ability to get an erection. You and your doctor should discuss all of your medical conditions before starting or stopping any medication. Cialis can interact with certain drugs, including some medications. Do not take Cialis with any other medicines, including some herbal products, and tell your doctor if you are taking any of them. Cialis can cause dizziness or fainting, so you should not drive or do anything that requires you to be alert. Cialis should not be taken with nitrates (often prescribed for chest pain) and guanylate cyclase stimulators (such as riociguat).
Cialis Daily is the most popular medication for the treatment of erectile dysfunction. It contains the active ingredient tadalafil and comes in the form of tablets. However, Cialis Daily is not recommended for men who have difficulty getting or maintaining an erection during sexual activity. Cialis Daily is the best option for men who are sexually active but have difficulty getting an erection during sexual activity, such as those who have trouble maintaining an erection. It is also the only drug that is recommended by doctors for men who have difficulty getting an erection during sex.
Tadalafil is the active ingredient in Cialis Daily, also known by its generic name tadalafil. It belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. This drug has been proven to be effective in treating erectile dysfunction, and is available in the form of tablets, capsules, and oral solutions. It is available in a variety of dosages, so it is important to consult with a healthcare provider before starting Cialis Daily.
The active ingredient in Cialis Daily, tadalafil, is tadalafil. It is also the only drug that is recommended by doctors for men who have difficulty getting or maintaining an erection during sex.
Tadalafil is the active ingredient in Tadalafil Daily, also known as Cialis. It is available in a variety of dosages, so it is important to consult with a healthcare provider before starting Tadalafil.
The active ingredient in Cialis Daily, tadalafil, is also the active ingredient in the drug. It belongs to a class of drugs called PDE5 inhibitors.
Cialis Daily is a drug that is available in the form of tablets, which contain 20 mg of tadalafil in a 5 mg dose. The active ingredient in Cialis Daily is tadalafil, which is also known by its generic name tadalafil. The recommended dosage of Cialis Daily for men is 20 mg per day. It is also recommended to take the medication approximately 30 minutes before sexual activity to ensure the effectiveness of the effect of the drug.
The effects of Cialis Daily can last up to 36 hours, and even longer.
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