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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1. Nitrates (e.g.

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 how it can affect your health in more detail.Appetite Management

As with all prescription medications, inform your doctor of any medical conditionsORTaffordability

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Product Mon Feb 04, 2018

Buy this medication on the day you must be connected to an improved vision.

This treatment has been medically reviewed by a licensed medical professional before it was incorporated into the plan. This medication is not expected to affect vision. The treatment is to be used only as needed, even for a few days.

It's not intended for continuous, once-daily use.

This medication is not intended for continuous, once-daily use.

Read more about

FAQs

I take Cialis daily. Does Cialis cause erections?

No, Cialis can cause erections if you take it with alcohol. However, it can cause dizziness when taken with alcohol.

Cialis

Cialis 20mg/4 Tablet is used to treat erectile dysfunction (ED) in men. It works by increasing blood flow to the penis to help men get an erection. This medication does not increase sexual desire and is not intended for use by women or children. It is not recommended for use by men under the age of 18.

How to use Cialis Tablet

Cialis should be taken with or without food. The dose and duration of Cialis should be taken according to the doctor’s prescription. Swallow the tablet whole with water, and do not crush or chew it. Take Cialis at the same time each day; it can take effect within 30 minutes to 1 hour after taking it. The effect will last for up to 4 hours. Do not take more than one dose per day. Avoid taking it more than once a day.

Overdosage

If you think you have taken too much of Cialis, do not give this medication to anyone under the age of 18 years old. It is not intended for use by women or children. If you think you have taken too much of this medicine contact a doctor or pharmacist.

Contraindications

Cialis is contraindicated in the following conditions:

• if you are allergic to tadalafil, any of the other ingredients, or any of the other ingredients of the tablets.
• if you have liver or kidney problems.
• if you have severe heart or liver problems.
• if you have an enlarged prostate gland or an enlargement of the bottom of your bladder.
• if you have a severe allergic reaction (e.g., difficulty breathing, rash, or hives).
• if you have recently had a heart attack, a stroke, or heart failure.
• if you have recently had a blood clot (a problem with your blood vessels) or an artery bypass graft (a procedure that has arteries that run through your body).
• if you have a severe skin reaction (e.g., it burns or gets red) or an unusual condition that can make it difficult to talk.
• if you have ever had an erection that lasted more than 4 hours (priapism).
• if you have a condition that affects the shape of the penis (e.g., sickle cell anaemia, or multiple myeloma).
• if you have problems with your blood cells. See the “How to deal with ED” section for more details.

Storage

Store at a temperature below 25 °C.

Keep out of the reach of children.

Food

Do not exceed the recommended dose.

Do not use on the same day as the medication.

Use in combination with other ED medications; avoid combination.Use only as directed

Side Effects

The most common side effects are headache, indigestion, back pain, muscle aches, and pain in the chest. Other side effects may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

This drug has been used in clinical trials to treat erectile dysfunction in men as low as 10 mg/day. The safety and effectiveness of this medication in the treatment of ED have not been established. However, studies in patients with diabetes, heart failure, and peripheral vascular disease have shown benefits in treating ED.

Warnings

•Erectile dysfunction.

• Do not use tadalafil (Cialis) if you are taking nitrates for chest pain or heart failure, as this may cause a dangerous fall.
• Do not use tadalafil (Cialis) if you have recently had a heart attack, or a stroke, as it may increase the risk of vascular events. Do not use tadalafil (Cialis) if you are taking nitrates for angina (chest pain). Do not use tadalafil (Cialis) if you are taking nitrates for heart failure.
• Do not use tadalafil (Cialis) if you have recently had a heart attack, or a stroke, as it may cause a dangerous fall.

Before we dive into whether Viagra is legal in South Africa, it's essential to understand what Viagra is and what it's used for. Viagra is a medication that contains the active ingredient Sildenafil Citrate, which is used to treat erectile dysfunction (ED) in men. ED is a common condition where a man has difficulty achieving or maintaining an erection during sexual activity. Viagra works by increasing blood flow to the penis, which helps men achieve and maintain an erection.

Now, let's get to the main question, isViagra legal in South Africa?The answer is no, it is not legal in South Africa. Viagra is a medication that is available as a prescription only prescription and is intended to be taken once a day. It is liable for its daily dose in mind, so it's not subject to medical attention. Viagra is a prescription medication that contains the active ingredient sildenafil citrate, which is a well-known ED medication. Sildenafil is used to treat ED, a common condition where a man has difficulty achieve an erection during sexual stimulation.

Let's start with the tablet. Viagra tablets are not available without publics health initiatives such as the European Union (EU) import program and the United States Food and Drug Administration (FDA) advised consumers to buy Viagra tablets only with a valid prescription from a licensed doctor. It is crucial to consult with a healthcare professional before taking Viagra if you suffer from some medical conditions, are allergic to sildenafil or any other medications, are able to take other medications, have medical conditions that could lead to other side effects, are taking other medications or have a history of erection problems, are allergic to any other FDA-approved prescription and non-prescription medications, understand that Viagra is not a medication used to treat erectile dysfunction, and know that it is sold by other companies without a doctor's prescription.

physiology

Studies have shown that Viagra can increase the blood flow to the penis, allowing men to achieve and maintain an erection required for sexual intercourse. This can be done through a prescription from a licensed doctor. However, it is crucial to understand that Viagra does not act in the same way as other ED medications, such as Levitra and Cialis, which are primarily used to treat Erectile Dysfunction. Instead, it works by increasing blood flow to the penis, which helps men achieve and maintain an erection during sexual stimulation.

chemistry

In a typical situation, an ED medication that is sold under the brand name Viagra is taken orally 1-2 hours before sexual activity. On the other hand, another ED medication, cialis, is taken daily and is significantly more potent than Viagra. Cialis tablets come in a range of dosage strengths, making it convenient for those who have difficulty swallowing pills. Cialis is a fast-acting medication, working within 30 minutes and providing effective erections for up to 4-5 hours.

ascorachanism

In a natural way, Viagra causes its active ingredient to be released when it is taken with certain medications. It's a misconception that it will cause adverse side effects, but it does contribute to the development of erectile dysfunction, the condition where a man has difficulty achieving an erection during sexual stimulation.

Side effects such as headaches, flushing, indigestion, nasal congestion, nasal congestion fill the more common side effects associated with Viagra. These side effects usually subside within a few hours and resolve when the medication is discontinued. In some cases, Viagra may cause dizziness or visual disturbances, so it's important to check the user's health and fitness before taking Viagra.

dietary fats

A diet that focuses on fat is known as a aetiological agent for ED, and it is not illegal to eat and drink foods that are a major cause of ED. In South Africa, the aetiology of ED is still considered a mystery as to whether Viagra is a causative drug or a drug to treat ED. In any case, the prevalence of ED is likely to increase as men age, as well as the need for treatment. The increasing awareness among patients about the need for medical treatment for ED is leading to a higher focus on preventing and treating ED, as well as the need for more appropriate treatment plans for patients with ED.