Cheapest cialis in the uk

Health care providers prescribe cialis

Cialis (tadalafil) - is it a safe and effective medication?

The following is an overview of the health care professionals that prescribe cialis. Please note that we do not prescribe cialis for this purpose. Please consult a healthcare provider for personalized advice.

What should I tell my healthcare provider before I take cialis?

Please inform your healthcare provider if you have any of these conditions:

  • Difficulty swallowing, or difficulty breathing
  • Swelling of the face, lips, tongue or throat in the form of painful cuts, stumps, lumps or injuries
  • Unusual bleeding or bruising on the face, lower body or trunk
  • Any other medical conditions that may be affecting your health, including:
  • Cardiovascular disease, including high blood pressure or heart failure
  • Sickle cell Anaemia or multiple myeloma
  • Bleeding or red blood cell anaemia, particularly in the veins
  • Recent stroke or heart attack
  • Unstable angina (chest pain) or unstable angina (chest pain, weakness, dizziness)
  • Bleeding or bruising of the penis
  • History of priapism, a painful erection lasting more than 4 hours, that occurred within the last 6 months
  • Kidney disease
  • Liver disease
  • A history of vision loss, hearing problems, or other vision loss
  • A recent stroke or heart attack, or other cardiovascular disease, or if there is a severe drop in blood pressure
  • Pregnancy or breast-feeding

Please note that cialis is a prescription medication and may be available over the counter. We cannot offer cialis for general sale or for a limited time.

Can I take cialis for the long term?

We do not recommend taking cialis for long-term use unless advised by your doctor. You should consult your healthcare provider if you have any concerns.

How should I take cialis?

Take cialis exactly as your healthcare provider has instructed. Typically, it is taken orally once a day. The dosage and length of treatment depend on your condition and the patient's response.

Can I take cialis with food?

Cialis can be taken with or without food. However, if you are on high blood pressure, you may need to take a higher dose to get the best results from your treatment.

What happens if I miss a dose?

If you miss a dose, take it as soon as you remember. If it is close to the time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for the missed one.

What should I avoid while taking cialis?

Avoid drinking alcohol or smoking while taking cialis. Smoking and heavy drinking may increase the risk of side effects and may increase your risk of side effects.

What if I overdose?

If you think you have used too much of cialis, please seek medical attention immediately. Symptoms of an overdose may include:

  • Rapid or irregular heartbeat
  • Swelling of the face, lips or tongue
  • Pain or discomfort in the chest, arms or legs
  • Fever or chills
  • Nausea or vomiting

For more information, please consult your healthcare provider.

What are the possible side effects of cialis?

Cialis may cause side effects.

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.
Karnataka State Drugs And Pharma Corporation
DosageDrug ClassUse
Cialis (Tadalafil)10mg, 20mg, 32mg, 44mg, 60mg, 88mg, 120mg, altTreatment of erectile dysfunctionErectile dysfunction in men
Cialis (Tadalafil Citrate)100mg, 150mg, 200mg, 300mgErectile dysfunction

C.

Both Cialis and tadalafil can interact with grapefruit and grapefruit juice, potentially affecting their effectiveness.

D.

Tadalafil belongs to the group of medicines called phosphodiesterase type 5 (PDE 5) inhibitors, primarily used to treat erectile dysfunction (impotence) and benign prostatic hyperplasia (BPH). Erectile dysfunction is the inability to keep a hard and erect penis suitable for sexual activity. Benign prostatic hyperplasia, also called prostate enlargement, is the non-cancerous growth of the prostate gland.

Tadalafil contains ‘Tadalafil’, which works by relaxing the blood vessels in the penis; this allows the blood to flow into the penis when the person is sexually excited. Thereby, it helps to treat erectile dysfunction. Tadalafil relaxes the bladder and prostate muscles, thereby reducing enlarged prostate symptoms such as difficulty in urination and urgent need to urinate.

You are advised to take Tadalafil for as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, you may experience certain common side effects, such as headache, back pain, muscle pain, pain in the legs and arms, nasal congestion, indigestion, and facial flushing. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.

Do not take Tadalafil if you are taking nitrates (used to treat angina), riociguat (used to treat pulmonary hypertension) or alpha-blockers; if you have heart problems or stroke, low blood pressure or uncontrolled high blood pressure. Tadalafil is not intended for use in women. Tadalafil may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Tadalafil should not be given to children as safety and effectiveness have not been established. Keep your doctor informed about your health condition and the medicines you are taking to avoid unpleasant side effects.

Read the Tadalafil Patient Information Leaflet carefully before taking Tadalafil for medical reasons

Tadalafil is not intended for use by women, including infants. Women who are breastfeeding or planning to breastfeeding should not take this medicine. Tadalafil is not intended for use by women who are pregnant or breast-feeding. Tadalafil is a PDE 5 medicine. Tadalafil is only for use in women and is not intended for use in pregnant women. Tadalafil is a prescription drug and will not be sold or used in children under the age of 18 years. For safety and effectiveness, inform your doctor before taking Tadalafil if you are taking any of the following medications: isosorbide dinitrate (as a diuretic), isosorbide mononitrate, amyl nitrate, butyl nitrite, isosorbide dinitrate, nitrite, nitroglycerin, niacin, silodosin, dapsone, DDD, and dydrogesterone. Tadalafil may also cause side effects such as headache, dizziness, flushing, nasal congestion, indigestion, nasal congestion, headache, heartburn,ivation, palpitations (a low blood pressure that may cause indigestion), muscle pain, vomiting, flushing, and back pain. If you are taking other classes of medicines called ‘PDE5 inhibitors’, your doctor may advise you to take Tadalafil only when required”. These medicines and Tadalafil may cause certain side effects such as headache, dizziness, flushing, muscle pain, fatigue and vomiting. To the best of our knowledge, no other medication is more effective at treating erectile dysfunction when used for the long term than Tadalafil. One of the most popular brand names for this medication is Cialis. Other popular brand names for Tadalafil are Zydus Cadila and Zydus Cadila generic.

Tadalafil is not intended for use by women who are pregnant or may become pregnant. It may cause side effects such as headache, dizziness, flushing, muscle pain, and vomiting. It should be used only when required by your doctor. Do not use Tadalafil in combination with any other medications as Tadalafil may cause side effects such as headache, dizziness, flushing, muscle pain, and vomiting.

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