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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.
Key points of discussion between patient and physician: A. Drug-drug interactions: Cialis increases the blood pressure-lowering effects of medications by inhibiting the metabolism of drugs in the body. Here are the key drug-food interactions to be aware of: A. Drug-food interactions that are usually responsible for a side effect of Cialis: Grapefruit may interfere with how it works, leading to side effects like headaches or dizziness. C. Drug-food interactions that are usually responsible for a side effect of Cialis: Grapefruit may interact with how it works, leading to symptoms like dizziness or lightheadedness, such as headache or dizziness.
  • Grapefruit and Grape Juice: Grapefruit can increase the levels of tadalafil in your blood by blocking the absorption of the drug in the bloodstream. This may amplify side effects, such as headaches or dizziness. Drug-food interactions that are responsible for a side effect of Cialis: Patients taking Cialis should avoid consuming grapefruit or grapefruit juice while taking Cialis.
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    With over 30 years in the industry, our team is equipped with the knowledge and experience to guide you to the best products for your needs. Our legacy is built on trust, quality, and community care.

    This medication is controlled by Phelans Pharmacy (Ireland) and is dispensed under the guidance of a Phelans pharmacist.

    What Cialis For Men 10mg Film-coated Tablets is and What it is Used For

    Cialis for men 10mg film-coated tablets is a treatment for adult men with erectile dysfunction. This is when a man cannot get, or keep a hard, erect penis suitable for sexual activity. Cialis for men 10mg film-coated tablets has been shown to significantly improve the ability to obtain a hard erect penis suitable for sexual activity.

    Cialis for men 10mg film-coated tablets contains the active ingredient tadalafil which belongs to a group of medicines called phosphodiesterase type 5 inhibitors. Following sexual stimulation Cialis for men 10mg film-coated tablets works by helping the blood vessels in your penis to relax, allowing the flow of blood into your penis. The result of this is improved erectile function.

    Can I buy Cialis Online in Ireland?

    You can safely and conveniently buy Cialis online from Phelans Pharmacy. We understand that discussing erectile dysfunction (ED) can be uncomfortable, which is why we offer a discreet and professional online assessment to ensure Cialis (Tadalafil) is a suitable and safe treatment option for you. Our experienced pharmacists will review your assessment and determine if Cialis is the right choice for you.

    Is Cialis Available Over the Counter?

    Cialis is an over-the-counter medication in Ireland, meaning you do not need a prescription to purchase it. However, a consultation with a pharmacist is required before supply.

    The pharmacist will have to have a telephone consultation with you before the supply of this medicine.

    The maximum purchase that can be made of any brand of Cialis for men 10mg tablets is 16 tablets.If a quantity exceeding the maximum of 16 tablets of Cialis for men 10mg tablets is ordered, your balance will be refunded.

    Always consult the Patient Information Leaflet before using this medication.

    The sale of Cialis for men 10mg tablets is limited to the Republic of Ireland. We do not sell internationally.

    Keep all medicines out of the sight and reach of children.

    Can I buy Cialis online in the US?

    Yes, you can can safely and easily buy Cialis online from online pharmacies in the USA. You need a prescription from a doctor to buy Cialis for men, which can be online or by phone.

    The maximum amount of prescription you can buy online is 16 tablets of Cialis for men 10mg tablets.

    Can I buy Cialis online in the US/Canada?

    Yes, you can safely and conveniently buy Cialis online from online pharmacies in the US. You can purchase the medicine at a lower cost through aunciation or even bytesquealephates pharmacy servicekits.

    The maximum price that can be purchased through anasalephoenix online pharmacy servicekits is 20 tablets of Cialis for men.

    If you have a prescription from a doctor, ring the pharmacy for a chargeioalephoenix pharma at an affordable price.

    Always inform the pharmacy you receive that you can submit your prescription.

    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 on erectile dysfunction. (PPD16DB1911)Learn more about priapism.

    Signs of priapism include a painful erection, an erection that is fast, hard, and unexpected vaginal bleeding, a prolonged, painful erection, and an erection that is painful.

    Signs of priapism include an erection that is painful, an erection that lasts longer, an erection that is painful, an erection that is red, flaky, swollen, or painful, an erection that lasts for longer than 4 hours, an erection that is red, flaky, swollen, or painful, an erection that is painful, an erection that is painful, and a vaginal discharge that is usually not life-threatening.

    Signs of priapism include an erection that is painful, an erection that is fast, hard, and unexpected vaginal bleeding, an erection that is painful, an erection that is painful, an erection that is red, flaky, swollen, or painful, an erection that is painless, an erection that is uncomfortable, an erection that is uncomfortable, an erection that is frequent, and an erection that is hard to detect.

    Signs of priapism include an erection that is painful, an erection that is fast, hard, and unexpected vaginal bleeding, an erection that is painful, an erection that is painful, an erection that is red, flaky, swollen, or painful, an erection that is painless, an erection that is uncomfortable, an erection that is uncomfortable, an erection that is frequent, and an erection that is pain-free.

    Signs of priapism include an erection that is painful, an erection that is fast, hard, and unexpected vaginal bleeding, an erection that is painful, an erection that is painful, an erection that is red, flaky, swollen, or painful, an erection that is painless, an erection that is uncomfortable, an erection that is uncomfortable, an erection that is uncomfortable, an erection that is uncomfortable, an erection that is painful, an erection that is frequent, and an erection that is hard to detect.

    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 This Side effect is also reported in association with Cialis use. This side effect is also associated with coverage of eDrugstore's Sex Ed webpage. If you are/was prescribed Cialis and have sexual dysfunction, your health care provider may prescribe a different medication. If you have any questions about your health, sexual dysfunction, or any side effects, contact your health care provider.

    In addition, let your doctor know if you are pregnant or plan to become pregnant. Cialis can interact with fetus or nursing baby drugs so it is important to notify your doctor about any treatment or treatment recently stopped by Cialis. If you have any concerns about your health, contact your health care provider immediately.

    In addition, let your doctor know if you are and what kind of medications you are taking. Cialis can affect kidney function and can be associated with sexual side effects, including erectile dysfunction.