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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.

A final may interact with Cialis cheap. Many medications can affect the exact balance of Cialis PDE5 inhibitors, leading to reduced blood levels of the medication. This is a medical condition and you may need a worsened treatment option.

C.

Cialis (tadalafil) can interact with certain foods and beverages, potentially altering its effectiveness. Here are the key drug-food Interactions:

1. : Grapefruit can increase the levels of tadalafil by inhibiting PDE5, which is responsible for breaking down cyclic guanosine monophosphate (cGMP). This increase in cGMP may amplify side effects, like headaches or dizziness.
2. : Though not a direct interaction, combining Cialis with grapefruit or grapefruit juice might worsen side effects like headaches or increase heart rate in sensitive individuals. If using alcohol with tadalafil, consulting a doctor is recommended.

Before you begin taking Tadalafil generic, its important to carefully read the Patient Information Leaflet. Make sure to review it each time you get a refill.

Take Tadalafil dosage orally, either with or without food, as directed by your healthcare provider. Tadalafil dosage should not exceed more than once a day. Swallow the tablet whole. Do not split it or crush unless advised.

Your daily dosage will depend on your medical condition, how you respond to medications, and any other medications you currently take. Before you take ED treatment pills, ensure that you inform your healthcare service provider of any prescription drugs, over-the-counter medicines, and any other supplements you take.

If you are also using finasteride alongside Tadalafil to treat any symptoms of benign prostatic hyperplasia (BPH), discuss the duration of treatment and dosage you will need with your healthcare provider.

For erectile dysfunction (ED), tadalafil citrate may be prescribed in two ways:

• You may take it as needed, usually at least 30 minutes before sexual activity, with its effects potentially lasting up to 36 hours.
• Your doctor may recommend taking generic Cialis regularly, once a day.

Follow your doctors instructions carefully based on your specific needs and condition.

If you are using tadalafil citrate medication for ED dysfunction and BPH, take it daily as directed by your doctor. To ensure you do not forget, take it at the same time each day.

Keep your healthcare practitioner informed if your medical condition does not improve or worsens during treatment.

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Stephan M, Kato H. H., et al. (2023) Effects of tadalafil for erectile dysfunction on ejaculatory control. Journal of Sexual Medicine. https://www.astrology.org/hya/2023/emaciated-pills-tadalafil-effects-oral-female-male-female-pills-sex-medical/

Thomas J. C., et al. (2023) Effects of tadalafil on erectile function in men with and without BPH. Archander. Sildenafil citrate, 2(3). Sildenafil citrate, 3(4). Sildenafil citrate, 4. Sildenafil citrate, 5. Sildenafil citrate, 6. Sildenafil citrate, 7. Sildenafil citrate, 8. Sildenafil citrate, 9. Sildenafil citrate, 10. Sildenafil citrate, 11. Sildenafil citrate, 12. Sildenafil citrate, 13. Sildenafil citrate, 14. Sildenafil citrate, 15. Sildenafil citrate, 16. Sildenafil citrate, 17. Sildenafil citrate, 18. Sildenafil citrate, 19. Sildenafil citrate, 20. Sildenafil citrate, 21. Sildenafil citrate, 22. Sildenafil citrate, 23. Sildenafil citrate, 24. Sildenafil citrate, 25. Sildenafil citrate, 26. Sildenafil citrate, 27. Sildenafil citrate, 28. Sildenafil citrate, 29. Sildenafil citrate, 30. Sildenafil citrate, 31. Sildenafil citrate, 32. Sildenafil citrate, 33. Sildenafil citrate, 34. Sildenafil citrate, 35. Sildenafil citrate, 36. Sildenafil citrate, 37. Sildenafil citrate, 38. Sildenafil citrate, 39. Sildenafil citrate, 40. Sildenafil citrate, 41. Sildenafil citrate, 42. Sildenafil citrate, 43. Sildenafil citrate, 44. Sildenafil citrate, 45. Sildenafil citrate, 46. Sildenafil citrate, 47. Sildenafil citrate, 48. Sildenafil citrate, 49. Sildenafil citrate, 50. Sildenafil citrate, 51.

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.

ased in

C. Antihypertensive Agents (e.g., beta-blockers)

Cialis (tadalafil) is a type of medication used to manage blood pressure regulation. It is commonly used to:

• Grow children's hospitals
• Improve survival of patients with blood-pressure-dependent disorders
• Enhance blood flow for senior citizens

• Ketoconazole, used to manage ankylosing spondylitis
• riociguat
• Lipinopirox
• Certain other blood pressure medications, such as beta-blockers used for high blood pressure

D. Pregnancy and Breastfeeding:

Cialis (tadalafil) is not indicated for use in pregnancy or breastfeeding.

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* We can ship up to 30 pills at a time. For example, if you order 120 pills, you will get four shipments of 30 pills.

Health Questionnaire Required:

For your first order with us, after placing an order, you will be prompted to upload your ID and submit our health questionnaire, soour physician canreview your basic health information,in order to mail prescription medications. You will not need to do this for refill orders.

Disclaimer:This is not medical advice. You and our physician will determine if (and potentially how) you should take Tadalafil. Please consult with your physician if you have any further questions.For more information on Tadalafil,.

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• First Order:After placing an order with us, you will be prompted to upload your ID and send it toaor bycoupled with aand a
• Next Order:You will be required tomail usyour medication to

Note:

To be and stay connected with the Lilly & Company health questionnaire, you will need to hold an account with us and sign in with your health insurance. We will also need your name, medical condition, order number, or STATES in your order. We will need your identity and pass on the health questionnaire to you. You and your physician and/or pharmacist will need to decide on the order form.

We can ship up to 30 pills at a time. You and your physician and/or pharmacist will need to do it for one final order. Please note that this is not a complete list of required health questions. We will continue to provide information as needed to ensure your safety and the accuracy of the information provided. We will continue to provide information as needed to ensure your safety and accuracy.

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We are unable to ship Tadalafil cold turkey to customers in certain jurisdictions. The shipments to which we are shipping will be delivered using a reliable DEBAY 26 method (DHL, U. S. Postal Inspector General’s Report) and will arrive within 24 hours. The processing of your shipments will depend on the availability of these methods. To get rid of shipments that are no longer acceptable, we will notify you via email and/or by phone.

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