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The active substance in Cialis 20mg is tadalafil, and it has a much longer duration of action compared to other ED pills.This is due to the fact that it increases blood flow to the penis and increases the ability to get an erection. It also has a much lower potential for injury to the nerves that control it. Cialis 20mg tablet can be taken with or without food, however, if you are consuming a high-fat meal or planning to take a high-fat meal, you may be advised to take it with a low-fat meal.
You may be advised to take Cialis with a low-fat meal or plan ahead to avoid consuming a high-fat meal.This may result in a slightly higher chance of experiencing side effects. If these side effects occur, or if you have any concerns about them, consult your healthcare professional.
It is important to note that Cialis can interact with certain other medications, including blood pressure and blood thinners. It is also important to inform your doctor if you are taking any other medications, as they may be more likely to experience side effects when taking Cialis.
You should consult your doctor if you are taking any of the following medications while taking Cialis:
It is also essential to inform your doctor if you are taking any of the following medications while taking Cialis:
If any of the above-listed side effects occur while taking Cialis, it’s important to inform your doctor immediately. You should also avoid taking Cialis with alcohol while taking this medication as it may cause severe side effects.
In addition, it’s essential to inform your doctor if you have any of the following conditions:
It’s also important to inform your doctor if you have a history of seizures or other conditions that may cause difficulty in achieving an erection.
It’s also important to let your doctor know right away if you have any of the following conditions:
If any of the above-listed conditions apply to you or you are pregnant, planning to become pregnant, or breastfeeding, consult your healthcare professional before taking Cialis. They will be able to advise you on the best option for you based on your health condition.
Nitrates are a class of medications that are used to treat chest pain, high blood pressure and a number of other conditions, including erectile dysfunction (ED). All medications for ED require a prescription, which may be time-consuming but usually means having to have an in-person visit.
Erection problems (impotence) are very common, particularly in men over 40.
Most men occasionally fail to get or keep an erection. This is usually due to stress, tiredness, anxiety or drinking too much alcohol, and it’s nothing to worry about.
If it happens more often, it may be caused by physical or emotional problems.
Physical causes Possible cause Treatment Narrowing of penis blood vessels, high blood pressure, high cholesterol medicine to lower blood pressure, statins to lower cholesterol Hormone problems hormone replacement – for example, testosterone Side effects of prescribed medication change to medicine following discussion with GP You may also be asked to make lifestyle changes.
Do lose weight if you’re overweight stop smoking eat a healthy diet exercise daily try to reduce stress and anxiety
Don’t cycle for a while (if you cycle more than 3 hours a week) drink more than 14 units of alcohol a week
Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature.
If you experience any of the following side effects stop using the medicine and seek medical help immediately:
allergic reactions including rashes (frequency uncommon). chest pain – do not use nitrates but seek immediate medical assistance (frequency uncommon). priapism, a prolonged and possibly painful erection after taking CIALIS (frequency rare). If you have such an erection, which lasts continuously for more than 4 hours you should contact a doctor immediately. sudden loss of vision (frequency rare). Other side effects have been reported:
Common (seen in 1 to 10 in every 100 patients)
headache, back pain, muscle aches, pain in arms and legs, facial flushing, nasal congestion, and indigestion. Uncommon (seen in 1 to 10 in every 1,000 patients)
dizziness, stomach ache, feeling sick, being sick (vomiting), reflux, blurred vision, eye pain, difficulty in breathing, presence of blood in urine, prolonged erection, pounding heartbeat sensation, a fast heart rate, high blood pressure, low blood pressure, nose bleeds, ringing in the ears, swelling of the hands, feet or ankles and feeling tired. Rare (seen in 1 to 10 in every 10,000 patients)
fainting, seizures and passing memory loss, swelling of the eyelids, red eyes, sudden decrease or loss of hearing, hives (itchy red welts on the surface of the skin), penile bleeding, presence of blood in semen and increased sweating. Heart attack and stroke have also been reported rarely in men taking CIALIS. Most of these men had known heart problems before taking this medicine.
Partial, temporary, or permanent decrease or loss of vision in one or both eyes has been rarely reported.
can cause serious side effects
Do not use CIALIS if you have an erection that is
prolonged or went into fullness, either with him/her or with others.
It is not recommended to use it more than once a day
Do not use CIALIS if you have a headache, seeing a doctor, or if you have:
a prolonged heart rhythm (arrhythmia) as part of a cardiovascular health care treatment
a painful or prolonged erection (prolonged absence of sexual stimulation)
men with a painful penile erection for more than 2 hours
a condition that affects the heart, called heart failure
or a heart attack.
Do not use CIALIS if you have:
a prolonged, painful, prolonged, uncontrolled heartbeat, sinus infection
a painful, prolonged, uncontrolled flow of blood (prolonged absence of sexual stimulation)
a prolonged, uncontrolled heart rate (prolonged absence of sexual stimulation)
men with normal or high blood pressure and a body size between 24 and 29199mm2.
You have (a long-standing, normally secure position on adrugmed.
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:
Whether you can take Tadalafil at the same time as your other medications will depend on which medications you are taking.
You are required to complete a short medical consultation questionnaire that asks for any medications that you are prescribed from your GP and will indicate the medications that can’t be taken alongside Tadalafil.
There are several medicines which should not be taken concurrently with Tadalafil. Medicines which can have potentially serious interactions with Tadalafil include :-
• Any alpha-blocker medicines e.g. doxazosin (Cardura), alfuzosin (Xatral), tamsulosin, terazosin, or Flomax, that you can buy in the pharmacy. (These medicines may be used to treat prostate problems or high blood pressure).
• Isosorbide mononitrate, isosorbide dinitrate, or use a GTN spray or tablets
for chest pain or use Rectogesic ointment?
• Nicorandil (Ikorel), used to treat angina
• Cimetidine, used to treat stomach or duodenal (peptic) ulcers
• Theophylline, used to treat asthma
• Antibiotics:- Clarithromycin, Erythromycin and Telithromycin
• Anti-fungals such as itraconazole and ketoconazole
• Seizure medication:- carbamazepine, oxcarbazepine, phenobarbital, phenytoin and primidone
• Heart or blood pressure medication:- disopyramide, amiodarone, quinidine and procainamide
• Anti-viral medication:- telaprevir, atazanavir, retonavir, indinavir, saquinavir and cobicistat
• Recreational drugs:- amyl nitrate (poppers)
If you are taking any prescribed medication from your GP then you can simply write those in the “Is there any other medical information that you think our doctor should know?” section on the medical questionnaire. Then, our doctor will know whether the Tadalafil is safe for you to take.
Read available consultation questionnaire informationDo not take Tadalafil if you:
– are taking the following medicines:
– alpha-blocker medicines e.g. Cialis ( tamsulosin ) or alfuzosin ( Xtadaclo ) that you can buy in the pharmacy. These medicines are thought to help you get and maintain an erection. medicines that you can buy in the pharmacy.
– any alpha-blocker medicines e.g.
Your GP will not be able to provide you with this information if you have a medical history thatYou are taking, or have any other existing health conditions or are at risk of having before starting treatment with Tadalafil."
You are more likely to:
– had a medical history of a medical emergency, which can include heart problems, liver conditions or other, or are taking other, unwell-branded medications.
– would need a cardiac risk monitor.
If you are taking this medicine with a medical emergency, you will be asked to read the patient information leaflet provided with your Tadalafil. If you have a medical condition or are at high risk of high-risk mania such as a history of heart problems, or if you have a known or suspected family history of heart problems, or if you have a very active history of heart health, or if you have a very active history of high blood pressure or your family have had a stroke or heart attack or a heart attack or a heart failure, then you can take Tadalafil as only it is written will be able to help.
Stade de France Pharmacy