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General Product Description

Cialis 20mg Tablets are for adult men to treat erectile dysfunction (ED) in men by increasing blood flow to the penis. This helps improve blood flow to the penis, making it easier to get an erection. Cialis belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors. It works by relaxing the blood vessels in your penis, allowing blood to flow into your penis when you get sexually excited and causing an erection. Cialis only works when you are sexually excited. Do not take more than the recommended dose.* When taken around the same time each day, Cialis continues to be a go-to treatment for ED, offering men a reliable and effective solution for when they need a reliable and efficient way to get an erection.

Key Features

• Used in the treatment of erectile dysfunction (ED) in men
• May be used in combination with a dose of Sildenafil (Viagra) to treat ED in men
• Used in the treatment of pulmonary arterial hypertension (PAH) in adults and children (aged 2 to 11 years)
• Used in the treatment of both pulmonary arterial hypertension (PAH) and benign prostatic hyperplasia (BPH) in men
• Manufactured by Cipla Ltd.
• Brand: Tadalafil
• Active Ingredient: Tadalafil
• Weight: 20mg
• Delivery Time:
• May be shipped on time

Usage :Administration:Detailed Usage:

• Take 1 tablet about 1 hour before sexual activity.
• Do not take more than 1 tablet in 24 hours.
• Use only as directed.

Warnings:

• For external use only.
• Not for use on the penis.
• Do not use on women, if they have ED.
• Not for use on children.

Important Information

Do not use:

• If you are pregnant or breastfeeding.
• If you have any health conditions. Contains: grapefruit juice
• Avoid close monitoring of your sexual activity and use only when prescribed by your doctor.

Keep out of reach of children.

Consult your own healthcare professional before use if you:

• Taking medicines for high blood pressure, diabetes, or heart disease.
• If pregnant or breastfeeding.
• Taking any other product

Pregnancy Warning:

• This product is not recommended for use during pregnancy.
• Inform your doctor if you are pregnant or plan to become pregnant.
• This product is not recommended for use during breastfeeding.

• Inform your doctor if you are planning to become pregnant or if you have any kidney problems.
• Be sure to consult your doctor before using this product if you are pregnant, breast-feeding, trying to become pregnant or taking any other type of medicine.

Direct Warning:

• If you have ED, low blood pressure, depression, or suicidal thoughts.
• Do not take Cialis 20mg Tablets if: you have low blood pressure, suicidal thoughts, or any other mental illness.
• A man has a sudden inability to get or keep an erection long enough for sexual activity.
• A man has difficulty keeping an erection long enough for sexual activity.

Ingredients: Terbinafine Hydrochloride 11. Cisulfategettable 10 mg

6 to 8 days

3 to 4 weeks.

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.

Describing the overall health of the community:

Health Conditions	Health-relatedTLP	Health-relatedMEP
Sexual Dysfunction	In some cases, combining medications that treat erectile dysfunction can cause trouble sleeping, while also experiencing side effects like headaches or dizziness.
Hearing Loss	In some cases, combining medications that treat erectile dysfunction can cause trouble sleeping.

C.

Both Cialis and alpha-blockers can interact with grapefruit and grapefruit juice, and may affect its effectiveness and cause side effects similar to those of nitrates or alpha-blockers.

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.

‍

If you experience any severe side effects or if treatment isn’t achieving results, contact your doctor or pharmacist for help.

C.

Here are the key tadalafil-food interactions:

1. Whole grains: Tadalafil in insomnia and fainting medications increased the blood pressure-lowering effects of this medication.Protease inhibitors (e.g., e.g., I. V. or S. I. F. I.)
2. : Though not a direct interaction, combining Cialis with whole grains or drinking them with alcohol might worsen side effects in sensitive individuals.

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.

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You should know that Cialis can cause potentially serious adverse reactions when taken with nitrates such as isosorbide dinitrate or nitroglycerine. You should not take Cialis if you are taking nitrates such as isosorbide dinitrate or nitroglycerin.

Cialis can interact with bodily substances, causing potentially serious side effects when taken such as headache, indigestion, and heartburn.

As with all prescription medications, inform your doctor of any medical conditionsotshire County medical office that affects your nerves. If you have any medical or neurological conditions, contact your health care provider immediately.

In addition, let your doctor know if you are pregnant or plan to become pregnant. If you are or could be pregnant, consult your doctor before taking Cialis.

In addition, let your doctor know if you are and what how long you will need to take Cialis before starting sex. As with all prescription medications, inform your doctor about any medical or neurological conditions you are currently managing.

In addition to asthma, Cialis can cause potentially serious adverse reactions when taken with nitrates such as isosorbide dinitrate or nitroglycerin.

As with all prescription medications, be sure to read the patient information provided with your medication.