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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.
Added/GlossNotes

C.

Here are the key drug-food interactions:

  1. : Though not a direct interaction, combining Cialis with Cialis might worsen side effects like headaches or increase side effects like dizziness in sensitive individuals.
  2. : While while easy to take, eating high-fat meals following a diet containing high-fat ingredients may worsen side effects like headaches or increase heart rate in sensitive individuals.
  3. : Though drug-globally accepted as having less than 100,000 calories, the plasma levels of Cialis might theoretically be higher than this. If you find these food interactions problematic, consider spacing the medications.
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D.

No. People do it, but getting it through Customs without it being confiscated depends on which agent interviews you upon arrival back in the US.

The Food and Drug Administration policy on theimportation of prescription drugspurchased abroad is fairly clear.

Under most circumstances,federal guidelines prohibit the importation of such drugs for personal use, largely because medications sold in another country have not been approved by the FDA for use in this country.

Importation of Prescription Drugs for Personal Use

That said, your personal experience in returning to the United States with or another prescription drug you’ve purchased abroad depends to a very large extent on the Customs agent who checks your baggage upon your return.

If you’ve been honest in filling out your Customs declaration and have listed the foreign-bought medications, Customs legally could seize the drugs. However, the tendency is to look the other way if the drug in question is not a controlled substance and if the amount purchased doesn’t exceed a 90-day supply.

Certain Drugs Are Allowed

do allow thepersonal importation of prescription drugs that treat serious medical conditionsand that aren’t available in the United States.

However, there are a few other conditions that govern the policy on such drugs.

  • The medication must not pose an unreasonable risk.
  • You must attest — in writing — that the drug is strictly for your personal use.
  • The amount of drug brought into the country should not exceed a three-month supply. If the drug is to be taken twice daily, that would mean no more than 180 units would be allowed.

Risk of Prescription Drugs being Confiscated by United States Customs

The FDA’s guidelines apply toprescription medications that are brought in from any country outside the United States, including Canada.

While most over-the-counter medications can be imported in amounts consistent with personal use, this policy does not extend to products that are OTC in other countries but available only by prescription in the United States.

The bottom line: Be aware that you’re running arisk of confiscation when you return to the United States with prescription drugsbought abroad.

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We specialize in providing our over 1,000,000 customers with relevant product and condition information created by our professional editorial staff which includes our team of medical writers, medical practitioners, and health educators.

Please view our full privacy policy for more information.We specialize in providing our 10,000 clients with relevant product and condition information created by our professional editorial staff which includes our own medical writers, medical practitioners, and health educators.

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.

Show MoreBeware for yourself when thinking of using Cialis for sex is it an effective medication. Be sure to mention any medical conditions, especially medical history, which can be conditions that could mean something to you or your doctor. For instance, you should inform your health care provider if you are taking any medications, including prescription drugs and supplements.FAQsCialis FAQs Cialis offers have two main uses; to treat erectile dysfunction (ED) and to improve blood flow to the penis. ED is a condition that occurs due to insufficient blood flow to the penis. While both conditions are symptoms of underlying health issues, they are frequently addressed in ways that can help you get or maintain an erection. Cialis can help you get an erection if you are sexually aroused.
  • ED is a common condition that affects millions of men worldwide. The condition can cause erections that last longer than four hours, leading to nerve pain and possibly heart problems. While it’s not an cure for ED, Cialis can help relieve symptoms in a few days.
  • ED can also lead to sexual problems, including problems achieving and maintaining an erection. ED can be caused by physical, psychological, or lifestyle factors.
  • Cialis can also decrease the ability to have an orgasm. While it’s not an cure for ED, there are several ways to get an erection and treat it. Some treatments include:
  • Sexual health care providers use a variety of approaches to help manage ED. Here are some ways to report ED:

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    • hormonal birth control pills
    • hormone replacement therapy

    It is also possible to get ED by using prescription drugs. Some prescription drugs contain fillers or other fillers that mimic hormones in the body. Some medications also contain ingredients that mimic hormones, such as in testosterone replacement therapy.

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    Cialis 5mg

    Cialis 5mg Tablet is an oral prescription medicine used to treat erectile dysfunction (impotence) in men. It belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. It works by relaxing the muscles in the walls of blood vessels and increasing blood flow to the penis. This helps men to get or maintain an erection. The 5mg dose of Cialis tablets should be taken as needed, approximately 30 minutes to 1 hour before sexual activity. However, it can take longer to start working, with some men reporting a noticeable improvement in their ability to get and maintain an erection. It is important to take Cialis exactly as prescribed by your doctor. Do not take Cialis more than once a day or take it with a large meal to avoid stomach upset. Cialis should be taken with a full glass of water, without chewing or crushing it. Cialis should be taken as needed, approximately 30 minutes to 1 hour before sexual activity. Cialis should be taken exactly as prescribed by your doctor.