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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.

Cialis can cause:
  • Headache that doesn’t go away
  • Non-specific back pain
  • Flushing
  • Gonorrhea
  • Back pain
  • Muscle aches
  • ulcers and lining sores

As with all prescription medications, inform your doctor if you experience any changes in your condition, such as pain that won’t go away, changes in the way your stomach is working, or if you experience pregnant or breast-feeding. These could be serious events.

As with all prescription medications, inform your doctor if you experience any breast lumps, pain, or swelling. This could be a sign of an enlarged breast.

As with all prescription medications, inform your doctor if you experience anyqoamines (medicines to be used with or without a MAO inhibitor)extreme sweating, nausea, vomiting, or a change in the amount of food are getting stuck in your stomach.

As with all prescription medications, inform your doctor if you experience any changes in the way your liver is working, or if you experience chills or sore throat. These symptoms may be serious.

  • Yellowing of the skin or eyes
  • Pelvic pain
  • Pelvic swelling
  • Pelvic tenderness

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    Hims Health w/ refill vs. medical:
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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.
    Ricanourced University of cancer data

    The National Institutes of Health (NHLR) reports that 40 to 60 percent of women aged 15 to 49 who have regular or past erectile dysfunction daily take nitrates, including Cialis. This combination may cause a dangerous drop in blood pressure, leading to symptoms such as dizziness, lightheadedness, or fainting.

    Healthy Living the Longevity Model

    Current research and emerging data suggest that nitrates can counteract the effect of erectile dysfunction by lowering blood pressure in sensitive individuals.

    In this study, we investigated the effects of Cialis on theongevity of human subjects. To achieve this goal, we compared theongevity of human subjects receiving Cialis in a standard-of-caring diet (with grapefruit and grapefruit juice) with a diet containing both nitrates and alpha-blockers. We also evaluated the effects of the diet on the survival of mice lacking the nitrate transporter, which is necessary for normal cGMP-induced nitric oxide release.

    Erectile dysfunction (ED) is a common complaint among men seeking treatment in the US, and it’s a condition that can often be resolved with lifestyle changes. One such treatment option is Cialis, which is the brand name for the drug tadalafil.

    If you’ve recently taken Cialis and noticed that it may interact with nitrates found in some prescription drugs, you may be eligible to file a claim. If you do, you may be able to claim for the medication, along with a $25 prescription fee.

    You can get started with a simple consultation to explore potential interactions and potential side effects.

    Why is Cialis a Better Solution for ED?

    Cialis, or tadalafil, is a popular drug used to treat ED. It’s often prescribed to men with ED, but it’s also often used to treat other conditions like high blood pressure, heart failure, and low testosterone levels.

    While Cialis works to increase blood flow, it’s not a one-size-fits-all solution.

    When taken correctly, Cialis can be effective at treating ED, especially when combined with other medications. This can be especially important for men with diabetes and high blood pressure. However, if Cialis isn’t working for you, you may be at a higher risk for side effects.

    For those interested in trying Cialis without any medical supervision, the following resources can help:

    • The U. S. Preventive Services Task Force. (2018). Drugs for ED. Retrieved July 9, 2022 from https://www.peds.gov/drugs-for-ed-and-high-blood-pressure-and-diabetes/

    • The Centers for Disease Control and Prevention (CDC) Drug and Alcohol Use Disorder Treatment Guide for ED. Retrieved from https://www.cdc.gov/ED/EDD/EDD000115.html

    • The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Retrieved from https://www.nidDK.nih.gov/ Accessed July 9, 2022

    • The National Institute of Health Clinical Research Center (NIRCO). Retrieved from https://www.nidCO.nih.gov/en/clinical/

    • The National Institute of Mental Health (NIMH). Retrieved from https://www.nimh.nih.gov/en/

    • National Institute of Allergy and Infectious Diseases (NIAID). Retrieved from https://www.nidIDDK.nih.gov/en

    • National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Retrieved from https://www.nidDK.nih.gov/en/

    • National Institutes of Health Clinical Research Center. Retrieved from https://www.nidCRCD.nih.gov/en

    • The National Institute on Alcohol Abuse and Alcoholism (NIAOA). Retrieved from https://www.nidADOA.nih.gov/en

    • The National Institute on Drug Abuse (NIDA). Retrieved from https://www.nidADOBA.nih.gov/en

    • National Institute on Deafness and juice use. Retrieved from https://nidDK.nih.gov/

    • National Institute on Deafness and Alcohol Use Disorders (NIDAD). Retrieved from https://www.nidADOAD.nih.gov/en

    • The National Institute on Aging (NIA). Retrieved from https://www.nidAGAA.nih.gov/

    • National Institute on Alcohol Abuse and Alcoholism. Retrieved from https://www.nidAlawal.nih.gov/

    • National Institutes of Health Clinical Research Center (NIDCC). Retrieved from https://nidCC.nih.gov

    • National Institute on Aging. Retrieved from https://nidADOAA.nih.gov/

    • Retrieved from https://nidADOAA.

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