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:
Cialis (tadalafil) can interact with certain foods and beverages, which may affect its effectiveness or increase the risk of side effects.
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:
1. KD. Tripathi. Androgens and Drugs for Erectile Dysfunction. Essentials of medical pharmacology. Seventh edition. 2013. Page-304.
2. Adam M Henrie, James J Nawarskas, and Joe R Anderson. Clinical utility of tadalafil in the treatment of pulmonary arterial hypertension: an evidence-based review. NIH. National Library of Medicine. National Center for Biotechnology Information. PMC. PubMed Central. November 2015. [Accessed on November 08th, 2023]https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4636095/
3. Accord Healthcare Limited. Electronic Medicines Compendium (EMC). [Revised in October 2021] [Accessed on November 08th, 2023]https://www.medicines.org.uk/emc/files/pil.8637.pdf
4. Leeford Healthcare Private Ltd. Bigfun-36.https://www.leeford.in/product/556/bigfun-36
5. Central Drugs Standard Control Organization. Tadalafil tablet 20 mg (Additional Indication). [Revised in November 2009]. Tadalafil 10mg/20mg Tablets. [Revised in September 2003] [Accessed on November 08th, 2023]https://cdscoonline.gov.in/CDSCO/Drugs
CIPC GuidanceCiprofloxacin hydrochloride, Ciprofloxacin, antibiotic; Ehrenstagen is used to treat infections of the urinary tract, skin, and soft tissues [mainly on the breath]. In clinical trials, adverse reactions including skin rash, fungal infections, and drug-induced regurgitation were dose-related. The EMC provides Efficacy and Safety information for Ciprofloxacin HBr.https://www.ciprofloxacin.net/generic/generic.htm
Cipro® is a generic version of Ehrenstagen. [Accessed on November 08th, 2023] [Accessed on November 08th, 2023]Access yourHospital
Cipro® for Ciprofloxacin is a generic version of Ehrenstagen.
Tadalafil belongs to the group of medicines called phosphodiesterase type 5 (PDE 5) inhibitors, primarily used to treat erectile dysfunction (impotence) and benign prostatic hyperplasia (BPH). Erectile dysfunction is the inability to keep a hard and erect penis suitable for sexual activity. Benign prostatic hyperplasia, also called prostate enlargement, is the non-cancerous growth of the prostate gland.
Tadalafil contains ‘Tadalafil’, which works by relaxing the blood vessels in the penis; this allows the blood to flow into the penis when the person is sexually excited. Thereby, it helps to treat erectile dysfunction. Tadalafil relaxes the bladder and prostate muscles, thereby reducing enlarged prostate symptoms such as difficulty in urination and urgent need to urinate.
You are advised to take Tadalafil for as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, you may experience certain common side effects, such as headache, back pain, muscle pain, pain in the legs and arms, nasal congestion, indigestion, and facial flushing. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.
Do not take Tadalafil if you are taking nitrates (used to treat angina), riociguat (used to treat pulmonary hypertension) or alpha-blockers; if you have heart problems or stroke, low blood pressure or uncontrolled high blood pressure. Tadalafil is not intended for use in women. Tadalafil may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Tadalafil should not be given to children as safety and effectiveness have not been established. Keep your doctor informed about your health condition and the medicines you are taking to avoid unpleasant side effects.
Read the Tadalafil prescription carefully before taking Tadalafil for yourself to rule out unwanted side effects and possible side effects you are taking before taking Tadalafil for treatment of erectile dysfunction. Tadalafil should be taken with food to avoid proper dilation of the blood vessels that supply the penis. Tadalafil can pass into the breast milk and/or into the semen. If you are taking this medicine while allergic to it, do not take it. It may cause dizziness, so avoid driving with you if you feel dizzy. Tadalafil can cause dizziness, so do not drive with your head spinning. Avoid taking alcohol as it may cause increased dizziness and cause dizziness when taken with food. Tadalafil can cause urinary tract infections (UTIs) when taken with nitrates, so try to have your urinary tract treated before taking this medicine. If you experience pain in the legs, dizziness or nausea, telephone 999 now, if you are worried call 999 out of the blue, if you are having any questions or concerns.You are advised to take Tadalafil for as long as your doctor has prescribed it for you, depending on the cause of erectile dysfunction. You can take Tadalafil for as long as your doctor has judged necessary. You are advised to take Tadalafil for as long as your doctor has judged necessary. Your doctor will decide on the amount of time it will take to work while taking Tadalafil for treating erectile dysfunction. Most of the time, Tadalafil will not take longer than 4 hours to work, so be patient, and always follow your doctor's instructions.
You are advised to take Tadalafil for as long as your doctor has prescribed it for you. Do not drive or do other unsafe behaviors while taking Tadalafil. You are advised to go to your doctor about your medical conditions and take Tadalafil if you suffer from prostate cancer or urinary problems. Be careful if you drive with a suspended air cycle, or if you have any other air cycle problems.
Tadalafil may cause vomiting, diarrhea, loss of appetite, and sun sensitivity. The most common side effects are drowsiness, decreased sexual ability, increased libido, erectile dysfunction, headache, back pain, muscle pain, flushing, and nasal congestion. If you experience any of these side effects, tell your doctor before taking Tadalafil, because they may cause dizziness or light-headedness.