Drug Interactions
Nitrates: Nitrates, nitroglycerin-based medication, and other medications prescribed to treat chest pain and angina (including amyl nitrite) can cause a serious reaction or even death when combined with Cialis or other similar medications.
Some products that may interact with this drug are: riociguat, vericiguat. Tadalafil can cause a serious drop in your blood pressure when used with nitrates, which can lead to dizziness, fainting, and rarely heart attack or stroke.
For many patients with hypertension, taking Viagra and other ED medication – such as Stendra, Cialis, and Levitra – is safe, effective, and appropriate. However, it is essential that patients consult with their cardiologist, urologist, and other providers before beginning any new medication.
CIALIS can cause your blood pressure to drop suddenly to an unsafe level if it is taken with any nitrate medication. You could get dizzy, faint or have a heart attack or stroke. Tell your healthcare provider that you take Cialis.
Viagra and Cialis May Cut Risk of Early Death From Heart Disease by 25 Percent. A large new study shows that men who take erectile dysfunction medication are less likely to experience heart failure, stroke, and heart attack.
Using them incorrectly — having the wrong dosage or not following instructions — can cause Cialis not to work. Cialis might also fail if your ED is related to psychological issues — performance anxiety, intimacy issues, low self-confidence and depression can all affect your erections.
Men whose blood pressure isn't under control and those who take alpha-blockers (for high blood pressure or prostate problems) shouldn't take Cialis, Levitra, Staxyn, or Viagra.
The most commonly reported adverse reactions were headache, nausea, dyspepsia, back pain, myalgia, flushing, nasopharyngitis, and pain in the extremity. These adverse reactions were dose dependent, transient, and generally mild or moderate.
Summary: Cialis is an effective treatment for erectile dysfunction. For the best Cialis effects, it's crucial to take the drug as directed, avoid substances like alcohol that can interfere with your erection, and incorporate lifestyle changes like smoking cessation and exercise.
Splitting or crushing tadalafil tablets may result in a patient receiving more or less than the prescribed dose. Data are not available to support any alternative dosing options beyond specific dosing/administration according to the approved tadalafil label.
In this case, Cialis may keep working for up to 36 hours in helping you have and maintain erections during that time. However, if you take Cialis each day for either benign prostatic hyperplasia (BPH) or ED, you'll always have medication in your system. Therefore, it will continue to work throughout the day.
Never take Cialis if you take nitroglycerin or another nitrate medication for chest pain or high blood pressure. These medications can worsen the risk of dangerously low blood pressure: Nitroglycerin (Nitrostat) Isosorbide mononitrate (Monoket)
How does it affect blood pressure? Cialis can slightly lower blood pressure. This is not a problem for most men, but Cialis' effect on blood pressure is exaggerated if the Cialis is taken with a nitrate drug.
Which ED Medication is the Safest? Whether they're sold as brand name drugs or in generic form, sildenafil, tadalafil, vardenafil and avanafil are all safe for most men to use.
Moderate drinking while taking Cialis is unlikely to cause any side effects, however, excessive alcohol consumption can lead to harmful interactions. Both Cialis and alcohol can act as mild vasodilators, which means they widen blood vessels, allowing greater blood flow throughout the body.
Cialis is used for the treatment of erectile dysfunction (ED). It increases blood flow to the penis following sexual stimulation and allows men to keep an erection hard enough for sex. Cialis is also used to treat the signs and symptoms of benign prostatic hyperplasia (BPH).
Effectiveness of all PDE5 inhibitors is similar; although reported effectiveness of Viagra, at 84% is slightly higher than that of Cialis at 81%. However, more men prefer Cialis because of its longer duration of effect.
Do not split the dose. Take Cialis just before sexual activity, but not more than once per day.
But there are some differences. With Viagra, there is a higher risk of vision changes than with Cialis. Among people who take Viagra or sildenafil, 3% get blue vision that lasts a few hours. On the other hand, Cialis has a slightly higher risk of muscle pain than Viagra and vardenafil.
If you experience visual changes while using Cialis, contact your healthcare provider. Hearing loss: There are rare reports of sudden hearing loss within a few days of starting Cialis, usually in one ear (Wester, 2018; Maddox, 2009). Bleeding: Cialis may affect blood cells called platelets which make your blood clot.
have a serious heart and liver problem. have recently had a stroke or a heart attack. have low blood pressure (hypotension) or uncontrolled high blood pressure (hypertension) have ever lost your vision due to reduced blood flow to the eye.