If you have questions about drug interactions that may affect you, ask your doctor or pharmacist. You can also see this detailed article about Cialis and its interactions. You should not take Cialis if you’re taking a medication called a nitrate. This type of drug may be cialis oral strips used for chest pain. Taking nitrates along with Cialis can cause a serious decrease in your blood pressure. However, in some cases, your doctor may give you a nitrate: for example, if you have chest pain and your life is at risk, and it’s been at least 48 hours since your last dose of Cialis. After you receive the nitrate, your doctor will likely monitor you to make sure your blood pressure doesn’t drop to an unsafe level.
5.12 Effects on Bleeding
Do not take more Cialis than your doctor recommends. Overdose symptoms are similar to the typical side effects of Cialis. For more about side effects, see the “Cialis side effects” section above. If you think you’ve taken too much of this drug, call your doctor. You can also call America’s Poison Centers at 800-222-1222 or use its online tool.
Could I take an 80-mg dose of Cialis?
But if your symptoms are severe, call 911 or go to the nearest emergency room right away. If you’re taking Cialis, you usually won’t have to take other medications with it. But if you have a prostate condition called benign prostatic hyperplasia (BPH), your doctor may first prescribe a drug called finasteride (Proscar). Finasteride is a first-line treatment (the first treatment used) when cialis without prescription in canada medications are recommended for BPH. This is because the drug shrinks the prostate by blocking the growth of prostate cells. Both Cialis and medications called alpha-blockers can cause a decrease in blood pressure. So taking these medications together can cause blood pressure to drop further. If you have benign prostatic hyperplasia (BPH) and are taking a medication called an alpha-blocker, you should not use Cialis. And if you have erectile dysfunction (ED) and are taking an alpha-blocker, your doctor will likely lower your dose of Cialis. Before taking Cialis, tell your doctor about any medications that you use, including alpha-blockers. So if you’re taking other medications to reduce your blood pressure, taking Cialis along with them may cause a larger drop in blood pressure.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Cialis Black | 80mg | 20 Pills | 71.83€ 68.41€ | |
| Cialis Soft Tabs | 20mg | 30 + 4 Pills | 87.43€ 83.27€ | |
| Cialis Generic | 2.5mg | 90 + 6 Pills | 112.43€ 107.08€ | |
| Cialis Generic | 10mg | 360 + 10 Pills | 388.49€ 369.99€ | |
| Cialis Super Active | 20mg | 180 + 20 Pills | 521.59€ 496.75€ | |
| Cialis Generic | 20mg | 10 Pills | 31.49€ 29.99€ | |
| Cialis Professional | 40mg | 30 Pills | 148.94€ 141.85€ | |
| Cialis Generic | 5mg | 60 + 4 Pills | 86.02€ 81.92€ | |
| Cialis Generic | 10mg | 180 + 8 Pills | 236.88€ 225.60€ | |
| Cialis Generic | 60mg | 180 + 10 Pills | 313.11€ 298.20€ | |
| Cialis Generic | 2.5mg | 120 + 6 Pills | 128.93€ 122.79€ | |
| Cialis Soft Tabs | 20mg | 270 + 10 Pills | 471.40€ 448.95€ | |
| Cialis Soft Tabs | 20mg | 20 + 2 Pills | 66.98€ 63.79€ | |
| Cialis Generic | 60mg | 30 + 2 Pills | 85.33€ 81.27€ |
Before you start Cialis treatment, tell your doctor if you’re taking any blood pressure drugs. They may give you a lower dose of Cialis or monitor you more often.
Medication details
It can also interact with certain foods. For instance, some interactions can interfere with how well a drug works. Other interactions can increase the number of side effects or make them more severe. Note: In addition to the information below, you can refer to this article about Cialis interactions. Below is a list of medications that can interact with Cialis. If you’re taking Cialis and use antacids to treat heartburn, the antacids may decrease the level of Cialis that your body absorbs. This means that you may not get the full dose of Cialis, so it may not work as well to treat your ED or symptoms of BPH. Before you start using Cialis, tell your doctor if you’re taking antacids.
Pregnancy & Lactation
This list doesn’t contain all drugs that may interact with Cialis. Before taking Cialis, talk with your doctor and pharmacist. Tell them about all prescription, over-the-counter, and other drugs you take. Also tell them about any vitamins, herbs, and supplements you use. Sharing this information can help you avoid potential interactions. Talk with them about how far apart to take the doses of each drug if you need to use both medications.
- The drug's development involved clinical trials with thousands of participants.
- It was first approved by the FDA for ED in 2003 and for BPH in 2011.
- The "Cialis" name is a portmanteau of "continuous" and "quality of life."
- Its long duration of action was a significant advancement over earlier drugs.
- It is on the World Health Organization's List of Essential Medicines.
- This signifies it is one of the most effective and safe medicines needed in a health system.
- In some countries, it is available at a much lower cost than in the United States.
- Traveling with prescription medication requires keeping it in original packaging.
- Having a copy of the prescription or a doctor's note is also recommended.
- It is a widely studied and generally very safe medication when used correctly.
Cialis is broken down in your body by an enzyme in your liver called CYP3A4. (An enzyme is a protein that aids chemical changes in your body.) Certain drugs can inhibit (block) this enzyme from working. So if the enzyme is unable to break down Cialis, the level of Cialis in your body may get too high. This can be dangerous and may increase your risk of side effects from Cialis.
| Aspect | Details | Frequency |
|---|---|---|
| Typical dose | 10 mg per use | Once as needed |
| Recommended timing | 30-60 minutes before sexual activity | - |
| Maximum frequency | Once per day | - |
| Onset of action | 30-60 minutes | - |
| Duration of effect | Up to 36 hours | - |
| Food interaction | Can be taken with or without food | - |
Examples of medications that can block CYP3A4 from working include: antibiotic drugs, such as: erythromycin (Ery-Tab) Before starting Cialis treatment, talk with your doctor about any medications that you’re taking. They’ll be able to determine whether generic cialis 10 pills the drugs are CYP3A4 inhibitors and whether they can interact with Cialis. In some cases, your doctor may recommend a lower dose of Cialis or a different medication to treat your ED, symptoms of BPH, or both. Cialis is broken down in your liver by an enzyme called CYP3A4. Certain drugs may induce (increase the activity of) CYP3A4, making it work better or faster than usual. This means that your body may break down Cialis more quickly than it should, so the drug may not work as well as it should. Examples of drugs that induce CYP3A4 include: Before you start Cialis treatment, talk with your doctor about any medications that you’re taking. They’ll be able to determine whether the drugs are CYP3A4 inducers and whether they can interact with Cialis.
| Side Effect | Frequency | Severity | Notes |
|---|---|---|---|
| Headache | Common | Mild to moderate | Usually temporary |
| Flushing | Common | Mild | Facial redness |
| Indigestion | Less common | Mild | Related to gastrointestinal |
| Muscle pain | Rare | Mild | Transient |
| Nasal congestion | Less common | Mild | Temporary |
In some cases, your doctor may recommend a different medication to treat your ED, symptoms of BPH, or both. You should not take Cialis if you’re using a type of drug called a guanylate cyclase stimulator. This kind of medication is used to treat pulmonary hypertension (a type of high blood pressure in your lungs). Using a guanylate cyclase stimulator along with Cialis may cause your blood pressure to become dangerously low. This medication can be used to treat pulmonary hypertension (PH) that happens in the arteries of your lungs (pulmonary arterial hypertension) or PH that happens due to a blood clot in your lungs. Before taking Cialis, talk with your doctor about any medications you’re using for pulmonary hypertension. If you’re taking riociguat, they’ll likely recommend a different medication to treat your ED, BPH symptoms, or both. There aren’t any herbs or supplements that have been specifically reported to interact with Cialis. However, you should still check with your doctor or pharmacist before using any of these products while taking Cialis. Here’s some information about how Cialis may interact with alcohol and grapefruit.
- A vacuum constriction device is a non-pharmacological alternative for ED.
- Penile implants and injection therapy are other second-line treatment options.
- Lifestyle modifications like weight loss and exercise can improve ED.
- Smoking cessation is highly recommended, as smoking impairs blood flow.
- The 10 mg dose represents a specific point on the drug's dose-response curve.
- Higher doses (20 mg) provide greater efficacy but also greater side effect risk.
- Lower doses (5 mg) minimize side effects but may be less effective for some.
- The choice of dose is a personalized decision between patient and doctor.
- Patient satisfaction with treatment is high due to the long window of opportunity.
- It has improved the quality of life and relationships for many men.
For more information, see the “Cialis and alcohol” section above. While you take Cialis, it’s best to avoid eating grapefruit and drinking grapefruit juice.
17.6 Vision
Cialis treats the symptoms of BPH by reducing the prostate gland muscle tone, but it doesn’t block the growth of the cells. Finasteride can help also ease symptoms of BPH, such as having to urinate suddenly and more often than usual. However, this medication can cause negative sexual side effects such as decreased libido (sex drive) and erectile dysfunction. To help ease these side effects, your doctor may have you also take Cialis. If you have questions about using Cialis and finasteride, talk with your doctor.
What are the most common side effects of tadalafil?
You should not take anything in addition to Cialis to enhance the drug, unless your doctor tells you to. When you get Cialis from the pharmacy, the pharmacist will add an expiration date to the label on the package or bottle. This date is typically 1 year from the date they dispensed the medication. The expiration date helps guarantee that the medication remains effective during this time. How long a medication remains good can depend on many factors, including how and where you store the medication. As with all medications, the cost of Cialis can vary. The actual price you’ll pay depends on your insurance plan, your location, and the pharmacy you use. Before approving coverage for Cialis, your insurance company may require you to get prior authorization. This means that your doctor and insurance company will need to communicate about your prescription before the insurance company will cover the drug.
13.1 Carcinogenesis, Mutagenesis, Impairment of Fertility
In addition to decreased blood pressure, these side effects can include: If you drink alcohol, talk with your doctor about what amount is safe to drink while you’re taking Cialis. Other drugs are available that can treat your erectile dysfunction (ED), symptoms of benign prostatic hyperplasia (BPH), or both. Some medications may be a better fit for you than others. If you’re interested in finding an alternative to Cialis, talk with your doctor. They can tell you about other drugs that may work well for you.
Missed Dose
Note: Some of the drugs listed here are prescribed off-label to treat these specific conditions. Examples of other drugs that may be used to treat symptoms of BPH include: Examples of other drugs that may be used to treat ED include: Cialis is the only medication that the Food and Drug Administration (FDA) has approved to treat both ED and symptoms of BPH together. However, other combinations of drugs may be used for this purpose. Also, other single medications may be used off-label to treat both ED and symptoms of BPH together. Examples of other drugs that may be used to treat ED and symptoms of BPH together include: Taking more than the recommended dosage of Cialis can lead to serious side effects. The insurance company will review the request and let you and your doctor know if your plan will cover Cialis.
- Cialis 10 mg can be effective for many men.
- Use caution when traveling with Cialis.
- Check with a healthcare provider about possible interactions.
- Certain foods can delay Cialis onset.
- Regular use can improve ED symptoms over time.
- Some men experience back pain as a side effect.
- Cialis is sometimes used off-label for lung hypertension.
- It is considered safe when used as directed.
- Discontinue use if adverse effects are severe.
- Cialis may be less effective with certain illnesses.
- Never share your medication with others.
If you’re not sure whether you’ll need to get prior authorization for Cialis, contact your insurance company.
| Storage Condition | Temperature Range | Light Sensitivity | Shelf Life |
|---|---|---|---|
| Cool, dry place | 15-30°C (59-86°F) | Sensitive to light | 2-3 years |
| Keep out of reach | Keep away from moisture | Proper storage prevents degradation | - |
| Original packaging | Store in original blister or container | - | - |
For more information about the cost of Cialis, see this in-depth article. If you need financial support to pay for Cialis, or if you need help understanding your insurance coverage, reach out to your insurance company.
17.4 Potential for Drug Interactions When Taking CIALIS for Once Daily Use
You should store Cialis tablets at 77°F (25°C). But you can keep them between 59°F and 86°F (15°C and 30°C) for short periods of time, if needed. Store Cialis in a tightly sealed container away from light. And avoid keeping this medication in areas where it could get damp or wet, such as bathrooms. If you no longer need to take Cialis and have leftover medication, it’s important to dispose of it safely.
Benign Prostatic Hyperplasia
This helps prevent others, including children and pets, from taking the drug by accident. It also helps keep the drug from harming the environment. This article provides several useful tips on medication disposal. You can also ask your pharmacist for information on how to dispose of your medication. Cialis can interact with several other medications.