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, including grapefruit, grapefruit juice, and alcohol, the ingestion of these beverages can enhance side effects like headaches or increase heart rate in sensitive individuals.
D. Drug-Food Interactions
Last updated 14 September 2023
On 14 March 2023, the UK Medicines regulator approved an application to reclassify the erectile dysfunction medication Cialis. When marketed asCialis Together(tadalafil 10mg), it will be a ‘P’ (pharmacy) medication, and so available ‘over the counter’ in pharmacies – see. This follows the 2018, ‘P’ classification of (sildenafil 50mg) which has been available OTC, without a prescription, since then.
This decision is good news for men’s health …. Erectile dysfunction can be a debilitating condition, so it’s important men feel they have fast access to quality and legitimate care
Dr Laura Squire, MHRA’s Chief Officer for Healthcare, Quality and Access
Unfortunately, there is a strong black market in the UK for ED medicines, which are often unlicensed or counterfeit. UK Border Force and the MHRA seize millions of pounds of these fake products from criminals annually. This new classification of tadalafil 10mg will enable men who suffer from ED to obtain it safely from a local pharmacy.
Sanofi, the drug manufacturer, is expected to launch Cialis Together later in 2023. Cialis Together will be available to purchase in pharmacies without a prescription by men over 18 with erectile dysfunction. Cialis Together tablets will contain 10mg tadalafil and the maximum pack size will be 8 tablets. Other doses and pack sizes of Cialis and tadalafil will still be available on prescription through doctors and specially trained pharmacists. Before purchase in a pharmacy there must be an assessment with a pharmacist, who will check that Cialis Together is appropriate and safe, or whether consultation with a GP is necessary.
Men suffering with ED will have another treatment option with the convenience of purchasing it in their local pharmacy, including pharmacies found inside supermarkets (eg. Tesco, Asda, Sainsbury’s). The pharmacist will ask some health questions, may check blood pressure, and will advise on treatment with Cialis Together or Viagra Connect, or the need to consult a GP. Pharmacies usually have a private room for such discussions.
Cialis Together is a 10mg tadalafil product for use at least 30 minutes prior to anticipated sexual activity. Its effects can last. It is not recommended for daily use. The maximum recommended dose of Cialis Together will be one tablet in 24 hours. Prescription Cialis and tadalafil will still be available at different doses.
Dr Fox welcomes the wider access to ED medication for men that Cialis Together classified as a ‘P’ OTC medication will provide. We at Dr Fox are aware of the difficulties men have in discussing ED with their GPs and in accessing ED medication. We know that Cialis is effective and safe for most men and this change provides another option for obtaining ED treatment. Pharmacists are health professionals who are able to give ED advice but they will also know when to refer men who would benefit from a doctor’s assessment. ‘P’ medicines can also be supplied on prescription, and we will offer Cialis Together, when available, alongside our other competitively priced ED products.
Dr Claire Pugh, Dr Fox Medical Director
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When it comes to taking Cialis (tadalafil) 5mg Tablet 15mg
1,2,3,5,9,10,11,12,13,14
Best known as a common side effect of Cialis (tadalafil), it has the following applications:
• Cialis (tadalafil) 5mg Tablet 15mg is sometimes referred to as the'phosphodiesterase type 5 (PDE5) inhibitors'. It relaxes muscles and improves blood flow to certain parts of the body. • It helps men with erectile dysfunction (impotence) by increasing blood flow to the penis. • It helps men with pulmonary arterial hypertension (PAH) by relaxing blood vessels in the lungs, allowing blood to flow easily. • It helps in managing symptoms of benign prostatic hyperplasia (BPH) in men with enlarged prostate. • It can be taken with or without food. • It's important to note that Cialis (tadalafil) 5mg Tablet 15mg should only be taken as needed, so avoid taking it more than 30 minutes before you plan to have sex. • Avoid alcohol and grapefruit juice if you are taking Cialis (tadalafil) 5mg Tablet 15mg and it may increase the likelihood of experiencing side effects. • Do not take Cialis (tadalafil) 5mg Tablet 15mg without consulting your doctor. • If you experience any undesirable side effects, it's important to dispose of them immediately. Consult your doctor if you experience any adverse reactions to Cialis (tadalafil) 5mg Tablet 15mg. • If you are using an oral tablet, take it at least 30 minutes before having sex. • Avoid eating Cialis (tadalafil) 5mg Tablet 15mg while taking an oral tablet, as it may make it harder for the blood to flow to the penis. • Do not take Cialis (tadalafil) 5mg Tablet 15mg more than once a day. It's important to consult your doctor before increasing your dosage to make sure it's right for you. • Cialis (tadalafil) 5mg Tablet 15mg may not be right for everyone. • It may not be safe to use Cialis (tadalafil) 5mg Tablet 15mg when taking the advice of your doctor. • It's important to inform your doctor of any other treatments you are taking. • Cialis (tadalafil) 5mg Tablet 15mg may cause side effects, but they usually do not require medical attention. • Inform your doctor if you notice any of the following: • Erectile dysfunction • Pulmonary arterial hypertension • Addictive (classified as a 'persistent or controlled' drug) • Increased risk of serious side effects • Increased risk of developing certain side effects in the next weeks • Seizures • Possible allergic reactions (anaphylactic) reactions • Potentially serious side effects (hypotension) can occur as a side effect.
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:
| Dosage (mg) | Key |
|---|---|
| Top Drug-Food Interactions | Cialis (tadalafil) |
| Drug-Food Interactions | Alpha-blockers (e.g. prazosin, terazosin, tamsulosin) |
| Other antihypertensive drugs (e.g. atenolol, propranolol, enalapril, lisinopril) | |
| Ketoconazole | |
| Protease inhibitors (e.g. |