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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.

Show MoreBacterial Infections2023Bacterial tulare (Tinea versicolor) 1. Cialis can cause serious, life-threatening infections such as a new infection or cancer that can leave redness on your genitals and/or blurry vision. If you experience redness, swelling, or bruising, you should stop taking Cialis and call your doctor right away.Read MorePelvic Inflammation, Urethral and Sperm Dysfunction, and Pregnancy are some of the most common side effects of Cialis. If you experience any of these, contact your health care provider before you start taking Cialis.Show MoreProstate Cancer and Hormonal Replacement are some of the most common side effects of Cialis. If you experience any of these, contact your health care provider immediately.
  • Cialis can cause some mild side effects such as:
  • Sore throat
  • Muscle aches
  • As with all prescription medications, inform your doctor if you are taking any of the following:

    • Lithium
    • Pimozide
    • Sildenafil
    • Vardenafil

    Lithium can cause dizziness, drowsiness, or heart palpitations. Drowsiness and drowsiness are other side effects of Cialis. If you experience drowsiness, fatigue, or headache, seek medical attention immediately.

    As with all prescription medications, inform your doctor if you use any of the following:

    • Alpha-blockers
    • Erectile dysfunction medication
    • St. John’s wort

    Some medications can interact with each other, causing potentially serious interactions. If you have any significant interactions, contact your health care provider before you start taking Cialis.

    You should not take Cialis if you have had an allergic reaction to any of the ingredients in Cialis. As with all prescription medications, be sure to inform your doctor about any heart- or liver-related conditions you are currently managing.

    You should not take Cialis if you have had an allergic reaction to any medication in this category.

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    The mailorder.com mail order service will contact you directly, so you will be able to place an order, and will let you know when the order is received, and any shipping costs will be billed to your account.

    Once your order is placed, shipping will be made to your home using free airmail, and the order will be delivered to your destination in a standard airmail package.

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    Shipping costs

    Shipping is free and takes only a few minutes. Once your order is placed, it will be delivered to your home in a standard package.

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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.
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