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Description

Cialis, Tadalafil, Levitra, Vardenafilis a prescription drug. Cialis is used to treat the symptoms of benign prostatic hyperplasia (BPH) and erectile dysfunction. It works by helping the prostate to expand, thereby improving blood flow to the penis. It can also help to treat symptoms such as trouble swallowing, fatigue, and pain in the abdomen.

Usage Instructions

Before starting Cialis, you should consult your healthcare provider. Cialis is available in tablet, capsule, and liquid form. It can be taken with or without food, and it should not be taken more than once in a 24-hour period. It is important to follow the instructions provided by your healthcare provider. It is not a controlled substance and should not be taken within the expected time frame.

Cialis Side Effects

The most common side effects of Cialis are headaches, flushing, indigestion, and nasal congestion. These side effects are usually mild and temporary. Other side effects of Cialis may include vision changes such as blurry vision, sensitivity to light, increased heart rate, and an erection that lasts more than 4 hours. If you experience any severe side effects, seek immediate medical attention. If you are not certain about the condition, you should inform your healthcare provider.

Interactions

Cialis can interact with other medications, such as nitrates, alpha-blockers, and some antibiotics. Inform your healthcare provider of all medications you are taking, as well as any allergies you may have. Inform your doctor of all medicines you are currently using, as well as any medical conditions you have.

Storage

Store Cialis at room temperature away from moisture and heat. Do not store Cialis in a bathroom. Keep Cialis out of the reach of children and away from pets. Keep it out of reach of children and away from pets. Do not use Cialis during sexual activity. Do not use Cialis if you are taking any nitrate medication, as this can increase your risk of heart attack and stroke.

Missed Dose

If you miss a dose of Cialis, take it as soon as you remember. If it is close to the time for your next dose, skip the missed dose and take the next dose at the regular time. Do not take a double dose to make up for a missed dose.

Cialis may cause vision changes, including blurred vision, loss of color in one or both eyes, or a sudden decrease or loss of vision. Vision changes may occur at any time during Cialis treatment. Contact your healthcare provider if you experience changes in vision such as blurred vision, loss of color in one or both eyes, or a sudden decrease or loss of vision in one or both eyes.

Storage Instructions

Store Cialis at room temperature. Do not store in a bathroom.

Storage Warning

Cialis may cause liver damage in some individuals. It is not known if Cialis will harm the liver. Avoid taking Cialis if you are already taking nitrate medications, as this can increase your risk of heart attack and stroke. Cialis should not be used by people who have a history of heart problems, as this can lead to dangerous drug interactions.

If you are not sure about the condition, you should inform your healthcare provider.

Cialis may interact with other medications, such as nitrates, alpha-blockers, and some antibiotics.

Cialis Daily Use

Cialis Daily use is a daily and long-lasting treatment for erectile dysfunction (ED). It is important to follow the instructions provided by your doctor for maximum effectiveness.

Cialis Daily use will be different from other treatment options. This is because it is more convenient to use. It is also available over the counter. Cialis is usually taken once a day. It is important to take this medication on an empty stomach or with a light meal before having sexual intercourse. You can also take this medication on an empty stomach. You should not take Cialis Daily if you are taking this medication for more than 2 days.

If you have any concerns about taking Cialis Daily, please contact your doctor or pharmacist. They may be able to provide additional information or recommend alternative treatments.

Cialis Daily use has the potential to be safe to take on an empty stomach. Do not take Cialis Daily if you are a diabetic. You should not drink grapefruit juice while taking Cialis Daily. It can affect how well Cialis is absorbed by your body.

You should not take Cialis Daily if you are taking Cialis Daily. You should not drink alcohol while taking Cialis Daily. Alcohol can increase the risk of side effects, such as dizziness and low blood pressure.

If you have any questions about Cialis Daily, please contact your doctor or pharmacist. They may be able to provide additional information or suggest alternative treatments.

Cialis Daily

Cialis Daily can help treat erectile dysfunction in men, but it can also affect the flow of blood in the penis. It is important to note that Cialis Daily is not suitable for men with certain medical conditions or those taking nitrates. Your doctor will help determine if Cialis Daily is right for you.

You should not take Cialis Daily if you have conditions like low blood pressure, heart problems, or liver problems. This is because Cialis Daily can cause changes in blood pressure. It is important to tell your doctor if you have any of these medical conditions.

Before taking Cialis Daily, you should discuss any of your medical problems with your doctor.

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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C.

Cialis (tadalafil) can interact with certain foods and beverages, including grapefruit, grapefruit juice, and alcohol, increasing the risk of side effects. Avoiding grapefruit and grapefruit juice might improve side effects, while consuming these two supplements in the same meal as with Cialis.

5.: Though not a direct interaction, combining Cialis with Cialis might worsen side effects, such as headaches or increase heart rate in sensitive individuals.

D.

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.

What does this mean for patients?

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

Categories of medicine

In the UK have 3 categories:

  • POM – Prescription only medicine:supplied by a healthcare professional following a consultation, usually on prescription.
  • P – Pharmacy medicine:supplied by a pharmacist ‘over the counter’, sometimes referred to as ‘P’ medicine or ‘PMED’.
  • GSL – General sales list medicine:available from many retail outlets ‘off the shelf’.
As with the other medicines listed soounty by name, including many drugs with active ingredients already known on the licence, Cialis (tadalafil) and tadalafil 10 (Cialis Together) are examples of P – licensed drug manufacturers. This means they produce POM medicines only in current demand, and not in the other two listed medications.

As we have been highlighting to patients, ‘P’ medicines are not available OTC ‘over the counter' medicines.

2023-08-15

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