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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:
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Cialis, tadalafil, and other antihypertensive drugs are similar in many ways to nitrates and alpha-blockers. While not all of these medications work the same, some people may have adverse reactions with them. It is important for patients to remember that both Cialis and nitrates are effective medications in treating conditions like angina, heart failure, and certain types of prostate enlargement.
Cialis (Tadalafil) is a member of the tadalafil class of medications, working to enhance blood flow to particular areas of the body. This enhanced blood flow can help men achieve and maintain erections.
Cialis (Tadalafil) works by relaxing the blood vessels in the penis, allowing blood to flow into the penis when you get sexually excited and during sexual stimulation. It can also for some relax the smooth muscle cells in the penis, helping achieve erection an erection that lasts longer.
Cialis (Tadalafil) can be taken as needed, before sexual activity. It's important to follow the instructions provided by your doctor with your, especially if you have pre-existing health conditions or are on nitrates or other medications for angina or heart problems. Cialis (Tadalafil) should not be taken with nitrate medications, recreational drugs (such as LSD, viagra, or narcotics) or MAOIs (MAOIs that do not affect MAO inhibitors) in its original class.
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