Whether you can take Tadalafil at the same time as your other medications will depend on which medications you are taking.

You are required to complete a short medical consultation questionnaire that asks for any medications that you are prescribed from your GP and will indicate the medications that can’t be taken alongside Tadalafil.

There are several medicines which should not be taken concurrently with Tadalafil. Medicines which can have potentially serious interactions with Tadalafil include :-

• Any alpha-blocker medicines e.g. doxazosin (Cardura), alfuzosin (Xatral), tamsulosin, terazosin, or Flomax, that you can buy in the pharmacy. (These medicines may be used to treat prostate problems or high blood pressure).

• Isosorbide mononitrate, isosorbide dinitrate, or use a GTN spray or tablets

for chest pain or use Rectogesic ointment?

• Nicorandil (Ikorel), used to treat angina

• Cimetidine, used to treat stomach or duodenal (peptic) ulcers

• Theophylline, used to treat asthma

• Antibiotics:- Clarithromycin, Erythromycin and Telithromycin

• Anti-fungals such as itraconazole and ketoconazole

• Seizure medication:- carbamazepine, oxcarbazepine, phenobarbital, phenytoin and primidone

• Heart or blood pressure medication:- disopyramide, amiodarone, quinidine and procainamide

• Anti-viral medication:- telaprevir, atazanavir, retonavir, indinavir, saquinavir and cobicistat

• Recreational drugs:- amyl nitrate (poppers)

If you are taking any prescribed medication from your GP then you can simply write those in the “Is there any other medical information that you think our doctor should know?” section on the medical questionnaire. Then, our doctor will know whether the Tadalafil is safe for you to take.

Read available consultation questionnaire information

What is Tadalafil?

Tadalafil is the active ingredient in the generic version of Cialis. It is a type of drug that makes up the difference in how you react to the drug. UnlikeIs there a generic Tadalafil?which have been - branded and available as 10mg, 20mg, 40mg, and 100mg Tadalafil tablets.

Tadalafil is the active ingredient in the generic version of Sildenafil. Sildenafil has been - brand name and available as generic Viagra.

How to take Tadalafil:

• Take one tablet about 1 hour before sexual activity.
• You can take the drug up to night.

You can take the drug on an empty - day basis. You may want to take it on an empty stomach or on an as-needed basis - so-formed day.

To treat erectile dysfunctionwith Tadalafil, you must take one or more of the generic tablets.

Tadalafil can - potentially - affect the way other Tadalafil is affected by its active ingredient. This isn’t particularly known - name Tadalafil or any other generic medicine - if this makes a drug have you - started on tadalafil.

How do I take Tadalafil?

The recommended starting dose is Tadalafil (10 mg) taken at the start of your same-grade treatment course. Your doctor will decide what dose is appropriate for you and your GP.

Your doctor may order a liver function test before you start using Tadalafil if you are taking it long-term or as needed. This is a test you can make to help monitor your condition.

Tadalafil may be taken with or without food. You can take it on an empty stomach. If you feel unwell, take the drug with food.

You can take your Tadalafil dosage once a day with a glass of water.

Before you begin taking Tadalafil generic, its important to carefully read the Patient Information Leaflet. Make sure to review it each time you get a refill.

Take Tadalafil dosage orally, either with or without food, as directed by your healthcare provider. Tadalafil dosage should not exceed more than once a day. Swallow the tablet whole. Do not split it or crush unless advised.

Your daily dosage will depend on your medical condition, how you respond to medications, and any other medications you currently take. Before you take ED treatment pills, ensure that you inform your healthcare service provider of any prescription drugs, over-the-counter medicines, and any other supplements you take.

If you are also using finasteride alongside Tadalafil to treat any symptoms of benign prostatic hyperplasia (BPH), discuss the duration of treatment and dosage you will need with your healthcare provider.

For erectile dysfunction (ED), tadalafil citrate may be prescribed in two ways:

• You may take it as needed, usually at least 30 minutes before sexual activity, with its effects potentially lasting up to 36 hours.
• Your doctor may recommend taking generic Cialis regularly, once a day.

Follow your doctors instructions carefully based on your specific needs and condition.

If you are using tadalafil citrate medication for ED dysfunction and BPH, take it daily as directed by your doctor. To ensure you do not forget, take it at the same time each day.

Keep your healthcare practitioner informed if your medical condition does not improve or worsens during treatment.

irlwinds do not take Tadalafil for up to 4 hours. Do not take it with other medications that may cause erections. For any BPH symptoms, particularly difficulty with sexual stimulation, seek medical attention immediately).

Does Tadalafil Citrate Affect theSexual Life of a Woman?

If you are experiencing the symptoms of benign prostatic hyperplasia (BPH), you have a a likelihood of having a significant impact on your daily life and/or well-being. BPH is a medical condition that affects the urinary and bodily systems, making it difficult to achieve and maintain an erection. It is a common condition that affects approximately 2.5% of the men age 19 to 41, and may affect men 40 through 70 of any age. BPH is typically treated with medication called Tadalafil. Discuss any concerns about medication side effects with your doctor. BPH is typically treated with generic Cialis, which is also the brand name for the medication tadalafil.

If you are taking generic Cialis, it is recommended that you take it as needed, usually at least 30 minutes before sexual activity, to ensure effective delivery of the medication. Cialis may be taken with or without food, but it is recommended to take it at the same time. Swallow the tadalafil tablet whole. Do not split it or crush it unless advised.

Your daily dosage will depend on your medical condition, how you respond to medications, how you respond to medications, and any other medications you currently take. If you are using tadalafil for BPH, it is recommended that you take it at the same time each day. Make sure to review it every time a refill is a need a refill.

• You may take it usually at the same time as other erectile dysfunction (ED) medicines. However, it is recommended to take generic Cialis (Cialis®) with any of these medicines, as they may affect your doctor's instructions and potentially affect the effectiveness of Cialis or cause it to not work as well.
• Alternatively, you may take generic Cialis daily, usually during your treatment, to get the best results. It is recommended to take Cialis with caution, and to discuss the benefits and risks of taking it with your doctor.

Follow your doctor's instructions exactly as directed for erectile dysfunction. Tadalafil may cause dizziness, especially when taken with certain other medicines. It is advised to take Cialis daily and before bedtime for best results.

If you are using tadalafil for erectile dysfunction (ED), your doctor will probably recommend taking ED medicine with generic Cialis daily. Like all medicines, ED medicines can cause side effects, although it is recommended that you take them as soon as you get them.

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.

RicanMix () also has interaction with Cialis. Will that interact with this medication?

Mixing Cialis and nitrates may cause a dangerous drop in blood pressure with nitric oxide, leading to a prolonged and severe fainting or hypotension (a sudden drop in blood pressure when standing). This combination can be harmful and increase the risk of hypotension and fainting.

C.

Cialis (tadalafil) can interact with certain foods and beverages, possibly altering the effectiveness of the medications. Here are the key drug-food interactions:

1. Grapefruit and Grape Juice: Nitric oxide can increase the levels of tadalafil by inhibiting vasodilating enzyme. This increases the risk of side effects like headaches or dizziness.
2. : Though this interaction may be less significant than the nitrates or alpha-blockers, excessive alcohol intake can delay the onset of action or increase the risk of hypotension. Limiting alcohol consumption is recommended while using Cialis.

Cialis Super Active 20mg Tablets

by Drugs.com. Last updated on Jun 21, 2024.

This drug is used to treat male pattern hair loss (androgenetic alopecia). It is used to treat benign prostatic hyperplasia (BPH) and also for men with benign prostatic hyperplasia (BPH) in the lower urinary tract.

Directions for Use

Cialis Super Active 20mg tablets are to be taken once daily with a full glass of water. It is to be taken with or without food.

Do not take this medication within one hour of the intake of alcohol, grapefruit juice, or other medications.

The recommended dose for this medication is one tablet once daily. It may take one to four weeks for most patients to notice the effects of the drug.

Contraindications

It is not recommended for use in the following cases:

• A history of:
  • liver disease;
  • liver disease in a patient with prostate cancer (including early breast cancer);
  • any other medical conditions;
  • kidney disease;
  • hepatic or renal impairment;
  • liver disease in patients with anuria (abdominal, renal, or hepatic);
  • liver disease in patients with anemia (low red blood cells (LBC) or anemia in patients with anemia).
• • kidney disease or reduced kidney function;
  • kidney disease in patients with advanced renal disease, acute or chronic kidney failure, or acute nephrotic syndrome;
  • liver disease in patients with active hepatic impairment;
  • liver disease in patients with active renal dysfunction;
• • breast cancer, hormone-receptor-positive (HRT-positive) (for example, in the treatment of breast cancer);
  • liver disease in patients with active hepatic impairment (including hepatic impairment in cirrhosis or jaundiced liver disease).
• • bipolar disorder (manic-depression);
  • liver disease in patients with active hepatic impairment (including hepatic impairment in cirrhosis or jaundiced liver disease);
  • liver disease in patients with advanced renal dysfunction;
  • liver disease in patients with impaired renal function or active hepatic disease.
• • liver disease in patients with advanced renal dysfunction (including renal impairment or active renal dysfunction);
  • liver disease in patients with advanced renal dysfunction.
• • breast cancer;