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:
When combining Cialis with other medications, including blood pressure medications, you should be aware of potential side effects that may occur. Tell your doctor about all medications you are taking, including prescription drugs, nonprescription medications, and dietary supplements. Do not cut, crush, or chew Cialis or any other medication.
Ketoconazole, dapoxetine, retinoids (cimetidine, erythromycin, clarithromycin, and saquinavir): Cialis and dapoxetine are both medications that can cause lasting drops in blood pressure when taken together. They may affect your vision-ucing effects when used with other blood pressure medications.
Rifampicin: Rifampicin, like Cialis, is an antibiotic. It can affect blood pressure by interfering with the absorption of the medication in the intestine.
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.
How to split a medical questionnairePrecautionsTo ensure the safe and effective use of Tadalafil as part of a clinical study to determine which treatments are best for patients, the doctor will review the medical questionnaire part ( If you are taking a medical questionnaire, be sure to write: to get an understanding of the medical questionnaire part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part part side effects tadalafil 30mgpecialis online usa free shipping
Video :Video link:
unclear drug name
very heavy bleeding duration of action
How long does the effects of Tadalafil last?Follow your doctor’s advice is the most important thing to the doctorTadalafil is not recommended for use in children. Ask your doctor before you take Tadalafil if you are pregnant or breastfeeding. Do not take Tadalafil if you: have had a stroke or a heart attack
have a medical condition that affects your liver which has a high fructose component. You should not take Tadalafil if you have these conditions.
Do not take Tadalafil if you are taking any of the following medicines :-
• Ketoconazole or itraconazole
• Itraconazole or a combination of itraconazole and ritonavir
• Telithromycin or telithromycin
• haircut terazosin
• Terazosin and tamsulosin
You should not take Tadalafil if you are taking this or any other medicines used to treat fungal infections such as tineafine, tinea pedis and tinea corporis.
Viagra, Sidena, and Cialis – Now Available Without Prescription at Pharmadirect.ie
Looking for trusted and effective treatments for erectile dysfunction (ED)?Pharmadirect.ie, Ireland’s leading online pharmacy, now offersViagra (Sildenafil),Sidena (Sildenafil), andCialis (Tadalafil)– all available without a prescription for safe, discreet, and hassle-free ordering. Each of these medications has unique benefits, allowing you to choose the best option that suits your lifestyle and needs.
The original and most well-known ED treatment,, is a tried-and-true solution for men experiencing difficulty achieving or maintaining an erection. Viagra starts working within30-60 minutesand can last up to4-6 hours, making it ideal for planned or spontaneous sexual activity. It works by increasing blood flow to the penis, helping you achieve a firm erection when sexually aroused.
For a cost-effective alternative to Viagra,is a great option. It contains the same active ingredient—Sildenafil Citrate—and provides the same benefits and effectiveness in treating ED. Sidena is available at a lower price point, offering an affordable solution for men seeking reliable erectile dysfunction treatment. Like Viagra, Sidena starts working inand lasts for several hours, giving you confidence and control when it matters most.
For those who prefer more flexibility,is a standout option due to itslong-lasting effects. Cialis can remain effective for up to36 hours, earning it the nickname "the weekend pill." This means you can enjoy spontaneous intimacy without the need to plan exactly when to take the pill. Cialis works by relaxing blood vessels and increasing blood flow to the penis, allowing for a natural response to sexual stimulation over an extended period.
Why Choose Pharmadirect.ie?
At, we make it easier than ever to access these proven ED treatments. Withno prescription required, you can orderSidena, oronline with just a few clicks, and enjoy discreet, fast delivery across Ireland. We are committed to offering competitive prices and top-notch customer service, ensuring you get the right product for your needs, backed by a trusted pharmacy that has been in the healthcare business at our physcial store since 1953.
Key Benefits:
Shop with confidence atfor your ED treatment solutions today. Whether you choose,, or, we have the right option to help you take control of your sexual health—delivered discreetly to your door.
arrett- Alonefor confidence, we make it easy to buy cheap, and discreet, access toandcan beguided by our 100%ushi safe, 100% trust, and 100% discreet care products.
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:
More severe side effects include:
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.
azole_buyer bewareAs with all prescription medications, let your doctor know if you have recently had heart, liver, or kidney surgery or if you experience a severe drop in blood pressure. Cialis can interact with these medications so they may need to be stopped.
If you have recently had heart, liver, or kidney surgery or if you experience a sudden decrease in blood pressure, inform your health care provider. Cialis can cause potentially serious adverse reactions when taken at the same time as doxycycline.
As with all prescription medications, let your doctor know if you have recently had heart, liver, or kidney surgery or if you experience a drop in blood pressure.
black_caffeine
Stade de France Pharmacy