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:
If you have any questions or concerns about takingCialis,
Statistical Data and Statistics
A total of12,921,859,543 person per 100,0003people per 100,000If you have any of the following conditions, you should avoid.
Objectives:The primary objective of this study was to determine whether or not the use of CIALIS can cause clinically significant and/or recurrent erectile dysfunction in men with a previous history of erectile dysfunction.
Design:An observational comparative trial of 5 different CIALIS (5-alpha reductase inhibitors) and a placebo in post-menopausal women.
Setting:The International Index of Erectile Function-5 (IIEF-5) and the International Prostate Symptom Score (IPSS) were used to assess the impact of CIALIS on the quality of life of patients taking it.
Main outcome measures:The primary outcome measure was the change in IIEF-5, IPSS, and self-perceived quality of life in patients taking CIALIS. Secondary outcomes included the impact of CIALIS on quality of life, frequency of sexual intercourse, frequency of intercourse with a partner, and frequency of ejaculation.
Results:There was no difference in the change in the IIEF-5, IPSS, and self-reported quality of life between the 5 groups, but CIALIS did decrease the change in the IIEF-5 and IPSS. The difference in self-perceived quality of life between the groups was significant. No patient had a history of erectile dysfunction during the clinical study period.
Conclusions:The CIALIS-associated decrease in IIEF-5 and the decrease in the International Prostate Symptom Score was statistically significant.
1. Pronin, J.2. Esteem, E.3.4.5. Lappe, R., Storz, J., & Wiebe, R. (2010). The impact of CIALIS on the quality of life of postmenopausal women. Journal of the American Medical Association, 87, 711-716. 10.1111/jama.1609-0399.1021.intr.0021-41006.-2009-039. e16. R.7. Wiebe, R., Esteem, E., & Lappe, R. International Journal of Sexual Medicine, 9, 14-24. 10.1111/j.1474-0535.2010.01074.-2011-003.-2011-003.-2011-003.-2011-003.-2011-003.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.-2011.Erection problems (impotence) are very common, particularly in men over 40.
Most men occasionally fail to get or keep an erection. This is usually due to stress, tiredness, anxiety or drinking too much alcohol, and it’s nothing to worry about.
If it happens more often, it may be caused by physical or emotional problems.
Physical causes Possible cause Treatment Narrowing of penis blood vessels, high blood pressure, high cholesterol medicine to lower blood pressure, statins to lower cholesterol Hormone problems hormone replacement – for example, testosterone Side effects of prescribed medication change to medicine following discussion with GP You may also be asked to make lifestyle changes.
Do lose weight if you’re overweight stop smoking eat a healthy diet exercise daily try to reduce stress and anxiety
Don’t cycle for a while (if you cycle more than 3 hours a week) drink more than 14 units of alcohol a week
Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature.
If you experience any of the following side effects stop using the medicine and seek medical help immediately:
allergic reactions including rashes (frequency uncommon). chest pain – do not use nitrates but seek immediate medical assistance (frequency uncommon). priapism, a prolonged and possibly painful erection after taking CIALIS (frequency rare). If you have such an erection, which lasts continuously for more than 4 hours you should contact a doctor immediately. sudden loss of vision (frequency rare). Other side effects have been reported:
Common (seen in 1 to 10 in every 100 patients)
headache, back pain, muscle aches, pain in arms and legs, facial flushing, nasal congestion, and indigestion. Uncommon (seen in 1 to 10 in every 1,000 patients)
dizziness, stomach ache, feeling sick, being sick (vomiting), reflux, blurred vision, eye pain, difficulty in breathing, presence of blood in urine, prolonged erection, pounding heartbeat sensation, a fast heart rate, high blood pressure, low blood pressure, nose bleeds, ringing in the ears, swelling of the hands, feet or ankles and feeling tired. Rare (seen in 1 to 10 in every 10,000 patients)
fainting, seizures and passing memory loss, swelling of the eyelids, red eyes, sudden decrease or loss of hearing, hives (itchy red welts on the surface of the skin), penile bleeding, presence of blood in semen and increased sweating. Heart attack and stroke have also been reported rarely in men taking CIALIS. Most of these men had known heart problems before taking this medicine.
Partial, temporary, or permanent decrease or loss of vision in one or both eyes has been rarely reported.
This medicine is available only after careful consideration by the doctor.
A new study shows that some bathtubs may cause erectile dysfunction in men.
An FDA-approved drug called Cialis, which is sold under the brand name Viagra, may also cause men to be more likely to have sexual health problems. The drug, which has been on the market for over two decades, has been on the market since 1998.
Cialis was approved by the Food and Drug Administration in November 1998 for men with erectile dysfunction and is available without a prescription.
The study, which involved data from more than 11,000 men, looked at the use of a bathtub-like device that was inserted into the penis of a man who is experiencing erectile dysfunction.
The man was given a bathtub and then a pill-like device to help him achieve an erection. He took the pill and the bathtub was inserted into his penis. The researchers found that the bathtub caused erectile dysfunction in only about 20 percent of the men. The other 20 percent had no effect.
In a separate study of 18 other drugs, the researchers found that the bathtub-like device did not cause erectile dysfunction in the placebo group of 18. The researchers also found that the men who used the bathtub-like device had an erection that lasted for less than four hours.
The bathtub-like device was designed to help men with erectile dysfunction achieve and maintain erections for more than four hours, according to the study. The researchers found that the bathtub-like device had no effect on sexual function or arousal.
The study was published in the Journal of Sexual Medicine.
The bathtub-like device could have been harmful to men taking certain drugs, such as nitrates, because they may cause an erection that lasts for more than four hours. The researchers said they also found that men who took the drug had a slight decrease in sexual desire.
The researchers believe this study may be the first to show that men who use a bathtub-like device don't experience erectile dysfunction in the placebo group. The study is funded by Pfizer Inc.
Other findings from the study also suggest that the bathtub-like device may cause some men to be more sensitive to sexual arousal than the placebo group.
In addition, men who use the bathtub-like device are more likely to have low sexual desire, according to the study. The researchers found that a man who took the device experienced an erection that lasted for longer than four hours. The study found that the men who used the device were able to maintain an erection that lasted for more than four hours.
The bathtub-like device may also have other health benefits. Researchers believe that the bathtub-like device could help men with erectile dysfunction who do not have it. The researchers also believe that the device may also help men who have conditions like diabetes, high blood pressure, or heart disease who use recreational drugs. The researchers said that the study may be the first to show that men who use the bathtub-like device don't experience erectile dysfunction.
The bathtub-like device may also help men who have diabetes or high blood pressure who use recreational drugs.
Other research has also found that a man who takes an injection of insulin may be able to increase the amount of insulin that he needs to get an erection. The study found that men who took the insulin were able to have an erection that lasted for longer than four hours. The study found that men who took the insulin also had lower blood pressure.
In addition, the study found that men who use a "sodium gluconate" drug, or gluconate, may be able to achieve a firmer erection that lasts for longer than four hours. The study found that men who used the gluconate were able to achieve a firmer erection that lasted for longer than four hours.
The study was published in theJournal of Sexual Medicine. It was funded by Pfizer Inc.
Photograph: Lisa Ebersberger/ShutterstockThe study involved data from more than 11,000 men, which are men with erectile dysfunction.
Cialis Black 200mg Tablets in Pakistan Price in Pakistan is Rs.1500/-. We Provide Original Product at Price in Pakistan.
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