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:
| Medication Interaction | Details |
|---|---|
| Nitrates/Alpha-blockers | Cialis/Nitrates/Alpha-blockers |
| Alpha-blockers | |
| Other Drug-Food Interactions | Cialis, alpha-blockers, nitrates |
Similar to nitrates/Alpha-blockers, Cialis (tadalafil) can interact with some foods and beverages, potentially altering its effectiveness. You should not take Cialis with grapefruit or grapefruit juice while using this medication.
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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.
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
In the UK have 3 categories:
Cialis Together will be available in the following formats:
TheCialis 20mg Tadalafil 50mcg Tablethas been found to bespecially designed for men to deal with erectile dysfunctionwhich is a common condition that can affect men's ability to have and keep an erection.pecially formulated to deal with ED. It is also used to treat the symptoms of an enlarged prostate. This medication should be taken as your GP's advice?s recommend. It should be kept at room temperature, away from moisture and heat. A light meal is recommended to settle the discomfort of ED.
Tadalafil (Cialis) is a medication that was first released in 2003. It is used to treat erectile dysfunction (ED) in men. ED can affect men life or even death. It can be an indicator of serious health problems or even worse, a sign of a serious condition. It should be used only as prescribed by a doctor. If a man is not taking any medication at all, he may experience ED. ED is a common condition which affects men in their 30s and 40s. It's not common for men to have ED. The condition can be due to physical or psychological reasons, including diabetes, high cholesterol, or any other health issues. It can also be an indicator of a serious illness or disease. ED can be caused by psychological causes such as stress, anxiety, depression, or relationship problems. It's important to note that the condition can be caused by both physical and psychological reasons. ED may be caused by physical and psychological conditions such as diabetes or heart disease. It's important to use Tadalafil if you're concerned about the condition or about ED.
Cialis, ortadalafil, is an erectile dysfunction medication. It works by increasing blood flow to the penis. It can be taken orally or by injection. The medication is available in tablets, which are taken once a day and can be taken with or without food. It's important to follow your doctor's advice and to take Tadalafil at the same time every day, even if you start to feel better. If you miss a dose, take it as soon as you remember it. If it's close to the time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
The Tadalafil (Cialis) works by dilating the blood vessels in the penis. This can improve blood flow, resulting in an erection. It works by inhibiting the enzyme phosphodiesterase type 5 (PDE5), which is responsible for breaking down cyclic guanosine monophosphate (cGMP). cGMP is needed to cause an erection but also helps maintain the blood vessels in the penis. When cGMP levels are lower, the smooth muscles in the penis relax, which in turn helps maintain an erection. By inhibiting PDE5, the medication allows cGMP to accumulate in the penis and increase the blood flow. This results in an erection.
The effects of Cialis (Tadalafil) can be seen within a few hours of taking the medication. The effects are most noticeable in the first few hours of taking the medication. The effects can last for up to 36 hours after you take the medication. This can vary from person to person. The effects may include the following:
If you take Cialis for ED, it's important to follow your doctor's instructions carefully. It can cause side effects that may not be listed on the medication label. In most cases, these side effects go away as your body adjusts to the medication.
The Food and Drug Administration approved Cialis for treatment of erectile dysfunction in men in China in December. It is a brand name for tadalafil, a drug used to treat erectile dysfunction (ED) in men. The active ingredient in Cialis is tadalafil. Cialis is manufactured by Eli Lilly and is sold in tablet form.
Cialis is also sold in chewable tablets, which is used for ED and PAH and helps men with PAH improve their sexual performance. It is sold in capsule form in the United States.
Cialis is marketed under the brand name Cialis. It is available in the United States only.
Cialis has a longer half-life than some other medications. It is taken orally in the form of an injection, and it can be taken once daily.
The dosage of Cialis varies depending on the individual, but it is generally recommended that the dose be taken before sex with the following frequency:
The recommended starting dose is 20 mg once daily. It may be increased to 80 mg or decreased to 20 mg if needed.
Cialis should not be used by people with diabetes, high blood pressure, heart disease, or kidney disease. It should not be used by men who are taking nitrate drugs for angina, because these drugs are not effective in treating ED or PAH.
Tell your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Cialis may cause birth defects. If you are not sure, consult your doctor.
Cialis is a selective estrogen receptor modulator (SERM). It works by preventing estrogen from binding with a particular protein in the body. This is a significant part of the reason why Cialis is widely used in the treatment of men with sexual dysfunction.
The main ingredient in Cialis is tadalafil. It is a generic drug.
The dose of Cialis is 40 mg in a single dose.
Cialis is a pill taken orally. Cialis is a generic drug. It contains tadalafil. It is a generic drug, but it contains tadalafil in a different way. Cialis is the brand name for tadalafil.
The recommended starting dose is 40 mg once daily.
The side effects of Cialis are similar to those of other medications, such as Viagra, and are milder. The most common ones include:
It is important to discuss any concerns or side effects with your doctor.
Stade de France Pharmacy