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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.

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Healthcare professionals have a duty to their patients. We will always monitor you for side effects and ensure that you get the best possible treatment for your needs.

Tadalafil is a prescription medication that contains the active ingredient tadalafil. It is a phosphodiesterase type 5 (PDE5) inhibitor. Tadalafil works by increasing blood flow to the penis during sexual stimulation. This helps a man to achieve and maintain an erection. It does not work if sexual activity is not possible. If you have any concerns about taking Tadalafil generic, please consult your doctor.

Please consult your doctor before taking tadalafil generic if:

• You are allergic to tadalafil or any of the other ingredients of this medication?
• You have kidney or liver problems?
• You are taking any other similar medications?

This medication is not intended for use by women or children. It can cause dizziness, especially when standing up. It is important to consult your doctor before taking tadalafil generic if:

• You have high blood pressure, heart disease, liver problems, or other cardiovascular problems
• You take certain medications or have a medical condition that can make you feel dizzy or drowsy
• You have pulmonary hypertension or a high blood pressure in your lungs
• You have had liver problems before you take tadalafil generic
• You take certain medications or have a medical condition that make you feel drowsy or dizzy

Talk to your doctor before taking tadalafil generic if:

• You have prostate problems
• You take tadalafil generic for BPH before BPH treatment is completed
• You take nitrates for chest pain or heart failure
• You take certain medications that can cause low blood pressure
• You take other medications that may interact with tadalafil

You should follow your doctor's instructions regarding the dosage and treatment of tadalafil generic before taking it.

For erectile dysfunction (ED), sildenafil (the active ingredient of tadalafil) may be prescribed in two ways:

• You may take it regularly, either once a day or every day at the same time of day.
• For pulmonary hypertension, tadalafil may be prescribed in several different ways:
• It may be used as a second-line treatment for BPH; or as an additional treatment for ED as long as you receive consent to take it daily.
• For ED that does not respond to 2.5mg sildenafil, tadalafil may be used as an additional treatment option.

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.

Every interaction is complex and can affect blood pressure resulting in possible undesirable side effects. Always consult your doctor for medical guidance.

Cialis (tadalafil) can interact with certain foods and beverages, so it is important to monitor your symptoms and ensure that you are taking Cialis safely.

Use Cialis with caution in animals, as its use can be manipulated or modified to better describe your condition.

• Common Interactions:: These are more effective than Cialis at treating high blood pressure. In some cases, using nitrates may cause a drop in blood pressure, leading to dizziness, fainting, or stroke. It is contraindicated to use Cialis with nitrates or recreational "poppers" (e.g., amyl nitrites)
• Alpha-blockers (e.g.

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