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 online for “Tadalafil may interact with other medicines in the Cialis MHRA brand product”

You are required to provide our doctor with a valid prescription from your GP before you can take Tadalafil. However, this may not be able to pass as the doctors of other registered pharmacies can only provide Zithromax, Erythromycin and Ritalin ( Reload brand).

Additionally, you are only allowed to take this medicine on weekends and should allow time for your GP to time your best behaviour after eating. However, Erythromycin and Ritalin are generally not affected by the use of Tadalafil after hours 5-7 of the day.

You should also inform your GP if you are taking any other medicines called “pill-tablets” because the medicines may be used to treat certain health conditions during your treatment with Tadalafil.

These medications are not usually taken with Tadalafil and should not be taken with any of the following Tadalafil Tablets :-

• Canthalmonuroquin codeine (Levoxyl, Vibramycin, Vincodil), used to treat seizures, carbamazepine, oxcarbazepine, and other antibiotics

• Canthazone ( Nguyen-based generic canthalmonuroquinone ), used to treat allergies

• Sulfonamide medications such as codeine or sulfadoxam

• Carbamazepine, used to treat schizophrenia

• Tramadol, used to treat headaches

• Oral contraceptives (birth control pills, patches)

These medications are not usually taken with Tadalafil and, due to the lack of a generic substitute for Tadalafil, it is often only taken on an as-needed basis.

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.

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C.

If you take Cialis with food, you should immediately consult your doctor for information on potential food interactions. The following drugs can interfere with Cialis:

1. CYP3A4 Inhibitors: These medications may directly affect the metabolism or activity of tadalafil. This can amplify side effects, such as low blood pressure or antimalarial symptoms like capsules.

Tadalafil Soft Tabs

Play pronunciation

Generic name:[TADALAFIL]Drug class:

Medically reviewed by. Last updated on Oct 21, 2023.

What is Tadalafil Soft Tabs?

Tadalafil is used to treat erectile dysfunction (ED) in men. It helps achieve and maintain an erection sufficient for sexual intercourse.

Tadalafil contains the same active ingredient as Cialis® (tadalafil) but is a newer drug. It is available in a generic form, making it the most affordable ED treatment.

Tadalafil soft tabs contain the same active ingredient, Tadalafil.

Warnings

If you are taking nitrates, or other medications for angina (chest pain), or any other medical conditions, tell your doctor before taking Tadalafil. You may get severe side effects from taking this medication. Tell your doctor if you have any of these signs of an allergic reaction, such as rash, itching, swelling of the face, lips, tongue, or throat.

Tell your doctor if you have any of the following symptoms:

• eye pain or redness
• chest pain
• pain gets worse or lasts for more than a few minutes
• fainting or light-headedness may occur
• sudden loss of vision
• trouble telling what’s going on in your head
• sudden dizziness or fainting
• sudden loss of hearing
• vision changes (such as blurred vision, double vision, color blindness)

Tadalafil soft tabs may increase the risk of heart attack, stroke, or low blood pressure. Get medical help right away if you have these symptoms.

Before taking this medication:

Tell your doctor if you have any of the following health problems:

• a history of heart attack or stroke
• an unusual or allergic reaction to tadalafil, other medicines, foods, dyes, or preservatives
• any other substances or medications
• colds, preservatives, or other types of health conditions
• diabetes
• high blood pressure
• high cholesterol or triglycerides
• low blood pressure
• kidney or liver disease
• certain eye conditions (glaucoma, cataracts, cataracts that are not treated)
• heart problems, such as heart attack, stroke, or irregular heartbeat
• high or low blood pressure
• low levels of potassium or magnesium in your blood
• liver disease
• certain eye conditions (such as retinitis pigmentosa)
• dehydration
• certain eye conditions (such as non-arteritic anterior ischemic optic neuropathy (NAION))
• low levels of sodium in your blood
• a history of vision loss or blurred vision
• a history of stroke or heart attack
• a history of blood cell problems, such as sickle cell anemia, multiple myeloma, or leukemia
• a family history of retinal disorders or disorders
• a family history of eye problems (such as retinitis pigmentosa)

Before having this medication taken, tell your doctor about all of your medical conditions. This medication should only be used during pregnancy if clearly needed. It is not known if this medication passes into breast milk. Babies born to mothers who have taken this medication during pregnancy have problems with feeding.

This medication may harm a nursing baby. Ask your doctor before using this medication if you are nursing a child. Tell your doctor if you are planning any changes in the health of your baby.

If you take this medication during pregnancy, talk to your doctor. Babies born to mothers who took this medication during pregnancy have problems with feeding.

If you are a nursing mother and your baby is growing, talk to your doctor before using this medication during pregnancy.

30-DayCialis (Tadalafil) (Cialis®) (30mg) (Cialis®) (30mg)

Cialis (Tadalafil) (30mg) (Cialis®) (30mg) is a medication designed to treat erectile dysfunction (ED). Erectile dysfunction is a condition in which a man or his partner has difficulty getting or keeping an erection. Erectile dysfunction can be short-lived, becoming too difficult, or a result of underlying health conditions. Cialis works by increasing blood flow to the penis, helping men and their partners achieve and maintain an erection when sexually stimulated. It is typically taken orally, with or without food. Cialis may be taken on a daily basis, with or without food, as required. Cialis is safe for most men, but it may not be suitable for some women and children. Discuss your options with your doctor to determine the most appropriate treatment.

30-DayGeneric Cialis (Tadalafil)

is an oral medication that works by relaxing the blood vessels in the penis, allowing for increased blood flow and resulting in a hard, erect penis. It is used to treat erectile dysfunction (ED) and pulmonary arterial hypertension (PAH). Erectile dysfunction can also be caused by a range of conditions, including heart disease, high blood pressure, certain surgeries, or other conditions. Generic Cialis (Tadalafil) is designed to be taken as directed, and it typically starts working within 30 minutes to 1 hour. However, it may take up to 1-2 hours for it to work fully. Generic Cialis is safe for most men, and it may be suitable for some women and children. Discuss your options with your doctor to determine the most suitable treatment.

30-DayLevitra (Vardenafil) (Vardenafil®)

Levitra is an oral medication that works by relaxing the blood vessels in the penis, allowing for increased blood flow and resulting in a hard, erect penis. Levitra is used to treat erectile dysfunction (ED) and pulmonary arterial hypertension (PAH). Levitra is safe for most men, and it may be suitable for some women and children. Discuss your options with your doctor to determine your most appropriate treatment.

30-DayStendra (Avanafil) (Avanafil®)

Avanafil is an oral medication that works by relaxing the blood vessels in the penis, allowing for increased blood flow and resulting in a hard, erect penis. Avanafil is safe for most men, and it may be suitable for some women and children. Discuss your options with your doctor to determine your most suitable treatment.

Cialis (Tadalafil) (30mg) (Cialis®) is a medication designed to be taken orally, with or without food. It works by inhibiting the enzyme phosphodiesterase type 5 (PDE5), which is responsible for breaking down cyclic guanosine monophosphate (cGMP) in the penis. PDE5 is responsible for breaking down cGMP, allowing for smooth, blood flow into the penis. Tadalafil inhibits PDE5, helping to relax the blood vessels in the penis, allowing for increased blood flow and resulting in a hard, erect penis. It is typically taken orally with or without food, as required. Cialis is safe for most men, and it may be suitable for some women and children.

30-DayStendra (Avanafil) (Vardenafil®)

Vardenafil is an oral medication that works by relaxing the blood vessels in the penis, allowing for increased blood flow and resulting in a hard, erect penis. Vardenafil is used to treat erectile dysfunction (ED) and pulmonary arterial hypertension (PAH).