How to order cialis in canada

Tadalafil belongs to the group of medicines called phosphodiesterase type 5 (PDE 5) inhibitors, primarily used to treat erectile dysfunction (impotence) and benign prostatic hyperplasia (BPH). Erectile dysfunction is the inability to keep a hard and erect penis suitable for sexual activity. Benign prostatic hyperplasia, also called prostate enlargement, is the non-cancerous growth of the prostate gland.

Tadalafil contains ‘Tadalafil’, which works by relaxing the blood vessels in the penis; this allows the blood to flow into the penis when the person is sexually excited. Thereby, it helps to treat erectile dysfunction. Tadalafil relaxes the bladder and prostate muscles, thereby reducing enlarged prostate symptoms such as difficulty in urination and urgent need to urinate.

You are advised to take Tadalafil for as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, you may experience certain common side effects, such as headache, back pain, muscle pain, pain in the legs and arms, nasal congestion, indigestion, and facial flushing. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.

Do not take Tadalafil if you are taking nitrates (used to treat angina), riociguat (used to treat pulmonary hypertension) or alpha-blockers; if you have heart problems or stroke, low blood pressure or uncontrolled high blood pressure. Tadalafil is not intended for use in women. Tadalafil may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Tadalafil should not be given to children as safety and effectiveness have not been established. Keep your doctor informed about your health condition and the medicines you are taking to avoid unpleasant side effects.

Read the carefully

As with any medicine, there may be side effects. If any are sudden (over the phone or on a public transport system), seek emergency medical attention or tell your doctor right away. Side effects may include: dizziness, headache, nausea, vomiting, irregular heartbeat, and high blood pressure. These symptoms are potentially more frequent if you take Tadalafil for a long time. If you have any further questions may contact your doctor.

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Tadalafil may affect your developing child's academic, occupational and vision benefits. Your doctor may prescribe tadalafil off-label for pulmonary hypertension. You are advised to take tadalafil as soon as you begin your daily dose, but within the following 2 weeks, use reasonable caution, but avoid alcohol as it may cause increased dizziness and possible side effects. Tadalafil should be used for only as long as prescribed by your doctor, and with regularity.

If you need ancillary treatment, please speak to your doctor as soon as possible. You may also be asked to stop taking tadalafil for medical reasons.

Patient Information Leaflet

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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.

If you are taking Cialis or related medications, it is important for your doctor to provide a list of the interactions with specific factors, such as age, medical history, circulating hypertension medication,nicomatous medical history, or family socioeconomic status. This information will assist in determining which medication may be best for you.

F.

When using Cialis with a food-like substance, including alcohol, the interaction should be ruled out. Use with caution if you have diabetes or high blood pressure, as alcohol may cause an drop in blood pressure when taken with Cialis.

G. Multivitamin Use:

While Cialis can be taken with or without food, consuming it with a multivitamin preparation, like multigated lunches or fruits, can reduce the interaction between the medications. Avoid taking Cialis with richUAL dose of0.5mg or 1mg of Nutella Dientium, as the latter can cause an increase in Nutella Dientium levels.

H.

Cialis (Tadalafil)

Cialis is a phosphodiesterase type 5 (PDE5) inhibitor indicated for the treatment of erectile dysfunction (ED). It works by relaxing the blood vessels in the penis, allowing for increased blood flow. This improves erections in men who have not responded to other treatments, such as Viagra or Cialis. Cialis is available in several strengths and is often used when other medications are not appropriate. Cialis may not be suitable for men with certain medical conditions, such as severe heart disease, low blood pressure, or low testosterone levels.

How does Cialis work?

Cialis works by increasing the effects of nitric oxide, which relaxes the blood vessels in the penis. This increase in blood flow allows for increased blood flow and stimulation of the penis to expand and produce an erection. It is used in the treatment of erectile dysfunction.

Cialis Dosage

Cialis can be taken with or without food. It is usually taken as needed, approximately 30 to 60 minutes before sexual activity. It is important to complete the full course of Cialis to ensure that it will work as desired. Cialis may be taken daily, or as needed, approximately one hour before sexual activity. It is often taken once a day. The recommended starting dose for Cialis is 10 mg, taken as needed, approximately 1 hour before sexual activity. It may be taken with or without food, although a higher starting dose may be needed. Cialis should not be taken more than once per day.

Cialis Side Effects

Like all medications, Cialis may cause side effects, although not everyone will experience them. Common side effects of Cialis are:

  • Headache
  • Dizziness
  • Nausea
  • Flushing
  • Stuffy nose

These side effects are generally mild and subside as your body adjusts to the medication. However, if these effects persist or worsen, please speak with your healthcare provider to adjust your dosage.

Cialis Dosage Tips

Cialis is available in several strengths, and each tablet can vary in its dosage. Here are a few tips for taking Cialis:

  • Take Cialis at least 30 minutes before sexual activity
  • Do not take more than one tablet per day
  • Limit alcohol consumption to avoid dizziness or lightheadedness
  • Avoid grapefruit juice during the day
  • Drink plenty of water
  • Do not increase the dosage of Cialis without consulting your healthcare provider
  • If you forget to take a tablet, take it as soon as you remember, but if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take 2 doses together.
  • If you take Cialis for erectile dysfunction, do not take more than one tablet per day.

Remember that Cialis is only available with a prescription. If you have concerns about taking Cialis or if you have any questions, please speak to your healthcare provider or pharmacist. If you are allergic to tadalafil, any inactive ingredients in Cialis or any other medication, then your pharmacist or doctor will advise you on the appropriate treatment.

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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