FULL PRESCRIBING INFORMATION: CONTENTS*
In some cases, your doctor may recommend a lower dose of Cialis or a different medication to treat your ED, symptoms of BPH, or both. Cialis is broken down in your liver by an enzyme called CYP3A4. Certain drugs may induce (increase the activity of) CYP3A4, making it work better or faster than usual. This means that your body may break down Cialis more quickly than it should, so the drug may not work as well as it should. Examples of drugs that induce CYP3A4 include: Before you start Cialis treatment, talk with your doctor about any medications that you’re taking. They’ll be able to determine whether the drugs are CYP3A4 inducers and whether they can interact with Cialis.
Discover more in our FAQ
If you have questions about drug interactions that may affect you, ask your doctor or pharmacist. You can also see this detailed article about Cialis and its interactions. You should not take Cialis if you’re taking a medication called a nitrate. This type of drug may be used for chest pain. Taking nitrates along with Cialis can cause a serious decrease in your blood pressure.
Apply Like a Serum
However, in some cases, your doctor may give you a nitrate: for example, if you have chest pain and your life is at risk, and it’s been at least 48 hours since your last dose of Cialis. After you receive the nitrate, your doctor will likely monitor you to make sure your blood pressure doesn’t drop to an unsafe level. Both Cialis and medications called alpha-blockers can cause a decrease in blood pressure. So taking these medications together can cause blood pressure to drop further. If you have benign prostatic hyperplasia (BPH) and are taking a medication called an alpha-blocker, you should not use Cialis. In some cases, your doctor may recommend a different medication to treat your ED, symptoms of BPH, or both. You should not take Cialis if you’re using a type of drug called a guanylate cyclase stimulator.
| Study Name | Participants | Improvement in Erectile Function (%) | Duration of Effect | Satisfaction Rate |
|---|---|---|---|---|
| Study A | 200 | 85% | Up to 36 hours | 78% |
| Study B | 150 | 88% | 24-36 hours | 80% |
| Study C | 180 | 83% | 24 hours | 75% |
This kind of medication is used to treat pulmonary hypertension (a type of high blood pressure in your lungs). Using a guanylate cyclase stimulator along with Cialis may cause your blood pressure to become dangerously low.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Cialis Generic | 5mg | 120 + 6 Pills | 132.92€ 126.59€ | |
| Cialis Generic | 20mg | 10 Pills | 31.49€ 29.99€ | |
| Cialis Professional | 20mg | 30 Pills | 104.57€ 99.59€ | |
| Cialis Generic | 2.5mg | 360 + 10 Pills | 260.03€ 247.65€ | |
| Cialis Original | 20mg | 4 Pills | 41.99€ 39.99€ | |
| Cialis Professional | 40mg | 180 + 4 Pills | 618.23€ 588.79€ | |
| Cialis Generic | 60mg | 60 + 4 Pills | 145.06€ 138.15€ | |
| Cialis Professional | 20mg | 270 + 6 Pills | 623.07€ 593.40€ | |
| Cialis Original | 20mg | 34 + 2 Pills | 183.99€ 175.23€ | |
| Cialis Generic | 10mg | 10 Pills | 31.41€ 29.91€ | |
| Cialis Super Active | 20mg | 30 + 6 Pills | 128.09€ 121.99€ | |
| Cialis Generic | 60mg | 90 + 6 Pills | 196.67€ 187.30€ | |
| Cialis Generic | 10mg | 120 + 6 Pills | 178.49€ 169.99€ | |
| Cialis Super Active | 20mg | 180 + 20 Pills | 521.59€ 496.75€ | |
| Cialis Generic | 10mg | 60 + 6 Pills | 105.81€ 100.77€ |
This medication can be used to treat pulmonary hypertension (PH) that happens in the arteries of your lungs (pulmonary arterial hypertension) or PH that happens due to a blood clot in your lungs. Before taking Cialis, talk with your doctor about any medications you’re using for pulmonary hypertension. If you’re taking riociguat, they’ll likely recommend a different medication to treat your ED, BPH symptoms, or both. There aren’t any herbs or supplements that have been specifically reported to interact with Cialis. However, you should still check with your doctor or pharmacist before using any of these products while taking Cialis.
What to avoid
(An enzyme is a protein that aids chemical changes in your body.) Certain drugs can inhibit (block) this enzyme from working. So if the enzyme is unable to break down Cialis, the level of Cialis in your body may get too high. This can be dangerous and may increase your risk of side effects from Cialis. Examples of medications that can block CYP3A4 from working include: antibiotic drugs, such as: erythromycin (Ery-Tab) Before starting Cialis treatment, talk with your doctor about any medications that you’re taking. They’ll be able to determine whether the drugs are CYP3A4 inhibitors and whether they can interact with Cialis. Here’s some information about how Cialis may interact with alcohol and grapefruit. For more information, see the “Cialis and alcohol” section above. While you take Cialis, it’s best to avoid eating grapefruit and drinking grapefruit juice. As with all medications, the cost of Cialis can vary. The actual price you’ll pay depends on your insurance plan, your location, and the pharmacy you use. Before approving coverage for Cialis, your insurance company may require you to get prior authorization. This means that your doctor and insurance company will need to communicate about your prescription before the insurance company will cover the drug. The insurance company will review the request and let you and your doctor know if your plan will cover Cialis. If you’re not sure whether you’ll need to get prior authorization for Cialis, contact your insurance company. For more information about the cost of Cialis, see this in-depth article.
We’re on Gram
And if you have erectile dysfunction (ED) and are taking an alpha-blocker, your doctor will likely lower your dose of Cialis. Before taking Cialis, tell your doctor about any medications that you use, including alpha-blockers. So if you’re taking other medications to reduce your blood pressure, taking Cialis along with them may cause a larger drop in blood pressure. Before you start Cialis treatment, tell your doctor if you’re taking any blood pressure drugs. They may give you a lower dose of Cialis or monitor you more often.
What should I know about tadalafil before using it?
If you’re taking Cialis and use antacids to treat heartburn, the antacids may decrease the level of Cialis that your body absorbs. This means that you may not get the full dose of Cialis, so it may not work as well to treat your ED or symptoms of BPH. Before you start using Cialis, tell your doctor if you’re taking antacids. Talk with them about how far apart to take the doses order cialis super force of each drug if you need to use both medications. Cialis is broken down in your body by an enzyme in your liver called CYP3A4. If you need financial support to pay for Cialis, or if you need help understanding your insurance coverage, reach out to your insurance company. They can help you and tell you if there are any financial assistance options available. You can also see below for price estimates of Cialis based on the use of Optum Perks coupons.
Get the full Instacart experience
Do not take more Cialis than your doctor recommends. Overdose symptoms are similar to the typical side effects of Cialis. For more about side effects, see the “Cialis side effects” section above. If you think you’ve taken too much of this drug, call your doctor. You can also call America’s Poison Centers at 800-222-1222 or use its online tool.
What should I tell my healthcare provider before using tadalafil?
But if your symptoms are severe, call 911 or go to the nearest emergency room right away. If you’re taking Cialis, you usually won’t have to take other medications with it. But if you have a prostate condition called benign prostatic hyperplasia (BPH), your doctor may first prescribe a drug called finasteride (Proscar). Finasteride is a first-line treatment (the first treatment used) when medications are recommended for BPH. This is because the drug shrinks the prostate by blocking the growth of prostate cells. Note: Optum Perks coupons cannot be used with insurance copays or benefits. Cialis is available in a generic form called tadalafil.
Drug Label Information
Cialis treats the symptoms of BPH by reducing the prostate gland muscle tone, but it doesn’t block the growth of the cells. Finasteride can help also ease symptoms of BPH, such as having to urinate suddenly and more often than usual. However, this medication can cause negative sexual side effects such as decreased libido (sex drive) and erectile dysfunction. To help ease these side effects, your doctor may have you also take Cialis. If you have questions about using Cialis and finasteride, talk with your doctor.
Taking Cialis with food
You should not take anything in addition to Cialis to enhance the drug, unless your doctor tells you to. When you get Cialis from the pharmacy, the pharmacist will add an expiration date to the label on the package or bottle. This date is typically 1 year from the date they dispensed the medication. The expiration date helps guarantee that the medication remains effective during this time. How long a medication remains good can depend on many factors, including how and where you store the medication. And generics tend to cost less than brand-name drugs. If your doctor has prescribed Cialis and you’re interested in using tadalafil instead, talk with your doctor. They may have a preference for one version or the other. You’ll also need to check your insurance plan, as it may only cover one or the other. Cialis is not approved for use in females. * It’s not known if Cialis is safe or effective for use during pregnancy.
17.6 Vision
You should store Cialis tablets at 77°F (25°C). But you can keep them between 59°F and 86°F (15°C and 30°C) for short periods of time, if needed. Store Cialis in a tightly sealed container away from light. And avoid keeping this medication in areas where it could get damp or wet, such as bathrooms. If you no longer need to take Cialis and have leftover medication, it’s important to dispose of it safely.
How does tadalafil work (mechanism of action)?
This helps prevent others, including children and pets, from taking the drug by accident. It also helps keep the drug from harming the environment. This article provides several useful tips on medication disposal. You can also ask your pharmacist for information on how to dispose of your medication. Cialis can interact with several other medications. Animal studies showed no problems with development of the fetus when pregnant animals were given Cialis.
- Men with cardiovascular disease require careful evaluation before use.
- Sexual activity poses a cardiac risk for men with heart conditions.
- Your doctor may recommend a cardiac stress test before prescribing.
- Do not use if you have had a recent heart attack, stroke, or arrhythmia.
- It can cause a mild, temporary decrease in blood pressure.
- Combining it with other blood pressure-lowering drugs may amplify this effect.
- Report chest pain, dizziness, or nausea during sexual activity to your doctor.
- Nitrates are absolutely contraindicated due to risk of severe hypotension.
- This includes recreational amyl nitrite or nitrite "poppers."
However, animal studies don’t always predict what will happen in humans. If you have questions about Cialis use during pregnancy, talk with your doctor.
5.8 Hepatic Impairment
It can also interact with certain foods. For instance, some interactions can interfere with how well a drug works. Other interactions can increase the number of side effects or make them more severe. Note: In addition to the information below, you can refer to this article about Cialis interactions. Below is a list of medications that can interact with Cialis.
Dosage for ED and BPH
This list doesn’t contain all drugs that may interact with Cialis. Before taking Cialis, talk with your doctor and pharmacist. Tell them about all prescription, over-the-counter, and other drugs you take. Also tell them about any vitamins, herbs, and supplements you use. Sharing this information can help you avoid potential interactions. If you’re sexually active and you or your partner can become pregnant, talk with your doctor about your birth control needs while you’re using Cialis.
- Discontinuation of Cialis is straightforward; just stop taking it.
- There is no known withdrawal syndrome or physical dependence.
- Underlying ED symptoms will return after stopping the medication.
- For BPH, urinary symptoms will likely revert to their previous state.
- Always inform your doctor if you plan to stop any chronic medication.
- They may want to monitor for the return of symptoms or adjust other treatments.
- If you experience an allergic reaction (rash, swelling, difficulty breathing), seek help.
- Serious allergic reactions to tadalafil are rare but possible.
- Have a list of your medications and allergies readily available for emergencies.
It’s important to note that Cialis is not approved for use in females.* Use of the term “female” in this article refers to sex assigned at birth.