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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.
Added/Extendedby

Cialis and alpha-blockers can interact with certain foods and beverages, and this can alter its effectiveness or increase the risk of side effects. Here are the key alpha-blocker-food interactions to be aware of:

  1. : Though not a direct interaction, combining Cialis with Cialis might worsening side effects like headaches or increase side effects like blurred vision or dizziness due to alcohol consumption.
  2. : Though not a direct interaction, combining Cialis with Cialis might worsening side effects like headaches or increase heart rate like combining with Cialis.
  3. Retinoids: Though not a direct interaction, combining Cialis with retinoid consumption might worsen side effects like headaches or increase heart rate like combining with retinoids.

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Cialis 20 mg - 2 Tablets

AED 73.00

Quick Overview
  • Product:Cialis (Tadalafil)
  • Usage:Treats erectile dysfunction (ED) in men.
  • Duration:Offers up to 36 hours of effectiveness.
  • About Cialis:Cialis is a widely recognized and trusted medication that contains the active ingredient Tadalafil. It is primarily prescribed to help men overcome the challenges of erectile dysfunction (ED), a common condition that can affect intimacy and overall well-being.

  • How Cialis Works:Cialis works by increasing blood flow to the penis, allowing men to achieve and sustain an erection when sexually stimulated. It is known for its long-lasting effectiveness, providing up to 36 hours of response to sexual stimulation.

  • Benefits of Cialis:

    • Efficacy:Cialis has a high success rate in treating ED and is often preferred by men for its longer duration of action compared to other similar medications.
    • Convenience:You can take Cialis well in advance of sexual activity, allowing for spontaneity and flexibility.
    • Low-Dose Option:A low-dose version of Cialis, known as "Cialis Daily," is available for daily use, offering a continuous solution for ED.
    • Patient Satisfaction:Many men have reported improved confidence and satisfaction in their sexual experiences with Cialis.
  • Usage and Dosage:Cialis should be taken as directed by a healthcare professional. The typical starting dose is 10mg, taken at least 30 minutes before anticipated sexual activity. The dosage may be adjusted based on individual response and tolerability.

  • Safety:Cialis is generally well-tolerated, but it's essential to follow your healthcare provider's recommendations. Discuss any medical conditions or medications you are taking with your doctor to ensure Cialis is safe and suitable for you.

  • Consultation:If you have questions or concerns about Cialis or its suitability for your condition, our licensed pharmacists and healthcare professionals are here to provide guidance and support.

Remember, Cialis is a prescription medication, and it's crucial to consult with a healthcare provider before starting any new medication. Our pharmacy is committed to helping you access the right treatment for your needs, promoting a healthier, happier, and more fulfilling life.

How to use:1 tablet before sexual activity once daily. The effect should give the ability for erection for 36 hours. Otherwise refer to physician's prescription

Precautions:Do not take another tablet except after 48 hours pass after the first tablet

LESSawaited Quick Information

How long does the word 'Cialis' lasts?The effects of Cialis last for 36 hours. Many men experience an effective response within this time frame. However, consult with healthcare provider for advice on dosage.

What is the difference between Tadalafil and generic Cialis?Tadalafil is known as a longer-lasting medication, while generic Cialis is known as a generic medication. This makes the half-life of Cialis in the body between 36 hours and 24 hours is different. Therefore, men are usually advised to take the medication at least 30 minutes to four hours before engaging in sexual activity.

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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.

What does this mean for patients?

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

Categories of medicine

In the UK have 3 categories:

  • POM – Prescription only medicine:supplied by a healthcare professional following a consultation, usually on prescription.
  • P – Pharmacy medicine:supplied by a pharmacist ‘over the counter’, sometimes referred to as ‘P’ medicine or ‘PMED’.
  • GSL – General sales list medicine:available from many retail outlets ‘off the shelf’.
A total of 23 different times in the weeks before 3, 3.5, 5, 10, 20, 30, 45 and 50% of men aged over 18 years will develop erectile dysfunction (ED). Middle aged men (55 years and older) will also be eligible, as will you are family medical partners willeringle usedaila willigriptona (medicine). For more information call +link 1311 121 123.

A POMCdate can be issued by some health agencies ‘over the counter’.

Background:Cialis, the active ingredient in Viagra, is a medication used to treat erectile dysfunction (ED).

Objective:To examine the effects of daily cialis versus Viagra on erectile function.

Methods:The study was conducted in five cities in Australia and two European countries.

Results:Between January 2010 and December 2012, 551 men were included, of which 323 were taking daily cialis. The mean duration of action of the three drugs was 4.5±1.5 years.

Conclusions:Daily cialis was associated with a significant decrease in erectile function, independent of other factors, as well as an increase in sexual activity. Moreover, daily cialis significantly decreased erectile function, while Viagra significantly improved it. These findings indicate that daily cialis may be a safe and effective alternative to Viagra for the treatment of erectile dysfunction.

Viagra (sildenafil citrate) Tablets Used To Treat Erectile Dysfunction

Viagra (sildenafil citrate) is a medicine which belongs to the class of drugs known as phosphodiesterase type 5 (PDE5) inhibitors. It is used to treat erectile dysfunction (ED) in men. It works by increasing the flow of blood into the penis, thereby increasing the size and duration of an erection. In the absence of sexual stimulation, sildenafil citrate does not produce an erection. It works by relaxing the muscles of the penis and enhancing blood flow to the area.

There is no evidence that sildenafil citrate is safe or effective for men taking this medication. It should be used as needed, approximately 30 minutes to 4 hours before sexual activity. When taken as a single dose, it is not recommended to take more than one dose a day. It is also important to consult your doctor before taking sildenafil citrate as it may have a negative effect on sexual function.

As the dose of sildenafil citrate is determined by a doctor, this medication may be used in combination with other medications or other ED drugs. This medicine is not approved for this use.

Viagra (sildenafil citrate) Side Effects to be Given

The side effects of Viagra (sildenafil citrate) are similar to those of sildenafil citrate. These side effects may be mild and temporary. If they are severe or do not go away, it is important to speak to your doctor.