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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.
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To learn more about these drug-drug interactions, please consult the following online discussion: Interactions with Calcium & Vagusinin

C.

Cialis (tadalafil) can interact with certain foods and beverages, so it is contraindicated to use Cialis with a meal containing a light or moderate meal. If you find that a meal containing a moderate meal does not delay the onset of action or contains alcohol, consult with your doctor.

For security reasons, you should avoid avoiding alcohol while taking Cialis. Contact your healthcare provider if you experience any of the following effects while using Cialis:

  • Dizziness
  • Headache
  • Lightheadedness
  • Nausea
  • Ringing in the ears

If these ceases, contact your doctor.

Other Drug-Food Interactions:

Viagra Connect is a new erectile dysfunction treatment which does not require a prescription.

The first of its kind, Viagra Connect is a safe and discreet over-the-counter medication that can legally be bought online without a trip to your doctor.

We need to ensure that this medicine is suitable for the person it is intended for. Therefore, it should only be purchased by the person taking it.

A pharmacist may need to contact you by phone before providing the product. If they cannot reach you within 72 hours, your order may be delayed, or this item may be cancelled from your order.

Please ensure your contact details are correct before ordering this medicine.Suitable forViagra Connect is for men 18 years and older who have difficulty getting and/or keeping an erection hard enough for sex

Age RestrictionYou must be at least 18 years old to purchase this product.

Directions for use:Please read the enclosed leaflet carefully before use.

• take 1 tablet approximately one hour before sexual activity• swallow tablet whole with water• do not take more than 1 tablet a dayViagra Connect starts to work within 30-60 minutes. You may take it up to 4 hours before sexual activity.

Hazards and Cautions

Do NOT take if you:

  • do not have an erection problem
  • take any nitrate medicine for chest pain or heart failure
  • take riociguat (or other guanylate cyclase stimulators) for high blood pressure in the lungs
  • take ritonavir for the treatment of HIV
  • have been advised by your doctor to avoid sexual activity because of a problem with your heart or blood vessels
  • have a severe heart or liver problem
  • have low blood pressure
  • have ever had severe vision loss or a rare inherited eye disease
  • have a deformed penis
  • have an allergy to any of the ingredients in this product

Talk to your pharmacist or doctor before taking if you:

  • get very breathless or feel chest pain with light or moderate physical activities
  • have a heart problem
  • have high blood pressure that is not controlled
  • take any other medicines listed in the package leaflet
  • take any other treatment for erectile dysfunction
  • ever had a persistent erection that lasted for more than 4 hours
  • have a stomach ulcer or bleeding disorder
  • have diagnosed mild to moderate liver problems
  • have diagnosed severe kidney problems

As with all medicines, please ensure you read the patient information leaflet before taking this item.

Please?

? You can follow the instructions on by going to the website and follow the steps to start taking this medicine. If you do not get an erection after taking this, you should not be taking this medication. Try not to take more than 1 tablet a day, as 4 or 5 tablets may be sufficient.

Please note that we do not want you to take more than 1 item per month, which is what we will need to buy. We may ask for a cut-off before you can purchase this product.A: Cost

£19.90

A:rette's online form form no insurance required

We will need to read the patient information leaflet before taking this item. Try to take 1 or 2 items per day, as 4 or 5 tablets may be sufficient.

Viagra Connect is available in Ireland for erectile dysfunction treatment which does not require a prescription. The first of its kind, Viagra Connect is a safe and discreet over-the-counter medication that can legally be bought online or over the counter in your pharmacy, without a trip to your doctor.

We need to ensure that this medicine is suitable for the person it is intended for. Therefore, it should only be purchased by the person taking it.

You can select your convenient store to collect your product and fill in the online form required.APharmacist will contact you to let you know your product is ready for collection, or you can buy onlineand complete the questions included.

When purchased online, a pharmacist will contact you by phone if they have any further questions and to advise you on the safe use of this medicine. If they are unable to speak to you when required your order may be delayed or the pharmacy medicine part of your order cancelled.

Please ensure your contact details are correct before ordering this medicine.Suitable for

Viagra Connect is for men 18 years and older who have difficulty getting and/or keeping an erection hard enough for sex

Age RestrictionYou must be at least 18 years old to purchase this product.

Directions for use:

Please read the enclosed leaflet carefully before use.

• take 1 tablet approximately one hour before sexual activity• swallow tablet whole with water• do not take more than 1 tablet a dayViagra Connect starts to work within 30-60 minutes. You may take it up to 4 hours before sexual activity.

Hazards and Cautions

Do NOT take if you:

  • do not have an erection problem
  • take any nitrate medicine for chest pain or heart failure
  • take riociguat (or other guanylate cyclase stimulators) for high blood pressure in the lungs
  • take ritonavir for the treatment of HIV
  • have been advised by your doctor to avoid sexual activity because of a problem with your heart or blood vessels
  • have a severe heart or liver problem
  • have low blood pressure
  • have ever had severe vision loss or a rare inherited eye disease
  • have a deformed penis
  • have an allergy to any of the ingredients in this product

Talk to your pharmacist or doctor before taking if you:

  • get very breathless or feel chest pain with light or moderate physical activities
  • have a heart problem
  • have high blood pressure that is not controlled
  • take any other medicines listed in the package leaflet
  • take any other treatment for erectile dysfunction
  • ever had a persistent erection that lasted for more than 4 hours
  • have a stomach ulcer or bleeding disorder
  • have diagnosed mild to moderate liver problems
  • have diagnosed severe kidney problems
Thisall includes any anti-fungal medicines, calcium-channel blockers, calcium supplements or symptoms of kidney problems which may be taking

As with all prescription medications, Always read the package leaflet before purchaseand consider takingDIRECTOR / DAVE ORAL SUSPif you are a switch medicine or used for other reasons including kidney problems. Your doctor may have changed the indication of your medicine or two medicines/ingers and you may need to changed the dose.SAV of productsSAV of products should be spread liberally over your choice of pharmacist or online service.Consider ordering if you are:

  • area approved for married births
  • unlicensed physician
  • international physician
Most online pharmacies are run by UK regulated pharmacies, which pride themselves on beingregulated online regarding online pharmacy servicesThis register covers all online pharmacies, their personnel, processes and LTIs.

Tamoxifenbd is not licensed to deliver Viagra Connect to men

A drug that is sold in the UK is being investigated as a potential cause of a man’s cardiac arrest.

The man, who has a heart condition and is being treated with a prescription drug, was taken to hospital where he was told to “stop” the drug, as he was seen to have been taking it “for the last couple of days”.

A study published in the Journal of the American Medical Association and published in the British Medical Journal in March, found that Viagra had a “strong and sudden effect” on heart rate.

The drug’s active ingredient, sildenafil, was also found in a study published in the Journal of the American Medical Association in September in which a man in the UK’s National Institute of Health, said he had experienced heart palpitations – the sensation of an unusual heart rhythm. It was also reported that he was taking it “for the last couple of days” after being seen to have been taking Viagra for the last few days.

The man is being treated with the drug under the supervision of a specialist in cardiology and he is believed to have suffered a heart attack or stroke in his 30s. He has had severe symptoms and is in a state of cardiac arrest. The drug was found to be ineffective in the same way as a drug called Flonase which is a PDE-5 inhibitor. A study published in the Journal of the American Medical Association in September found that a man in the UK’s National Institute of Health, who was taking Flonase for the last couple of days after having a heart attack, had a sudden onset of “trouble breathing”.

The drug has been found to be ineffective in the same way as Viagra. A study published in the Journal of the American Medical Association in September in which a man in the UK’s National Institute of Health, said he had experienced heart palpitations – the sensation of an unusual heart rhythm. It was also reported that he was taking it “for the last couple of days” after being seen to have been taking Viagra for the last couple of days after being seen to have been taking it for the last couple of days. A man in the UK’s National Institute of Health, who was taking the drug for the last couple of days after being seen to have been taking it for the last couple of days, also had a cardiac arrest.

A study published in the Journal of the American Medical Association in September in which a man in the UK’s National Institute of Health, who was taking Viagra for the last couple of days after having a heart attack, had a sudden onset of “trouble breathing”.

A man in the UK’s National Institute of Health, who was taking Viagra for the last couple of days after having a heart attack, had a sudden onset of “trouble breathing”.