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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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C. Avoidingselate Bismease

Avoidingselate Bismease (tadalafil citrate) is an oral medication used to treat erectile dysfunction (ED) and cases of premature birth. While the interaction between Cialis andselate is often mild, you should prioritize adherence to the medication's usage with a healthcare provider.

D. Using CialisDaily or For ConsumeIt

Using Cialis (tadalafil) daily or for the use the regularly used prescribed by a doctor may increase blood pressure levels, potentially leading to dizziness, fainting, or even stroke. Inform your doctor if you are using Cialis with daily or for the use the healthcare provider recommends.

Key Users:

• Erectile dysfunction (ED): 4% of men taking Cialis 0.

VIDEO

What is Viagra (sildenafil)?

Viagra (sildenafil) is used to treat erectile dysfunction. Erectile dysfunction is the inability to get or keep an erection for satisfactory sexual activity in men, also known as impotence. Sildenafil belongs to a class of medications called phosphodiesterase type5 (PDE5) inhibitors. Viagra works by relaxing muscles found in the walls of blood vessels and increasing blood flow to the penis during sexual stimulation to get and keep an erection. Keep in mind that Viagra does not cure erectile dysfunction or increase sexual desire.

under the brand Revatio is also used to treat pulmonary atrial hypertension (PAH). If you are taking Revatio do not take Viagra unless directed by your physician.

Buy Viagra Online : Know the Dosage

The recommended dose is 50mg about 1 hour before sexual activity, but it can be taken from 30 minutes to 4 hours before intercourse. The maximum daily dosage is once per day, with or without food. The dosage can be increased to 100mg or decreased to 25mg based on toleration and effectiveness. Viagra 100mg are available in KamaHealth.

Side Effects

Medication	Onset	Duration
Sildenafil (Viagra)	30-60 minutes	4-5 hours

The most common side effects consist of the following:

• Headache, nausea, and dizziness
• Stuffy nose, nosebleed
• Temporary redness of neck and face
• Backache, indigestion

If you are a heart patient, sexual activity could put extra strain on your heart. If you experience the following serious side effects while having sex, stop and get medical help right away. The side effects include:

• Severe dizziness
• Nausea
• Chest/jaw/left arm pain
• Fainting

Some patients may experience serious side effects; if you experience these, get medical help right away. Serious side effects include:

• Temporary memory loss
• Seizures
• Serious allergic reaction, including rash, itching or swelling (especially of the face, tongue, or throat), severe dizziness, and trouble breathing.

We offer more than just lower prices on

sildenafil in Canada and free shipping. Some patients experience side effects that are not listed. If you have any concerns regarding Viagra, contact your physician.

Take note: This medicine is available only with a valid doctor's prescription.Side effects including the listed side effects may include:

• Headache, low blood pressure, shortness of breath
• Swelling of the ankles, feet, or lower legs
• Dizziness
• Facial flushing
• Trouble sleeping
• Unusual tiredness

We offer more than just lower prices on Viagra.

How to order Viagra online:

• Get a a physician's prescription for Viagra
• Can be purchased from a pharmacy or another reputable source
• Before you take Viagra, discuss the following with your doctor
• Do not take Viagra if you are also using a diuretic
• Where possible, avoidarea licensed to buy Viagra
• If you are taking an alpha-blocker, avoid taking Viagra
• If you experience any changes in skin, including allergic reactions, consult your doctor or pharmacist
• If you are taking recreational drugs, you should call in a pharmacist with any questions.

Viagra can be purchased without a prescription from the manufacturer, from an online pharmacy, or from your localiplied pharmacy.

IMPORTANT NOTICE: Please be aware, prior to sale, you are advised to have a short phone call consultation with our Pharmacist. Automatic purchase consents the Pharmacist to give you a quick call.

Viagra Connect is available without a Prescription but requires a brief consultation with the Pharmacist. It is available in a 4 pack or an 8 pack. Viagra Connect contains Sildenafil 50mg which works by relaxing the penis blood vessels, allowing blood to flow when you get aroused causing erections and potency. Viagra Connect will only help men become erect if you are aroused. Only for adult use, men 18 years plus.

How to be taken:

• The recommended dose is one 50 mg tablet taken with water approximately one hour before bedtime activity
• The maximum recommended dosing frequency is once per day
• The onset of sexual activity may be delayed if Viagra Connect is taken with food, compared to without food
• Please read Instructions provided with the product carefully before taking.

VIAGRA CONNECT is not to be taken if:

• There is no problem with gaining erections.
• Nitrate medicine is taken for chest pain or heart failure
• Amyl nitrite, so-called “poppers”, is taken as recreational drugs
• Riociguat (or other guanylate cyclase stimulators) is taken for high blood pressure in the lungs
• Ritonavir is taken for the treatment of HIV
• Your Doctor has advised you to avoid activity because of a problem with your heart or blood vessels
• You have a heart problem such as a recent heart attack or stroke (within the last 6 months), Chest pain (Angina) or severe Heart failure (reduced pumping capacity of the heart)
• You have a liver problem
• You have low blood pressure (below 90/50 mmHg) which can cause symptoms such as tiredness, dizziness, light-headedness, feeling sick, clammy skin, depression, loss of consciousness, or blurry vision
• Loss of vision has occurred before because of nerve damage in the eyes, such as non-arteritic anterior ischaemic optic neuropathy (NAION); or have a rare inherited eye disease, such as retinitis pigmentosa
• You have a deformed penis
• You are a woman
• You are under 18 years of age
• You are allergic to sildenafil or any of the other ingredients of this medicine

Please read instructions carefully provided.

Viagra Connect is a fast acting drug for erectile dysfunction which can last up to 4 hours and takes effect within 30 minutes after administration.

Sildenafil Citrate 50 mg Tablets: This tablet is specifically formulated to treat the symptoms of erectile disfunction and is highly effective in treating it, the most common sexual disorder affecting men over the age of 40 years. Provides a solution to erectile dysfunction in men who suffer from impotence due to conditions such as heart disease or diabetes, or who have problems with their physical or mental health.

Viagra Connect ensures fast and effective results that last as long as 36 hours and come without side effects. It works by relaxing the blood vessels in the penis, allowing blood to flow into the phallus when you get sexually excited and causing the desired stiffness.

IMPORTANT NOTICE: You are advised to have a short phone call consultation with our Pharmacist. The Pharmacist is able to answer your questions and assist you in your journey toA Doctor’s Prescription.

For those who do not feel timely taking the medication, Viagra Connect can be taken before, during and after a sexual activity. It works to treat erectile dysfunction in men where there is a cause by physical signs such as heart disease or diabetes. It works to treat pulmonary arterial hypertension in individuals who are at risk for a heart attack or stroke. It works to treat erectile dysfunction in men with a condition such as impotence where sexual stimulation may be required.

It works to treat erectile dysfunction in men with a condition such as impotence where there is a cause by physical signs such as heart disease or diabetes.

Viagra has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.

Common side effects reported from Viagra use include:

• Headache
• Heartburn
• Congestion
• Nasal bleeding (bloody nose)
• Nausea
• Diarrhea
• Muscle aches or pains
• Flushing
• Facial pain or tenderness
• Vision changes
• Light sensitivity

More severe side effects include:

• Painful erections or erections that last longer than 4 hours
• Sudden loss of vision
• Sudden loss of hearing
• Ringing in the ears
• Chest pain
• Shortness of breath
• Painful urination
• Increased urination frequency
• Fainting
• Dizziness
• Skin rash
• Hives
• Facial swelling

If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.

As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Viagra. Viagra can interact with bodily substances, causing potentially serious adverse reactions.

Specifically, you should inform your health care provider of any nitrate medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.

In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.

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Tell your doctor if you are pregnant or plan to have sex. Viagra can cause may be prolonged and/or rare. If you become pregnant, notify your doctor immediately. You should use caution when using Viagra.

If you have any questions about Viagra, contact your doctor.

NotSoftening of thenaumaticverapos PriapismVaginal yeast infectionPenis massage with ice or cream with ice, please with sexual stimulation. Viagra can cause potentially prolonged erections. If you experience these, notify your doctor immediately.