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.
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:
be sure to tell your doctor about all medications, vitamins, and herbal supplements you are taking to make sure you know what you are taking. If you are pregnant or planning to become pregnant, talk to your doctor about if and when to consult your healthcare provider. Be sure to also tell your doctor if you have or have ever had any health problems, including:
Be sure to tell your doctor if you are pregnant or planning to become pregnant before you start, stop or change any medications you are taking.
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.
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
In the UK have 3 categories:
Whether you can take Tadalafil at the same time as your other medications will depend on which medications you are taking.
You are required to complete a short medical consultation questionnaire that asks for any medications that you are prescribed from your GP and will indicate the medications that can’t be taken alongside Tadalafil.
There are several medicines which should not be taken concurrently with Tadalafil. Medicines which can have potentially serious interactions with Tadalafil include :-
• Any alpha-blocker medicines e.g. doxazosin (Cardura), alfuzosin (Xatral), tamsulosin, terazosin, or Flomax, that you can buy in the pharmacy. (These medicines may be used to treat prostate problems or high blood pressure).
• Isosorbide mononitrate, isosorbide dinitrate, or use a GTN spray or tablets
for chest pain or use Rectogesic ointment?
• Nicorandil (Ikorel), used to treat angina
• Cimetidine, used to treat stomach or duodenal (peptic) ulcers
• Theophylline, used to treat asthma
• Antibiotics:- Clarithromycin, Erythromycin and Telithromycin
• Anti-fungals such as itraconazole and ketoconazole
• Seizure medication:- carbamazepine, oxcarbazepine, phenobarbital, phenytoin and primidone
• Heart or blood pressure medication:- disopyramide, amiodarone, quinidine and procainamide
• Anti-viral medication:- telaprevir, atazanavir, retonavir, indinavir, saquinavir and cobicistat
• Recreational drugs:- amyl nitrate (poppers)
If you are taking any prescribed medication from your GP then you can simply write those in the “Is there any other medical information that you think our doctor should know?” section on the medical questionnaire. Then, our doctor will know whether the Tadalafil is safe for you to take.
Read available consultation questionnaireTadalafil is the generic version of the PDE5 inhibitor medication, which is a medication used to treat four other conditions :
• Phosphodies on charged (PDC) 5 Inhibitors such as Cialis, Dapoxetine and Nintedatral
• Hypertension
• Edema
• High blood pressure
Tadalafil is used to treat four other conditions :
• Phosphodies on charged (PDC) 5 Inhibitors such as Cialis, Dapoxetine and Nintedat
• High cholesterol
• Allergies
Allergic to Tadalafil?
You should not take Tadalafil if you are allergic to it or any of the other ingredients of this medicine?
If you are taking any medicine for high blood pressure, including
as low as 0.5 mg per side in the angina (chest pain) test.
Tadalafil may only be taken as per your doctor’s advice.
Cialis 20mg Tablet contains the active ingredient Tadalafil. It belongs to the family known as phosphodiesterase type 5 (PDE 5) inhibitors. Cialis 20mg Tablet works by inhibiting the phosphodiesterase enzyme, which normally leads to increased blood flow to the penis. This allows to achieve and maintain an erection during sexual activity. The active ingredient in Cialis 20mg Tablet is Tadalafil. This medication is used to treat adult patients suffering from erectile dysfunction (ED) and benign prostatic hyperplasia (BPH).
Cialis 20mg Tablet is used in the treatment of erectile dysfunction (ED) in men. It enhances the flow of blood to the penis, enhancing the firmness and the ability to get and maintain an erection. The medicine is suitable for adult patients suffering from benign prostatic hyperplasia (BPH).
Cialis 20mg Tablet is not suitable for patients with any heart problems. This is because it may increase the risk of side effects or interact with other medications. Patients taking nitrates, or using recreational drugs, should not take Cialis 20mg Tablet. This is because Cialis 20mg Tablet may enhance the effect of alpha-blockers, such as alfuzosin (Uroxatral), doxazosin (Cardura), prazosin (Minipress), tamsulosin (Flomax), or terazosin (Hytrin).
Cialis 20mg Tablet may interact with some medications, so it is important to inform your doctor about all the medicines you are taking, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Additionally, it is advisable to inform your doctor about all the medicines you are already taking, including over-the-counter medicines and dietary supplements.
If you are taking any of the medicines mentioned above, then you may experience some side effects. These may include, but are not limited to: flushing, headache, dizziness, nasal congestion, dizziness, indigestion, etc. If these side effects persist or worsen, consult your doctor promptly.
Moreover, Cialis 20mg Tablet may cause a decrease in the sexual desire. In this case, you should not have sexual intercourse without a doctor's consultation. Cialis 20mg Tablet may also interact with alpha-blockers, such as alfuzosin (Uroxatral), doxazosin (Cardura), prazosin (Minipress), tamsulosin (Flomax), or terazosin (Hytrin).
Additionally, Cialis 20mg Tablet may cause a decrease in the ability to have an erection. This may be due to an effect of an enzyme called phosphodiesterase type 5 (PDE 5) in the penis. PDE 5 is the rate-limiting enzyme in the penis that breaks down cyclic guanosine monophosphate (cGMP), leading to loss of erection. Cialis 20mg Tablet may also cause an enzyme called PDE-5, which can lead to a decrease in blood flow to the penis. If you are considering getting the medication, then it is important to inform your doctor about all the medicines you are already taking, including prescription and over-the-counter medicines, vitamins, and herbal supplements.
Therefore, it is important to inform your doctor about all the medicines you are currently taking, including prescription and over-the-counter medicines, vitamins, and herbal supplements. These may include but are limited to: flushing, headache, dizziness, indigestion, etc.
Moreover, Cialis 20mg Tablet may cause a decrease in the ability to have an erection.
Furthermore, Cialis 20mg Tablet may cause a decrease in the ability to have an erection.
Stade de France Pharmacy