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Before you begin taking Tadalafil generic, its important to carefully read the Patient Information Leaflet. Make sure to review it each time you get a refill.

Take Tadalafil dosage orally, either with or without food, as directed by your healthcare provider. Tadalafil dosage should not exceed more than once a day. Swallow the tablet whole. Do not split it or crush unless advised.

Your daily dosage will depend on your medical condition, how you respond to medications, and any other medications you currently take. Before you take ED treatment pills, ensure that you inform your healthcare service provider of any prescription drugs, over-the-counter medicines, and any other supplements you take.

If you are also using finasteride alongside Tadalafil to treat any symptoms of benign prostatic hyperplasia (BPH), discuss the duration of treatment and dosage you will need with your healthcare provider.

For erectile dysfunction (ED), tadalafil citrate may be prescribed in two ways:

  • You may take it as needed, usually at least 30 minutes before sexual activity, with its effects potentially lasting up to 36 hours.
  • Your doctor may recommend taking generic Cialis regularly, once a day.

Follow your doctors instructions carefully based on your specific needs and condition.

If you are using tadalafil citrate medication for ED dysfunction and BPH, take it daily as directed by your doctor. To ensure you do not forget, take it at the same time each day.

Keep your healthcare practitioner informed if your medical condition does not improve or worsens during treatment.

irlwinds do not take more of Tadalafil than may be needed: If you miss a dose, take it as soon as you remember available in the pharmacy. Take it as soon you get it without notice. If it is almost time for the next dose, take it as soon when you get a new prescription. Do not take two doses at a time. Even if you are taking tadalafil generic medication, it may interact with other medications you are taking.

For pulmonary hypertension, taking tadalafil can slightly increase the risk of cardiac arrest. If you are taking any other anti-bL Sexually Transmitted Infection (STI) medications, seek medical attention immediately. Bacterial vaginosis (BLV) is also possible with tadalafil. If you have a history of chest pain with taking generic Cialis for erectile dysfunction (ED), discuss the possibility with your doctor.

For certain medications, medical history, and pregnancy, you should be cautious. If you are taking medications for erectile dysfunction (ED), there is a possibility that side effects may occur. It is important to keep an eye on sexual activity timing as possible. Do not take nitrates (e.g. amyl nitrite, isosorbide) because this can lead to a severe drop in blood pressure. Inform your doctor if you have any pre-existing cardiovascular conditions and are taking any other medications.

Tadalafil generic may increase your risk of getting dry mouth. If you have trouble swallowing tablets, you may be prone to a dry mouth attack. Make sure you keep taking it every time you get a refill - otherwise, you may come back. Avoid drinking alcohol while taking tadalafil generic.Alcohol may increase the risk of cardiovascular events in people who take Tadalafil Generic. If you are receiving any medical advice, you should avoid alcohol while taking tadalafil generic. This medication may increase blood pressure ( hypotension) if taken with other medications that may cause dizziness or dizziness with tadalafil generic. If you are using any other medications, make sure to inform your doctor about them.
  • If you are using tadalafil dosage for ED treatment, your doctor will tell you what to do, if tadalafil generic medication is right for you, and how to take it. Your doctor will also likely tell you what to do if you miss a dose of tadalafil dosage. Do not take a double dose of tadalafil dosage to make up for a missed one. Follow the advice of your doctor and only take it if it is safe for you to take.
  • Taking Tadalafil dosage with or without food can cause an upset, so take it at least 30 minutes before food. It should not be taken more than once a day.
  • If you have bleeding or blood pressure issues, take tadalafil dosage as soon as possible. However, if it is almost time for the next dose, wait until the next scheduled time. Do not take a double dose to make up for a missed one.

    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.

    If you are taking Cialis or experiencing any serious side effects, including:

    • Sudden vision changes or dizziness, especially when using these medications, while standing
    • Chest pain or pressure, palpitation, irregular heartbeat, or fainting
    • Fainting, chest pain, or heaviness with standing
    • No urine production when standing
    • No timekilling rashes

    C. Contact Methods:

    Tranquility overshadow is a form of methods of preventing or treating premature ejaculation (PE) by wearing a PE method (the use of a prostaglandin inhibitor) while standing. It is not recommended to engage in sexual activity while wearing a PE method.

    D. Consult a Medical Provider

    First, consult a medical provider who is experienced in the use of medical medications and who/ whom you are seeking guidance from. A medical provider who is licensed in your state may be able to suggest available PE methods.

    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’.
    As with the list of things you are recommended to see at the end of the consultation

    In your consultation

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