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.

Key points of the interaction:

How Cialis Works:

icative of tadalafil's function in increasing blood flow to the penis, tadalafil's effects in improving blood pressure levels, and Cialis's range of effectiveness as a treatment for fungal infections of the skin.

Cialis's Cialis Blocker:

This medication comes in different forms, including tablets, oral capsules, and syrup. The dosage and duration of treatmentleeve are crucial for reducing potential side effects.

C. Food Interactions and Food Alcohol

Cialis (tadalafil) plays a crucial role in managing fungal infections by inhibiting the metabolism ofcheatanolX, a enzyme that primarily affects skeletal muscle metabolism.

D. Cialis Blocker:

4.4 General information on Cialis

Cialis 20 mg, used to treat erectile dysfunction, offers a reliable, affordable alternative to prescription drugs. The medication is available in the form of a pill, and it’s easy to use. Cialis is effective for up to 36 hours, and can help men get and maintain an erection when sexually aroused. This makes it a great choice for those who prefer a fast-acting alternative to taking a pill. Cialis comes in a variety of strengths, including: 5 mg, 10 mg, 20 mg, and 40 mg.

This article covers all drug information available on Cialis. It also provides information on how to safely use the medication, including its uses and warnings.

4.4.1 Cialis Side Effects

The most common Cialis side effects include:

• Headache
• Blurred vision
• Dizziness
• Fainting
• Nausea
• Rash
• Upset stomach
• Changes in menstrual periods
• Light sensitivity

Serious Cialis side effects are rare but can include:

• Vision problems
• Seizures
• Changes in heart rhythm
• Liver damage
• Allergic reactions
• Chest pain

If you experience any of these symptoms, stop taking Cialis and contact your doctor immediately.

4.4.2 Cialis Drug Interactions

Cialis can interact with other medications and substances. This includes:

• Blood pressure medications
• Blood thinners
• Diabetes medications
• Diuretics
• Antifungal drugs
• Certain foods and drinks
• Caffeine
• High-fiber foods
• High-sodium foods and beverages
• Hormone replacement therapy
• Oral contraceptives
• Oral contraceptives (birth control pills)
• Pregnancy
• Other medications

Using Cialis with other medications can interact with the following:

• Certain medications
• CYP3A4 inhibitors (such as ketoconazole, itraconazole, ritonavir)
• Certain medications for HIV
• Certain antibiotics
• Certain medications for yeast infections
• Certain medications for stomach problems

Cialis can cause your blood pressure to drop suddenly to dangerous levels. If you are taking any of these other medications, it’s important to tell your doctor about all the medications you’re taking, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Do not take Cialis with any of the following:

4.4.3 Cialis Drug Interactions

Cialis can interact with certain drugs, including:

• Certain medications for heartburn
• Certain medications for blood pressure
• Certain medications for diabetes
• Certain medications for fungal infections
• Certain medications for depression

4.4.

WHAT IS VIAGRA CONNECT®?

Viagra Connect® is a treatment for Erectile Dysfunction (ED) containing 50mg of sildenafil. It is available to patients over 18 years with ED directly from pharmacy without a doctor’s prescription.

To save you time when visiting your local Hickey’s Pharmacy, complete the form (see link below).

Viagra Connect® as a treatment for Erectile Dysfunction

Erectile dysfunction (ED) is the inability to achieve or maintain an erection sufficient to have sex.

Erection problems can put a strain on relationships. They can also be a warning sign of a health condition or disease you might not be aware of. That’s why it’s important to take action and find a solution for your ED.

IS VIAGRA RIGHT FOR YOU?

Daily life can sometimes get in the way of your sex life. When it does, Viagra Connect is here to help.

Who it’s for: Viagra Connect is for adult men (over 18 years of age) who have erection problems (EPs) – what doctors might call erectile dysfunction (ED).

Who it isn’t for: If you are a woman, a man under 18, or do not have EPs, then Viagra Connect isn’t the right treatment for you.

Where you buy it: From our trusted partner ChemistDirect, from other online pharmacies, and from your local pharmacy. No prescription needed.

Are you taking other medicines? Some medicines can interact with Viagra Connect, so you’ll be asked what else you might be taking before you can buy it.

Do you have any other health conditions? Some men will have issues with their health that make Viagra Connect unsuitable for them. This is why you’ll be asked a few straightforward questions about your health before you can buy it.

Try and do the following to get the most out of Viagra Connect:

• Get in the mood. Viagra Connect usually starts to work within 30–60 minutes, so you can be ready when you need to be. Remember, taking Viagra Connect isn’t going to give you an instant erection; you need to be sexually aroused for it to work. You and your partner should engage in foreplay, just like you would if you weren’t taking medicine for erectile dysfunction (ED) – the medical name for erection problems (EPs)
• Relax. There’s no rush. Viagra Connect works for up to 4 hours after you take it – it will still work within this period of time, in response to sexual stimulationWatch what you eat. Viagra Connect can be taken with or without food. But if you take it after a meal that has a lot of fat in it, like a burger and chips, it might take a bit longer to start working
• Get familiar. If it’s been a long time since you had an erection, try masturbating before having sex so you can get used to the feeling of having an erection again
• Don’t give up. If Viagra Connect doesn’t work first time, don’t worry, getting used to having an erection again can take a while. Next time you’re ready, take another tablet – but never more than 1 a day
• Keep your options open. If Viagra Connect doesn’t work for you after several separate tries, talk to your pharmacist or doctor. You might need a different treatment – either for your erection problems or for a condition that is contributing to them
• Always read the instructions. The Patient Information Leaflet, which you’ll find in the Viagra Connect box, tells you exactly what to do to get the best results from Viagra Connect, so it’s worth reading. In fact, it’s essential

ceivable that I, you see, even could think about getting the Viagra Connect treatment for the desired outcome.

Viagra Connect® is a generic version of Cialis, which is what Cialis is sold as – a Tadalafil-based treatment for men with erectile dysfunction (EE).

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Cialis 20 mg - 2 Tablets

QAR 120.50

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

LESS MESANTICA TADALAFIL CIALIS TADAGALAFIL SUSPENSION CIALIS (Tadalafil) - Dosage - What you need to know before you take this medicineHow it works for best resultsCall our doctor or visit our website if you have any questions or concerns.

Product Details:Cialis is a medication commonly prescribed to treat erectile dysfunction (ED). The active ingredient in Cialis is Tadalafil. This medication belongs to a class of drugs known as PDE5 Inhibitors, which helps blood vessels relax, allowing for increased blood flow and facilitating an erection when you get sexually excited.

Cialis is available in various strengths and dosage options:

• 10mg:The typical starting dose is 20mg, taken 30-60 minutes before sexual activity. The dosage may be increased to 40mg or decreased to 2.5mg based on individual response and tolerability.
• 12.