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When the little blue pill is taken by millions of women, it can cause unwanted side effects like a lack of libido and erectile dysfunction. But the drug is available over-the-counter, as it’s sold under brand names, including Viagra.

“You’re seeing a big improvement in women who are on prescription medicines,” says Dr. Susan G. Kuppert, director of sexual health at New York University’s School of Public Health.

“We see that the most common side effect of Viagra is erectile dysfunction, and the most common side effect of Cialis is impotence,” says Dr. Kuppert.

Cialis, a new pill for men who cannot get or keep an erection, is not a drug for impotence. Instead, it’s a treatment for impotence.

For years, women who take Viagra have reported an increase in their libido and a decrease in sexual desire. The side effects of Viagra may be minor, but they can be significant.

“We know that this drug is highly effective in the treatment of many other sexual disorders, including erectile dysfunction and impotence,” says Gershon, professor of urology at New York’s Lenox Hill Hospital and a member of the National Institutes of Health’s Sexually Transmitted Infections Surveillance Program.

Viagra is available only with a prescription.

“A prescription is only one way to treat erectile dysfunction, and a private prescription is not enough,” says Gershon. “The FDA is aware of these problems and is going to take action to address them.”

Viagra can cause side effects, but the drug has no side effect.

“It’s a very safe drug, and we know the effects are felt in the body,” Gershon says. “But we don’t know what’s going to happen in the body.”

The FDA has also identified a number of other problems with Viagra, including increased risk of blood clots, aortic aneurysm and pulmonary arterial aneurysm.

The drug is available in a variety of formulations, including tablets, soft capsules and oral liquids. In clinical trials, a total of 24 patients were given Viagra and four were given a placebo.

Patients who took the drug were asked to sign up for an online form for any form of medical help they would like to see. If patients had an erection, they could receive a prescription for Viagra at a drugstore.

Viagra and Cialis were originally developed to treat a condition called impotence, but there are reports that the drug may also help to improve erectile function in men with some of the symptoms.

According to Gershon, the drug was originally developed as a treatment for Parkinson’s disease.

The FDA also approved Viagra in 2003, and Cialis in 2004, a treatment for erectile dysfunction.

Viagra is not a drug for impotence, but it is still available over the counter.

“We’re trying to provide a new way for women to get and keep their libido,” Gershon says.

“We are concerned that it will make it harder for women to get an erection, and that the sexual side effects of Cialis are more likely to occur,” she adds.

Cialis is the brand name for the medicine used to treat erectile dysfunction.

“It’s been used since the early 1980s, and it’s been widely used since the 1960s,” Gershon says. “It’s an effective treatment for a wide variety of sexual disorders, including erectile dysfunction, impotence and sexual arousal disorder.”

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The National Institutes of Health and other organizations have approved other uses of Cialis.

Cialis is a prescription drug, so it is not available over the counter, but it is available under several brand names, including Viagra.

In a clinical study of the drug, Gershon found that women taking the drug had a significant increase in their libido and a decrease in sexual desire after taking it for five days. After two months, the amount of sexual desire increased to nearly 30 percent.

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.
EUCAST infections

Drug-Antibiotic Interactions:

Viagra (sildenafil) can interact with the bacteria C. reinitis, which is often caused by C. reinitis strains. While this does not affect sexual performance, combining Viagra with C. reinitis could potentially alter the effectiveness and spread of the infection.

Sildenafil (sildenafil) can interact with tadalafil, an ingredient in Cialis. This medication is used to manage erectile dysfunction (ED) in men. C. tadalafil citrate citrate was the first drug to treat erectile dysfunction, but it may have an impact on sperm quality or function, especially when taken with tadalafil. Taking tadalafil with sildenafil may enhance side effects like headaches or increase the risk of heart attack or stroke in those with heart disease.

Similar to tadalafil, sildenafil can change the type of allergic reaction C. reinitis can cause.

Cialis Together for Erectile Dysfunction

Cialis Together tablets are a treatment for adult men who have erection problems (erectile dysfunction). This is when a man cannot get, or keep an erection hard enough for satisfactory sexual activity.

Cialis Together tablets contain the active substance tadalafil. It belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors. It works by relaxing the blood vessels in your penis, allowing blood flow into your penis.

It is important to know that you will not get an erection just by taking Cialis Together tablets. This medicine works with your body’s natural function to get an erection only when you are sexually stimulated.

Cialis Together contains the active ingredient Tadalafil. The ingredient is a phosphodiesterase type 5 inhibitor medicine that temporarily improves blood flow to the penis by relaxing the blood vessels in and around the area.

The Cialis Together medication is available over-the-counter and begins to work about 30 to 60 minutes after taking it. The effects are expected to last up to 36 hours. Cialis Together comes in 10mg tablets and should only be taken when needed.

The active substance Tadalafil is also useful in treating other conditions along with erectile dysfunction. Please consult a Doctor, a Pharmacist or relevant product literature for more information.

Is Cialis Together right for me?

If you suffer from erectile dysfunction (impotence) Cialis Together may be an effective treatment. However, it may not be suitable for you if you have the following:

  • If you are allergic to any of the ingredients in Cialis Together
  • If you have severe heart, liver or kidney problems
  • If you have blood pressure concerns
  • If you have non-arteritic anterior ischemic optic neuropathy
  • If you are taking riociguat
  • If you have other penis-related issues (deformation or painful erections)
Always check the product information for a list of all the products in the packs you’ll be taken through to you's website.

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.
Chesney/Mendoza/ Blink/ Przema/ Jelly/ Viagra/ Przema/ Super strength/ nitrate/angina/heart/naso/naprazol/over the counter/prescription/tablet/this combination is a combination of two medications, used to treat symptoms of erectile dysfunction andudget. Compare prices and side effects.

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2023-08-15

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