Everyone who has impotence wants to get rid of this annoying problem but not everyone wants to read long instruction manuals that are written in barely comprehensible medical terms. We understand this like nobody else.

That’s why we included only the most common and dangerous interactions in our shortened “How to take Cialis with other drugs” guide. Here we explain whether you can consume food, alcohol, and other substances together with Cialis in the simplest terms ever. Enjoy it and stay safe.

What Is Cialis (Tadalafil)?

Cialis is on the list of the top 3 medicines for erectile dysfunction (further referred to as ED), along with Viagra and Levitra (the latter of which will no longer be available in our store). The active ingredient of this drug — tadalafil — helps men achieve stable and prolonged erections due to its unique mechanism of action. It suspends the activity of PDE5 (phosphodiesterase type 5) enzymes, which prevent the penis from becoming hard in men who have ED. After this, the smooth muscles relax, the blood supply to the penile tissues increases, and a man is ready for intercourse.

The most obvious benefits of Cialis pills over the other ED medications are its fast action (the drug kicks in 15-45 minutes after intake), long duration (up to 36 hours), and predictable effect (you will not get occasional erections). Moreover, Cialis cures impotence in more than 90% of cases.

In this way, Cialis is one of the most effective medicines for ED. Only when psychological causes take place (such as lack of interest in sex, depression, decreased libido, etc.), may it not work. So if you have any of the issues listed above, consult a psychologist prior to your treatment.

You also need to know that Cialis has a few contraindications. We at SildenafilViagra sell medicines over-the-counter, so it’s our primary mission to prevent unpleasant side effects and make your experience with Cialis as great as possible.

That’s why we recommend you to discuss your treatment with your doctor if you have:

• blood cell or bleeding disorders;
• liver and kidney diseases;
• penis birth effect or recent injury;
• cardiovascular diseases;
• hyper- or hypotension;
• recent heart attack or surgery;
• eye impairment;
• allergy to tadalafil.

Also, you shouldn’t take Cialis if you’re a woman, or if you’re a man under the age of 18. Elderly men above 65 years of age should also be careful with this drug. For all the rest, the standard dose is from 5-20 mg depending on the severity of dysfunction.

Interactions of Cialis

As with any other potent drug, Cialis interacts with alcohol, food, and other medicines.

In particular, it’s undesirable to combine tadalafil with the following products and groups of substances:

• grapefruit and grapefruit juice;
• alcohol in high dosages;
• drugs based on nitrates (nitroglycerin, isosorbide dinitrate, isosorbide mononitrate);
• liver and kidneys medications;
• azole antifungals;
• CYP3A4 (here — Cytochrome P450 3A4) and other PDE5 inhibitors (sildenafil, vardenafil, avanafil, and some herbal supplements with similar action);
• HIV protease and hepatitis C virus protease inhibitors;
• alpha-blockers;
• macrolide antibiotics;
• bronchodilators.

Even though these interactions are the most widespread, this list is not complete. You are still not immune to all the troubles you can possibly face when mixing any drug with Cialis. Because of this, it’s best to ask your doctor if you can take certain medications with Cialis. And now we will discuss Cialis interactions with particular substances in detail.

Mixing Cialis and Alcohol

There are a lot of myths about alcohol consumption during sexual activities. A lot of people believe that alcohol gives them confidence, boosts libido, and increases their chances to achieve an erection.

However, Cialis works with alcohol not exactly like that. Moderate-to-severe alcoholic intoxication leads to decreased sensitivity, unpleasant effects during intercourse such as vertigo, dizziness, nausea, fainting, and an increased risk of injury. Mixing Cialis and alcohol may increase these effects even more.

Does alcohol affect Cialis? Yes, it can interfere with Cialis action and increase the possibility of its adverse effects. Can you drink alcohol before or after Cialis intake? You can, but only in small doses which won’t make you drunk.

Cialis with Food Consumption

Our customers often ask the question: ”Should I take Cialis with or without food?”. Actually, food doesn’t decrease the effects of Cialis and can’t negatively affect your body while taking this drug before or after the meal. You can take Cialis no matter when you have a meal. It will work in any way.

However, experts advise taking Cialis on an empty stomach. The reason is simple: a digestive system will absorb tadalafil faster with a lighter workload. On the contrary, greasy or heavy food requires a lot of energy resources, so your body will absorb tadalafil more slowly. Taking a pill with food can delay the effect of Cialis.

Grapefruit and Grapefruit Juice

All edible products are compatible with Cialis except for grapefruit. Being a healthy product which is usually included in the majority of diets, it can ruin Cialis treatment. How? Grapefruit contains specific enzymes that contribute to the accumulation of tadalafil in the body. This way, it can’t be excreted from the body within regular time limits — you need to wait more than 48 hours. However, some men use Cialis every two days and may have an overdose.

Because of this, you need to avoid grapefruit or grapefruit juice during your treatment. If you need to consume it for some reason, decrease the dosage or skip one intake.

How Does Cialis Interact with Other Drugs?

Finally, we’ve gotten close to the most important part: can you take other drugs while taking Cialis? Some of them can be mixed with Cialis without fear, while other combinations require special attention. Let’s figure out which interactions can be potentially harmful to you and therefore you should avoid during your treatment.

Flomax (Tamsulosin)

Flomax is one of the most popular medicines to cure benign prostatic hyperplasia (also known as an enlarged prostate or BPH). Its active ingredient, tamsulosin, belongs to the class of alpha-blockers, which were mentioned above as medicines that don’t “get on well” with Cialis.

A surprising fact: some men who suffer from BPH use Cialis to treat their condition. It can help, but Flomax is still more effective for these purposes. However, men with ED try to kill two birds with one stone. Can this be dangerous? Tamsulosin interaction with Cialis is not very dangerous, but both of these drugs have very similar side effects.

Because of this you will most likely experience:

• headache;
• dizziness;
• cardiovascular malfunctions;
• fainting;
• chest and muscle pain;
• runny nose;
• low blood pressure.

So if you don’t want to encounter such unwanted reactions, you should avoid taking these medicines together. Particular care should be taken if a man has kidney and liver diseases, prostate cancer, and/or low blood pressure. If you decided to use both drugs at a time, we strongly advise you to avoid alcohol.

Lisinopril Tablets

Lisinopril is an ACE (here and below angiotensin-converting enzyme) inhibitor. These substances are usually used to deal with cardiovascular and blood pressure conditions like congestive heart failure, hypertension, and heart attacks. It’s not on our “do not combine” list, because this medicine doesn’t have a major interaction with Cialis.

Still, both Cialis and Lisinopril dilate blood vessels and therefore decrease your blood pressure. If you chronically have low blood pressure or suffer from some diseases accompanied by this symptom, you’d best avoid mixing these drugs. The double effect of two remedies may make your blood pressure too low and you will experience dizziness, vertigo, fatigue, or even fainting.

Hydrocodone Pills

Those who ever faced episodes of intolerable pain are likely aware of hydrocodone. It is a very potent pain reliever which can be used either alone or as a component of compound remedies (such as Vicodin) against severe pain.

However, hydrocodone is too strong to be used to treat mild and severe pain. It even can cause addiction when taken without control. This comes as no surprise — it belongs to the class of opioids. There are too few studies on the interaction between hydrocodone and Cialis, so the possible consequences of such a mixture are not fully known.

But you should take into account that hydrocodone cause side effects like:

• pain during urination;
• severe fatigue and drowsiness;
• breathing problems;
• nausea and vomiting;
• decreased libido and impotence.

All these effects, especially the last one, can interfere with the pleasant sexual experience you can have while taking Cialis. Hydrocodone may lead to ED by itself, thus it is undesirable to take it during your impotence treatment.

Ramipril Drugs

Ramipril has a similar action to Lisinopril. Both drugs belong to the class of ACE inhibitors and are intended to treat hypertension and prevent strokes, heart attacks, and other cardiovascular conditions. It is quite effective when it comes to remedial therapy after heart surgery or a recent heart attack.

For starters, it’s best to avoid Cialis and similar medications after a stroke, surgery, or heart attack. At least you need to discuss this treatment option with your doctor. Moreover, Ramipril may increase low blood pressure, weakness, dizziness, vertigo, and some other side effects that you may have after Cialis intake.

Propranolol Tabs

Beta-blockers including Propranolol are used to treat heart diseases, tremors, migraines, and conditions associated with chest pain. Their interaction with Cialis is not dangerous but can cause a number of unwanted effects. First of all, it can affect your sexual drive and your performance in bed. As you know, Cialis doesn’t work without prior sexual arousal, so Propranolol can undermine the positive results of your treatment, especially at the early stages.

The second reason not to take Propranolol with Cialis is its hypotensive properties. This is one more medicine which can decrease your blood pressure with all possible consequences.

Xanax

Xanax is widely used as a remedy for people with anxiety and panic disorders. Some doctors also prescribe it in cases of depression. There is no unambiguous scientific proof that Xanax affects the action of Cialis, but some patients reported decreased libido and difficulties in reaching climax. You can believe or not, but we recommend you do not take Xanax within 48 hours of planned sexual activity.

If you suffer from anxiety, depression, or similar psychological health issues and need to take Xanax on a daily basis, either lower its dose or the dose of Cialis.

Losartan Medications

Angiotensin receptor blockers (further referred to as ARBs), such as Losartan, act quite similarly to ACE inhibitors such as Lisinopril and Ramipril. Both classes of substances decrease the production of angiotensin in the body, dilate blood vessels, and increase blood flow. You will likely understand that all these changes lead to the lowering of blood pressure. That’s why the recommendations are the same for Lisinopril and Ramipril considered above.

Taking Cialis with Nitrates

Nitrates have a major interaction with Cialis. The majority of deaths associated with Cialis, Viagra, and similar drugs are happened due to overdose or taking PDE5 inhibitors together with nitrates. If you take nitrates to treat cardiovascular diseases, you should be extra careful during your Cialis treatment.

Nitroglycerin intended to cure angina pectoris as well as the other substances from this group may critically decrease blood pressure if taken together with Cialis. It enhances the risk of heart attack for already fragile groups of patients.

To keep you in the loop, we prepared a list of medicines you should avoid during your ED treatment. Here they are:

• nitroglycerin;
• isosorbide mononitrate;
• isosorbide dinitrate;
• street drugs called “poppers” or alkyl nitrites.

Even though this list is quite exhaustive, it is not complete. You should check if your medicine belongs to the group of nitrates before mixing it with Cialis.

Do Cialis and Viagra Interact the Same?

We observe a never-ending battle between admirers of these two remedies: Viagra vs. Cialis — which one is the best drug for ED? In fact, there is no winner. Even though there are some differences between them, both remedies do their job well.

Cialis is known for its milder but more long-lasting action (up to 36 hours), while Viagra gives you a stronger effect. But both Cialis and Viagra are PDE5 inhibitors, so they have the same side effects and, as a result, the same interactions with other drugs. No matter which one you choose, you should refrain from taking nitrates, antibiotics, alcohol in high dosages, and other substances mentioned on the list that you can find above.

Where to Order Cialis (Tadalafil) in the USA?

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