Interactions with Other Medications and Substances

Always inform your doctor about all medications and supplements you take, including over-the-counter drugs, herbal remedies, and recreational drugs. This is particularly important with Cialis (tadalafil), as interactions can significantly affect its effectiveness and potentially lead to adverse effects.

Nitrates and Cialis: A Dangerous Combination

Combining Cialis with nitrates, often found in medications for chest pain (angina), can cause a dangerous drop in blood pressure, potentially leading to fainting or even a heart attack. Avoid using Cialis if you are currently taking nitrate-based medications. Consult your doctor before considering Cialis if you have a history of heart conditions.

Alpha-blockers and Cialis: Blood Pressure Considerations

Alpha-blockers, used to treat high blood pressure and enlarged prostate, can interact with Cialis, leading to a significant decrease in blood pressure. Your doctor might adjust your Cialis dosage or recommend alternative treatments if you’re taking alpha-blockers. Monitor your blood pressure closely if taking both medications.

Certain antifungal medications, such as ketoconazole and itraconazole, can increase Cialis levels in your body, potentially intensifying side effects. Grapefruit juice shares a similar interaction, inhibiting the metabolism of Cialis and raising its concentration. Limit or avoid grapefruit juice and discuss these interactions with your physician.

Alcohol can increase the risk of Cialis side effects, such as dizziness and headache. Moderate alcohol consumption is advised, or it may be best to avoid alcohol altogether while using Cialis. Always follow your doctor’s instructions concerning alcohol and medication.

This information is not exhaustive; further interactions are possible. Always consult your doctor or pharmacist before starting or changing any medication, including Cialis.