Always inform your doctor about all medications you are taking, including over-the-counter drugs, herbal supplements, and vitamins, before starting Cialis Extra Dosage 200mg. This includes nitrates, which are commonly used to treat chest pain (angina). Combining Cialis with nitrates can cause a dangerous drop in blood pressure.
Certain medications can affect how Cialis works or increase the risk of side effects. These include:
- Alpha-blockers: Used to treat high blood pressure and enlarged prostate. Combined use can significantly lower blood pressure. Antihypertensives: A broad class of medications that lower blood pressure. Concurrent use may increase the risk of hypotension. CYP3A4 inhibitors: These medications slow down the breakdown of Cialis, potentially increasing its effects and side effects. Examples include ketoconazole, erythromycin, and ritonavir. CYP3A4 inducers: These medications speed up the breakdown of Cialis, potentially reducing its effectiveness. Examples include rifampin and carbamazepine. HIV protease inhibitors: Some of these medications can increase Cialis’s levels in the blood.
Your doctor can help determine if Cialis is safe for you given your current medications. They may adjust your dosage or recommend alternatives. Failure to disclose all medications can lead to serious health risks.
Grapefruit juice also inhibits the breakdown of Cialis. Avoid grapefruit juice while taking this medication.
Discuss all medications with your doctor. Never take Cialis with nitrates. Be aware of potential interactions with other medications listed above. Avoid grapefruit juice.