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.
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:
Cialis, available as a treatment drug like, has been shown to be effective in reducing both the number and the size of erectile dysfunction (ED) symptoms. Here are the key drug-food interactions:
Generic Name: TadalafilBrand: Tadalafil Super ActiveManufacturer: CIALIS
Tadalafil Super Active Plus
The active ingredient in the drug is Tadalafil. This medication is available under the brand name Cialis Super Active Plus. It is used to treat erectile dysfunction and enlarged prostate.
Follow the directions for using this medicine provided by your doctor.
Cialis Super Active Plus is taken orally. Your doctor may advise you to take this medicine more than once a day.
Do not crush, chew, or break the tablet.
Take the tablet as advised by your doctor. You may take it with or without food.
Do not take more than once daily.
If you forget to take a dose, take it as soon as you remember it. If it is near the time of the next dose, take it as soon as you remember it. Do not double the dose to make up for the missed one.
Do not take the pill more often than prescribed by your doctor.
If you forget to take the dose, take it as soon as you remember it. If it is near the time of the next dose, take it as soon as possible.
The most common side effects of the pill are:
If you experience any of the above-mentioned side effects, stop taking this medicine and contact your doctor immediately.
In case any other symptoms persist, you need to seek medical attention immediately.
If you are a woman and have been advised to take Tadalafil Super Active Plus, you may be advised to use it cautiously.
Inform your doctor if you have any medical conditions such as heart problems, diabetes, high blood pressure, liver or kidney diseases, or if you are taking any other medicines. This is because Tadalafil Super Active Plus may interact with other medicines you are taking. Inform your doctor about all the medicines you are taking and about your health condition to ensure that you can use this medication safely. This is especially important if you have been prescribed Tadalafil Super Active Plus or taking other medicines. Tadalafil Super Active Plus may impair your thinking, making it difficult to follow instructions on your medicine.
Also, inform your doctor if you are taking any of the following:
In addition to the above-mentioned contraindications, you need to inform your doctor if you have any liver, kidney, or heart problems, or if you are taking any other medicines. You should also inform your doctor about all the medicines you are taking, because they may interact with Tadalafil Super Active Plus.
If you experience any of the above-mentioned side effects, you need to contact your doctor immediately.
Also, you need to report any severe or unusual side effects to your doctor. You can also contact PDE5 inhibitors at the toll-free number on the first line of your telephone.
It is important to avoid driving if you are using Tadalafil Super Active Plus. This medication can increase the side effects of this medicine. However, if you have serious side effects, you must avoid driving.
Also, do not drive if you experience dizziness or drowsiness. The effects of Tadalafil Super Active Plus have not been studied in children and adolescents. Therefore, this medication should not be used in children and adolescents under 18 years of age.
Last updated 14 September 2023
On 14 March 2023, the UK Medicines regulator approved an application to reclassify the erectile dysfunction medication Cialis. When marketed asCialis Together(tadalafil 10mg), it will be a ‘P’ (pharmacy) medication, and so available ‘over the counter’ in pharmacies – see. This follows the 2018, ‘P’ classification of (sildenafil 50mg) which has been available OTC, without a prescription, since then.
This decision is good news for men’s health …. Erectile dysfunction can be a debilitating condition, so it’s important men feel they have fast access to quality and legitimate care
Dr Laura Squire, MHRA’s Chief Officer for Healthcare, Quality and Access
Unfortunately, there is a strong black market in the UK for ED medicines, which are often unlicensed or counterfeit. UK Border Force and the MHRA seize millions of pounds of these fake products from criminals annually. This new classification of tadalafil 10mg will enable men who suffer from ED to obtain it safely from a local pharmacy.
Sanofi, the drug manufacturer, is expected to launch Cialis Together later in 2023. Cialis Together will be available to purchase in pharmacies without a prescription by men over 18 with erectile dysfunction. Cialis Together tablets will contain 10mg tadalafil and the maximum pack size will be 8 tablets. Other doses and pack sizes of Cialis and tadalafil will still be available on prescription through doctors and specially trained pharmacists. Before purchase in a pharmacy there must be an assessment with a pharmacist, who will check that Cialis Together is appropriate and safe, or whether consultation with a GP is necessary.
Men suffering with ED will have another treatment option with the convenience of purchasing it in their local pharmacy, including pharmacies found inside supermarkets (eg. Tesco, Asda, Sainsbury’s). The pharmacist will ask some health questions, may check blood pressure, and will advise on treatment with Cialis Together or Viagra Connect, or the need to consult a GP. Pharmacies usually have a private room for such discussions.
Cialis Together is a 10mg tadalafil product for use at least 30 minutes prior to anticipated sexual activity. Its effects can last. It is not recommended for daily use. The maximum recommended dose of Cialis Together will be one tablet in 24 hours. Prescription Cialis and tadalafil will still be available at different doses.
Dr Fox welcomes the wider access to ED medication for men that Cialis Together classified as a ‘P’ OTC medication will provide. We at Dr Fox are aware of the difficulties men have in discussing ED with their GPs and in accessing ED medication. We know that Cialis is effective and safe for most men and this change provides another option for obtaining ED treatment. Pharmacists are health professionals who are able to give ED advice but they will also know when to refer men who would benefit from a doctor’s assessment. ‘P’ medicines can also be supplied on prescription, and we will offer Cialis Together, when available, alongside our other competitively priced ED products.
Dr Claire Pugh, Dr Fox Medical Director
In the UK have 3 categories:
AEDs’ “balding” of the drug’s side effects, including nausea and flushing, chest pain, headaches, and dizziness, are just a few of the most widely recognized and discussed sexual dysfunction medications.
However, for many users who want to get the most out of their erectile dysfunction (ED) medication, it’s time to go generic.
In this, we’ll go over the most common ED medications and highlight their differences, side effects, and what’s in the best possible for most people.
One of the most common brand names for sildenafil, Viagra, has just been discontinued. While Viagra is still on patent protection in some countries, there are now a number of other generic versions of the drug that are available that have the same active ingredients as Viagra.
The only difference in how these generic medications are formulated is the dosage form. Sildenafil is a prescription-only drug, so it’s not available over the counter. It works by increasing blood flow to the penis, helping you achieve and maintain an erection.
Levitra and Levitra are both brand name for sildenafil, but they are both generics. These generics are available over the counter, as well as generic versions of the same medication.
The only difference is how they are formulated. Levitra is a prescription-only drug, so it’s not available over the counter. While Levitra is a prescription-only drug, it can be prescribed to other people who need it.
Cialis and generic tadalafil are both brand name for sildenafil, which is an older version of Cialis. It’s also one of the most popular brand name ED medications, with more than 50 million prescriptions being written each year for this medication. The only difference is how it’s formulated.
The only difference is how the active ingredient in Cialis is formulated. Cialis is a prescription-only drug, so it’s not available over the counter. Unlike Viagra, Cialis is a non-prescription-only drug, so it’s not available over the counter.
Levitra and generic vardenafil are both brand name for sildenafil, but they are both generics. They are available over the counter, as well as generic versions of the same medication.
Unlike Viagra, which is a non-prescription-only drug, it can be prescribed to other people who need it.
Levitra and generic vardenafil are both brand name for sildenafil, which is a newer version of Levitra.
The only difference is how the active ingredient in Levitra is formulated.
Stade de France Pharmacy