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FAQs About CIALIS 5MG TABLET

Q: What is CIALIS 5MG TABLET used for?

A: CIALIS 5MG TABLET is used to manage severe pulmonary arterial hypertension (high blood pressure in the lungs) in adults who have exercise capacity of less than 40 cm/minute.

Q: How does CIALIS 5MG TABLET work?

A: CIALIS 5MG TABLET works by relaxing the muscles in the thick muscle sponge form called the flow direction of the blood movement in the flow direction.

Q: Is CIALIS 5MG TABLET safe for everyone?

A: No. CIALIS 5MG TABLET is not safe for use in children and adults with certain congenital or acquired cardiac malformations.

Q: Is CIALIS 5MG TABLET over years of age?

A: CIALIS 5MG TABLET is considered times of Over Years after Your Last menstrual period for its potential to cause birth defects.

Q: Is CIALIS effective for everything?

A: CIALIS is not recommended for use if you have uncontrolled hypertension, heart failure, have taken potassium supplements in your diet, or have significant kidney disease.

Q: What is the treatment goals of CIALIS 5MG TABLET?

A: CIALIS 5MG TABLET is a highly effective treatment for severe pulmonary arterial hypertension. The treatment goals are to control blood pressure in the lungs, to prevent exercise-induced pulmonary hemorrhage, and to provide rapid relief of severe symptoms like chest pain and profuse hunger.

Q: How should CIALIS 5MG TABLET be taken?

A: Shake well before using. Take CIALIS 5MG TABLET with water. It should be taken at the same time each day unless your doctor says otherwise. Your doctor will decide the correct dose and duration based on your medical condition and how severe the symptoms are.

Q: How should I take CIALIS 5MG TABLET?

A: Take CIALIS 5MG TABLET on an empty stomach as directed by your doctor. It can be taken with or without food. Swallow the medicine with a glass of water. Do not crush or chew the medicine.

Q: Can I stop taking CIALIS 5MG TABLET on my own?

A: Do not stop taking CIALIS 5MG TABLET without your doctor's advice, as it could lead to withdrawal symptoms in some patients.

Q: Is CIALIS effective for everyone with pulmonary arterial hypertension?

CIALIS is not indicated for use in children and adults with pulmonary arterial hypertension. Its primary indication is severe pulmonary arterial hypertension. It is also not indicated for use in children and adolescents under 40 years of age. CIALIS is typically prescribed to treat hypertension and angina since it is an effective non-pharmacological treatment. However, it is also used in small adults and children’s' patients for breathing difficulties or in severe patients with severe liver disease.

Q: What is the treatment duration of CIALIS 5MG TABLET?

A: The treatment of severe pulmonary arterial hypertension (SSPH) has been measured in children and adults up to 5 years of age.

Q: Can I take CIALIS 5MG TABLET with food?

Take CIALIS 5MG TABLET with a full glass of water as directed by your doctor.

Q: Can CIALIS 5MG TABLET be taken in combination with other medications?

CIALIS 5MG TABLET is a combination therapy. You should combine CIALIS 5MG TABLET with at least one other medication with a similar composition, such as ACE inhibitors, ARBs, ARB3 inhibitors, ARBs6 inhibitors, or beta-blockers. Do not take CIALIS 5MG TABLET with any of the other medications listed in the list. CIALIS 5MG TABLET should be taken with a full glass of water. Follow your doctor's instructions carefully.

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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.
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Note:exposure to nitrates and alpha-blockers at work can increase the risk of angina by 50%. This risk may increase with duration of treatment. If the work is hours or even days, discuss with your doctor the risks and benefits with your health care professional.

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Indication: Cialis is used for the treatment of erectile dysfunction. It is typically taken by mouth once or twice daily with or without food. It is contraindicated to the nitrates or alpha-blockers because it may cause a significant and potentially life-threatening drop in blood pressure (hypotension).

Cialis is an oral medication that is used to treat erectile dysfunction (ED) in men. It is available in three forms:

  1. Oral tablet: It is usually available in 20mg and 30mg doses. The maximum recommended dose is 30mg, taken on the firstidences of an allergic reaction, before sexual activity. Do not take a second dose within 30 days unless directed.

Cialis has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.

Common side effects reported from Cialis use include:

  • Headache
  • Indigestion
  • Heartburn
  • Upset stomach
  • Gas
  • Nausea
  • Flushing

More severe side effects include:

  • Painful erections or erections that last longer than 4 hours
  • Sudden loss of vision
  • Sudden loss of hearing
  • Ringing in the ears
  • Chest pain
  • Shortness of breath
  • Painful urination
  • Increased urination frequency
  • Fainting
  • Dizziness
  • Skin rash
  • Hives
  • Facial swelling

If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.

As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Cialis. Cialis can interact with bodily substances, causing potentially serious adverse reactions.

Specifically, you should inform your health care provider of any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.

In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.

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As a prescription medication, Cialis can cause potentially serious adverse reactions that require immediate medical attention. This is the recommended dosage for mild symptoms of Cialis use. Use only cause-plus effects:

  • Gastrointestinal symptoms

If you experience any severe or above-ankle headache, dizziness, or nervousness, seek medical attention immediately. Headaches can be signs of a underlying medical condition, such as heart disease.

Tell them if you are currently taking any form of nitrate medication or any other form of medication that can interact with Cialis.

In addition, let your doctor know if you are pregnant or plan to become pregnant. Cialis can cause potentially serious adverse reactions that require immediate medical attention.

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As a matter of fact, Cialis can cause potentially serious adverse reactions that require immediate medical attention. Use only cause plus effects:

    If you experience any of these signs and symptoms, contact your health care provider immediately:

    • Liver disease
    • Kidney disease
    • Managing a personal or medical condition

    As with all prescription medications, let your doctor know if you are currently taking any form of nitrate medication or any other form of medication that can interact with Cialis.

    In addition, let your health care provider know if you are pregnant or are planning to become pregnant.