Can i buy cialis over the counter in uk

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.
ased by Drug-Food Interactions

C.

Here are the key drug-food Interactions:

  1. : Grapefruit can increase the levels of tadalafil by inhibiting an enzyme called phosphodiesterase type 5 (PDE5). This enzyme is responsible for breaking down a substance called phosphodiesterase type 5 (PDE5), which keeps blood vessels open. By reducing PDE5 activity,rapefruit juice can enhance blood flow to the penis, which can be dangerous for users of erectile dysfunction.
  2. : Though not a direct interaction, combining Cialis with Cialis might worsening side effects like headaches or increase side effects like low blood pressure.

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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  • you are allergic to tadalafil, dapoxetine, any other medications, or any of the ingredients in Cialis
  • you are taking nitrate medications like isosorbide dinitrate or isosorbide mononitrate or its equivalent, or is combining them with medications like riociguat, which are commonly used for pulmonary arterial hypertension
  • you are taking ritonavir or lopinavir
  • you are pregnant or plan to become pregnant, or are breast-feeding

As with all prescription medications, inform your doctor of any medical conditions you have been diagnosed with with the use of this medication.

As with all prescription medications, inform your doctor of any medical conditions, including stroke, high blood pressure, liver disease, and infections where Cialis is used.

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The most common side effects of Cialis 20 mg or Tadalafil 20 mg tablets include headache, back pain, muscle pain, indigestion, and flushing. If any of these effects last or get worse, tell your doctor or pharmacist promptly. Remember that each person's response to medication can have a bearing on its cause and may vary from person to person. Tell any health professional who treats you that you are taking this medication.

Cialis 20 mg or tadalafil 20 mg tablets should be swallowed whole with a glass of water. Do not chew, crush, or break the tablets. The tablets will not dissolve or release into your body.

If you are using tadalafil 20 mg or Cialis 20 mg tablets regularly, tell your doctor or pharmacist about taking them. They may need to change the dose or suggest a different treatment. Your doctor may also need to adjust your dosage.

Remember that Cialis 20 mg or tadalafil 20 mg tablets contain as their active ingredient, tadalafil.

You should not take Cialis 20 mg or tadalafil 20 mg tablets if you are also taking nitrates (such as isosorbide, isosorbide mononitrate, and nitroglycerin). Nitrates are powerful blood pressure medications that can cause a dangerous drop in blood pressure. Taking Cialis 20 mg or tadalafil 20 mg tablets with a high-fat meal may delay the onset of action. Avoid taking Cialis 20 mg or tadalafil 20 mg tablets with any foods that contain fat.

Taking Cialis 20 mg or tadalafil 20 mg tablets with alcohol may cause dizziness, lightheadedness, or fainting. If you experience these side effects and need emergency medical attention, tell the doctor or pharmacist right away. You can also report side effects to the FDA at 1-800-FDA-1088.

Some common side effects of Cialis 20 mg or tadalafil 20 mg tablets include:

  • Headache (may occur)
  • Stomach pain
  • Dizziness
  • Muscle pain
  • Indigestion
  • Fatigue
  • Abnormal liver tests

Cialis 20 mg or tadalafil 20 mg tablets should not be used by men who are about to have their penis filled with blood. You should not take Cialis 20 mg or tadalafil 20 mg tablets if you have ever had an allergic reaction to tadalafil or any of the ingredients in Cialis 20 mg or tadalafil 20 mg tablets.

Taking Cialis 20 mg or tadalafil 20 mg tablets with alcohol can cause a dangerous drop in blood pressure, especially when combined with certain other blood pressure medications. You should not take Cialis 20 mg or tadalafil 20 mg tablets with these other medications, as they can cause serious side effects. Before taking Cialis 20 mg or tadalafil 20 mg tablets, tell your doctor or pharmacist about all the products you use, including prescription drugs, over-the-counter medicines, dietary supplements, and herbal products. They will be able to tell you which products are safe for you.

Using Cialis 20 mg or tadalafil 20 mg tablets with other medicines may increase the risk of side effects. Before taking Cialis 20 mg or tadalafil 20 mg tablets, tell your doctor or pharmacist about all the products you are using (including prescription drugs, nonprescription drugs, and herbal products). They will be able to tell you which products are safe for you to use. Do not take Cialis 20 mg or tadalafil 20 mg tablets with any of the following medications:

  • Nitrates (such as isosorbide, isordilol, nitroglycerin)
  • Other blood pressure medications (such as isovoloc sake, glycerol)
  • Other medications for erectile dysfunction (such as Cialis 20 mg or tadalafil 20 mg tablets)

If you are taking any of these products, you may not be able to take Cialis 20 mg or tadalafil 20 mg tablets, but you should still be able to take tadalafil 20 mg or Cialis 20 mg or tadalafil 20 mg tablets at the same time.

You should take Cialis 20 mg or tadalafil 20 mg tablets with food or a heavy meal.