Cialis Coupons & Discount Card – Guaranteed Prices from $9.10

The following details provide crucial safety and warning information for the use of tadalafil (Cialis). Carefully review this information, and if you have any questions or concerns, consult your healthcare provider.

• Heart Problems: Before starting tadalafil (Cialis), disclose any heart conditions to your healthcare provider. This medication may not be suitable for individuals with serious heart conditions, especially those who have experienced a heart attack or stroke within the past six months, or those with high or low blood pressure. Always discuss with your provider to determine if tadalafil (Cialis) is safe for you.

• Low Blood Pressure: Be cautious if you are concurrently using alpha blockers or medications for high blood pressure, as these can cause your blood pressure to fall too low. Medications like ritonavir (Norvir) can impact how tadalafil (Cialis) is metabolized, potentially increasing its side effects, including low blood pressure. Regular blood pressure monitoring may be advised. Additionally, alcohol consumption can exacerbate this effect, so it is advisable to limit alcohol intake. Avoid combining tadalafil (Cialis) with nitrate medications for chest pain (angina), as this can dangerously lower blood pressure.

• Prolonged Erection: Some users have reported erections lasting more than four hours (priapism), which can result in permanent damage if not treated promptly. This risk increases if you have conditions like sickle cell anemia, multiple myeloma, or leukemia, or any other conditions affecting the penis. Seek immediate medical attention if you experience an erection lasting longer than four hours or if you feel pain during an erection.

• Vision Changes: Sudden vision changes in one or both eyes require immediate medical attention, as tadalafil (Cialis) can cause lasting eye damage, though this is rare. Individuals over 50 or those with a "crowded" optic disc or blood vessel issues in the eye may have an increased risk. Ensure your full medical history is disclosed to your provider before taking this medication.

• Hearing Loss: If you experience sudden hearing loss, ringing in the ears, or dizziness, contact a healthcare professional immediately. Such symptoms necessitate urgent care.

• Drug Interactions: Tadalafil (Cialis) can interact seriously with certain medications. Inform your healthcare provider of all medications you are taking. This is especially important if you are using nitrate medications, as the combination can significantly lower blood pressure. Tadalafil (Cialis) use may be contraindicated until blood pressure is managed if you are on other hypertension medications. Caution is also advised if taking oral azole antifungals or ritonavir (Norvir), which can increase the risk of side effects such as headache, flushing, and vision changes.

• Contraindications: Do not use tadalafil (Cialis) if you are taking nitrate medications for chest pain (angina) or guanylate cyclase (GC) stimulators like Adempas (riociguat). Consult your healthcare provider if any of these conditions apply to you.

When taking this medication, some individuals may experience mild side effects such as headaches, runny nose, sore throat, indigestion, stomach upset, and back pain. These effects are common and often not severe. However, if they persist or become bothersome, it's advisable to consult a healthcare provider.

Serious side effects, though rare, necessitate immediate medical attention. These include severe dizziness, fainting, or chest pain during physical activity, which could indicate heart strain, particularly in individuals with pre-existing heart conditions. Additionally, sudden vision loss or hearing impairment, sometimes accompanied by ringing in the ears, are critical concerns requiring urgent care. A prolonged or painful erection lasting over four hours is another serious condition that demands prompt medical intervention to avoid lasting damage.

Furthermore, while very rare, a severe allergic reaction characterized by rash, itching, swelling, severe dizziness, or difficulty breathing should be treated as a medical emergency. Always inform your healthcare provider if you encounter any unexpected or severe side effects.

Tadalafil, known commercially as Cialis, can interact with several drugs and substances. Inform your healthcare provider about all medications and supplements you are taking, whether they are prescription, over-the-counter, or herbal.

Significant Interactions:

• Nitrates: Combining tadalafil with nitrates, such as Nitroglycerin, isosorbide dinitrate, or recreational drugs like "poppers" (amyl or butyl nitrite), can significantly lower your blood pressure, causing dizziness, fainting, or even heart attack or stroke. Avoid using these within 48 hours of taking tadalafil.

• Riociguat and Vericiguat: These medications should not be used with tadalafil as they can also lead to a dangerous drop in blood pressure.

Cautionary Interactions:

• Alpha Blockers: If you're on alpha blockers like Doxazosin or Tamsulosin for an enlarged prostate or high blood pressure, using them with tadalafil might cause your blood pressure to drop too low. Your doctor might need to adjust your medication dosage.

• Azole Antifungals and Macrolide Antibiotics: Drugs such as Itraconazole, Ketoconazole, Clarithromycin, and Erythromycin can affect how tadalafil is removed from your body, potentially altering its effectiveness.

• HIV Protease Inhibitors: Medications like Ritonavir and Fosamprenavir may impact tadalafil’s function and need careful management.

• Other Erectile Dysfunction or Pulmonary Hypertension Drugs: Avoid taking tadalafil with similar drugs such as Sildenafil or Vardenafil.

By understanding these interactions and communicating openly with your healthcare provider, you can use tadalafil safely and effectively.