Price of cialis in ontario

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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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C. Viral and bacterial infections:

Cialis (tadalafil) can also interact with tadalafil-based infections, also known as bacterial prostatitis and viral infections of the lungs, eyes, skin, or urinary tract. If you have had a infection with Cialis or tadalafil, you should avoid consuming grapefruit or grapefruit juice while taking Cialis.

Other Drug-Food Interactions:

  • Ketoconazole, which can increase the blood pressure-lowering effects of tadalafil,
  • Protease inhibitors, used to manage HIV infection,
  • Other antibiotics, containing the active ingredient doxycycline (Ex. telithromycin),
  • azole antivirals, used to treat certain infections,
  • Rifampicin, used to treat bacterial infections

D.

Description

Cialis 5mg film-coated tablet (20mg/5ml) treats erectile dysfunction (ED) in men. This medication is not recommended for pregnant or breastfeeding women. It is not intended for use in children.

Uses

Treatment of Erectile dysfunction (ED). This medication is also used in the treatment of benign prostatic hyperplasia (BPH). This medication can help treat pulmonary arterial hypertension (PAH), a condition where the arteries in the lungs are narrowing. If your doctor has prescribed this medication for you, do not stop taking it without talking to your doctor first.

How to use

Follow all directions given to you by your doctor. Take this medicine exactly as your doctor tells you to take it. Follow all directions for the dosage. You may take it with or without food.

Swallow the tablets whole, with a glass of water. Do not chew or crush the tablets.

Warnings

Before taking this medicine, tell your doctor or pharmacist if you are allergic to tadalafil, any other medications, or any of the ingredients in this product. Be sure to mention any of the following: Heart problems, low blood pressure, stroke, heart attack, low blood pressure, high cholesterol or triglyceride levels, depression, or other mental health problems. This product may contain ascorbic acid, which may cause heart problems. This product may contain corn starch, which may cause heart problems. The content of these ingredients in this product may also contain other ingredients that may be higher or lower than they should, such as iron, zinc, or magnesium. Tell your doctor or pharmacist if you are not sure if any of your medications, vitamins, or supplements are within these amounts. These ingredients may be present in different amounts in different pills.

Before taking this medication, tell your doctor or pharmacist if you are taking or have ever taken any other medicines, including over-the-counter medicines and herbal products. Tell your doctor if you are taking any other products containing grapefruit juice or grapefruit juice. You may need to use a different antifungal, such as a medicine for yeast infections, or a medicine for HIV. Tell your doctor if you are taking any of the following medications: Aspirin, other medications, vitamins, or supplements. Tell your doctor if you are being treated for any of the following conditions: BPH, heart problems, low blood pressure, stroke, heart attack, low cholesterol or triglyceride levels, depression, or other mental health problems.

In case you have forgotten to take your dose, take it as soon as you remember. However, if it is almost time for your next dose, do not take a double dose.

Store at room temperature away from moisture and heat. Do not store in the bathroom. Keep all medicine in a cool and dry place away from direct sunlight. Do not store in the sun or near heat.

Tadalafil Tablet Price (Per Pill):Rs. 22.95

Dosage Instructions:

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush, or break it. This medication is best taken with a meal that contains fat. Do not take a higher dose of this medicine than your doctor prescribes. You may take this medicine at least 1 hour before sexual activity. This medicine is best taken on an empty stomach or with a full glass of water. The amount of time this medicine will take to work varies from person to person. It may take up to 4 to 6 hours to work. Consult your doctor if you have any doubts or concerns.

Treatment of Erectile dysfunction (ED) in men. If your doctor has prescribed this medication for you, do not stop taking it without talking to your doctor.

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 with all prescription medications, be sure to mention any and all prescription supplements you use. Cialis can significantly reduce your risk of experiencing adverse reactions to it, including those linked to nitrates.

If you have recently had heart surgery or experience chest pain during sex, let your health care provider know. They may adjust your medication or recommend alternative treatments.

As with all prescription medications, be sure to mention any and all supplements you use.

SUMMARY CMI

Cialis Tablet

Consumer Medicine Information (CMI) summary

The on the next page has more details. If you are worried about using Cialis, it is not recommended to buy Cialis from a foreign pharmacy.

1. Why am I using Cialis?

Cialis contains tadalafil as its active ingredient. Tadalafil is used to treat erectile dysfunction (ED) in men. It is used to treat benign prostatic hyperplasia (BPH) and male pattern hair loss. Cialis belongs to a group of medicines called phosphodiesterase type 5 inhibitors. These medicines work by helping the blood vessels in your penis to relax and expand.

2. WHAT IS CIALIS?

CIALIS contains tadalafil as its active ingredient. CIALIS belongs to a group of medicines called phosphodiesterase type 5 inhibitors. This helps you to get an erection.

3. WHAT CIALIS DO NOT?

CIALIS does not treat erectile dysfunction. Tadalafil works only for up to 36 hours. Do not take CIALIS more than once a day. CIALIS is not for use in women or children under 18 years of age.

4. HOW DO I USE CIALIS?

CIALIS is used for:

  • all men with erectile dysfunction (ED)
  • men with benign prostatic hyperplasia (BPH)
  • men with male pattern hair loss (androgenetic alopecia)
  • men with low levels of testosterone in the blood
  • men with low levels of the sex hormone or 17-beta-estradiol in their blood
  • men with an enlarged prostate
  • men with an increased risk of strokes, deep vein thrombosis, and pulmonary embolism (PE)
  • men with certain medical conditions, such as severe cardiovascular disease, a heart attack, or irregular heartbeat
  • men with a history of priapism or penile bleeding

5. WHATdo I need CIALIS to take?

CIALIS is a prescription medicine for use in the following conditions:

  • men with erectile dysfunction (ED)
  • men with benign prostatic hyperplasia (BPH).

6. HOWTo use CIALIS

  • CIALIS is available in the following dosage forms:

US FDA only generic Cialis 20 mg, the same formula as Cialis. Dosage forms are available only by prescription from a licensed pharmacy. The dosage form is as follows:

FormStrengthDosage
Tablet20mg20 mg
Cialis2.5mg/5mL4.5mg/5mL

7. BEFORE I TAKE CIALIS?

Do not take CIALIS if you are allergic to tadalafil, or any of the ingredients listed at the end of the CMI. If you have an existing heart or liver problem, or you are taking nitrates, guanylate cyclase stimulators, calcium channel blockers, blood pressure medicines, antibiotics, antifungals, HIV medicines, pain medicine medicines, painkillers, antipsychotics, antiretrovirals, or any other class of medicines, tell your doctor before taking CIALIS.

8. HOWTo Use CIALIS

    Dosage forms are available only by prescription.