what not to eat when taking cialis

what not to eat when taking cialis




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Cialis

Cialis is used for:

Treating erectile dysfunction (ED) or treating the symptoms of benign prostatic hyperplasia (BPH). It may also be used for other conditions as determined by your doctor.

Cialis is a phosphodiesterase type 5 (PDE5) inhibitor. It works by helping to increase blood flow into the penis during sexual stimulation. This helps you to achieve and maintain an erection. It is not known exactly how Cialis works to treat symptoms of BPH.

Do NOT use Cialis if:

  • you are allergic to any ingredient in Cialis
  • you have severe kidney problems or are on dialysis and you will be taking Cialis daily
  • you have severe liver problems or certain hereditary degenerative eye problems (eg, retinitis pigmentosa)
  • you have certain heart problems (eg, unstable angina, angina during sexual intercourse, uncontrolled irregular heartbeat), low blood pressure, or uncontrolled high blood pressure
  • you have had a heart attack within the past 90 days, or you have had severe heart failure or a stroke within the past 6 months
  • you are taking a nitrate (eg, isosorbide, nitroglycerin) in any form (eg, tablet, capsule, patch, ointment), or nitroprusside
  • you have ED and have been advised by your doctor to avoid sexual activity because of heart problems
  • you use certain recreational drugs called "poppers" (eg, amyl nitrate or nitrite, butyl nitrate or nitrite)
  • you take another PDE5 inhibitor (eg, sildenafil, vardenafil) or another medicine that contains tadalafil
  • you will be using it to treat BPH and you are also taking an alpha-blocker (eg, doxazosin)

Contact your doctor or health care provider right away if any of these apply to you.

Before using Cialis:

Some medical conditions may interact with Cialis. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have a deformed penis (eg, Peyronie disease, cavernosal fibrosis), blood cell problems (eg, sickle cell anemia, leukemia, multiple myeloma), or any other condition that may increase the risk of a prolonged erection (priapism)
  • if you have a history of a prolonged (more than 4 hours) or painful erection (priapism)
  • if you have a history of certain eye problems (eg, retinitis pigmentosa, sudden vision loss, optic neuropathy, macular degeneration) or hearing problems (eg, ringing in the ears, decreased hearing, hearing loss)
  • if you have a history of liver or kidney problems, dialysis, lung problems (eg, pulmonary veno-occlusive disease), high or low blood pressure, ulcers, bleeding problems, heart problems (eg, heart failure, irregular heartbeat, aortic stenosis, angina), or blood vessel problems
  • if you have a history of a heart attack, a stroke, or life-threatening irregular heartbeat

Some MEDICINES MAY INTERACT with Cialis. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Alpha-blockers (eg, doxazosin), medicines for high blood pressure, nitrates (eg, isosorbide, nitroglycerin), or nitroprusside because severe low blood pressure with dizziness, lightheadedness, and fainting may occur
  • Azole antifungals (eg, itraconazole, ketoconazole), macrolide antibiotics (eg, clarithromycin, erythromycin), protease inhibitors (eg, boceprevir, ritonavir), or telithromycin because they may increase the risk of Cialis's side effects
  • Barbiturates (eg, phenobarbital), carbamazepine, phenytoin, or rifampin because they may decrease Cialis's effectiveness

This may not be a complete list of all interactions that may occur. Ask your health care provider if Cialis may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Cialis:

Use Cialis as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • An extra patient leaflet is available with Cialis. Talk to your pharmacist if you have questions about this information.
  • Take Cialis by mouth with or without food.
  • Swallow Cialis whole. Do not break the tablet before swallowing.
  • For use as needed. Take Cialis at least 30 minutes before sexual activity, as directed by your doctor. Cialis may work for up to 36 hours after you take it.
  • For daily use. Take Cialis regularly at about the same time each day.
  • Talk with your doctor if you have questions about how you should take Cialis.
  • Check with your doctor before you eat grapefruit or drink grapefruit juice while you are taking Cialis.
  • For use as needed. If you miss a dose of Cialis and you still intend to engage in sexual activity, take it as soon as you remember. Continue to take it as directed by your doctor. For daily use. If you miss a dose of Cialis, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses within the same day.

Ask your health care provider any questions you may have about how to use Cialis.

Important safety information:

  • Cialis may cause dizziness, drowsiness, fainting, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Cialis with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Cialis may cause dizziness, light-headedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.
  • Do not drink large amounts of alcohol (eg, 5 drinks or more) while you take Cialis. Doing so may increase your risk of dizziness, headache, fast heartbeat, and low blood pressure. Check with your doctor before you drink alcohol while you use Cialis.
  • Do not take more than the recommended dose, change your dose, or take Cialis more often than prescribed without checking with your doctor.
  • Patients with heart problems who take Cialis may be at increased risk of heart-related side effects, including a heart attack or stroke. Symptoms of a heart attack may include chest, shoulder, neck, or jaw pain; numbness of an arm or leg; severe dizziness, headache, nausea, stomach pain, or vomiting; fainting; or vision changes. Symptoms of a stroke may include confusion; vision or speech changes; one-sided weakness; or fainting. Contact your doctor or seek medical attention right away if you experience these symptoms.
  • Cialis may rarely cause a prolonged (eg, more than 4 hours) or painful erection. This could happen even when you are not having sex. If this is not treated right away, it could lead to permanent sexual problems such as impotence. Contact your doctor right away if this happens.
  • Cialis does not stop the spread of HIV or other sexually transmitted diseases (STDs) to others through sexual contact. Use barrier methods of birth control (eg, condoms) if you have HIV infection or an STD.
  • Cialis will not prevent pregnancy. If your partner may become pregnant and you wish to avoid pregnancy, be sure to use an effective form of birth control.
  • Cialis may uncommonly cause mild, temporary vision changes (eg, blurred vision, sensitivity to light, blue/green color tint to vision). Contact your doctor if vision changes persist or are severe.
  • Rarely, an eye problem called nonarteritic anterior ischemic optic neuropathy (NAION) has been reported in patients who took Cialis. This may lead to decreased vision or permanent loss of vision in some cases. If you notice a sudden decrease in vision or loss of vision in one or both eyes, contact your doctor right away.
  • Sudden decreases in hearing and loss of hearing have been reported in some patients who have taken Cialis. Sometimes they also noticed ringing in the ears or dizziness. If you notice a sudden decrease or loss of hearing, contact your doctor right away.
  • Do not use other medicines or treatments for ED while you are taking Cialis without first checking with your doctor.
  • Be sure to keep all doctor and lab appointments while you are taking Cialis.
  • Use Cialis with caution in the ELDERLY; they may be more sensitive to its effects.
  • Cialis is not recommended for use in CHILDREN younger than 18 years old; safety and effectiveness in these children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: Cialis is not approved for use in women. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Cialis while you are pregnant. It is not known if this medicine is found in breast milk. If you are or will be breast-feeding while you use Cialis, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Cialis:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Cough; dizziness; flushing; headache; heartburn; mild back or muscle pain; stomach upset; stuffy or runny nose.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing or swallowing; tightness in the chest; swelling of the mouth, face, lips, throat, or tongue); burning, numbness, or tingling; chest pain; confusion; decreased urination; fainting; fast or irregular heartbeat; memory loss; numbness of an arm or leg; one-sided weakness; prolonged, painful erection; red, swollen, blistered, or peeling skin; ringing in the ears; seizures; severe or persistent back or muscle pain; severe or persistent dizziness or headache; slurred speech; sudden decrease or loss of hearing; vision changes (eg, sudden decrease or loss of vision in one or both eyes).

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA .

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center. or emergency room immediately. Symptoms may include chest pain; fainting; prolonged erection; severe dizziness; severe or persistent back or muscle pain; severe or persistent vision changes.

Proper storage of Cialis:

Store Cialis at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Cialis out of the reach of children and away from pets.

General information:

  • If you have any questions about Cialis, please talk with your doctor, pharmacist, or other health care provider.
  • Cialis is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take Cialis or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about Cialis. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to Cialis. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using Cialis.

Review Date: August 8, 2016

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

More about Cialis (tadalafil)

Questions and Answers for Cialis (tadalafil)

1. What is Cialis used to treat?

Cialis is approved for the treatment of men who experience difficulty having and maintaining an erection (impotence).

2. How does Cialis work?

Cialis works by enhancing the effects of one of the chemicals the body normally releases into the penis during sexual arousal. This allows an increase of blood flow into the penis. An erection is the result of an increase in blood flow into certain internal areas of the penis.

3. How is Cialis different from the currently approved products for erectile dysfunction (ED)?

Cialis is different from other currently approved products for ED in that it stays in the body longer. However, there were no studies that directly compared the clinical efficacy and safety of Cialis to other products.

4. How do I take Cialis?

Cialis is taken orally before sexual activity, not more than once daily. Cialis may be taken with or without food. In some patients, the dose strength and maximum frequency of use may be adjusted. For more detailed information consult with your health care provider.

5. Are there any side effects with Cialis?

As with any drug product, there may be side effects. The most commonly reported side effects in patients treated with Cialis during the testing of the product were:

Patients who get back pain and muscle aches usually get them 12 to 24 hours after taking Cialis and these usually go away by themselves within 48 hours. A small number of patients taking Cialis also reported abnormal vision.

6. What important information should you know about Cialis?

  • CIALIS can cause your blood pressure to drop suddenly to an unsafe level if it is taken with any nitrate medication. You could get dizzy, faint or have a heart attack or stroke.
  • Tell your healthcare provider that you take Cialis. If you need emergency medical care for a heart problem, it will be important for your health care provider to know when you last took Cialis.
  • After taking a single tablet, some of the active ingredient of Cialis remains in your body for more than 2 days. The active ingredient can remain longer if you have problems with your kidneys or liver, or you are taking certain other medications.
  • Physicians should discuss with patients the potential for CIALIS to augment the blood-pressure-lowering effect of alpha-blockers and antihypertensive medications.

7. What should I talk to my doctor about when considering if Cialis is right for me?

Because sexual activity can increase the work of the heart, your doctors should talk to you about your heart’s general condition and if Cialis is right for you. Patients who have a condition called "left ventricular outlet obstruction" from valvular problems or heart muscle enlargement may get side effects such as fainting or light-headedness. Because patients with recent heart attacks or stroke, heart pains (angina), heart failure, uncontrolled blood pressure or uncontrolled irregular heart beats, severe liver disease, and retinal eye problems were not studied with Cialis, Cialis is not recommended for these patients. There may be rare occurrences of priapism or painful, prolonged erections. This is a serious condition that requires immediate medical attention. Patients should seek prompt medical attention if their erection lasts longer than four hours.

8. Who should not take Cialis?

Cialis should not be used by patients taking nitrates (such as nitroglycerin tablets or patches) because the combination of these with Cialis could significantly lower blood pressure and lead to fainting or even death in some men.

9. Can Cialis be used with other treatments for impotence?

The safety and effectiveness of Cialis when used with other treatments for impotence has not been studied. Combined use could lead to additional lowering of blood pressure, possibly to unsafe levels. Therefore the use of such treatments in combination with Cialis is not recommended.

10. What if I am taking other drugs?

Always discuss with your health care practitioner ALL of the medications you are taking (prescription and over-the-counter) that way, you can receive the best advice for your own situation. Cialis is not recommended for people taking any form of nitroglycerin because the combination may lower blood pressure to an unsafe level.

11. How will Cialis be supplied?

Cialis will be available as oral tablets in 5mg, 10mg and 20mg strengths.

12. Will Cialis be prescription or OTC (over-the-counter)?

Cialis will be available by prescription only.

13. When will Cialis be available to pharmacies?

FDA has no control over when products are available in pharmacies after FDA approval for marketing. The decision of availability is completely up to the company marketing the product. For further information contact your pharmacist or Eli Lilly and Company directly.

14. How can I report a serious side effect with Cialis to FDA?

FDA encourages anyone aware of a serious side effect, including consumers or patients, to make a MedWatch report.

You can report an adverse event either online, by regular mail or by fax, using the contact information at the bottom of this page.

Food to Avoid While Taking Cialis

by RACHEL NALL Last Updated: Jun 26, 2015

Rachel Nall began writing in 2003. She is a former managing editor for custom health publications, including physician journals. She has written for The Associated Press and "Jezebel," "Charleston," "Chatter" and "Reach" magazines. Nall is currently pursuing her Bachelor of Science in Nursing at the University of Tennessee.

Cialis, generic name tadalafil, is a medication prescribed for the treatment of erectile dysfunction in men. Because the medication helps to increase blood flow, it also can be effective reducing symptoms associated with pulmonary artery hypertension including reducing dizziness, shortness of breath and tiredness. While Cialis offers benefits to those taking it, it is important to be aware of foods that could cause adverse reactions when taking it.

Grapefruit

While enjoying a daily glass or half-slice of grapefruit in the morning can be a way to infuse vitamin C into your diet, grapefruit can have harmful effects when you are taking Cialis. This is because grapefruit interferes with an enzyme that is responsible for breaking down your medication. Without the enzyme, Cialis remains in the body longer than intended. This increases the medication’s absorption, which can have toxic effects on the body.

Considerations

Because grapefruit juice and Cialis can affect people differently, speak to your physician about the amount of grapefruit juice or grapefruit you typically consume in your daily diet. If your physician advises against drinking grapefruit juice, remember that it takes about 72 hours for grapefruit to leave your system. Taking Cialis before this time has passed after you have consumed grapefruit can cause side effects.

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Alcohol

Drinking alcohol while taking Cialis can lead to adverse side effects. Cialis is a blood vessels dilator as is alcohol. When you take Cialis and drink alcohol, your blood vessels can open enough to significantly decrease your blood pressure. This may depend upon the amount of alcohol you are consuming -- alcohol in a moderate amount of about one drink may not interfere with Cialis. Talk to your physician about taking precautions best for your overall health. If you do drink alcohol and observe signs like faster heart rate, dizziness and headache, discontinue alcohol use and see your physician if your symptoms worsen.

Warning

While alcohol and grapefruit are two examples of food interactions with Cialis, they are not the only substances that can interact negatively with the medication. There are over 200 potential drug interactions with Cialis, meaning it is important to talk with your physician about all vitamins, supplements and herbal medications you may be taking. Examples of medication interactions include taking Cialis with erythromycin, ketoconazole, nitrates, rifampin and doxazosin.

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