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Cialis, or Cialis, is a popular medication for treating erectile dysfunction (ED) and the signs of a man facing it include headache, facial flushing, and a stuffy nose. It’s also known as a "Cialis Viagra" or "Viagra" because it allows you to have a hard-on while you’re experiencing erections.

While it can be convenient, Cialis is not without its complications. The drug isn’t just for men, it’s also not just for men with certain medical conditions. Some of the risks associated with the use of Cialis are:

  • It can cause a serious heart problem. You may feel dizzy or faint, so it’s important to get medical help if you have any of these symptoms.
  • It can cause a severe allergic reaction, which can include a rash, swelling, and breathing difficulties.
  • You may feel like you’re not strong enough to do your exercises, or you may be experiencing muscle problems or back pain.
  • If you experience any of these symptoms after taking Cialis, your health care provider can help you diagnose the issue.

If you want to learn more about Cialis, you can learn more about its benefits, side effects, and precautions. It’s available as a tablet and in the form of Cialis, making it a popular choice for men seeking to enhance their performance and improve their overall well-being.

What Is Cialis and How It Works

Cialis, also known as tadalafil, is a medication that has been used for decades to treat ED. It works by increasing blood flow to the penis, which helps to achieve and maintain an erection.

How Cialis Works

Cialis belongs to the class of drugs called PDE5 inhibitors. It works by increasing blood flow to the penis when an erection occurs.

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Published on: March 27, 2025

The U. S. Food and Drug Administration (FDA) has issued a warning that the effectiveness of tadalafil (Cialis) for erectile dysfunction (ED) patients has been seriously reduced. The FDA issued the following advisory.

According to the FDA, tadalafil (Cialis) may cause serious side effects in some men, including vision problems, priapism (a prolonged erection), and allergic reactions. The FDA issued a similar warning earlier this year to a number of other drugs and the FDA is not aware of any similar warnings issued by the FDA.

The FDA’s warning is based on reports of tadalafil-induced erectile dysfunction in some men taking tadalafil (Cialis) daily. Tadalafil is a prescription drug, which can cause ED. The FDA has issued a similar warning in this regard, but the drug is not licensed in the U.

Tadalafil may also cause priapism, a prolonged and painful erection. The FDA issued a similar warning to tadalafil in 2018, but there are a number of reports of priapism among patients taking the drug.

Tadalafil is not approved for use in the United States, but some other countries have also had a similar warning. The FDA said the warning was based on a review of over 10,000 patients that took tadalafil for about two years. In addition, the FDA also issued a similar warning to the drug on its website, saying the drug is not appropriate for the treatment of ED.

In a letter to the FDA, a representative for Pfizer Inc. said tadalafil was the most effective drug for men suffering from ED, but that the drug was not safe for all men. Pfizer said the FDA is reviewing the results of a small number of patients that took the drug. Pfizer also said the company will update its product information to include additional safety data.

A representative for Eli Lilly & Co. said the company did not have any reports of priapism, but that the drug was not approved for use in the U. for erectile dysfunction.

In addition to the FDA warning, a representative for Pfizer Inc. said the company also did not have any other product information to share with the company. Pfizer also said it is reviewing its warning on its website, and the company will update its product information. Pfizer is also reviewing its warning on its website to ensure the safety of the drug and its use in patients with cardiovascular disease, as well as those who have taken it.

The FDA is also reviewing its warning for men with diabetes, and the warning will be issued after the drug has been used. In addition to the FDA warning, the agency also will review its warning for men taking nitrates, or guanylate cyclase-2 inhibitors, for erectile dysfunction. The agency also will issue a warning about men taking tadalafil (Cialis) for erectile dysfunction, as well as men who have been prescribed the drug. The FDA also will issue a warning to all men taking tadalafil to treat erectile dysfunction.

said it was not aware of any cases of priapism reported by men taking tadalafil (Cialis) or nitrates for erectile dysfunction. The drug was not approved for use in the U. for the treatment of ED. The company also said that men taking tadalafil (Cialis) for erectile dysfunction may also experience an increase in their risk of priapism, or sudden and severe dizziness.

The FDA also has concerns about the use of tadalafil in certain men with liver disease. The drug is not approved for use in the U. For this reason, the FDA has not issued any warning to tadalafil.

The FDA issued a similar warning to the drug on its website, but it is not a licensed product in the U. and is not approved for use in other countries. The FDA has not approved tadalafil for the treatment of erectile dysfunction.

A representative for Pfizer Inc. Pfizer did not provide any information to the company.

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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Disclaimer:The information contained herein is not meant to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with the hope of resolving any health condition you have been diagnosed with. Never disregard seeking medical advice, use of the drug withlinerazosin, or stop using the product without first consulting with your doctor.

D.

Avoid alcohol with tadalafil, since consumption may interfere with its effectiveness or cause you significant dizziness or fainting. Before taking Cialis, consult your doctor or pharmacist for a personalized assessment.

Key takeaways:

  • Cialis (tadalafil) can improve your blood pressure by relaxing blood vessels, leading to increased blood flow to the penis.
  • Hearing is affected by tadalafil, increasing the risk of side effects.

This article explains why you should avoid using cialis to treat erectile dysfunction (ED) if you:

  • take a nitrate drug called nitroglycerin (used to treat chest pain)
  • take a nitrate drug called dapoxetine (used to treat angina)
  • take a nitrate drug called sildenafil (used to treat angina)

If you are experiencing erectile dysfunction, talk with your doctor before taking any nitrate drug, such as nitroglycerin, dapoxetine or sildenafil. If you are experiencing ED, talk with your doctor before taking any nitrate drug.

What is erectile dysfunction?

Erectile dysfunction is the inability to achieve or maintain an erection sufficient for satisfactory sexual activity. It can be caused by several factors, including medical conditions, psychological issues, physical injuries and surgery.

The most common causes of erectile dysfunction are:

  • heart disease (heart attack, irregular heart rhythm, or angina)
  • high blood pressure
  • stroke
  • high cholesterol
  • heart disease
  • a family history of ED
  • depression
  • unexplained low sex drive
  • unexplained high blood pressure
  • depression or anxiety
  • dehydration
  • kidney disease
  • liver disease
  • liver and kidney disease
  • heart attack
  • unexplained low blood pressure
  • unexplained diabetes
  • unexplained heart disease

The symptoms of erectile dysfunction can vary depending on the underlying cause. Here are some general symptoms of erectile dysfunction:

  • erectile dysfunction in men
  • erectile dysfunction in women
  • erectile dysfunction in men and women who are not sexually active
  • erectile dysfunction in men and women who have diabetes, heart disease, high blood pressure or high cholesterol

What causes erectile dysfunction?

There are several factors that can cause erectile dysfunction. For example, if you have a family history of ED, a family history of diabetes, or a history of heart disease or high blood pressure.