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Viagra 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 Viagra use include:

  • Headache
  • Heartburn
  • Congestion
  • Nasal bleeding (bloody nose)
  • Nausea
  • Diarrhea
  • Muscle aches or pains
  • Flushing
  • Facial pain or tenderness
  • Vision changes
  • Light sensitivity

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 Viagra. Viagra can interact with bodily substances, causing potentially serious adverse reactions.

Specifically, you should inform your health care provider of any nitrate 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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What is Viagra?

Viagra is a prescription medication used to treat erectile dysfunction (ED). It works by increasing blood flow to the penis.

Viagra works by increasing blood flow to the penis, which can help men achieve and maintain an erection.

Viagra can help treat erectile dysfunction in men of all ages. Men can also take Viagra as needed, typically at least 30 minutes before sexual activity.

Viagra can be taken with or without food. If you take Viagra with a high-fat meal, your health care provider may adjust the dosage.

Viagra can help men with ED achieve and maintain an erection if sexual activity is planned for only a few minutes before sexual activity. However, it’s important to note that Viagra can cause a serious drop in blood pressure when taken with nitrates.

If you take Viagra with a high-fat meal, your health care provider may lower the dosage gradually.

How is Viagra available?

Viagra tablets are for oral use. They can be purchased from a pharmacy, convention, or private prescription provider. Viagra tablets come in:

  • 30- and higher strength pills
  • 30- and lower strength pills
  • 4 major brand medications
  • 4 minor medications

Online retailers typically do not offer guidance on online purchase of medications, andumpostroinals are not recommended.

As with all prescription medications, be sure to inform your doctor of any medical conditions you currently manage. Viagra can interact with tissue types and causing serious adverse reactions.

If you use Viagra for chest pain, your health care provider should prescribe a lower dose.

As with all prescription medications, inform your doctor of any medical conditionsORTefertility is reported in reports of transdermal drug reactions of men who took Viagra or had Viagra prescribed by a health care provider.

The US Food and Drug Administration (FDA) has approved two drugs that contain sildenafil and tadalafil. Sildenafil and tadalafil are used to treat erectile dysfunction. Tadalafil is the active ingredient in Cialis.

Sildenafil is a phosphodiesterase type 5 (PDE5) inhibitor that works by relaxing muscles in the walls of blood vessels. It works by inhibiting the phosphodiesterase type 5 enzyme, which causes the relaxation of the smooth muscle in the arteries and veins of the penis. This results in increased blood flow and allows for an erection when sexually stimulated. It is used to treat pulmonary arterial hypertension and also improves the blood flow in the legs and lungs of the body. This medication is also approved to treat erectile dysfunction in men. When taken with sexual stimulation, tadalafil increases the blood flow to the penis and increases blood flow to the cavernous bodies of the penis.

Both sildenafil and tadalafil are available as tablets. However, they are not the same. The two medicines are not interchangeable and you should always take them as directed by your physician.

The active ingredient in Cialis is Tadalafil. It is the same active ingredient as its brand counterpart Viagra.

Tadalafil is also available in other strengths as well. This can be used to treat erectile dysfunction and pulmonary arterial hypertension. Sildenafil can be used to treat erectile dysfunction and is also approved for use in men.

You should not take tadalafil if you are allergic to tadalafil, tadalafil is not known to be a tadalafil or it may interact with other medications.

VIDEO

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Disclaimer:The information and contents of this website are for general reference only. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your healthcare provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.

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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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Other Drug-Food interactions:

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  • Anxiety
  • Dizziness
  • Nausea
  • Stomach pain
  • Fatigue
  • Tenderness in newborn infants

Grapefruit and Grapefruit Juice:

While grapefruit and grapefruit juice are no longer the first choice of treatment for Cialis, their contamination can increase the risk of side effects. If you have a medical condition that may suggest a match, discuss the medical history with your doctor and the appropriateness of taking a lower dose of Cialis.

Last updated 6 March 2024

Podcast:

23 min read

duplication of transcript

transcript:

I'll be back to talk with you again.

I'm a pharmacist. I work in a hospital. I've been on some of the medications that are available on the NHS. I do have some side effects. I have to take them as a precaution because they may have a risk of having an abnormal heart rhythm and a bad blood pressure because of it. I'm always looking for ways to manage those side effects and things like that.

There are a lot of things that I do as a pharmacist. I do have some things like a rare condition called benign prostatic hyperplasia (BPH). I have a very serious condition called an enlarged prostate called prostatic hyperplasia (BPH). But I have also had an enlarged prostate that happens because it's very common. It's just not a normal part of the prostate gland. The prostate gland is very hard and I think you need to take it as a precaution because sometimes it's hard to get the prostate out of your body. I take it about twice a week because it puts a lot of strain on my body, it puts a lot of pressure on the prostate. I've had a lot of stress on my bladder. And I have to take it as a precaution because it can make it hard to pass urine. But I've also had an attack of angina, which is a stroke. It's a stroke that's happened to me in the past. And it's very serious. It's a stroke and the blood pressure is high, but I've been fine. And I don't have any symptoms. But there's something about it that makes me anxious to go back to the doctor and see him because it can make things worse." (Both podcasts, as opposed to '50s and '60s).

So you know, I've talked to my doctor and I've told him I'll be taking Viagra. I'm just a pharmacist. And I've had an attack of angina, which is a stroke. And I've had an attack of angina and my heart's not that strong, it's not that strong. I'm just fine. But I've had a lot of stress on my bladder. And I have to take it as a precaution because sometimes it puts a lot of strain on my body, but I've been fine. And I've had an attack of angina and my heart's not that strong. I've had an attack of angina, and my blood pressure is high. And I've had a lot of stress on my bladder, but I'm fine. But I've had an attack of angina and my heart's not that strong. And I've had a few other things, and it's a long way down the road. So I've had a few other things, and it's something that I'm not sure about." (Both podcasts, as opposed to '50s and '60s).

The following are some of the more common side effects of Viagra.

Viagra:The little blue pill that's been on for a long time.

There's been some research that shows a little bit of Viagra has been very well tolerated in the UK. This is actually because it's more commonly used, which is because the side effects are so much lower than they are for other medications. It's because it's really easy to take. Viagra is usually taken for a number of years, so you don't have to take the pill for that long, and then it can be taken for a few months or years. It can be taken for a number of years, but it can be for a short period of time or for a long time. It's the little blue pill. Viagra's been around since the '80s, and it was widely used in the UK for a number of years. It was very widely used and very widely prescribed, but it was only widely prescribed for a few years.

But Viagra's been around for a long time. It's been around a lot for many reasons. It's been around for a long time.