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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.
Human papilloma virus (HPV)ingotal cases of erectile dysfunction 2–4%–22%–50%–100%–50,000–99,000 RNA

C. Drug-Citation Interactions:

Macroscope M, Haddad H, Hossain M, Al-Oyoush M, Al-Qaboosha I, et al. Top Drug-Citation Interaction: Cialis and alpha-blockers may reduce blood pressure with nitrates and alpha-adrenergic blocking agents. J Sex Med. 2014;15(2):105-116..

Interactions interactions pages 2–4
  1. Al-Qaboosha I, Maboosha A, Al-Oyoush M, Al-Oyoush I, Al-Sarafian M, et al. Cialis and alpha-blockers can reduce blood pressure with nitrates and alpha-blockers.

Table of Contents

Here is a guide to the bestTopeDrugs in Pattaya.

Top Drugs

Viagra and Cialis are the mostpopularViagra and Cialis medications in Pattaya. They are the most popularfor most men. Viagra and Cialis are used to treat erectile dysfunction (ED).

Viagra or Cialis is used to treat the symptoms of an enlarged prostate or prostate problems. It works by relaxing the muscles in the walls of the blood vessels that supply blood to the penis. This helps men to achieve and maintain an erection when sexually aroused.

Where to buy Viagra and Cialis in Pattaya

You can buy the following Viagra and Cialis from a reputable source:

  • Viagra
  • Cialis

You can also buy Cialis online from a reputable source:

  • Levitra

Top Top Drugs for erectile dysfunction

The following are thebestin Thailand:

  • Tadalafil
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Cialis or Tadalafil is used to treat erectile dysfunction (ED) in men.

It relaxes the blood vessels that supply blood to the penis.

Best Viagra and Cialis in Pattaya

Pattaya is themost popularplace in Thailand for

The bestin Thailand are:

    Top Branding & Pricing

    The following are the mostBrands of

    Viagra Brand Name:

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    Cialis or Levitra is used to treat erectile dysfunction (ED) in men. It is used to treat erectile dysfunction (ED) in men that are unable to get and maintain an erection.

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    • Erectile Dysfunction (ED).
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      What Cialis For Men 10mg Film-coated Tablets is and What it is Used For

      Cialis for men 10mg film-coated tablets is a treatment for adult men with erectile dysfunction. This is when a man cannot get, or keep a hard, erect penis suitable for sexual activity. Cialis for men 10mg film-coated tablets has been shown to significantly improve the ability to obtain a hard erect penis suitable for sexual activity.

      Cialis for men 10mg film-coated tablets contains the active ingredient tadalafil which belongs to a group of medicines called phosphodiesterase type 5 inhibitors. Following sexual stimulation Cialis for men 10mg film-coated tablets works by helping the blood vessels in your penis to relax, allowing the flow of blood into your penis. The result of this is improved erectile function.

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      You can safely and conveniently buy Cialis online from Phelans Pharmacy. We understand that discussing erectile dysfunction (ED) can be uncomfortable, which is why we offer a discreet and professional online assessment to ensure Cialis (Tadalafil) is a suitable and safe treatment option for you. Our experienced pharmacists will review your assessment and determine if Cialis is the right choice for you.

      Is Cialis Available Over the Counter?

      Cialis is an over-the-counter medication in Ireland, meaning you do not need a prescription to purchase it. However, a consultation with a pharmacist is required before supply.

      The pharmacist will have to have a telephone consultation with you before the supply of this medicine.

      The maximum purchase that can be made of any brand of Cialis for men 10mg tablets is 16 tablets.If a quantity exceeding the maximum of 16 tablets of Cialis for men 10mg tablets is ordered, your balance will be refunded.

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      It is apill defends against erectile dysfunctionwhen taken as prescribed by a doctor. This is particularly effective if you are planning a​com�️​n​uose​eingof​o​n​uowand​er​eing.

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      What Is Viagra?

      Viagra, a popular oral medication for erectile dysfunction, is a PDE-5 inhibitor. It works by relaxing the muscles in blood vessels, allowing more blood to flow into the penis, and increasing the ability to get and keep an erection.

      Unlike Cialis and Levitra, Viagra does not require a prescription to purchase. Rather, a doctor will prescribe it on-demand, making it more affordable for people with busy lifestyles.

      Viagra is an affordable treatment for erectile dysfunction. It offers a range of oral medications for different conditions. It is available at a variety of pharmacies in the United States and throughout the rest of the world.

      Viagra is a prescription medication, and it is also sold as a generic drug.

      How Does Viagra Work?

      Viagra and Cialis work by inhibiting the PDE-5 enzyme.

      [11-20-2021]The Food and Drug Administration (FDA) is advising consumers not to purchase or use Perrigino® 100mg. This product is not FDA approved and does not contain the active ingredient tadalafil.

      FDA laboratory analysis confirmed that Perrigino® 100mg contains tadalafil, the active ingredient in Cialis®, an FDA-approved prescription medication used to treat erectile dysfunction (ED). This undeclared ingredient may interact with nitrates found in some prescription drugs, such as nitroglycerin, and may lower blood pressure to dangerous levels. People with diabetes, high blood pressure, high cholesterol, or heart disease often take nitrates.

      Health care professionals and patients should report adverse events or side effects related to the use of Perrigino® 100mg to the Food and Drug Administration (FDA) within 30 days of purchase or use, and report any suspected adverse events to FDA immediately.

      Content current as of:

      07/03/2025

      Ingredients

      Active ingredient: tadalafil

      Contains:

      Weight: 1.