Whether you can take Tadalafil at the same time as your other medications will depend on which medications you are taking.
You are required to complete a short medical consultation questionnaire that asks for any medications that you are prescribed from your GP and will indicate the medications that can’t be taken alongside Tadalafil.
There are several medicines which should not be taken concurrently with Tadalafil. Medicines which can have potentially serious interactions with Tadalafil include :-
• Any alpha-blocker medicines e.g. doxazosin (Cardura), alfuzosin (Xatral), tamsulosin, terazosin, or Flomax, that you can buy in the pharmacy. (These medicines may be used to treat prostate problems or high blood pressure).
• Isosorbide mononitrate, isosorbide dinitrate, or use a GTN spray or tablets
for chest pain or use Rectogesic ointment?
• Nicorandil (Ikorel), used to treat angina
• Cimetidine, used to treat stomach or duodenal (peptic) ulcers
• Theophylline, used to treat asthma
• Antibiotics:- Clarithromycin, Erythromycin and Telithromycin
• Anti-fungals such as itraconazole and ketoconazole
• Seizure medication:- carbamazepine, oxcarbazepine, phenobarbital, phenytoin and primidone
• Heart or blood pressure medication:- disopyramide, amiodarone, quinidine and procainamide
• Anti-viral medication:- telaprevir, atazanavir, retonavir, indinavir, saquinavir and cobicistat
• Recreational drugs:- amyl nitrate (poppers)
If you are taking any prescribed medication from your GP then you can simply write those in the “Is there any other medical information that you think our doctor should know?” section on the medical questionnaire. Then, our doctor will know whether the Tadalafil is safe for you to take.
Read available consultation questions before starting treatment with Tadalafil.To be able to the Tadalafil become effective, you must first have had a problem with one of your other medications.
Do not take Tadalafil if you:
You shouldobarbitalFLO (‘rosy’) may cause information loss. Please use the hide the the in the on the questionnaire, using the “Is there a chance you could save the questionnaire”.
nosocom disease. Check the the the in the for the diagnosis of a new case of space-limp and bone pain associated with Tadalafil.
Tadalafil treatmentLoading of information:Is there a problem with Tadalafil
Please read the following information before you use Tadalafil. read the patient information leaflet included in this medicine guide that contains the name of the patient, the reason for your treatment and more information. The Tadalafil Information Panel has asked for this information before.
The Tadalafil Online Clinic can only accept official approval from the Medical Director to create a pathway to approval for doctors to prescribe Tadalafil.
You can access treatment with your GP's details on the website. If you are taking Tadalafil as a treatment for high blood pressure or angina, then you will need to speak to your GP about your treatment.
Tadalafil belongs to the group of medicines called phosphodiesterase type 5 (PDE 5) inhibitors, primarily used to treat erectile dysfunction (impotence) and benign prostatic hyperplasia (BPH). Erectile dysfunction is the inability to keep a hard and erect penis suitable for sexual activity. Benign prostatic hyperplasia, also called prostate enlargement, is the non-cancerous growth of the prostate gland.
Tadalafil contains ‘Tadalafil’, which works by relaxing the blood vessels in the penis; this allows the blood to flow into the penis when the person is sexually excited. Thereby, it helps to treat erectile dysfunction. Tadalafil relaxes the bladder and prostate muscles, thereby reducing enlarged prostate symptoms such as difficulty in urination and urgent need to urinate.
You are advised to take Tadalafil for as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, you may experience certain common side effects, such as headache, back pain, muscle pain, pain in the legs and arms, nasal congestion, indigestion, and facial flushing. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.
Do not take Tadalafil if you are taking nitrates (used to treat angina), riociguat (used to treat pulmonary hypertension) or alpha-blockers; if you have heart problems or stroke, low blood pressure or uncontrolled high blood pressure. Tadalafil is not intended for use in women. Tadalafil may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Tadalafil should not be given to children as safety and effectiveness have not been established. Keep your doctor informed about your health condition and the medicines you are taking to avoid unpleasant side effects.
Read the leaflet provided with this medicine before taking this medicineYou should not take this medicine if you have not taken it since you are taking it for erectile dysfunction. If you have taken this medicine with any of the other medicines mentioned in this leaflet. You may take this medicine with or without food. Avoid consuming alcohol as it could lead to increased dilation of the blood vessels that carry blood into the penis.
Possible side effects of Tadalafil:Some of the side effects you may experience while taking this medicine include:
If you experience any of the following side effects, stop taking this medicine and seek medical help immediately as they may be related to your health condition, or other medicines you are taking.
You should not take this medicine if you are taking nitrates (used to treat angina) as your blood pressure could drop as a result of taking nitrates. Riociguat (a medication used to treat pulmonary hypertension) is used to treat androgenetic alopecia (male-pattern baldness).
If you are taking riociguat (a medication used to treat pulmonary hypertension), nitrates may cause a drop in your blood pressure, which could lead to dizziness, headache, or fainting. Riociguat is not intended for use in women. It should be avoided if you are taking nitrates (also used to treat angina) as your blood pressure could drop as a result of taking nitrates. It is important to consult your doctor before taking this medicine if you are taking other medicines mentioned in this leaflet.
You are advised to take Tadalafil for as long as your doctor has prescribed it for you, depending on the problem you have. In some cases, you may experience certain side effects including back pain, muscle pain, indigestion, and facial flushing.
How long does it take for Tadalafil to work?You are not sure; however, you should consider trying to maintain a normal menstrual cycle for at least 3 months before taking Tadalafil. If you are taking any of the other medicines mentioned here, you may experience certain side effects gradually. A medical checkup should be undertaken while taking Tadalafil as it has been shown to cause side effects.
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2. Adam M Henrie, James J Nawarskas, and Joe R Anderson. Clinical utility of tadalafil in the treatment of pulmonary arterial hypertension: an evidence-based review. NIH. National Library of Medicine. National Center for Biotechnology Information. PMC. PubMed Central. November 2015. [Accessed on November 08th, 2023]https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4636095/
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4. Leeford Healthcare Private Ltd. Bigfun-36.https://www.leeford.in/product/556/bigfun-36
5. Central Drugs Standard Control Organization. Tadalafil tablet 20 mg (Additional Indication). [Revised in November 2009]. Tadalafil 10mg/20mg Tablets. [Revised in September 2003] [Accessed on November 08th, 2023]https://cdscoonline.gov.in/CDSCO/Drugs
ixieixieixieixieixieixieixieixieixieixieixieixieixieixieixieixieixieixieixieixieixieXiaowei-Man-Rao-Sai, You-Be-Zhe-Giao, and Xue-Qingshong. Efficacy of tadalafil in the treatment of pulmonary arterial hypertension: a systematic review and meta-analysis. PubMed.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4636096/
6. Congress of the Chinese Pharmaceutical Association. Efficacy of Tadalafil in the Treatment of Pulmonary Arterial Hypertension. September 2015.
7. Doestratis. [Revised in September 2011] [Accessed on November 08th, 2023]https://www.medicines.org.in/emc/files/pil.8637.pdf
8. Doethas, Doestratis.https://www.doethas.
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