Archive for June 2011
To answer this question you should first of all talk to your doctor about alcohol consumption and Cialis. Your doctor will determine your current state of health and give the best decision for your situation.
The best decision about your intake of alcohol while on this drug can make only your doctor because only he can estimate all the risks to your health that this combination may cause. The results of the studies involving men taking alcohol with Cialis show that those who consumed no or small amount of alcohol had practically no risk for health. Those who took large amounts of alcohol while using Cialis had more severe and frequent side effects, including:
- A rapid heart rate (tachycardia) or irregular heart rate;
- Low blood pressure;
- General ill feeling.
Alcohol and Cialis have the similar effect on blood vessels, causing them to dilate. The dilation of blood vessels can cause different dangerous conditions for your health. So before taking this drug with alcohol, consult your doctor to know if you can drink alcohol and what amount of alcohol you can drink not to make harm for yourself.
The Cialis postmarketing reports of consumers contain the most common side effects which were chosen due to their seriousness, frequency, lack of clear alternative causation. The volunteers taking part in postmarketing experience were of different age and can be grouped as almost healthy and having certain medical health conditions. The postmarketing reports on side effects are not the same as reported from the clinical trials. Postmarketing experience does not allow reliably estimating the frequency of side effects and relating them to the drug consuming.
Serious cardiovascular events such as myocardial infarction, cardiac death of sudden character, stroke, chest pain, and tachycardia were reported in relation with the use of Cialis. Lots of these events happened during or after sexual activity.
Migraines, seizures and seizure recurrence were the most common answers from the nervous system.
Visual defects, retinal occlusion were the ophthalmologic side effects, reported mostly by those who have been suffering from certain eye diseases before taking the drug.
Sudden decrease of hearing loss has been reported postmarketing in temporal relation with the use of Cialis. The experts however say that it is not possible to determine if this reported side effect is related directly to the use of Cialis or to the patient’s underlying risk factor for loss of hearing.
Here is a list of drugs having potentially dangerous interactions with Cialis, the list is not full, that is why we recommend before using Cialis to consult a doctor and ask him all the questions you have.
Inform your doctor about all other erectile dysfunction therapies; do not use them in combination with Cialis before first consulting your doctor.
Tell your doctor about the following medications:
- Mycobutin, Rifadin, Rimactane, or Priftin;
- any antibiotics especially Biaxin, Synercid, erythromycin, Ery-Tab, Erythrocin, or Ketek;
- Sporanox, Diflucan, Sporanox, Extina, Xolegal, Ketozole, Nizoral, Vfend;
- any antidepressants especially nefazodone;
- barbiturates such as Solfoton;
- drugs to treat high blood pressure or a prostate disorder, such as Uroxatral, Cardura, Minipress, Hytrin, Flomax;
- heart or blood pressure medications such as Cardizem, Dilacor, Tiazac, Cardene, Quinaglute, Quinidex, Quin-Release, Calan, Covera, Isoptin, Verelan;
- HIV or AIDS medications such as Prezista, Sustiva, Intelence, Kaletra, Viramune, Lexiva, Crixivan, Norvir;
- seizure medications such asTegretol, Dilantin.
Your doctor should know about all medications you use including prescription, vitamin, and herbal products.
Cialis side effects may be of less serious and serious character, it depends on the dose and individual tolerance of the patient.
Cialis most common side effects include:
- redness or warmth in your face, neck, or chest;
- cold symptoms such as stuffy nose, sneezing, or sore throat;
- diarrhea, upset stomach;
- muscle pain, back pain.
These side effects are not so serious still you may report them to your doctor if they bother you.
Serious side effects of the drug include:
- sudden vision loss;
- sudden hearing loss;
- chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;
- irregular heartbeat;
- shortness of breath, swelling in your hands, ankles, or feet;
- seizure (convulsions);
- feeling light-headed, fainting;
- penis erection that is painful or lasts 4 hours or longer.
In case you have any of the mentioned above serious side effects, stop using the drug and get emergency medical help.
Some patients experience allergic reactions to Cialis: hives; difficulty breathing; swelling of a face, lips, tongue, or throat.
Side effects happen rarely, still watch for any conditions appearing especially if you take this drug for the first time. To avoid side effects or eliminate them at all, try to follow all your doctor’s advice and recommendations.
Cialis is a drug indifferent in action to food, so you can eat any food you like while taking this drug. Still Cialis is not recommended to take with alcohol because this combination can enlarge certain adverse events of the drug.
The other product which may interact with Cialis is food containing grapefruit or grapefruit juice. You should try to avoid using of grapefruit products while on Cialis. If you want to include these products in your daily meals consult your doctor how to do it in a right way. Your doctor may determine the amount of grapefruit products in your diet.
You should not use other ED therapies such as: sildenafil (Viagra, Kamagra) or vardenafil (Levitra) while you are taking Cialis.
Avoid using any other drugs (prescribed for you by other doctors) or drugs supplements while being treated with Cialis. You should first inform your doctor about these prescriptions to avoid drug interactions and side effects.
Cialis in different studies showed no potentially dangerous effects on blood pressure and on heart rate in healthy patients. Still when administered with nitrate drugs which are contradictory to Cialis, tadalafil has shown the ability to enlarge hypotensive effect of nitrates.
The assessment of the degree of interaction between Cialis and nitroglycerin was made in double-blind, placebo-controlled, crossover study in 150 patients including patients with certain health conditions such as diabetes and hypertension. The participants were taking 20mg of Cialis and 0.4mg of sublingual nitroglycerin for a week. The interaction of the drugs was at each timepoint up to 24 hours, at 48 hours there were no interactions observed. Still Cialis and nitrate drugs affect each other and between taking nitrate and tadalafil 48 hours should pass to diminish life- threatening situation.
When administered with alcohol, Cialis has shown the ability to interact with alcohol in excessive doses. Patients reported dizziness and hypotension was observed in some patients because alcohol and Cialis are mild vasodilators which together can significantly decrease blood pressure.
Cialis demonstrated dose related changes of color discrimination, however this side effect occurred rarely.
The studies have shown no clinically meaningful changes in sperm concentration, sperm morphology and sperm motility.