Cialis (Tadalafil) as a part of the combined medicamental therapy

Cialis (Tadalafil) and antifungal drug Ketoconazole

  •   When Cialis is taken simultaneously with the maximum recommended daily Ketoconazole dose of 400mg, a daily dose of Cialis should not exceed 5mg (one 5mg Cialis tablet, once a day).

 

  •   At Cialis application with an average daily Ketoconazole dose of 200mg, a daily dose of Cialis should not exceed 10mg (one 10mg Cialis tablet — once a day).

 

Cialis (Tadalafil) and medications for treatment of gastric intestinal diseases

 

  •   When Cialis pills are prescribed simultaneously with H2 receptor antagonists (for example, Ranitidine; Nizatidine; Cimetidine), a daily dose of Cialis it is not to be adjusted.

 

  •   At application of Cialis pills with drugs for heartburn cure (antacids: Alka-Seltzer; Tums; Maalox), Cialis pills is quickly released in the intestinal tract. Accordingly in Cialis pills use combined with antacids a risk of gastric intestinal side-effects is increased (nausea; diarrhoeia)

 

Cialis (Tadalafil) and bronchodilator Theophylline

 

  •   Cialis application with the drug for treatment of respiratory diseases Theophylline may lead to insignificantly increased heart rhythm.

 

  •   At the average increasing of heart rhythm makes only 3 pulps a minute. Therefore combined use of Cialis pills and bronchodilator Theophylline does not provide a clinically significant effect on the cardiovascular system functions and a daily dose of Cialis it is not to be adjusted.

 

Other medications for treatment of erectile dysfunction

 

  •   Besides Cialis (Tadalafil) approved by FDA for treatment of erectile dysfunction on November 21, 2003, two more medications are available to treatment of erectile dysfunction — Viagra (Sildenafil citrate) and Levitra (Vardenafil) in the USA.

 

  •   The interaction of Cialis pills with Viagra pills and Levitra pills has not been studied, therefore it is strictly recommended to avoid Cialis use with drugs for erectile dysfunction treatment Viagra or Levitra.

 

Medications for treatment of cardiovascular diseases

 

One of possible reasons of erectile dysfunction is cardiovascular diseases which are treated with prescribed different medications. The list of medications prescribed for therapy of cardiovascular diseases includes:

 

  •   antiplatelet agents; α-blockers and β-blockers; statins and fibrates; nitrate; anticoagulants; loop diuretics; thiazide diuretics; inhibitors of angiotensin-converting enzyme and antiarrhythmic agents.

Despite that Cialis (Tadalafil) provides a moderate vasodilating effect, it can be indicated in a combination with most medications for treatment of cardiovascular diseases.

 

The only group of medications which cannot be taken in a combination with Cialis (Tadalafil) is a group of organic Sodium nitrates:

 

  •   Rectiv (nitroglycerin ointment); Isordil; Sorbitrate; Minitran; Nitro (Iv); Imdur; Nitro-Bid; Ismo; Nitro-Dur; Monoket; Nitrol; Bidil; Nitrolingual; Dilatrate-Sr; Glyceryl Trinitrate; Nitrolingual Pumpspray; Isosorbide Dinitrate; Nitromist; Isosorbide Mononitrate; Nitronal; Tridil; Nitrostat; Transderm-Nitro)

 

Application of any organic Sodium nitrates prescribed for treatment of coronary heart disease and stenocardia is contraindicated to Cialis pills.

 

Cialis (Tadalafil) is contraindicative to men under 18 years and men with diagnosed hypersensitivity to active component Tadalafil.

 

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