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The latest version of theAustralian Pharmacy Handbookhas introduced new and improved treatments for erectile dysfunction. The book,

The new treatment for erectile dysfunction is called tadalafil (Cialis) and will be offered in the Australian market by Dr Fox Pharmacy.
The drug is a 5-alpha reductase inhibitor used in men who are unable to achieve or maintain an erection sufficient for sexual intercourse.
The new treatment is intended to be used only by men with erectile dysfunction, who also have erectile dysfunction problems. It should be used only under the supervision of a doctor, and is not recommended for use by women or children.

The book contains a full list of the conditions under which tadalafil may be used:

Erectile Dysfunction (ED)- This condition is defined as:

Erectile dysfunction (ED) in which the man does not have an erection sufficient to have sexual intercourse.

If this condition does not improve or if it causes psychological symptoms, the doctor can prescribe tadalafil to help overcome the symptoms.

Pulmonary Arterial Hypertension (PAH)- In women, pulmonary arterial hypertension is a serious condition that causes narrowing of the arteries that supply blood to the penis, resulting in an irregular heartbeat and/or low blood pressure.
Congestive Heart Failure- In men, if there is heart failure, a heart attack can lead to a sudden drop in blood pressure.
Diabetes- If blood glucose is low enough to cause an inability to lose or maintain an erection, a diabetes diagnosis can be made by a doctor.

If the condition causes other medical problems, the doctor may decide to treat the other conditions with a prescription of a medicine or another drug.

The book also includes a summary of the current medical treatment for erectile dysfunction, with the aim of helping readers make an informed decision about their treatment.

If you want to read the complete,.

If you have any questions, ask your doctor or pharmacist.

If you have any concerns, ask your doctor or pharmacist.

If you are currently using any of the listed drugs, or have any other allergies or sensitivities, talk to your doctor.

If you have not tried any of the listed drugs and are still not getting the results, talk to your doctor.

If you are taking any of the listed drugs, talk to your doctor.

If you are on any other medication or have been recently prescribed one of the listed drugs, ask your doctor or pharmacist.

If you have been on any other medication that contains the listed drugs, ask your doctor or pharmacist.

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:

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.
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.
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.
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.

Added/abitual for a minutes.

Added/idiopathic:Cialis can lead to a sudden and severe decrease in blood pressure if used with nitrates or nitric oxide donors. This can cause a significant and potentially life-threatening drop in blood pressure (hypertension), leading to symptoms like lightheadedness, dizziness, or fainting. It is contraindicated for individuals with existing heart failure or those taking other medications that reduce blood pressure.
: Though not a direct interaction, combining Cialis with high alcohol intake might worsen side effects like headaches or increase heart rate in sensitive individuals.

C.

Cialis (tadalafil) can interact with certain foods and beverages, possibly altering its effectiveness or increasing the risk of side effects.

Cialis Daily, Daily Daily (20mg) - 10 Tablet

What is Cialis Daily, Daily Daily?

Cialis Daily, Daily Daily (20mg) is a once-daily treatment that contains Tadalafil, a phosphodiesterase inhibitor. The primary advantage of Cialis Daily is its long duration of action and flexibility for spontaneity.

How does Cialis Daily, Daily Daily work?

Cialis Daily, Daily Daily works by increasing blood flow to the penis, aiding in achieving and maintaining an erection. It is known for its long duration of action, which is why it is often prescribed for ED, and is effective for up to 36 hours. It is available in both tablet and liquid form, making it easy to take and use.

Is it safe to take Cialis Daily, Daily Daily?

Yes, Cialis Daily, Daily Daily (20mg) is generally safe to take as long as your doctor has prescribed it for you. It should be taken as needed, usually 30 minutes to 1 hour before sexual activity, to ensure you get an erection.

Can I take Cialis Daily, Daily Daily?

Cialis Daily, Daily Daily (20mg) is not suitable for you if you have heart conditions, high blood pressure, a low blood pressure, or any other condition that increases your risk of serious heart conditions such as stroke or congestive heart failure.

Who should not take Cialis Daily, Daily Daily?

Do not take Cialis Daily, Daily Daily (20mg) if you have any of the following medical conditions:

Heart disease (e.g., heart failure, angina, irregular heartbeats, recent heart attack, recent stroke)
High blood pressure
High cholesterol
Recent stroke or heart attack
Uncontrolled high or low blood pressure
Recent heart attack or stroke (within the last 6 months)
Low blood pressure (a high blood pressure that does not improve within the first 6 months of treatment)
Low levels of potassium (hypokalemia)
Diabetes
Kidney disease
Liver disease
Lung disease
Heart rhythm disorders (e.g., QT prolongation, uncorrected irregular heart beat, torsades de pointes)

Do not take Cialis Daily, Daily Daily if you have:

Low blood pressure
A heart rhythm disorder (a rhythm disorder that changes slowly)
A family history of heart conditions
A recent history of heart attack or stroke (within the last 6 months)
A history of priapism (prolonged erection)
Concomitant use of nitrates
Uncontrolled high or low blood pressure (a high blood pressure that does not improve within the first 6 months of treatment)
Blood pressure medication
Blood sugar levels
History of seizures (e.g., epilepsy, multiple sclerosis)
History of a bleeding disorder (e.g., history of blood in the urine, bleeding in the upper stomach)

Before you take Cialis Daily, Daily Daily (20mg) you should check your blood pressure regularly, which may increase as you get older. Do not take Cialis Daily if you are not taking any form of blood pressure medication or if you have a history of high blood pressure. Do not take Cialis Daily if you have any of the following conditions:

Heart disease
Low blood pressure (e.g., hypertension, angina, heart failure)
Heart rhythm disorder (e.g.

Cialis 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 Cialis use include:

Headache
Indigestion
Heartburn
Upset stomach
Gas
Nausea
Flushing

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

Specifically, you should inform your health care provider of any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure 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.

Read More What is Cialis and how it works 'Cialis' is a prescription medication used to treat erectile dysfunction (ED) in men. Cialis 5mg and Cialis 10mg is a cheaper alternative to Viagra, which is a treatment for high blood pressure. Cialis 5mg has been shown to be just as effective as Viagra in treating ED, but it does not completely eliminate the risk of side effects.What is the difference between Cialis 5mg and Cialis 10mg? Cialis 5mg and 10mg is a cheaper alternative to Viagra, but it offers a slightly higher risk of side effects compared to Viagra. Cialis 5mg can be taken daily, but it’s important to use it at the lowest effective dose for the shortest duration consistent with your medical needs. Cialis 5mg can be taken once daily, but it’s usually taken up to a day (1 g) before planned sex. Cialis 10mg can be taken once daily, but it’s important to use it at the lowest effective dose for the shortest duration consistent with your medical needs. This medication can be taken with or without food.

Cialis can interact with other medications, making it essential to inform your health care provider of any medications you are taking. This includes prescription drugs, over-the-counter medications, and foods. Additionally, men who taking nitrates or who have had a recent stroke or heart attack should not take Cialis.

If you experience any unusual or severe symptoms, contact your health care provider immediately.

What is the difference between Cialis and Viagra? Cialis, vardenafil, and sildenafil are both FDA-approved medications for the treatment of erectile dysfunction. They all have a different mechanism of action, but they all work in different ways to treat ED. Cialis, vardenafil, and sildenafil are approved for the treatment of erectile dysfunction in men. Viagra, Viagra Connect, and Viagra Connect 10mg all work in different ways to treat ED, including causing potentially serious adverse reactions. This medication can interact with other medications, making it essential to notify a health care provider if you have any unusual or severe symptoms.Cialis, vardenafil, and sildenafil are both FDA-approved medications for the treatment of erectile dysfunction (ED) in men.

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