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National Health Service - Cialis

The National Health Service (NHS), a network of NHS trusts and specialisms in Northern Ireland, provides a broad range of services, including primary care, family planning, maternity services, emergency services and specialist services.

The NHS also provides health services including general practitioner, general surgery, urgent care, specialist referral services, urgent services, telephone and internet consultations, in some areas of Northern Ireland and at local services.

At the National Health Service (NHS), we offer:

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- Specialised services including urgent care, emergency services, specialist referral services and specialist services

We provide all the services required by your needs. Our services are provided by the NHS.

Please note that we are a private, NHS funded, NHS trust offering services in Northern Ireland only. If you would like to be connected to our network of NHS service, please click here to find out more information.

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Please note that NHS has many services that we offer to meet your needs. Please read.

The National Health Service (NHS) in Northern Ireland is a national public health service that provides health services to the people of Northern Ireland. The health service is part of the Health Service in Ireland.

When you apply for the NHS Trust for your GP, family planning, emergency services, urgent services and specialist services, you will be able to access the services offered by the NHS service. For example, you may be eligible for urgent care through the local emergency services service. You can also be eligible for urgent care through the emergency services service.

If you are interested in booking an appointment, please contact us at or call us on 01919 799927. We can help you to book an appointment and ensure the appointment is successful. We may be able to provide advice and support for you, as well as to arrange the next appointment.

Please visit the.

The NHS Service also provides general practitioner, general surgery and urgent care services. Please visit the for further information.

The NHS Service is part of the Health Service in Ireland and is open to the public. The National Health Service (NHS) in Northern Ireland offers a range of health services including general practitioner, general surgery, emergency services, urgent care, general practice and specialist services, as well as to meet your needs. For example, you may be eligible for emergency care through the emergency services service. You can also be eligible for emergency care through the emergency services service.

The NHS service is a private, NHS funded, NHS trust offering services in Northern Ireland only. If you would like to be connected to the network of NHS service, please visit. We can help you to book an appointment and ensure the next appointment is successful. We can help you to arrange the next appointment and ensure the next appointment is successful.

For more information, please contact:

Medsafe Health Centre, StJames’s Hospital, Dublin 8, Ireland

For more information, contact us at or telephone 01919 799927.

Read more about

This page provides general information about the NHS.

If you wish to see your family planning service in Northern Ireland, please go to

The NHS service has a private, NHS funded, NHS trust offering services in Northern Ireland only. If you would like to be connected to our network of NHS service, please visit.

We will be able to provide advice and support for you, as well as to arrange the next appointment. You can also be connected to our network of NHS service.

Please note that if you are interested in booking an appointment, please contact us at or call us on 01919 799927.

This page contains general information about the NHS.

Cialis (tadalafil) Dosage

Cialis (tadalafil) Side Effects

Like all medicines, cialis (tadalafil) may cause side effects, although not everybody gets them. We’ll look at what to look out for when you’re on the pill, and where to look for them, as well as how to take them safely.

Some of the most common side effects of this medication include:

  • Headache
  • Dizziness
  • Diarrhea
  • Drowsiness
  • Nausea
  • Back pain

These are not all of the more common side effects of this medicine. If you experience any of these side effects, please reach out to your doctor for advice.

Common side effects include:

  • Dry mouth

How to Take This Medication Safely

Before you start taking cialis, make sure your doctor knows:

  • What the drug is used for
  • How to take the drug
  • What the dosage is
  • If you’re taking any medicine that’s been approved by the health care professional, including cialis.

We’ve got you covered.

Cialis, tadalafil, and similar medications come in different strengths, such as 2.5mg, 5mg, 10mg, and 20mg. The standard dose for oral use is 5mg taken every other day at the same time. This is because your body needs more blood to pump into the penis to achieve an erection.

Your doctor will determine the correct strength of cialis for you depending on your age and medical condition.

What Is Cialis Used For?

Cialis is a prescription medication that contains the active ingredient tadalafil. Cialis is a PDE5 inhibitor, and it works by increasing the amount of blood that is taken in a certain way.

When you take Cialis, it will take effect within 30 to 60 minutes of taking the tablet. This effect can last up to 36 hours. You can take this medicine with or without food.

This medication is used to treat erectile dysfunction (ED) in men. It’s also used to treat benign prostatic hyperplasia (BPH) in women. It’s also used to treat pulmonary arterial hypertension (PAH) in men.

Cialis can also be used to treat BPH in men. This medication is not available over the counter and is only prescribed by a doctor.

Cialis Side Effects

Like all medicines, Cialis may cause side effects, although not everybody gets them. Common side effects of this medication include:

  • Ringing in the ears

These side effects are usually mild and go away on their own. If you experience any severe side effects such as sudden vision loss, hearing loss, chest pain, trouble breathing, or a fast heartbeat, please contact your doctor immediately.

Cialis (Tadalafil) Dosage

Cialis (tadalafil) is a prescription medication that contains the active ingredient tadalafil. The recommended dose for oral use is 5mg taken before sexual activity. This can be increased to 10mg or decreased to 5mg. The maximum recommended dosing frequency is once per day.

Most men taking tadalafil do not experience side effects. If you experience side effects such as headaches, facial flushing, nasal congestion, indigestion, and back pain, you should contact your doctor for advice.

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.
Karnit C, Fugh-Binstein J, Gopalan G, Wang G, et al. 2010
  1. : This medication reduces blood pressure by increasing the flow of blood into the penis. It is typically used with nitrates and recreational "poppers" (amyl nitrite)
  2. Alpha-blockers (e.g., tamsulosin, moxifloxacin): A type of drug that can interact with alpha-blockers, increasing the risk of side effects. While this interaction is usually less severe than with medications used in urinary symptoms (Ex. doxycycline, cookiehancers)
  3. Other antihypertensive medications: For chest pain or irregular heartbeat, or if blood pressure levels are too low, this drug can cause other adverse effects.
Tolani G, Sotto A, Purozzo A, et al. 2011
  1. Alpha-blockers (e.g.

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 for further information.

If you are taking any other medicines, please consult your doctor before taking this medicine. Tadalafil should not be taken if you are allergic to it or any of the ingredients. It is important to take this medicine along with your regularly. Check your daily routine, or your doctor told you to before you take this medicine advise you on regular exercise, and to avoid taking Tadalafil if you are also taking nitrates (used to treat angina). Nitrates are a class of medicines called ‘ureas containing’ used to relieve angina. This medicine can cause sudden and serious side effects, including chest pain, difficulty in breathing, pain in the legs and arms, nausea, fluid retention, severe dizziness, and kidney problems.

If you are taking any other medications, including any other medications you are taking, or have recently taken, including supplements, please inform your doctor as the medicine you are taking will interfere with your medicine. Some ingredients in this medicine are used to treat erectile dysfunction. It is important that you follow your doctor's recommendations as the medicine you are taking may interact with your medicine. Some medications have the potential to cause side effects, and your doctor will be able to help manage them. Some supplements or medications you are taking may have the potential to cause dizziness or get lightheaded, so drive with caution. Avoid drinking alcohol as it might cause increased dizziness and lightheadedness. Tadalafil should not be used if you are taking other medications that may affect the way this medicine works, as the medicine may cause side effects, including headache, nausea, vomiting, irregular heartbeat, and dizziness. Other medications or treatments you are taking may affect the way Cialis works, and your doctor will be able to help manage these side effects.