{"id":8494,"date":"2025-10-16T09:20:50","date_gmt":"2025-10-16T09:20:50","guid":{"rendered":"https:\/\/healthmedicinet.com\/review\/hmn-cialis-side-effects-and-how-to-avoid-them-in-2025\/"},"modified":"2025-10-16T09:20:50","modified_gmt":"2025-10-16T09:20:50","slug":"hmn-cialis-side-effects-and-how-to-avoid-them-in-2025","status":"publish","type":"post","link":"https:\/\/healthmedicinet.com\/review\/hmn-cialis-side-effects-and-how-to-avoid-them-in-2025\/","title":{"rendered":"HMN: Cialis side effects and how to avoid them in 2025"},"content":{"rendered":"<p>\n<br \/>Do you know:  Cialis side effects and how to avoid them in 2025<\/p>\n<div id=\"main-content\">\n<div id=\"post-intro\">\n<div id=\"takeaways\">\n<h2>Key takeaways<\/h2>\n<ul>\n<li>\n<p>Cialis (tadalafil) treats erectile dysfunction and benign prostatic hyperplasia by relaxing muscles and arteries in the penis to maintain an erection. It requires sexual stimulation to work.<\/p>\n<\/li>\n<li>\n<p>Common Cialis side effects include headache, stomach upset, back pain, muscle pain, and nasal congestion. Severe side effects may consist of prolonged erections, sudden loss of vision or hearing, and cardiovascular events.<\/p>\n<\/li>\n<li>\n<p>Cialis may lower blood pressure, posing risks for those with cardiovascular conditions. It has several contraindications and interactions, including nitrates, guanylate cyclase stimulators, and other medications.<\/p>\n<\/li>\n<li>\n<p>To minimize side effects, take Cialis under a healthcare provider\u2019s care and ensure it\u2019s purchased from a licensed pharmacist. Take it as directed, avoid grapefruit, limit alcohol intake, and do not use Cialis recreationally.<\/p>\n<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<p><span style=\"font-weight: 400;\"><a href=\"#side-effects\">Cialis side effects<\/a> | <a href=\"#blood-pressure\">Blood pressure<\/a> | <a href=\"#how-long-do-side-effects-last\">How long do side effects last?<\/a> | <a href=\"#warnings\">Warnings<\/a> | <a href=\"#interactions\">Interactions<\/a> | <a href=\"#how-to-avoid-side-effects\">How to avoid side effects<\/a><\/span><\/p>\n<p><span style=\"font-weight: 400;\">Cialis (tadalafil) is a brand-name prescription medication that treats erectile dysfunction, or <\/span><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/drugInfo.cfm?setid=bcd8f8ab-81a2-4891-83db-24a0b0e25895\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">the signs and symptoms<\/span><\/a><span style=\"font-weight: 400;\"> of an enlarged prostate (benign prostatic hyperplasia or BPH). Classified as a phosphodiesterase type 5 (PDE5) inhibitor, tadalafil relaxes smooth muscles and arteries in the penis.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Cialis also allows more blood to flow to the penis for a longer period to maintain an erection. Cialis also requires sexual stimulation in order to work for erectile dysfunction.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Cialis helps to relieve the lower urinary tract symptoms of benign prostatic hyperplasia. It is thought to work for BPH by relaxing muscles in the lower urinary tract.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As can be expected, medicines that affect blood vessels may have unwanted side effects and potentially risky drug interactions. People considering Cialis should be familiar with these side effects, potential interactions, and any medical conditions that may render the medicine unsuitable.\u00a0 <\/span><\/p>\n<p><strong> Learn more about Cialis | Get Cialis discounts<\/strong><\/p>\n<h2 id=\"side-effects\"><span style=\"font-weight: 400;\">Common side effects of Cialis<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The most common side effects of Cialis are:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Headache<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stomach upset\/diarrhea<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Back pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Muscle pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nasal congestion<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Upper respiratory infection<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Flushing<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pain in the limbs or extremities<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Swelling of the nose and pharynx<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dizziness<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">Serious side effects of Cialis<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Cialis can cause serious side effects such as:<\/span><\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Prolonged erections<\/b><span style=\"font-weight: 400;\">: Though rare, some people have reported prolonged erections (erections lasting longer than four hours) or priapism (painful erections lasting longer than six hours) when taking drugs similar to Cialis. Both prolonged erections and priapism should receive emergency medical treatment. Priapism may damage erectile tissues if it is not treated right away.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Sudden loss of vision<\/b><span style=\"font-weight: 400;\">: Non-arteritic anterior ischemic optic neuropathy or NAION has been reported\u2014rarely\u2014in people taking drugs like tadalafil. NAION can cause a sudden decrease or complete loss of vision in one or both eyes. Immediately stop the drug and get emergency medical help if you notice changes in vision.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Sudden loss of or decrease in hearing<\/b><span style=\"font-weight: 400;\">: Hearing loss has been reported with Cialis and may be accompanied by dizziness or ringing in the ears. Immediately stop the drug and get emergency medical help if you notice hearing loss.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Cardiovascular events such as fainting, chest pain, heart attack, or stroke<\/b><span style=\"font-weight: 400;\">: Most (but not all) people who have had severe cardiovascular events while taking Cialis had pre-existing risk factors.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Low blood pressure (hypotension): <\/b><span style=\"font-weight: 400;\">Tadalafil lowers blood pressure, so low blood pressure is a possible side effect.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Severe allergic reactions: <\/b>Rare but severe (and potentially lethal) hypersensitivity reactions due to Cialis include hives, Stevens-Johnson syndrome, and exfoliative dermatitis.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3 id=\"blood-pressure\"><span style=\"font-weight: 400;\">Blood pressure<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Cialis relaxes the smooth muscles in arteries, lowering blood pressure slightly. Because of this, low blood pressure, or hypotension, might be a problem. Hypotension is defined as blood pressure that dips <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK499961\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">below 90\/60 millimeters of mercury (mmHg<\/span><\/a><span style=\"font-weight: 400;\">). At its mildest, low blood pressure makes people vulnerable to fainting, falls, and injuries. If blood pressure falls too low, vital organs may fail which could result in death.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In tadalafil\u2019s phase III clinical trials, no patients (out of 949) experienced clinical hypotension. In phase III studies evaluating the safety of tadalafil when taken with drugs that lower blood pressure (called antihypertensives), the combination only slightly increased the risk of low blood pressure. When taken with two or more antihypertensives, tadalafil did not increase the incidence of hypotension.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Another form of low blood pressure is orthostatic hypotension, which is characterized by <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK448192\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">a sudden decline in blood pressure<\/span><\/a><span style=\"font-weight: 400;\"> that happens when a person stands up from a sitting or lying position. While often harmless, producing little more than lightheadedness, orthostatic hypotension <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2888469\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">can result in serious consequences<\/span><\/a><span style=\"font-weight: 400;\"> depending on its cause. In the study (mentioned above) that focused on this issue, tadalafil was found to have no clinically relevant effects on orthostatic hypotension.<\/span>.<\/p>\n<h2 id=\"how-long-do-side-effects-last\"><span style=\"font-weight: 400;\">How long do Cialis side effects last?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Most common side effects of Cialis are temporary and will abate within a few hours or days after discontinuing the medicine. Some, like headache, back pain, and muscle pain, were the main reasons a small number of people in the initial clinical trials stopped using Cialis.\u00a0<\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3721361\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\"><br \/><\/span><\/a><\/p>\n<p><span style=\"font-weight: 400;\">Other side effects, such as severe allergic reactions, prolonged erections, priapism, hearing loss, and cardiovascular events, require immediate medical attention and may require long-term attention. Severe but rare possible adverse events such as damage to erectile tissues due to priapism, hearing loss, heart attack, or stroke may have lifelong consequences. Vision loss due to NAION can<\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3721361\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\"> be permanent<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h2 id=\"warnings\"><span style=\"font-weight: 400;\">Cialis contraindications &amp; warnings<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Cialis may not be the right drug for all men, particularly because of its effects on the cardiovascular system. Cialis is contraindicated for men:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">With known serious hypersensitivity to tadalafil<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">With severe kidney disease (renal impairment) or men on dialysis<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">With severe liver disease (hepatic impairment)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Who take nitrates or guanylate cyclase stimulators<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Some people can take Cialis but may have medical conditions that require caution, that is, careful monitoring and a possible dose reduction. These include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mild to moderate kidney disease<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mild to moderate liver disease<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">High blood pressure<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Certain cardiovascular problems<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diabetes<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">High cholesterol (hyperlipidemia)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A history of non-arteritic anterior ischemic neuropathy (NAION) or risk factors such as optic disk crowding<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Penile deformities such as Peyronie\u2019s disease, cavernosal fibrosis, or angulation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Any condition that carries a risk of priapism such as sickle cell anemia, leukemia, or multiple myeloma<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">According to <\/span><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/drugInfo.cfm?setid=bcd8f8ab-81a2-4891-83db-24a0b0e25895\"><span style=\"font-weight: 400;\">DailyMed<\/span><\/a><span style=\"font-weight: 400;\">, patients with cardiovascular conditions such as myocardial infarction, angina, hypotension, stroke or uncontrolled arrhythmias at present, or the recent past, should not take Cialis because no clinical studies have been conducted to evaluate safety and efficacy.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Abuse and dependency<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The recreational use of Cialis and other erectile dysfunction medications (EDMs) is <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2909482\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">surprisingly high,<\/span><\/a><span style=\"font-weight: 400;\"> particularly among sexually active young men. Besides the risk of side effects, men misusing EDM drugs are more likely to make lifestyle choices that put them at a greater risk for sexually transmitted diseases and potential drug interactions with other illicit or recreational drugs such as \u201cpoppers.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There is some uncertainty that medications like tadalafil cause physical dependency, tolerance, or withdrawal. The consensus view is that they don\u2019t. It\u2019s particularly difficult to separate EDM dependency from associated lifestyle choices. Many men abusing EDMs also use recreational drugs that can cause erectile dysfunction, making chronic use of EDMs necessary. Highly active sexual lifestyles may also necessitate chronic or high-dose use of EDMs.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Drugs like Cialis that do not cause physical dependence or withdrawal can still result in <\/span><a href=\"https:\/\/www.drugabuse.gov\/publications\/principles-drug-addiction-treatment-research-based-guide-third-edition\/frequently-asked-questions\/there-difference-between-physical-dependence-addiction\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">abuse and behavioral dependence<\/span><\/a><span style=\"font-weight: 400;\">. Mental health professionals diagnose this condition as \u201csubstance abuse disorder,\u201d which can be mild to severe depending on how much the misuse of a drug impairs relationships and functioning. In some cases, the recreational use or misuse of tadalafil can certainly justify a diagnosis of substance abuse disorder. Successfully ending the misuse may require therapy.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Children<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Cialis is never to be given to people younger than the age of 18.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Pregnancy and breastfeeding<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Cialis is not approved for use in women.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Senior citizens<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The manufacturer does not recommend dosage adjustment based on age alone. However, the full picture of age and other conditions should be taken into account when deciding on the appropriate dosage of Cialis.<\/span><\/p>\n<h2 id=\"interactions\"><span style=\"font-weight: 400;\">Cialis interactions<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Cialis can be taken with or without food. However, that does not mean that Cialis can be taken with <\/span><i><span style=\"font-weight: 400;\">all <\/span><\/i><span style=\"font-weight: 400;\">foods. Grapefruit has substances that slow down the body\u2019s metabolism of tadalafil. It takes longer for the body to break down the drug, so the concentration of tadalafil in the blood increases, making side effects more likely.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Men taking tadalafil should also limit alcohol intake. Like Cialis, alcohol lowers blood pressure. Combining too much alcohol with Cialis could cause severely low blood pressure. The FDA recommends no more than four drinks per day when taking Cialis, but check with your healthcare provider regarding a safe amount of alcohol consumption based on your other conditions and\/or medications you take.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Cialis has several drug interactions men should know when taking the medication.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Nitrates\u2014CONTRAINDICATED: <\/b><span style=\"font-weight: 400;\">Nitrates are medications used to treat chest pain (angina). They act in a way very similar to Cialis. They increase the levels of a molecule (cyclic guanosine monophosphate) that causes artery muscles to relax. Arteries rapidly widen, allowing blood flow to increase to the heart. Nitrates include <\/span><span style=\"font-weight: 400;\">nitroglycerin<\/span><span style=\"font-weight: 400;\">, nitroprusside, isosorbide mononitrate, and isosorbide dinitrate. Combining nitrates with Cialis risks reducing blood pressure so drastically that it results in a heart attack or stroke. If nitrates are ever required, they cannot be used until 48 hours after the last dose of Cialis.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Guanylate cyclase (GC) stimulators\u2013CONTRAINDICATED:<\/b><span style=\"font-weight: 400;\"> Cialis is never given to people taking the GC stimulators <\/span><span style=\"font-weight: 400;\">Adempas<\/span><span style=\"font-weight: 400;\"> (riociguat) or Verquvo (vericiguat). Adempas treats pulmonary arterial hypertension (high blood pressure in the arteries that go from the heart to the lungs). Verquvo is used in certain patients with chronic heart failure. GC stimulators work in much the same way as Cialis and nitrates by increasing the chemical that widens arteries. The combination risks causing severely low blood pressure.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Nitrites: <\/b><span style=\"font-weight: 400;\">Nitrites are similar to nitrates. They relax smooth muscles in the arteries, so combining them with tadalafil increases the risk of low blood pressure. Nitrites can be found in some recreational drugs known as\u00a0 \u201cpoppers,\u201d including amyl nitrite or butyl nitrite.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Erectile dysfunction medications (EDMs):<\/b><span style=\"font-weight: 400;\"> Hypotension and other side effects are at greater risk if Cialis is used with other erectile dysfunction medications that, like Cialis, are PDE5 inhibitors. These drugs, which include <\/span><span style=\"font-weight: 400;\">Viagra<\/span><span style=\"font-weight: 400;\"> (sildenafil) and <\/span><span style=\"font-weight: 400;\">Levitra<\/span><span style=\"font-weight: 400;\"> (vardenafil), should be avoided when taking Cialis.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Blood pressure medications (antihypertensives): <\/b><span style=\"font-weight: 400;\">Combining Cialis with medications that lower blood pressure carries a small risk of low blood pressure, so therapies may require monitoring blood pressure. Doses may sometimes need to be changed. Other drugs, such as opioids, antidepressants, and antipsychotic medications may also lower blood pressure, so blood pressure monitoring may be required when they\u2019re combined with Cialis.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Alpha-blockers:<\/b><span style=\"font-weight: 400;\"> Alpha-blockers are used to treat high blood pressure or an enlarged prostate. Because of the risk of low blood pressure, combining Cialis with these drugs is generally not recommended.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>CYP3A4 inhibitors:<\/b><span style=\"font-weight: 400;\"> Besides grapefruit, several drugs also slow down the metabolism of tadalafil by blocking an enzyme, called CYP3A4, which breaks down tadalafil. These drugs include some types of antibiotics, some types of HIV medications, some types of antifungals (<\/span><span style=\"font-weight: 400;\">ketoconazole<\/span><span style=\"font-weight: 400;\"> and itraconazole), some types of benzodiazepines, and some types of corticosteroids. Combining tadalafil with a strong CYP3A4 inhibitor may cause serious side effects. A lower dose of Cialis may be required.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>CYP3A4 inducers:<\/b><span style=\"font-weight: 400;\"> Alternatively, some drugs speed up the body\u2019s metabolism of tadalafil, reducing the benefit of a Cialis dose. Called CYP3A4 inducers, these drugs do not cause serious problems. Examples of CYP3A4 inducers include rifampin, phenobarbital, phenytoin, and carbamazepine. At worst, the Cialis dose might need to be increased. Healthcare providers and pharmacists are well-versed in these drugs, so they can easily spot the combination and offer advice.<\/span><\/li>\n<\/ul>\n<h2 id=\"how-to-avoid-side-effects\"><span style=\"font-weight: 400;\">How to avoid Cialis side effects<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The risk of Cialis side effects can be minimized by following a few general pointers:<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">1. Take Cialis under the care of a healthcare provider<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Do not take Cialis or other erectile dysfunction medications without a prescription from a licensed healthcare provider. To avoid potentially hazardous side effects, the prescribing healthcare provider should perform an in-person physical examination and medical history review. For people with certain conditions, regular medical visits may be required to ward off serious side effects.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">2. Only purchase Cialis from a licensed pharmacist<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Purchasing Cialis or other erectile dysfunction medications through alternative channels carries the risk of purchasing counterfeit or unsafe medications. Dose strengths may be wrong, raising the risk of ineffectiveness or side effects. Purchase Cialis by prescription only, and through a licensed pharmacy, such as your local pharmacy or your insurance\u2019s mail order facility.<\/span><\/p>\n<p><strong> How much does Cialis cost without insurance?<\/strong><\/p>\n<h3><span style=\"font-weight: 400;\">3. Take Cialis as directed<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Take the dose as prescribed. Read, understand, and follow the medication guide or patient instructions that come with the medicine. A pharmacist, doctor, or other healthcare provider can answer any questions or clear up any confusion. Above all, do not increase or decrease the dose without consulting your healthcare provider. If effectiveness or side effects are a problem, talk to your healthcare provider about adjusting the dose.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">4. Tell the doctor about all medical conditions and medications<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Because of the risk of side effects, always make sure the prescribing healthcare provider knows about:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Any medical conditions, particularly\u00a0<\/span>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Heart or circulation problems<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Stroke<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Blood pressure problems<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Blood cell problems (such as sickle cell anemia)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Bleeding problems<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Kidney problems<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Liver problems<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Eye problems (such as retinitis pigmentosa or severe vision loss)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Stomach ulcers<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Deformed penis shape or<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">A history of prolonged (&gt; 4 hours) erections<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Any medical condition that may make sexual activity potentially hazardous<\/span><\/li>\n<\/ul>\n<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">History of alcohol abuse\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">All medications, over-the-counter medications, supplements, and remedies being taken<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">5. Do not take more than one dose of Cialis per day<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Tadalafil, the active ingredient in Cialis, stays in the body for a long time. When taking Cialis as needed, a single dose (taken at least 30 minutes before sexual activity) will allow for sexual activity for up to 36 hours. When taking Cialis as a daily dose, take the dose at approximately the same time every day.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">6. Avoid grapefruit<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Cialis can be taken with or without food. The one exception is grapefruit, which has substances that interfere with the body\u2019s ability to eliminate tadalafil from the body. To lower the risk of side effects, avoid eating grapefruit or drinking grapefruit juice when taking Cialis.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">7. Do not drink too much alcohol<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Cialis lowers blood pressure. So does alcohol. A moderate amount of alcohol is okay, but the FDA has set a safety limit of four drinks when taking Cialis. By that, they mean four 5-ounce glasses of wine or four shots of the stronger stuff. Consult your healthcare provider on safe alcohol intake, though, because you may have other conditions or take other medications that could interact with alcohol.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">8. Use protection against sexually transmitted diseases<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Cialis does not protect against sexually transmitted diseases. Use appropriate protection such as condoms and spermicide. Consult your healthcare provider for medical guidance.<\/span><\/p>\n<h3><span style=\"font-weight: 400; font-size: 16px;\">Resources:<\/span><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/online.epocrates.com\/drugs\/355910\/Cialis\/Monograph\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Cialis<\/span><\/a><span style=\"font-weight: 400;\">, Epocrates<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/drugInfo.cfm?setid=bcd8f8ab-81a2-4891-83db-24a0b0e25895\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Cialis prescribing information<\/span><\/a><span style=\"font-weight: 400;\">, U.S. National Library of Medicine\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/circulationaha.110.944603\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Drug interactions with phosphodiesterase-5 inhibitors used to treat erectile dysfunction and pulmonary hypertension,<\/span><\/a> <i><span style=\"font-weight: 400;\">Circulation<\/span><\/i><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK499961\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Hypotension<\/span><\/a><span style=\"font-weight: 400;\">, StatPearls<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK448192\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Orthostatic Hypotension<\/span><\/a><span style=\"font-weight: 400;\">, StatPearls<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4507375\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Orthostatic hypotension: Mechanisms, causes, management<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">Journal of Clinical Neurology<\/span><\/i><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2909482\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Recreational use of erectile dysfunction medications in undergraduate men in the United States: Characteristics and associated risk factors<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">Archives of Sexual Behaviors<\/span><\/i><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC1716731\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Recreational Viagra use and sexual risk among drug abusing men<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">American Journal of Infectious Diseases<\/span><\/i><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4354216\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">The synergistic (MARATHON) effect of combined methamphetamine with sexual stimulant drugs on increasing the likelihood of high-risk sexual behaviors<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">Addiction &amp; Health<\/span><\/i><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3721361\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Treatment of nonarteritic anterior ischemic optic neuropathy<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">Survey of Ophthalmology<\/span><\/i><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK549843\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">PDE5 Inhibitor<\/span><\/a><span style=\"font-weight: 400;\">,<\/span><span style=\"font-weight: 400;\"> StatPearls<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/cdn.brief.vet\/web-files\/PVD\/drupal-uploads\/files\/VMG-Tadalafil-2019-01-30-0345.pdf\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Tadalafil<\/span><\/a><span style=\"font-weight: 400;\">, Plumb\u2019s Veterinary Medication Guides<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/pubchem.ncbi.nlm.nih.gov\/compound\/Tadalafil\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Tadalafil compound summary<\/span><\/a><span style=\"font-weight: 400;\">,<\/span><span 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<\/g>\n<\/svg>\t\t\t\t\t\t\t\t<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Do you know: Cialis side effects and how to avoid them in 2025 Key takeaways Cialis (tadalafil) treats erectile dysfunction and benign prostatic hyperplasia by relaxing muscles and arteries in the penis to maintain an erection. It requires sexual stimulation to work. Common Cialis side effects include headache, stomach upset, back pain, muscle pain, and [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-8494","post","type-post","status-publish","format-standard","hentry","category-health-news"],"blocksy_meta":[],"_links":{"self":[{"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/posts\/8494","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/comments?post=8494"}],"version-history":[{"count":0,"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/posts\/8494\/revisions"}],"wp:attachment":[{"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/media?parent=8494"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/categories?post=8494"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/tags?post=8494"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}