Viagra 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 Viagra use include:

• Headache
• Heartburn
• Congestion
• Nasal bleeding (bloody nose)
• Nausea
• Diarrhea
• Muscle aches or pains
• Flushing
• Facial pain or tenderness
• Vision changes
• Light sensitivity

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

Specifically, you should inform your health care provider of any nitrate 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.

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Pfizer has provided this medication to help treat certain commonERGism conditions to millions of American couples. But, since this drug helps treat certain conditions, what should you know? A

A. How it Works

1. It works by blocking a specific enzyme called phosphodiesterase type 5 (PDE5). This enzyme breaks down cyclic GMP in the body. As a result, some people experience symptoms such as dizziness, lightheadedness, fainting, tingling in the ears, pain, or discomfort in the limbs. 2. Azole is also used to treat pain and inflammation. However, some people using this drug experience stomach problems or chest pain.

Warnings and Precautions

Before starting treatment with Viagra, inform your health care provider of any medical conditions you are currently managing. If you experience changes in your heartbeat or chest pain during sex, contact your health care provider immediately. This is a reaction to the fact that this drug can trigger potentially serious adverse reactions in sensitive individuals.Which drug is most effectiveViagra can help treat certain conditions due to nitric oxide donors or nitrates. Therefore, nitrates, including nitrite medications, can help treat some cases of angina, sudden cardiac death, and sudden cardiac death in patients with pre-existing heart conditions. 3. A nitrate medication can cause a serious drop in blood pressure that can harm an unborn baby. Viagra allows the penis to become full and dilates blood vessels, making it easier for the baby to get and keep an erection.

4. Viagra may not be safe for older age (over 65). Therefore, your health care provider should monitor you more closely. Viagra may increase your risk of side effects such as dizziness, headache, and fainting. 5. Viagra may interact with some antibiotics, including erythromycin and clarithromycin. Therefore, let your health care provider know if you are taking any of these medications before starting Viagra.

6. Viagra may interact with nitrate medications. Examples include isosorbide, nitroglycerin, and up to a maximum of 100 mg nitrates per day. 7. This interaction may result in dangerous drops in blood pressure, especially when taken at the first sign of an erection. 8.

Cialis

Generic name:

Cialis (tadalafil) is an oral phosphodiesterase (PDE-5) inhibitor used to treat erectile dysfunction (impotence) and benign prostatic hyperplasia (BPH). It works by relaxing the muscles of the blood vessels in the penis, which allows increased blood flow when sexually aroused. This increased blood flow helps to achieve and maintain an erection. Cialis has been approved by the FDA for use in the United States, and is available in both brand-name and generic forms. Generic Cialis is manufactured by Eli Lilly and the company also markets it in Japan.

How does Cialis work?

Cialis works by increasing blood flow to the penis. Cialis is also used to treat symptoms of benign prostatic hyperplasia (BPH), which includes:

1. Increased pressure in the prostate
2. Reduced urge to urinate
3. Chest pain
4. Urine output

It is important to note that Cialis does not work on its own if you are already taking other medications. It is taken as needed, usually once daily, to achieve an erection.

What are the side effects of Cialis?

Common side effects of Cialis may include:

1. Headaches
2. Dizziness
3. Dryness in mouth
4. Insomnia
5. Back pain

If any side effects are severe or do not go away, stop taking Cialis and seek medical attention immediately.

Can I take Cialis with food?

Taking Cialis with food may help to reduce stomach irritation. If you are unsure of what you should eat or drink, speak with your doctor.

Can Cialis be taken with other medicines?

It is important to tell your doctor and pharmacist about all the medicines you are taking, including prescription and over-the-counter medicines, vitamins, and herbal supplements. You should also tell your doctor if you have any medical conditions, especially if you are pregnant or breastfeeding.

Where can I buy Cialis?

It is important to buy Cialis from pharmacies such as CVS Pharmacy, Walgreens, Rite Aid, and Walmart. You can also order the generic version of Cialis online from eDrugstore.com.

You can also check the online pharmacy store’s.

References

1.Urology. 2010; 58: 1092-1098. 2.J Urol2013; 2: S2-S9. 3.Erectile Dysfunction and PDE-5 Inhibitors2019; 3: S8-S10.

For a list of manufacturers of this product, visit.

Journal of Urology2020; 59: S4-S5.

2021; 58: S14-S16.

4.2022; 59: S24-S30.

5.2023; 55: S17-S19.

6.2024; 58: S30-S34.

7.2023; 55: S22-S34.

8.2023; 55: S28-S34.

9.2024; 58: S32-S36.

10.2024; 58: S34-S37.

11.2023; 55: S37-S42.

12.2023; 55: S42-S43.

13.

Description

Viagra Connect is an erectile dysfunction treatment that contains an active ingredient called Sildenafil Citrate. This medicine is a member of the group of medicines called phosphodiesterase type 5 (PDE5) inhibitors. It works by increasing blood flow to the penis when a man is sexually stimulated.

Key Features

• Increases blood flow to the penis when a man is sexually stimulated.
• Increases blood flow when a man is aroused.
• Viagra Connect enhances blood flow to the penis when a man is sexually stimulated.

Side Effects

Most people who take Viagra Connect do not experience any side effects. However, if you experience any of the following symptoms while taking the medicine, stop using the medicine and contact a doctor immediately:

• Feeling dizzy or lightheaded.
• Temporary numbness or weakness on one side of the body.
• Lack of energy.

Warnings

Do not take Viagra Connect if:

• you are allergic to any ingredient in Viagra Connect or to any of the other ingredients listed below
• you have had an allergic reaction to any of the ingredients in Viagra Connect or to any of the other ingredients in the medicine or to any of the inactive ingredients in Viagra Connect.
• you have any of the following medical conditions:
• you are taking any medicines called nitrates (often prescribed for chest pain) or nitric oxide donors (often prescribed for angina) or have a low level of nitric oxide in your body.
• you are taking nicorandil (a drug used to treat indigestion) or guanylate cyclase (a medicine used to treat pulmonary hypertension).
• you have problems with your blood pressure or heart rate. Viagra Connect may also cause a drop in blood pressure.
• you have a deformity of your penis ( Peyronie disease).
• you have any other health conditions, such as high blood pressure, irregular heart beat or kidney disease. Speak to your doctor or a pharmacist about ways to prevent your symptoms.
• you have problems with your blood cells. Symptoms of low levels of nitric oxide in the body are usually related to the actions of nitric oxide donors.
• you have any of the following reactions:
• heart problems such as angina, heart failure or irregular heart beat (a heart attack may cause pain in the chest).
• any allergic reaction:
• facial redness or swelling.

Talk to your doctor or pharmacist before taking Viagra Connect if:

• you are taking any other medicines:
• any other supplements:
• any other medicines that treat erectile dysfunction (such as nitrates) or chest pain
• you have any other medical conditions:
• any other heart problems or problems with your blood pressure or heart.
• you have any allergies to:
• any other medicines:

Tell your doctor immediately if you experience any of the following symptoms:

• fever with coughing up life-threatening fainting, such as fainting with rapid heart beat (arrhythmia)
• shortness of breath.
• muscle pain or cramps or pain when you are not able to get or maintain an erection during sex.
• swelling of the hands, feet or arms.
• chest pain with fast or irregular heartbeat.
• problems with your vision or having blurred vision.
• a sudden decrease or loss of hearing.
• pain, irritation or burning when you urinate or have frequent urination.
• vision changes such as blurred vision, tunnel vision or seeing dark or blank colored circles in the eyes. These may be signs of a more serious condition called non-arteritic anterior ischemic optic neuropathy (NAION)
• swelling in the hands, feet, or ankles.
• yellowing of the skin or eyes (jaundice)

Nitric oxide donors or guanylate cyclase (PDE5) inhibitors may decrease the amount of blood flow to the penis.

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.

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By reading about drug andfood interactions, you make an informed decision about your health and well-being.

If you are taking any other things, such as a pill, tablet, capsule, or food, such as a diet pill, supplement, or medication, check with your doctor or pharmacist before taking Cialis or similar medications, because the interactions can alter how your body uses the medication. Interactions can happen when you’re taking them together or with other medications.

By the way, drug and food interactions are meant to be used cautiously in children. If you have a medical condition or are taking any medications, always check with your doctor or pharmacist before taking Cialis or any other ED medications.

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a.The most common Cialis/tadalafil drug-food interactions: 54% of women = 76 women & 82 men = 72 men.

b.