Always inform your doctor about all medications you’re taking, including over-the-counter drugs, supplements, and herbal remedies. This includes nitrates, commonly used for chest pain. Combining these with generic Cialis can cause a dangerous drop in blood pressure.
Nitrates and Similar Medications
The interaction between generic Cialis (tadalafil) and nitrates is particularly serious. This combination can lead to significantly low blood pressure, potentially causing dizziness, fainting, or even a heart attack. Avoid using them together.
Alpha-Blockers
Alpha-blockers, often prescribed for high blood pressure or an enlarged prostate, can also interact with generic Cialis. This combination can result in a significant drop in blood pressure. Your doctor might adjust your dosages or suggest alternatives.
Other Medications
Other medications that may interact include antifungal medications like ketoconazole and itraconazole, HIV protease inhibitors, and certain antibiotics. These interactions can either increase the concentration of Cialis in your system leading to side effects, or decrease its effectiveness.
Medication Interaction Summary Table
| Nitrates | Nitroglycerin, isosorbide mononitrate | Dangerous drop in blood pressure |
| Alpha-blockers | Terazosin, doxazosin | Significant blood pressure drop |
| Antifungal Medications | Ketoconazole, itraconazole | Increased Cialis levels |
| HIV Protease Inhibitors | Ritonavir, indinavir | Increased Cialis levels |
Always Consult Your Doctor
This information is not exhaustive. Before starting generic Cialis, discuss potential interactions with your doctor or pharmacist to ensure your safety and the effectiveness of the medication. They can provide personalized advice based on your individual health situation and medication regimen.
