{"id":24730,"date":"2021-04-02T13:00:50","date_gmt":"2021-04-02T17:00:50","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=24730"},"modified":"2025-11-07T19:18:56","modified_gmt":"2025-11-08T00:18:56","slug":"cialis-side-effects","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/cialis-side-effects\/","title":{"rendered":"Cialis side effects and how to avoid them"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/cialis\"><span style=\"font-weight: 400;\">Cialis<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">tadalafil<\/span><span style=\"font-weight: 400;\">) is a <\/span><span style=\"font-weight: 400;\">brand-name<\/span><span style=\"font-weight: 400;\"> prescription medication that treats <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/news\/erectile-dysfunction-statistics\/\"><span style=\"font-weight: 400;\">erectile dysfunction<\/span><\/a><span style=\"font-weight: 400;\">, as well as the signs and symptoms of an <\/span><span style=\"font-weight: 400;\">enlarged prostate<\/span><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/bph-treatment-and-medications\"><span style=\"font-weight: 400;\">benign prostatic hyperplasia<\/span><\/a><span style=\"font-weight: 400;\"> or <\/span><span style=\"font-weight: 400;\">BPH<\/span><span style=\"font-weight: 400;\">). Classified as a <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/pde5-inhibitors\"><span style=\"font-weight: 400;\">phosphodiesterase<\/span><span style=\"font-weight: 400;\"> type 5 (PDE5) <\/span><span style=\"font-weight: 400;\">inhibitor<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><span style=\"font-weight: 400;\">tadalafil<\/span><span style=\"font-weight: 400;\"> relaxes penile smooth muscles and arteries and increases <\/span><span style=\"font-weight: 400;\">blood flow<\/span><span style=\"font-weight: 400;\"> to the penis.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As can be expected, medicines that affect <\/span><span style=\"font-weight: 400;\">blood vessels<\/span><span style=\"font-weight: 400;\"> may have unwanted <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\"> and potentially risky drug interactions. People considering <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/cialis\/what-is\"><span style=\"font-weight: 400;\">Cialis<\/span><\/a><span style=\"font-weight: 400;\"> should be aware of the potential <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\">, potential interactions, and any <\/span><span style=\"font-weight: 400;\">medical conditions<\/span><span style=\"font-weight: 400;\"> that may make the medicine unsuitable.<\/span><\/p>\n\t\t<div id=\"coupon-cta\" class=\"coupon-cta master-template\">\n\t\t\t<p id=\"headline\">Save up to 80% on Cialis with SingleCare<\/p>\n\t\t\t<p id=\"subheadline\">Different pharmacies offer different prices for the same medication. SingleCare helps find the best price for you.<\/p>\n\t\t\t<div class=\"details-wrap\">\n\t\t\t\t<div class=\"details\">\n\t\t\t\t\tCialis 5 mg (90 Tablet)\t\t\t\t<\/div>\n\t\t\t\t<div class=\"address\">\n\t\t\t\t\t23666 - Hampton, VA\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"api-response\">\n\t\t\t\t\t\t<div class=\"coupon\">\n\t\t\t<div class=\"logo\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/images.singlecare.com\/content\/images\/pharmacy\/logo-color-kroger.svg\" alt=\"Kroger Pharmacy\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"price\">\n\t\t\t\t<div class=\"price-number\">\n\t\t\t\t\t$17.06<br\/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"price-signup\">\n\t\t\t\t\t<span class=\"info-icon\">i<\/span>\n\t\t\t\t\tPrice with <a href=\"https:\/\/www.singlecare.com\/prescription\/cialis#blog-cta\">signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"couponbtn\">\n\t\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/cialis#blog-cta\">Get free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"coupon\">\n\t\t\t<div class=\"logo\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/images.singlecare.com\/content\/images\/pharmacy\/logo-color-harristeeter.svg\" alt=\"Harris Teeter Pharmacy\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"price\">\n\t\t\t\t<div class=\"price-number\">\n\t\t\t\t\t$17.06<br\/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"price-signup\">\n\t\t\t\t\t<span class=\"info-icon\">i<\/span>\n\t\t\t\t\tPrice with <a href=\"https:\/\/www.singlecare.com\/prescription\/cialis#blog-cta\">signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"couponbtn\">\n\t\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/cialis#blog-cta\">Get free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/cialis#blog-cta\" class=\"coupon-see-all-btn\">See Cialis prices at all pharmacies<\/a>\n\t\t<\/div>\n\n\t\t\n<h2 id=\"common-side-effects-of-cialis\"><span style=\"font-weight: 400;\">Common <\/span><span style=\"font-weight: 400;\">side effects of Cialis<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The most <\/span><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/drugInfo.cfm?setid=bcd8f8ab-81a2-4891-83db-24a0b0e25895\"><span style=\"font-weight: 400;\">common <\/span><span style=\"font-weight: 400;\">side effects<\/span><\/a><span style=\"font-weight: 400;\"> of Cialis<\/span><span style=\"font-weight: 400;\"> 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;\">Indigestion<\/span><span style=\"font-weight: 400;\"> or upset stomach<\/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 (stuffy nose)<\/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\u00a0<\/span><\/li>\n<\/ul>\n<h2 id=\"serious-side-effects-of-cialis\"><span style=\"font-weight: 400;\">Serious side effects of Cialis<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\"> can cause <\/span><span style=\"font-weight: 400;\">serious side effects<\/span><span style=\"font-weight: 400;\"> such as:<\/span><\/p>\n<ul>\n<li><b>Prolonged erections<\/b><span style=\"font-weight: 400;\">: Though rare, some people have reported <\/span><span style=\"font-weight: 400;\">prolonged erections<\/span><span style=\"font-weight: 400;\"> (erections lasting longer than four hours) or <\/span><span style=\"font-weight: 400;\">priapism<\/span><span style=\"font-weight: 400;\"> (painful erections lasting longer than six hours) with this class of <\/span><span style=\"font-weight: 400;\">prescription drugs<\/span><span style=\"font-weight: 400;\">, which includes <\/span><span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/viagra\/what-is\"><span style=\"font-weight: 400;\">Viagra<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">sildenafil<\/span><span style=\"font-weight: 400;\">), <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/vardenafil-hcl\"><span style=\"font-weight: 400;\">vardenafil<\/span><\/a><span style=\"font-weight: 400;\">, and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/stendra\"><span style=\"font-weight: 400;\">Stendra<\/span><\/a><span style=\"font-weight: 400;\"> (avanafil). Both <\/span><span style=\"font-weight: 400;\">prolonged erections<\/span><span style=\"font-weight: 400;\"> and <\/span><span style=\"font-weight: 400;\">priapism<\/span><span style=\"font-weight: 400;\"> should receive emergency medical treatment. <\/span><span style=\"font-weight: 400;\">Priapism<\/span><span style=\"font-weight: 400;\"> may damage erectile tissues if it is not treated right away.<\/span><\/li>\n<li><b>Sudden <\/b><b>loss of vision<\/b><span style=\"font-weight: 400;\">: Non-arteritic anterior ischemic optic neuropathy or <\/span><span style=\"font-weight: 400;\">NAION<\/span><span style=\"font-weight: 400;\"> has been reported\u2014rarely\u2014in people taking drugs like <\/span><span style=\"font-weight: 400;\">tadalafil<\/span><span style=\"font-weight: 400;\">. <\/span><span style=\"font-weight: 400;\">NAION<\/span><span style=\"font-weight: 400;\"> can cause a sudden decrease or complete <\/span><span style=\"font-weight: 400;\">loss of vision<\/span><span style=\"font-weight: 400;\"> in one or both eyes. Immediately stop the drug and get emergency medical help if you notice changes in vision.<\/span><\/li>\n<li><b>Sudden loss of or decrease in hearing<\/b><span style=\"font-weight: 400;\">: Hearing loss has been reported with <\/span><span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\"> and may be accompanied by dizziness or ringing in the ears. Immediately stop the drug and get emergency medical help if you notice a change in or loss of hearing.<\/span><\/li>\n<li><b>Cardiovascular events such as fainting, <\/b><b>chest pain<\/b><b>, <\/b><b>heart attack<\/b><b>, or stroke<\/b><span style=\"font-weight: 400;\">: Many people who have had severe cardiovascular events while taking <\/span><span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\"> had pre-existing risk factors.<\/span><\/li>\n<li><b>Low blood pressure<\/b><b> (<\/b><a href=\"https:\/\/www.singlecare.com\/blog\/low-blood-pressure\/\"><b>hypotension<\/b><\/a><b>): <\/b><span style=\"font-weight: 400;\">Tadalafil<\/span><span style=\"font-weight: 400;\"> lowers <\/span><span style=\"font-weight: 400;\">blood pressure<\/span><span style=\"font-weight: 400;\">, so <\/span><span style=\"font-weight: 400;\">low blood pressure<\/span><span style=\"font-weight: 400;\"> is a possible <\/span><span style=\"font-weight: 400;\">side effect<\/span><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li><b>Severe <\/b><b>allergic reactions<\/b><b>: <\/b><span style=\"font-weight: 400;\">Rare but severe (and potentially life-threatening) hypersensitivity reactions due to <\/span><span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\"> include <\/span><span style=\"font-weight: 400;\">hives<\/span><span style=\"font-weight: 400;\">, Stevens-Johnson syndrome, and exfoliative dermatitis. Get emergency medical help if you have symptoms of a reaction, such as <\/span><span style=\"font-weight: 400;\">hives<\/span><span style=\"font-weight: 400;\">, trouble breathing, swelling, skin pain, blistering or peeling skin, fever, or burning eyes.<\/span><\/li>\n<\/ul>\n<h3 id=\"how-cialis-affects-blood-pressure\"><span style=\"font-weight: 400;\">How <\/span><span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\"> affects <\/span><span style=\"font-weight: 400;\">blood pressure<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\"> relaxes the arteries, which can cause a <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK448192\/\"><span style=\"font-weight: 400;\">drop in <\/span><span style=\"font-weight: 400;\">blood pressure<\/span><\/a><span style=\"font-weight: 400;\">. For most healthy users, this effect is mild and temporary. However, those taking antihypertensive drugs (drugs to treat <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/hypertension-treatments-and-medications\"><span style=\"font-weight: 400;\">high blood pressure<\/span><\/a><span style=\"font-weight: 400;\">) or <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/alpha-blockers\"><span style=\"font-weight: 400;\">alpha blockers<\/span><\/a><span style=\"font-weight: 400;\"> should exercise caution. People who take <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/nitrates\"><span style=\"font-weight: 400;\">nitrates<\/span><\/a><span style=\"font-weight: 400;\"> or guanylate cyclase stimulators should never take a <\/span><span style=\"font-weight: 400;\">PDE5 inhibitor<\/span><span style=\"font-weight: 400;\"> like <\/span><span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Clinical studies show that in healthy males, combining <\/span><span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\"> with <\/span><span style=\"font-weight: 400;\">blood pressure<\/span><span style=\"font-weight: 400;\"> medications slightly increases the risk of hypotension but rarely causes severe outcomes.<\/span><\/p>\n<h3 id=\"how-does-cialis-affect-the-heart\"><span style=\"font-weight: 400;\">How does <\/span><span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\"> affect the heart?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\"> relaxes <\/span><span style=\"font-weight: 400;\">blood vessels<\/span><span style=\"font-weight: 400;\">, which can lower <\/span><span style=\"font-weight: 400;\">blood pressure<\/span><span style=\"font-weight: 400;\">. This <\/span><span style=\"font-weight: 400;\">blood pressure<\/span><span style=\"font-weight: 400;\">-lowering effect is typically mild in most healthy individuals. However, <\/span><span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\"> should not be used with certain medicines, such as <\/span><span style=\"font-weight: 400;\">nitrates<\/span><span style=\"font-weight: 400;\">, because it could result in dangerously <\/span><span style=\"font-weight: 400;\">low blood pressure<\/span><span style=\"font-weight: 400;\">. Serious cardiovascular events (<\/span><span style=\"font-weight: 400;\">heart attack<\/span><span style=\"font-weight: 400;\">, stroke, <\/span><span style=\"font-weight: 400;\">chest pain<\/span><span style=\"font-weight: 400;\">, palpitations, fast heart rate, and sudden cardiac death) have been reported in association with <\/span><span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\"> use, although many patients had preexisting heart conditions. Be sure to inform your <\/span><span style=\"font-weight: 400;\">healthcare professional<\/span><span style=\"font-weight: 400;\"> of your full medical history, including any existing <\/span><span style=\"font-weight: 400;\">heart problems<\/span><span style=\"font-weight: 400;\">, before taking <\/span><span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<h2 id=\"how-long-do-cialis-side-effects-last\"><span style=\"font-weight: 400;\">How long do <\/span><span style=\"font-weight: 400;\">Cialis<\/span> <span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\"> last?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Many common <\/span><span style=\"font-weight: 400;\">side effects of Cialis<\/span><span style=\"font-weight: 400;\"> are temporary and will subside or disappear as your body adjusts to the medication.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Other <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\">, such as severe <\/span><span style=\"font-weight: 400;\">allergic reactions<\/span><span style=\"font-weight: 400;\">, <\/span><span style=\"font-weight: 400;\">prolonged erections<\/span><span style=\"font-weight: 400;\">, <\/span><span style=\"font-weight: 400;\">priapism<\/span><span style=\"font-weight: 400;\">, 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 <\/span><span style=\"font-weight: 400;\">priapism<\/span><span style=\"font-weight: 400;\">, hearing loss, <\/span><span style=\"font-weight: 400;\">heart attack<\/span><span style=\"font-weight: 400;\">, or stroke may have lifelong consequences. Vision loss due to <\/span><span style=\"font-weight: 400;\">NAION<\/span><span style=\"font-weight: 400;\"> can <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3721361\/\"><span style=\"font-weight: 400;\">be permanent<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h3 id=\"does-dose-affect-the-prevalence-of-side-effects\"><span style=\"font-weight: 400;\">Does dose affect the prevalence of <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\">?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">In many cases, certain <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\"> of <\/span><span style=\"font-weight: 400;\">tadalafil<\/span><span style=\"font-weight: 400;\"> may be slightly more prevalent at higher <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/cialis\/dosage\"><span style=\"font-weight: 400;\">doses<\/span><\/a><span style=\"font-weight: 400;\">. For example, 11% of people who took 5 mg or 10 mg doses reported headache, compared to 15% of those who took 20 mg. And 4% of people taking 5 mg doses reported <\/span><span style=\"font-weight: 400;\">indigestion<\/span><span style=\"font-weight: 400;\">, compared to 8% of those who took 10 mg doses and 10% of users taking 20 mg doses. If you tolerate a lower dose well and notice <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\"> at higher doses, your <\/span><span style=\"font-weight: 400;\">healthcare provider<\/span><span style=\"font-weight: 400;\"> may suggest going back to a lower dose.\u00a0<\/span><\/p>\n<h2 id=\"what-are-the-long-term-side-effects-of-cialis\"><span style=\"font-weight: 400;\">What are the long-term <\/span><span style=\"font-weight: 400;\">side effects of Cialis<\/span><span style=\"font-weight: 400;\">?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">A <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15036680\/\"><span style=\"font-weight: 400;\">study<\/span><\/a><span style=\"font-weight: 400;\"> of long-term use of <\/span><span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\"> (taken as needed for ED) over an 18- to 24-month period found the medicine to be safe and well-tolerated. The most common <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\"> in people who took <\/span><span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\"> for this period of time were headache, common cold symptoms, and <\/span><span style=\"font-weight: 400;\">back pain<\/span><span style=\"font-weight: 400;\">. In this study, about 6% of users stopped taking <\/span><span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\"> due to <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\">. Although 8.6% of patients had <\/span><span style=\"font-weight: 400;\">serious side effects<\/span><span style=\"font-weight: 400;\">, the researchers did not find a cause-and-effect relationship. However, there are many factors that can influence whether you will have long-term <\/span><span style=\"font-weight: 400;\">side effects of Cialis<\/span><span style=\"font-weight: 400;\">, so it\u2019s best to discuss your medical history with your <\/span><span style=\"font-weight: 400;\">healthcare provider<\/span><span style=\"font-weight: 400;\"> to determine the best\u2014and safest\u2014treatment for you.\u00a0<\/span><\/p>\n<h2 id=\"cialis-contraindications-warnings\"><span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\"> contraindications &amp; warnings<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\"> may not be the right drug for all men, particularly because of its effects on the cardiovascular system. <\/span><span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\"> is contraindicated (should never be used) in men:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">With an allergy to <\/span><span style=\"font-weight: 400;\">tadalafil<\/span><span style=\"font-weight: 400;\"> or any ingredient in the medicine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Who take <\/span><span style=\"font-weight: 400;\">nitrates<\/span><span style=\"font-weight: 400;\"> or guanylate cyclase stimulators<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">For some people, the <\/span><span style=\"font-weight: 400;\">healthcare provider<\/span><span style=\"font-weight: 400;\"> will weigh the risks and benefits to ensure the drug is safe for you. Be sure to tell your <\/span><span style=\"font-weight: 400;\">healthcare provider<\/span><span style=\"font-weight: 400;\"> about any <\/span><span style=\"font-weight: 400;\">medical conditions<\/span><span style=\"font-weight: 400;\"> you have, including:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mild to moderate kidney disease (<\/span><span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\"> is not recommended for people with severe kidney problems or who are on dialysis)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mild to moderate liver disease (<\/span><span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\"> is not recommended for people with severe liver problems)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">High or <\/span><span style=\"font-weight: 400;\">low blood pressure<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cardiovascular (heart) problems, or a previous <\/span><span style=\"font-weight: 400;\">heart attack<\/span><span style=\"font-weight: 400;\"> or stroke<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pulmonary <\/span><span style=\"font-weight: 400;\">hypertension<\/span><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">high blood pressure<\/span><span style=\"font-weight: 400;\"> in the arteries of the lungs)\u00a0<\/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;\">Stomach ulcers<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bleeding problems<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A history of <\/span><span style=\"font-weight: 400;\">NAION<\/span><span style=\"font-weight: 400;\"> or any other vision or eye problems, including <\/span><span style=\"font-weight: 400;\">retinitis pigmentosa<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Penile deformities such as <\/span><span style=\"font-weight: 400;\">Peyronie<\/span><span style=\"font-weight: 400;\">\u2019s disease, cavernosal fibrosis, or angulation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A history of an erection lasting more than four hours<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A blood cell condition such as sickle cell anemia, <\/span><span style=\"font-weight: 400;\">leukemia<\/span><span style=\"font-weight: 400;\">, or multiple <\/span><span style=\"font-weight: 400;\">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;\">the prescribing information<\/span><\/a><span style=\"font-weight: 400;\">, patients with cardiovascular conditions such as myocardial infarction, <\/span><span style=\"font-weight: 400;\">angina<\/span><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">chest pain<\/span><span style=\"font-weight: 400;\">), hypotension, stroke, or uncontrolled arrhythmias at present, or in the recent past, should not <\/span><span style=\"font-weight: 400;\">take Cialis<\/span><span style=\"font-weight: 400;\"> because no clinical studies have been conducted to evaluate safety and efficacy.<\/span><\/p>\n<h3 id=\"who-should-not-take-cialis\"><span style=\"font-weight: 400;\">Who Should Not <\/span><span style=\"font-weight: 400;\">Take Cialis<\/span><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Children:<\/b> <span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\"> is not approved for anyone under the age of 18 years.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Women:<\/b> <span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\"> is not <\/span><span style=\"font-weight: 400;\">FDA<\/span><span style=\"font-weight: 400;\">-approved for use in women, nor is it recommended during pregnancy or <\/span><span style=\"font-weight: 400;\">breastfeeding<\/span><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Older adults:<\/b><span style=\"font-weight: 400;\"> No dosage adjustment is required based on age alone, but older adults should be closely monitored for cardiovascular risks or other issues.<\/span><\/li>\n<\/ul>\n<h3 id=\"abuse-and-dependency\"><span style=\"font-weight: 400;\">Abuse and dependency<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\"> is not a <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/controlled-substances-act\/\"><span style=\"font-weight: 400;\">controlled substance<\/span><\/a><span style=\"font-weight: 400;\"> and does not cause physical addiction or withdrawal, but misuse (especially for <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2909482\/\"><span style=\"font-weight: 400;\">recreational use<\/span><\/a><span style=\"font-weight: 400;\">) may lead to psychological dependence.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Recreational use increases risks of <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\">, unsafe sexual behavior, and dangerous drug interactions, particularly when mixed with stimulants or \u201c<\/span><span style=\"font-weight: 400;\">poppers<\/span><span style=\"font-weight: 400;\">.\u201d<\/span><\/p>\n<h2 id=\"cialis-interactions\"><span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\"> interactions<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Before taking <\/span><span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\">, inform your <\/span><span style=\"font-weight: 400;\">healthcare provider<\/span><span style=\"font-weight: 400;\"> about all the medications you are taking, including prescription and <\/span><span style=\"font-weight: 400;\">over-the-counter<\/span><span style=\"font-weight: 400;\"> drugs, vitamins, and supplements. Avoid these combinations:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Nitrates<\/b><span style=\"font-weight: 400;\"> (e.g., <\/span><span style=\"font-weight: 400;\">nitroglycerin<\/span><span style=\"font-weight: 400;\">, <\/span><span style=\"font-weight: 400;\">isosorbide dinitrate<\/span><span style=\"font-weight: 400;\">): Dangerous drops in <\/span><span style=\"font-weight: 400;\">blood pressure<\/span><span style=\"font-weight: 400;\">. <\/span><span style=\"font-weight: 400;\">Nitrates<\/span><span style=\"font-weight: 400;\"> are contraindicated with <\/span><span style=\"font-weight: 400;\">PDE5 inhibitors<\/span><span style=\"font-weight: 400;\"> like <\/span><span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\">.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Guanylate cyclase stimulators<\/b><span style=\"font-weight: 400;\"> (e.g., Adempas, Verquvo): Contraindicated.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Other ED medications <\/b><span style=\"font-weight: 400;\">(e.g., <\/span><span style=\"font-weight: 400;\">Viagra<\/span><span style=\"font-weight: 400;\">, <\/span><span style=\"font-weight: 400;\">Levitra<\/span><span style=\"font-weight: 400;\">): Increased risk of hypotension.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Strong CYP3A4 <\/b><b>inhibitors<\/b><span style=\"font-weight: 400;\"> (e.g., <\/span><span style=\"font-weight: 400;\">ketoconazole<\/span><span style=\"font-weight: 400;\">, ritonavir): May increase <\/span><span style=\"font-weight: 400;\">tadalafil<\/span><span style=\"font-weight: 400;\"> levels and <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>CYP3A4 inducers (e.g., rifampin)<\/b><span style=\"font-weight: 400;\">: May reduce <\/span><span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\"> effectiveness.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Additionally, grapefruit and juices that contain grapefruit can interact with <\/span><span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\">. Check with your <\/span><span style=\"font-weight: 400;\">healthcare provider<\/span><span style=\"font-weight: 400;\"> before combining grapefruit with <\/span><span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Drinking too much alcohol can increase your risk of certain <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\"> like headache, dizziness, fast heart rate, and <\/span><span style=\"font-weight: 400;\">low blood pressure<\/span><span style=\"font-weight: 400;\">. If you drink alcohol, check with your <\/span><span style=\"font-weight: 400;\">healthcare provider<\/span><span style=\"font-weight: 400;\"> for <\/span><span style=\"font-weight: 400;\">medical advice<\/span><span style=\"font-weight: 400;\"> on how much alcohol is safe for you during <\/span><span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\"> treatment.\u00a0<\/span><\/p>\n<h2 id=\"how-to-avoid-cialis-side-effects\"><span style=\"font-weight: 400;\">How to avoid <\/span><span style=\"font-weight: 400;\">Cialis<\/span> <span style=\"font-weight: 400;\">side effects<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Follow these 8 key tips to reduce your risk of <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\"> and get the best results from <\/span><span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\">:<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Use <\/b><b>Cialis<\/b><b> only under medical supervision.<\/b><span style=\"font-weight: 400;\"> Get a prescription from a licensed <\/span><span style=\"font-weight: 400;\">healthcare provider<\/span><span style=\"font-weight: 400;\"> after a full medical evaluation.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Buy from a licensed pharmacy.<\/b><span style=\"font-weight: 400;\"> Avoid counterfeit or online \u201ccheap\u201d versions \u2014 they may contain unsafe ingredients.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Take Cialis<\/b><b> exactly as prescribed. <\/b><span style=\"font-weight: 400;\">Do not increase or decrease the dose without consulting your doctor.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Be transparent about your health.<\/b><span style=\"font-weight: 400;\"> Inform your provider about all <\/span><span style=\"font-weight: 400;\">medical conditions<\/span><span style=\"font-weight: 400;\"> and medications.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Take only one dose per day.<\/b> <span style=\"font-weight: 400;\">Cialis<\/span><span style=\"font-weight: 400;\"> stays active up to 36 hours; overdosing increases <\/span><span style=\"font-weight: 400;\">side effect<\/span><span style=\"font-weight: 400;\"> risk.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Avoid grapefruit and excessive alcohol.<\/b><span style=\"font-weight: 400;\"> Both can heighten <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\"> and reduce safety.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Monitor <\/b><b>blood pressure<\/b><b> regularly.<\/b><span style=\"font-weight: 400;\"> Especially if you\u2019re taking antihypertensives or have <\/span><span style=\"font-weight: 400;\">heart disease<\/span><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Practice safe sex.<\/b> Cialis does not protect against sexually transmitted diseases \u2014 use condoms and safe practices.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Cialis (tadalafil) is a brand-name prescription medication that treats erectile dysfunction, as well as the signs and symptoms of an enlarged prostate (benign prostatic hyperplasia or BPH). Classified as a phosphodiesterase type 5 (PDE5) inhibitor, tadalafil relaxes penile smooth muscles and arteries and increases blood flow to the penis.\u00a0 As can be expected, medicines that [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":634262,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[8922,12752,17777],"coauthors":[8861],"class_list":["post-24730","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-erectile-dysfunction","tag-medication-side-effects","tag-mens-health","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Cialis side effects and how to avoid them<\/title>\n<meta name=\"description\" content=\"Headache, stomach upset\/diarrhea, and back pain are common Cialis side effects. 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