Cialis Precautions
Who should not use Cialis?
Special Warnings with Cialis:
Cialis can cause your blood pressure to drop suddenly to an unsafe level if it is taken with certain other medicines such as nitrates and alpha-blockers, and recreational drugs that contain nitrates called "poppers". A sudden drop in your blood pressure could cause you to become dizzy, faint, or have a heart attack or stroke.
Tell all your healthcare providers that you take Cialis. If you need emergency medical care for a heart problem, it will be important for your healthcare provider to know when you last took Cialis.
Who should not take Cialis?
Do not take Cialis if you:
* take any medicines called “nitrates”
* use recreational drugs called "poppers like amyl nitrate and butyl nitrate
* take medicines called “alpha blockers”, other than Flomax® ?0.4 mg daily
* have been told by your healthcare provider to not have sexual activity because of health problems
* are allergic to Cialis or any of its ingredients
What should I tell my health care provider?
Tell your health care provider if you:
* have heart problems such as angina, heart failure, irregular heartbeats, or have had a heart attack
* have low blood pressure or have high blood pressure that is not controlled
* have had a stroke
* have liver problems
* have kidney problems or require dialysis
* have retinitis pigmentosa, a rare genetic (runs in families) eye disease
* have stomach ulcers
* have a bleeding problem
* have a deformed penis shape or Peyronie’s disease
* have had an erection that lasted more than 4 hours
* have blood cell problems such as sickle cell anemia, multiple myeloma, or leukemia
Tell your doctor about all the medicines you take including prescription and non-prescription
medicines, vitamins, and herbal supplements. Cialis and other medicines may affect each other.
Especially tell your doctor if you take any of the following:
* medicines called nitrates
* medicines called alpha blockers. These include Hytrin®
(terazosin), Flomax® (tamsulosin), Cardura® (doxazosin), Minipress® (prazosin) or Uroxatral (alfuzosin).
* ritonavir (Norvir®) or indinavir (Crixivan®)
* ketoconazole or itraconazole (such as Nizoral® or Sporanox®)
* erythromycin
* other medicines or treatments for ED
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