Always inform your doctor about all medications and supplements you take, including over-the-counter drugs, herbal remedies, and recreational drugs, before starting Tadalafil 40mg. This is crucial for safe use. Nitrates, commonly used to treat chest pain (angina), interact dangerously with Tadalafil, potentially causing a significant drop in blood pressure.
Medication Interactions
Alpha-blockers, prescribed for high blood pressure or enlarged prostate, can increase the risk of low blood pressure when combined with Tadalafil. Similarly, combining Tadalafil with certain antifungal medications (like ketoconazole and itraconazole) or HIV protease inhibitors can elevate Tadalafil levels in your blood, potentially increasing side effects. Grapefruit juice inhibits the metabolism of Tadalafil; avoid consuming it while taking this medication. Discuss potential interactions with your physician if you’re taking medications for high blood pressure, heart conditions, or HIV.
Substance Interactions
Alcohol consumption can exacerbate Tadalafil’s side effects, especially dizziness and low blood pressure. Recreational drug use should be avoided completely while on Tadalafil, as these interactions are largely unpredictable and potentially harmful. Inform your doctor about any substance use to ensure your safety.