Always consult your doctor before combining Cialis with other medications or supplements. Certain substances can significantly alter Cialis’s effects, sometimes dangerously.
Here are some key examples:
- Nitrates: Combining Cialis with nitrates (found in some heart medications) can cause a dangerous drop in blood pressure. This interaction can be life-threatening. Alpha-blockers: These medications, used to treat high blood pressure and enlarged prostate, can interact with Cialis, leading to significantly low blood pressure. Azole antifungals (e. g., ketoconazole, itraconazole): These medications can increase Cialis levels in your blood, potentially intensifying its effects and side effects. Macrolide antibiotics (e. g., erythromycin, clarithromycin): Similar to azoles, these antibiotics can increase Cialis blood levels. Grapefruit juice: Avoid grapefruit juice while taking Cialis. It contains compounds that can interfere with the metabolism of Cialis, raising its blood levels. Alcohol: Excessive alcohol consumption can worsen Cialis’s side effects, particularly dizziness and headaches.
This list is not exhaustive. Many other medications and supplements can potentially interact with Cialis. Always provide your doctor with a complete list of all medications, supplements, and herbal remedies you’re taking.
Ignoring potential interactions can have serious consequences. Open communication with your healthcare provider is vital for safe and effective Cialis use.
Be honest and thorough when describing your medication history. Report any unusual symptoms immediately. Follow your doctor’s instructions precisely.


