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Cialis (Tadalafil) Online: Same-Day Prescriptions for ED

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Potential side effects of Cialis

While Cialis does cause side effects in some individuals, it is noteworthy that the majority of users experience only mild effects or none at all. Fortunately, serious adverse reactions are exceedingly rare, occurring in fewer than 1 out of 1000 patients. Opting to use Cialis for ED on an as-needed basis helps minimize the occurrence of any side effects since it is intended for short-term use, making it a manageable choice for many.

When taken daily to manage ED or to alleviate symptoms associated with benign prostatic hyperplasia (BPH), several mild effects are more commonly reported, including:

  • Headaches

  • Nausea

  • Facial flushing and hot flashes

  • Indigestion

  • Congested nose

  • Muscle aches


These mild side effects typically resolve on their own upon discontinuation of the medication. However, if you experience any of the following symptoms, it is crucial to stop using Cialis immediately and seek medical help:

  • Sudden vision or hearing changes - discontinue tadalafil use immediately

  • A prolonged or painful erection lasting longer than 2 hours

  • Seizures or chest pain


It is important to note that any medication, including tadalafil, can occasionally trigger a severe allergic reaction known as anaphylaxis. If you notice any of the following symptoms, contact your doctor without delay:

  • Sudden swelling of the lips, mouth, throat, or tongue

  • Rapid or difficult breathing, wheezing, or a sensation of choking

  • Tightness in the throat or difficulty swallowing

  • Bluish, gray, or pale skin, lips, or tongue (especially noticeable in palms or soles for darker skin tones)

  • Sudden confusion, excessive drowsiness, or dizziness

  • Inability to regain consciousness after fainting

  • Limpness, floppiness, or unusual responsiveness in a child, along with any signs of a swollen, raised, itchy, blistered, or peeling rash.


If you experience symptoms indicative of a potentially anaphylactic reaction, it is vital to seek emergency medical assistance immediately. (Please be aware that not all potential side effects of tadalafil are detailed here. For an exhaustive list, refer to the leaflet included in your medication packet.)

Interactions/contraindications: never mix Cialis with other medications without your doctor's approval

Always inform your physician of all medications and supplements you are taking when prescribed any medication. Similar to other ED treatments, Cialis can interact with a variety of drugs, including (but not limited to):

  • Rifamycins

  • Antibiotics

  • Antifungals

  • Antidepressants

  • Barbiturates

  • Medications for high blood pressure

  • Prostate medications

  • HIV or AIDS treatments

  • Seizure medications


Taking Cialis in conjunction with certain drugs known as nitrates can lead to a sudden drop in blood pressure to potentially unsafe levels. Patients with specific health conditions, such as sickle cell anemia or pulmonary arterial hypertension, should refrain from using Cialis without prior consultation from a healthcare professional. If you are currently under the care of a primary care physician or specialist, be sure to inform them if you start Cialis or any ED medication. Your healthcare provider also needs to be made aware if you require emergency medical assistance for a cardiac concern.

Cialis and alcohol: how to use Cialis safely

Occasionally enjoying a single glass of wine or a small drink is typically not expected to interfere with the effectiveness of Cialis or pose notable health risks. However, it is crucial to understand that excessive alcohol consumption combined with the use of Cialis can lead to serious complications. Ultimately, determining whether alcohol consumption while taking Cialis is safe should be discussed thoroughly with your healthcare provider. Always maintain transparency about your alcohol and recreational drug use to allow your doctor to provide well-informed recommendations.

Moderate drinking is commonly defined as consuming fewer than three alcoholic beverages per day, with a “beverage” outlined as 12 ounces of beer, 5 ounces of wine, or 1.5 ounces of 80-proof liquor.

Consuming amounts exceeding this moderate threshold while using Cialis can result in dangerous side effects, which may include low blood pressure, dizziness, and rapid heartbeat. Both Cialis and alcohol function as vasodilators, meaning they relax and widen blood vessels, which can cause a critical drop in blood pressure.

Excessive alcohol use in conjunction with Cialis may also lead to a condition known as orthostatic hypotension. Symptoms may include headaches, dizziness, and fainting, which can potentially cause fractures or other injuries. The likelihood of experiencing orthostatic hypotension is reportedly higher with Cialis than with some alternative ED medications.

If you encounter symptoms such as headaches or dizziness, it is wise to refrain from consuming alcohol and consult your healthcare provider promptly. Not only does excessive alcohol intake raise your health risks while using Cialis, but it also heightens the risks of developing health issues such as cardiovascular diseases, obesity, and cognitive decline.