Always inform your doctor about all medications you take before starting Daily Cialis. Certain drugs can interact negatively, potentially causing dangerous side effects.
Specifically, avoid the following:
- Nitrates: These medications, often used to treat chest pain (angina), can cause a dangerous drop in blood pressure when combined with Cialis. This combination can lead to severe hypotension. Alpha-blockers: These drugs treat high blood pressure and enlarged prostate. Concurrent use with Cialis significantly increases the risk of low blood pressure, especially upon standing. Guanylate cyclase stimulators: Drugs like riociguat should not be combined with Cialis because of the increased risk of severe hypotension. CYP3A4 inhibitors: These medications can increase Cialis levels in your blood, leading to amplified side effects. Examples include ketoconazole, itraconazole, erythromycin, and clarithromycin. Strong CYP3A4 inducers: These drugs can decrease Cialis levels, reducing its effectiveness. Rifampin is a common example.
This list isn’t exhaustive; other medications may also interact. Consult your physician or pharmacist for a complete list of potential interactions and to assess your specific risk.
Additionally, Cialis is contraindicated in individuals with:
- Severe heart disease Recent history of stroke or heart attack Low blood pressure Uncontrolled high blood pressure Severe liver disease A known allergy to tadalafil (the active ingredient in Cialis) Retinitis pigmentosa (a rare eye disease)
Open communication with your healthcare provider is paramount for safe and effective Cialis use. Always disclose your medical history and current medications to prevent potential complications.


