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Potential side effects of Cialis

While Cialis can cause side effects in some individuals, it's important to note that the majority of users experience only mild effects or none at all. Fortunately, serious side effects are quite rare, typically occurring in fewer than 1 out of 1000 patients. The on-demand use of CiaIis for ED helps to minimize potential side effects since it is intended for short-term use.

When taken on a daily basis for erectile dysfunction (ED) or to alleviate symptoms of benign prostatic hyperplasia (BPH), some mild side effects may become more common, including:

  • Headaches 

  • Nausea 

  • Facial flushing and hot flashes 

  • Indigestion 

  • Congested nose 

  • Muscle aches 


These mild side effects usually diminish after discontinuing the use of the medication. It is important to stop using Cialis and seek medical assistance if you experience any of the following severe reactions:

  • Sudden vision or hearing issues; discontinue tadalafil usage immediately. 

  • A prolonged or painful erection lasting longer than 2 hours. 

  • Seizures or chest pain. 


It's crucial to recognize that any medication, including tadalafil, may very rarely cause a severe allergic reaction known as anaphylaxis.

If you notice any of the following symptoms, contact your healthcare provider immediately:

  • 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 (more evident in the palms or soles for individuals with dark skin tones). 

  • Sudden confusion, excessive drowsiness, or dizziness. 

  • Inability to regain consciousness after fainting. 

  • Limpness, floppiness, or unusual responsiveness in young children. Additionally, be on the lookout for a swollen, raised, itchy, blistered, or peeling rash.


Should you display any signs of a potentially anaphylactic reaction, seek emergency medical assistance without delay. (Please be aware that not every potential side effect of tadalafil is mentioned here. Consult the informational leaflet included with your medication for a detailed list.)

Interactions/contraindications: Avoid mixing Cialis with other medications without your doctor’s explicit approval

When you are prescribed any medication, it's imperative to inform your healthcare provider about all other drugs and supplements you are currently utilizing. Similar to other erectile dysfunction medications, Cialis may interact with a variety of medications, encompassing (but not limited to):

  • Rifamycins 

  • Antibiotics 

  • Antifungals 

  • Antidepressants 

  • Barbiturates 

  • High blood pressure treatments 

  • Prostate medications 

  • HIV or AIDS prescriptions 

  • Seizure medications 


Cialis can cause a rapid decrease in blood pressure to an unsafe level if it is consumed with certain medications known as nitrates. Individuals with health conditions such as sickle cell anemia or pulmonary arterial hypertension should not use Cialis without guidance from a healthcare provider. If you’re under the supervision of a primary care physician or a specialist, always inform them if you begin taking Cialis or any erectile dysfunction medication, especially if you require emergency medical attention for a heart-related issue.

Cialis and alcohol: Guidelines for safe use of Cialis

Having a single glass of wine or an alcoholic beverage is generally unlikely to interfere with Cialis or create significant health risks. However, consuming excessive amounts of alcohol in conjunction with Cialis may lead to serious complications. Ultimately, the decision regarding alcohol consumption while on Cialis should be made between you and your healthcare provider. Always maintain transparency with your doctor regarding your alcohol or recreational drug use, enabling them to provide a well-informed recommendation.

Moderate drinking is defined as having fewer than three alcoholic drinks per day, with a drink being classified as 12 ounces of beer, 5 ounces of wine, or 1.5 ounces of 80-proof liquor.

Exceeding these moderate quantities of alcohol while taking Cialis can result in severe side effects, including low blood pressure, dizziness, and rapid heartbeat. Both Cialis and alcohol work as vasodilators, relaxing and relaxing blood vessels, which can dangerously lower blood pressure levels.

Combining excessive alcohol with Cialis may also lead to a condition known as orthostatic hypotension. Symptoms can include headaches, dizziness, and fainting, which may lead to fractures or other injuries. Orthostatic hypotension can also elevate your heart rate, potentially resulting in serious cardiac issues. This condition is observed more often with Cialis compared to some other erectile dysfunction medications.

If you encounter symptoms such as headaches or dizziness, it is prudent to abstain from drinking and consult your healthcare provider. Excessive alcohol consumption not only heightens your health risks while using Cialis but also increases the likelihood of developing health issues, including heart disease, obesity, and cognitive decline.