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Can Cialis raise blood pressure?

Taking Cialis can cause changes in blood pressure, including high blood pressure. Blood pressure changes weren't common in people taking Cialis in clinical trials. Low blood pressure was more likely to occur than high blood pressure, but both are possible. These changes tend to be mild.

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benign prostatic hyperplasia (BPH)

symptoms of both ED and BPH together Depending on how your doctor prescribes Cialis for you, you may take the medication only as needed. Or, you may take it once per day every day. Either way, if you and your doctor agree that Cialis is effective for you, you’ll likely take the drug long term. Here are some fast facts on Cialis: Active ingredient: tadalafil

tadalafil Drug class: phosphodiesterase 5 (PDE5) inhibitor

phosphodiesterase 5 (PDE5) inhibitor Drug form: oral tablet Like other drugs, Cialis can cause side effects. Read on to learn about potential common side effects of Cialis, as well as mild and serious side effects. For a general overview of Cialis, including details about its uses, see this article. * Sex and gender exist on spectrums. Use of the term “male” in this article refers to sex assigned at birth. More common side effects of Cialis Cialis can cause certain side effects, some of which are more common than others. These side effects may be temporary, lasting a few days or weeks. But if the side effects last longer than that, bother you, or become severe, be sure to talk with your doctor or pharmacist. These are just a few of the more common side effects reported by people who took Cialis in clinical trials: headache*

upset stomach and indigestion

back pain*

muscle pain

stuffy nose * To learn more information about this side effect, see “Side effect specifics” below. Mild side effects of Cialis Mild side effects can occur with Cialis use. This list doesn’t include all possible mild side effects of the drug. For more information, you can refer to the Cialis prescribing information. Mild side effects that have been reported with Cialis include: headache*

upset stomach and indigestion

back pain*

muscle pain

stuffy nose or runny nose

flushing

pain in your arms or legs

upper respiratory infection

cough

diarrhea

urinary tract infection

heartburn*

abdominal (belly) pain These side effects may be temporary, lasting a few days or weeks. But if the side effects last longer than that, bother you, or become severe, be sure to talk with your doctor or pharmacist. Note: After the Food and Drug Administration (FDA) approves a drug, it tracks side effects of the medication. If you develop a side effect while taking Cialis and want to tell the FDA about it, visit MedWatch. * For more information about this side effect, see “Side effect specifics” below. Serious side effects of Cialis Cialis may cause serious side effects. The list below may not include all possible serious side effects of the drug. For more information, you can refer to the Cialis prescribing information. If you develop serious side effects while taking Cialis, call your doctor right away. If the side effects seem life threatening or you think you’re having a medical emergency, immediately call 911 or your local emergency number. Serious side effects that have been reported and their symptoms include: Hearing changes. Symptoms can include: trouble hearing dizziness hearing loss ringing in your ears Priapism (a prolonged, painful erection), which is a medical emergency. Symptoms can include: an erection that lasts longer than 4 hours pain in your penis

Heart-related side effects.*

Side effects that affect the eyes and vision.*

Blood pressure changes, including high blood pressure.*

Allergic reaction.* * For more information about this side effect, see “Side effect specifics” below. Avoiding Cialis side effects While there’s no way to completely avoid Cialis side effects, here are some tips that can help decrease your risk for side effects: Tell your doctor and pharmacist about all of the medications you take. This includes vitamins, herbs, and supplements. Your doctor and pharmacist can check to see if any of the medications you take could interact with Cialis. Tell your doctor about your complete medical history, including any medical conditions you have. This helps your doctor determine if Cialis is safe for you to take. If you drink alcohol, avoid or minimize drinking it while taking Cialis. Alcohol use can increase your risk for certain side effects.

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Take Cialis exactly as your doctor prescribes. You should not change your dosage of Cialis without first talking with your doctor. For more information on lowering your risk for side effects of Cialis, see the “Side effect specifics” section below. FAQs about the side effects of Cialis Cialis may cause several side effects. Here are some frequently asked questions about the drug’s side effects and their answers. Can Cialis cause side effects that are long term? Or do Cialis side effects go away? Most side effects of Cialis go away on their own with time. But some side effects may be long term, including the following rare side effects: Priapism, which is an erection that lasts longer than 4 hours and won’t go away. If not treated immediately, this can cause irreversible damage to the penis, including loss of the ability to have an erection. You should get emergency medical care right away if you experience priapism. Sudden decrease in vision or loss of vision. This can affect one or both eyes, and can be permanent. Talk with your doctor or pharmacist if you have additional questions about how long Cialis side effects can last. What can be the side effects of taking Cialis daily? These are just a few of the more common side effects reported by people who took Cialis daily in clinical trials: headache*

upset stomach

runny nose

back pain*

upper respiratory infection

heartburn*

muscle pain For a list of side effects reported by people taking Cialis in clinical trials, including people who took the drug daily, see the “Mild side effects of Cialis” and “Serious side effects of Cialis” sections above. You may also view the drug’s prescribing information. * For more information about this side effect, see “Side effect specifics” below. What are the side effects of Cialis vs. Viagra? Cialis and Viagra can both be prescribed to treat erectile dysfunction (ED). These drugs contain the same active ingredient (tadalafil) and belong to the same medication class (phosphodiesterase 5 [PDE5] inhibitors).* So, these drugs share many of the same side effects. The table below compares some of the mild side effects of Cialis and Viagra: Can occur with Cialis Can occur with Viagra Can occur with both Cialis and Viagra • pain in your arms or legs • abnormal vision

• dizziness

• nausea

• rash • back pain†

• flushing

• headache

• heartburn†

• muscle pain

• stuffy nose Below are some serious side effects that Cialis and Viagra (when taken individually) may cause: allergic reaction†

blood pressure changes†

hearing changes, including trouble hearing or ringing in your ears

priapism (a prolonged, painful erection)

vision loss† If you have additional questions about how Cialis and Viagra compare, talk with your doctor or pharmacist. * A medication class is a group of drugs that work in a similar way. † For more information about this side effect with Cialis use, see “Side effect specifics” below. Do Cialis side effects vary based on whether I’m taking a high or low dose (2.5 mg, 5 mg, 10 mg, or 20 mg)? Yes, side effects caused by Cialis can vary depending on the strength you’re taking. But most side effects of the drug don’t differ much based on the dose you take. In general, some side effects may be more likely to occur or may be slightly worse with higher doses of Cialis. To see full details on how Cialis side effects varied by dose in clinical trials, view the drug’s prescribing information. What are the side effects of generic Cialis? The generic version of Cialis is tadalafil. (A generic drug is an exact copy of the active drug in a brand-name medication.) Side effects of tadalafil are the same as those caused by brand-name Cialis. Your doctor or pharmacist can provide more information about how Cialis and generic tadalafil compare. Precautions for Cialis Be sure to talk with your doctor about your health history before you take Cialis. This drug may not be the right treatment for you if you have certain medical conditions or other factors that affect your health. The conditions and factors to consider include: Blood pressure problems and heart problems. Taking Cialis may cause changes in blood pressure, including high or low blood pressure. And, sexual activity can cause strain on your heart. Due to these risks, it’s very important to tell your doctor about any blood pressure or heart problems you have. Your doctor can determine if your heart is healthy enough for sexual activity, and whether it’s safe for you to take Cialis. Pulmonary hypertension. Some drugs used to treat pulmonary hypertension should not be used with Cialis, because this combination can cause a dangerous decrease in blood pressure. Be sure to tell your doctor if you have pulmonary hypertension, and whether you take any medications to treat it. Your doctor can determine whether it’s safe for you to take Cialis. Stroke. Taking Cialis can increase your risk for stroke. You should not use Cialis if you’ve had a stroke within the past 6 months. Make sure to tell your doctor if you have a history of stroke before you take Cialis. Kidney problems or liver problems. If you have problems with your kidneys or liver, your body may not be able to break down Cialis as quickly as usual. This means the medication can build up in your body, which can increase your risk for side effects. Tell your doctor about any kidney or liver problems you have before you take Cialis. They may start you on a lower Cialis dose than usual. Retinitis pigmentosa. Retinitis pigmentosa is a rare genetic eye condition that causes vision loss. Cialis can rarely cause vision loss as a side effect. Because of this, you should not use Cialis if you have retinitis pigmentosa. Your doctor may be able to recommend other treatments for your condition. Blood cell problems. People with blood cell problems may be at higher risk for priapism (a prolonged, painful erection) with Cialis. These problems include sickle cell anemia, as well as blood cancers, such as leukemia or multiple myeloma. Your doctor may prescribe a lower than usual dose of Cialis for you if you have a condition that affects your blood cells. Allergic reaction. You should not take Cialis if you’ve ever had an allergic reaction to Cialis or any of its ingredients. Talk with your doctor or pharmacist about which other treatments are better choices for you. Alcohol use with Cialis You should avoid or minimize alcohol use while taking Cialis. This is because alcohol can lower your blood pressure. Cialis can also cause blood pressure changes, including low blood pressure. So the combination of Cialis and alcohol could make this side effect worse, and potentially dangerous. If you drink alcohol, talk with your doctor about how much is safe for you to have before you start taking Cialis. Pregnancy and breastfeeding while taking Cialis Cialis isn’t approved for use in females.* It’s not known whether the drug is safe to use while pregnant or breastfeeding. If you have questions about Cialis and pregnancy or breastfeeding, talk with your doctor. * Sex and gender exist on spectrums. Use of the term “female” in this article refers to sex assigned at birth.

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