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What is the dosage for tadalafil? For most individuals, cialis cocaine alcohol the recommended starting dose of tadalafil is 10 mg per day taken before sexual activity (tadalafil for use as needed). Depending on the adequacy of the response or side effects, the dose may be increased to 20 mg or decreased to 5 mg a day. The effect of tadalafil may last up to 36 hours. Individuals who are taking medications that increase the blood levels of tadalafil should not cialis cocaine alcohol exceed a total dose of 10 mg in 72 hours (See drug interactions ). For once daily use without regard to sexual activity the recommended dose.5 to 5 mg daily. Tadalafil should not be taken more than once daily. The recommended dose for BPH, or BPH and. ED is 5 mg daily taken about the same time each cialis cocaine alcohol day. Tadalafil may be taken with or without food since food does not affect its absorption from cialis cocaine alcohol the intestine. The dose of tadalafil may require adjustment for patients with reduced kidney or liver function. Which cialis cocaine alcohol drugs cialis cocaine alcohol or supplements interact with tadalafil? The breakdown and cialis cocaine alcohol elimination of tadalafil from the body may be decreased by erythromycin, ketoconazole nizoral itraconazole sporanox indinavir crixivan ) and ritonavir norvir ). Therefore, these drugs may increase the levels of tadalafil in the blood. If these drugs are being used at the same time as tadalafil, the dose of tadalafil should be reduced to 10 mg every 72 hours when used as needed.5 mg when used daily in order to avoid side effects from high levels. Rifampin, carbamazepine tegretol, Tegretol XR, Equerto, Carbatrol phenytoin dilantin, Dilantin-125 and phenobarbital may decrease blood levels of tadalafil, possibly reducing the effect of tadalafil. Tadalafil exaggerates the increases in heart rate and lowering of blood pressure caused by nitrates, for example, nitroglycerin, isosorbide dinitrate ( Isordil isosorbide mononitrate (Imdur, Ismo, Monoket nitroglycerin ( Nitro-Dur, Transderm-Nitro) that are used primarily for treating cialis cocaine alcohol heart pain ( angina ). In patients who take nitrates for angina, tadalafil could cause heart pain or possibly even a heart attack by exaggerating the increase in heart rate and the lowering of blood pressure. Therefore, tadalafil should not be used with nitrates. Tadalafil also exaggerates the blood pressure lowering effects of some alpha-blocking drugs for example, terazosin ( Hytrin ) that primarily are used for treating high blood pressure or enlargement of the prostate (BPH). Individuals who take these alpha-blockers should be on a stable dose of the alpha-blocker before tadalafil is started. In such situations, tadalafil should be started at the lowest dose. If the patient is already taking tadalafil, the alpha-blocker should be started at the lowest dose. Combining tadalafil with alpha-blockers for treatment of BPH is not recommended. Tadalafil and alcohol both lower blood pressure. Therefore, combining tadalafil with alcohol may cause excessive drops in blood pressure and cause dizziness, headaches, and increased heart rate. PDE5 inhibitors may affect platelet cialis cocaine alcohol function and therefore prolong bleeding.


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