This damage includes impotence (not being able to have an erection). If you get an erection that lasts more than 4 hours, call your doctor right away. Tadalafil oral tablets can interact with other medications, vitamins, or herbs you may be taking. An interaction is when a substance changes the way a drug works. This can be harmful or prevent the drug from working well. To help avoid interactions, your doctor should manage all of your medications carefully. Be sure to tell your doctor about all medications, vitamins, or herbs you’re taking. To find out how this drug might interact with something else you’re taking, talk with your doctor or pharmacist. Examples of drugs that can cause interactions with tadalafil are cialis 20mg tabs listed below. If you take tadalafil with nitrates, your blood pressure could suddenly drop to dangerously low levels. This could make you dizzy or cause you to faint. If you take tadalafil with certain alpha-blockers, your blood pressure could suddenly drop to low levels that are dangerous. Taking tadalafil with certain HIV drugs could increase tadalafil levels in your blood. This can lead to low blood pressure, dizziness and fainting, priapism, and vision problems. These drugs are protease inhibitors and include ritonavir and lopinavir/ritonavir. Taking certain oral antifungal drugs with tadalafil may increase levels of tadalafil in your blood.

13.1 Carcinogenesis, Mutagenesis, Impairment of Fertility

Tadalafil is also used to treat pulmonary arterial hypertension (PAH). Tadalafil oral tablet is available as the brand-name drugs Cialis and Adcirca. It’s also available in a generic form. Generic drugs usually cost less than the brand-name version. In some cases, they may not be available in all strengths or forms as the brand-name drug.

Drug Interactions

Tadalafil (Cialis) is used for treatment of benign prostatic hyperplasia (BPH) or erectile dysfunction (ED), or both conditions. With BPH, the prostate gland is enlarged but isn’t cancerous. It can pinch or squeeze your urethra (the tube that carries urine from the kidneys out of the body). Symptoms of BPH include trouble urinating, painful urination, and a frequent or urgent need to urinate. With ED, the penis doesn’t fill up with enough blood to harden and expand when you’re sexually excited. Examples of these drugs include ketoconazole and itraconazole. Taking certain antibiotics with tadalafil may raise the level of tadalafil in your blood. Other types of antibiotics may lower the level of tadalafil in your blood. This could prevent tadalafil from working well. These medications work in the same way as tadalafil.

Product Dosage Quantity + Bonus Price
Cialis Generic40mg180 + 10 Pills277.29€ 264.09€
Cialis Generic10mg270 + 10 Pills308.71€ 294.01€
Cialis Super Active20mg270 + 30 Pills661.49€ 629.99€
Cialis Black80mg360 + 20 Pills639.78€ 609.31€
Cialis Generic40mg30 + 4 Pills74.97€ 71.40€
Cialis Black80mg270 + 10 Pills502.88€ 478.93€
Cialis Generic2.5mg20 Pills40.73€ 38.79€
Cialis Generic60mg120 + 8 Pills240.18€ 228.74€
Cialis Generic20mg20 Pills54.72€ 52.11€
Cialis Generic40mg60 + 6 Pills130.98€ 124.74€
Cialis Generic2.5mg270 + 10 Pills199.64€ 190.13€
Cialis Generic60mg20 Pills65.61€ 62.49€
Cialis Soft Tabs20mg120 + 6 Pills248.64€ 236.80€

If you take them with tadalafil, it increases your risk for side effects. Examples of these drugs include sildenafil (Viagra, Revatio) and vardenafil (Levitra). If you take tadalafil with other types of PAH drugs, such as riociguat (Adempas), your blood pressure could suddenly drop to dangerously low levels. The drug riociguat is in this drug class. Taking these medications with tadalafil may keep your body from absorbing tadalafil well. An example of this type of drug is magnesium hydroxide/aluminum hydroxide. Taking certain anti-seizure drugs with tadalafil may lower the level of tadalafil in your blood. Tadalafil can cause a severe allergic reaction. swelling of your lips, throat, or tongue If you have mild symptoms of an allergic reaction, such as a mild rash, call your doctor right away. They may suggest a treatment to manage your symptoms and can determine whether you should keep taking tadalafil. If you have symptoms of a severe allergic reaction, such as swelling or trouble breathing, call 911 or your local emergency number right away.

Uses of Cialis 10

For PAH, tadalafil works to improve your ability to exercise by relaxing blood vessels in your lungs. Tadalafil oral tablet doesn’t usually cause drowsiness, but it can cause other side effects. The more common side effects that can occur with tadalafil include: If these effects are mild, they may go away within a cialis street price few days or a couple of weeks. If they’re more severe or don’t go away, talk with your doctor or pharmacist. Serious side effects and their symptoms can include the following: Symptoms can include: a painful erection that won’t go away a painful erection that won’t go away Symptoms can include: seeing a shade of blue when looking at objectstrouble telling the difference between the colors blue and greena sudden decrease or loss of vision in one or both eyes seeing a shade of blue when looking at objects trouble telling the difference between the colors blue and green a sudden decrease or loss of vision in one or both eyes Symptoms can include: a sudden loss or decrease in hearingringing in the earsdizziness a sudden loss or decrease in hearing Symptoms can include: feeling lightheaded or dizzyfaintingangina (chest pain) Your doctor won’t prescribe tadalafil if you have a heart condition and your doctor has advised against sexual activity.

Other Medical Problems

Call your doctor right away if you have symptoms during sex such as chest pain, dizziness, or nausea. Sexual activity can put an extra strain on your heart. This is especially true if your heart is already weak from a heart attack or heart disease. Priapism is an erection that won’t go away. Without treatment, this condition could cause permanent damage to your penis. These symptoms could be life threatening and require immediate medical care. If your doctor confirms you’ve had a serious allergic reaction to tadalafil, they may have you switch to a different treatment. Eating grapefruit or drinking grapefruit juice may increase the levels of tadalafil in your blood. This raises cialis tablet price your risk for side effects. Don’t drink large amounts of alcohol when taking tadalafil. Both alcohol and tadalafil can dilate (widen) your blood vessels. When used together, they can cause your blood pressure to decrease, which can be dangerous. For people with heart disease: Sexual activity creates a risk for your heart. Your doctor won’t prescribe tadalafil if you have a heart condition and your doctor has advised against sexual activity. For people at risk for prolonged erections: Tadalafil may cause priapism. This condition causes a painful, long-lasting erection. Talk with your doctor before using tadalafil if you have a condition that puts you at higher risk for priapism. These conditions include blood cell conditions such as sickle cell anemia, multiple myeloma, or leukemia, as well as Peyronie’s disease. For people with vision problems: Tadalafil hasn’t been studied in people with retinitis pigmentosa (a rare genetic eye disease), and your doctor won’t prescribe tadalafil if you have a history of this condition. Also, tell your doctor if you’ve ever had severe vision loss, including a condition called NAION (non-arteritic anterior ischemic optic neuropathy). If you’ve had NAION and take tadalafil, you may be at increased risk of having NAION again.

17.10 Recommended Administration

If you miss a dose and you’re already due for the next one, skip the missed dose. Tadalafil can be taken with or without food and is not affected by the type of food you take with it. Tadalafil belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. A class of drugs is a group of medications that work in a similar way. These drugs are often used to treat similar conditions.

Postmarketing reports

Tadalafil may help relax the muscle in your prostate and bladder. This could help improve your BPH symptoms. To improve ED symptoms, tadalafil helps increase blood flow to the penis. This can help you get and keep an erection. For tadalafil to help you have an erection, you need to be sexually aroused. For people with kidney disease or on dialysis: Your body may not be able to get rid of tadalafil correctly. This means the drug would stay in your body longer and raise your risk for side effects. Your doctor may start you on a lower dosage, have you take tadalafil less often than usual, or not prescribe it at all.

Medication Class Interaction Type Effect Notes
Nitrates Dangerous Severe blood pressure drop Avoid combining with Cialis
Alpha-blockers Caution Potential for hypotension Use at lowest effective dose
Antifungals (e.g., Ketoconazole) Increased Tadalafil levels Possible side effects Adjust dosage if needed
Blood Pressure Medications Additive effects Lowered blood pressure Monitoring recommended
CYP3A4 inhibitors Prolonged Tadalafil action Increased risk of side effects Dose adjustment required

For people with liver problems: Your body may not process tadalafil correctly. Your doctor may start you on a lower dosage, have you take tadalafil less often, or not prescribe it at all. For people with bleeding disorders or peptic ulcers: Tadalafil hasn’t been studied in people with these conditions.

  • The social and cultural perceptions of ED treatment have evolved.
  • It is now more widely accepted as a common medical treatment.
  • Celebrities and public figures have helped normalize its use.
  • However, privacy remains a top concern for most users.
  • Reputable pharmacies have strict privacy policies for online orders.
  • Packaging is often discreet, without revealing the contents.
  • Consulting a doctor is the first and most important step.
  • Self-diagnosis and self-medication can be dangerous.
  • A doctor can determine if ED is a symptom of a more serious condition.
  • Conditions like heart disease can sometimes first present as ED.
  • Treating ED can therefore be an important part of preventative health.
  • The 10mg tablet is a powerful tool in modern men's health.

Using tadalafil may cause or worsen bleeding or ulcers.

  • Cialis 10mg can be taken with or without food.
  • It is a popular choice among ED medications worldwide.
  • The medication is digital and easily available online.
  • Always check for legitimate pharmacies when purchasing.
  • Understand that efficacy can vary between individuals.
  • Don’t attempt to increase dosage on your own.
  • Cialis is not intended for recreational use.
  • Seek medical advice if you have persistent erectile issues.

If you take tadalafil, your doctor may monitor you more closely. For pregnant people: Tadalafil is prescribed for males, so it’s unlikely to be taken during pregnancy. Studies of this drug in pregnant animals haven’t shown risk to the fetus. However, there aren’t enough studies to show whether the drug poses a risk to a human fetus. Talk with your doctor if you’re pregnant or planning to become pregnant. Animal studies don’t always predict the way humans would respond. Therefore, this drug should only be taken during pregnancy if clearly needed. Note: In this article, we use the term “male” to refer to someone’s sex assigned at birth. For information about the difference between sex and gender, see this article.

5.9 Alcohol

ED can also prevent you from keeping an erection. PAH is a rare but serious form of high blood pressure. It occurs in the pulmonary arteries, which are blood vessels in your lungs. How long before sex should you take tadalafil? Tadalafil can be prescribed in two different ways, either a daily dosage or on an as-needed basis.

Clinical monitoring

If you’re taking tadalafil on an as-needed basis, you should take it at least 30 minutes before sex. If you’re taking it daily, try to take it around the same time every day. It takes about 30 minutes for tadalafil’s effects to kick in after you take a dose. You should not take tadalafil more than once in a 24-hour period. If you miss a dose during this period, take the missed dose as soon as possible. For people who are breastfeeding: It isn’t known if tadalafil passes into breast milk. If it does, it may cause serious effects in a child who is breastfed.

Aspect Description Common Uses Key Benefits
Active Ingredient Tadalafil Erectile Dysfunction Longer-lasting effects
Dosage 10 mg per tablet BPH (Benign Prostatic Hyperplasia) Once daily or as needed
Onset of Action Typically within 30-60 minutes Fast relief
Duration of Effect Up to 36 hours Extended window of efficacy
Approval Year 2003 FDA approved

Tadalafil is prescribed for males, so it’s unlikely to be taken while breastfeeding. But talk with your doctor if you’re taking tadalafil and you want to breastfeed.

Scroll to top

Dr. med. Fabienne Gretener

Werdegang

Januar 2024 bis heute
Oberärztin SenoMed AG
Schwerpunktsweiterbildung gynäkologische Senology

März 2023 – Dezember 2023
Oberärztin, SenoMed AG Bern 20%

Januar 2023 – November 2023
Assistenzärztin Psychiatrie, Klinik Meissenberg Zug

Januar 2021 – November 2022
Assistenzärztin Gynecology und Geburtshilfe, Bürgerspital Solothurn

November 2019 – Oktober 2020
Assistenzärztin Gynecology und Geburtshilfe, Kantonsspital Aarau

Januar 2017 – Juli 2019
Assistenzärztin Gynecology und Geburtshilfe, Kantonsspital Olten

Paul Laszlo Bernhard

Werdegang

Jan 2024 bis heute
Facharzt SenoMed AG – Brustzentrum Bern Biel

Aug 2019 – Dez 2023
Oberarzt Frauenklinik und Brustzentrum Bürgerspital, Solothurn, Schwerpunktweiterbildung operative Gynecology und Geburtshilfe sowie Senology

Mai 2019 Facharzttitel Gynecology & Geburtshilfe

Apr 2016 – Jul 2019
Arzt in Weiterbildung, Inselspital Bern, Universitätsklinik für Frauenheilkunde

Dez 2014 – Apr 2016
Arzt in Weiterbildung, Kantonsspital Baden

Sep 2012 – Sep 2014
Arzt in Weiterbildung, Universitätsklinikum Carl Gustav Carus, Dresden

Feb 2012 – Sep 2012
Arzt in Weiterbildung, Universitätsfrauenklinik Leipzig

Nov 2011 Approbation zum Arzt

2005 – 2011
Studium der Humanmedizin an der Charité, Universitätsmedizin Berlin

Dr. med. Patrizia Sager

Werdegang

Okt 2023 bis heute
Leiterin Weiterbildungsstätte gynäkologische Senology

Feb 2018 – bis heute
Leiterin Brustzentrum Bern Biel
Practiceinhaberin SenoMed AG

Nov 2017 – bis heute
Belegärztin Salem-Spital Bern

Jan 2013 – Okt 2017
Leitung Senology Brustzentrum Frauenklinik Universitätsspital Insel, Bern

Jan 2012 – Dez 2012
Oberärztin Gynecology / Geburtshilfe, Frauenklinik Universitätsspital Insel, Bern

Nov 2010 – Dez 2011
Leitende Ärztin Gynecology und Geburtshilfe, Frauenklinik Rheinfelden (DE)

Nov 2009 – Okt 2010
Oberärztin Gynecology und Geburtshilfe, Kantonsspital Liestal

Jan 2009 – Okt 2009
Oberärztin i.V. Gynecology und Geburtshilfe, Regionalspital Interlaken

Jun 2008 – Dez 2008
Assistenzärztin Gynecology und Geburtshilfe, Regionalspital Interlaken

Aug 2007 – Mai 2008
Assistenzärztin Gynecology und Geburtshilfe, Universitätsspital Zürich

Feb 2007 – Jun 2007
Oberärztin Gynecology und Geburtshilfe, Universitätsspital Groote Schuur, Kapstadt, Südafrika

Jan 2004 – Dez 2006
Assistenzärztin Gynecology und Geburtshilfe, Regionalspital Thun

Jan 2003 – Dez 2003
Assistenzärztin Chirurgie und Orthopädie, Regionalspital Thun

Schulen, Studium & Diplome

2023
Schwerpunkt gynäkologische Senology

2014
Diplom Senology SGGG

2013
Diplom Senology: European Academy of Senology

2010
FMH Gynecology und Geburtshilfe inkl. Schwerpunkt operative Gynecology

2003
Promotion

2002
Staatsexamen in Humanmedizin

1996 – 2002
Humanmedizinstudium Universitätsspital Basel

Mitglied- und Partnerschaften

  • Schweizerische Gesellschaft für Gynecology und Geburtshilfe SGGG
  • Schweizerische Gesellschaft für Senology SGS
  • Mitglieder Arbeitsgemeinschaft Gynäkologische Onkologie AGO, Schweiz
  • European Academy of Senology EAoS
  • SAKK Project-Group breast cancer
  • Schweizerische Gesellschaft für Ultraschall in der Medizin SGUM
  • Verbindung der Schweizer Ärzte und Ärztinnen FMH
  • Society of women in senology SWIS
  • Vorstandsmitglied Ärztenetzwerk Bern