Disease interactions with Tadaga 60mg
Severe Heart Disease: People with unstable angina, recent heart attacks (within the past 90 days), or severe heart failure should avoid Tadaga.
Uncontrolled Hypertension or Hypotension: Tadaga can lower blood pressure. Patients with high or low blood pressure must avoid it.
Recent Stroke: Individuals who have had a stroke in the last six months should avoid Tadaga because of the increased risk of cardiovascular complications.
Nitrate Medications
Tadaga should not be taken by those on nitrate medications (e.g., nitroglycerin) commonly used to treat chest pain or angina. Combining tadalafil with nitrates can cause a significant and dangerous drop in blood pressure.
Liver Disease
Individuals with severe liver impairment may not metabolize tadalafil effectively, leading to increased side effects.
Kidney Disease
For those with severe kidney disease or those on dialysis, they must avoid Tadaga 60mg or 40mg or adjust the dose and monitor carefully.
Eye Disease
Retinitis Pigmentosa-A rare genetic eye condition that may worsen further with Tadaga 60mg usage.
Non-Arteritic Anterior Ischemic Optic Neuropathy (NAION)-A history of this condition increases the risk of sudden vision loss, a severe side effect of Tadaga 60mg.
Bleeding Disorders
Individuals with bleeding disorders (e.g., hemophilia) may have an increased risk of bleeding with Tadaga.
Sickle Cell Anemia, Multiple Myeloma, and Leukemia
Tadaga 60mg may aggravate these blood disorders and could increase the risk of prolonged and painful erections (priapism).
Peptic Ulcers and Active Stomach Ulcers
Tadaga may exacerbate gastrointestinal symptoms in people with active peptic ulcers, potentially increasing the risk of bleeding.
Deformities of the Penis
Anatomical Deformities
Tadaga 60mg may worsen Peyronie’s disease (abnormal curvature) and increase the risk of priapism (prolonged erection).
Allergy to Tadalafil or Similar Compounds
Anyone with known hypersensitivity or allergic reactions to tadalafil or other PDE5 inhibitors should avoid Tadaga.
Drug interactions with Tadaga 60mg
Nitrate Medications
Examples: nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and recreational drugs called “poppers” (amyl nitrate or butyl nitrate).
Risk: Combining tadalafil with nitrates can cause a severe and potentially life-threatening drop in blood pressure. It is one of the strongest contraindications for tadalafil and similar ED medications.
Alpha-Blockers
Examples: These are doxazosin, tamsulosin, terazosin, and prazosin, often prescribed for high blood pressure or prostate issues.
Risk: Combining tadalafil with alpha-blockers can also cause a significant drop in blood pressure, leading to dizziness, fainting, and potential cardiovascular complications. If you need both drugs, take them under medical supervision, often with dose adjustments.
Certain Antifungal and Antibiotic Medications
Antifungal Examples: Ketoconazole, Itraconazole.
Antibiotic Examples: Erythromycin and Clarithromycin.
Risk: These medications can inhibit the metabolism of tadalafil, leading to higher levels of the drug in the body and an increased risk of side effects. You either adjust the dose or carefully monitor it.
HIV Protease Inhibitors
Examples: Ritonavir, saquinavir, atazanavir.
Risk: Protease inhibitors can increase tadalafil levels and the likelihood of side effects. Doctors may recommend a lower tadalafil dose or suggest avoiding it altogether.
Other PDE5 Inhibitors
Examples: The PDE-5 inhibitors are sildenafil, vardenafil, and avanafil.
Risk: Combining tadalafil with other PDE5 inhibitors can increase the risk of side effects, including low blood pressure, vision problems, and priapism (prolonged erections). You can take one PDE5 inhibitor at a time.
Antihypertensive Medications
Examples: The specific blood pressure medications are alpha-blockers, beta-blockers, and riociguat.
Risk: They may interact with tadalafil and increase the risk of hypotension (low blood pressure). Use antihypertensive drugs with extra caution when combining them, especially with high doses of tadalafil.
CYP3A4 Inhibitors
Examples: Avoid ulcer and acid reflux medication cimetidine and grapefruit juice.
Risk: CYP3A4 inhibitors can slow the breakdown of tadalafil, leading to prolonged drug effects and increased side effects. Avoid grapefruit consumption and medications like cimetidine, or take it cautiously.
Epilepsy Medications (Certain Anticonvulsants)
Examples: These are carbamazepine, phenytoin, and phenobarbital.
Risk: These medications may reduce tadalafil levels in the blood, potentially making it less effective. You need to adjust the dose.
Other Drugs Metabolized by CYP3A4 Enzyme
CYP3A4 enzyme metabolizes Tadaga 60mg, so avoid the drugs affecting the functions of this enzyme that could interact.