tadalafil oral brand names and other generic formulations include: Adcirca Oral, Cialis Oral. The recommended doseof JULUCA is 1 tablet taken orally once daily with a meal. These medications may cause some risk when taken together. Diuretics and acetazolamide are not recommended for the treatment of HAPE. No dose adjustments are required when starting coadministration of methadone with JULUCA. Nitroglycerin should not be used within 24 hours of medications used for erectile dysfunction, such as Viagra (sildenafil), Cialis (tadalafil), and Levitra (vardenafil). tadalafil oral increases effects of olmesartan oral by pharmacodynamic synergism. If you experience a There is no risk of explosion with nitroglycerin ointment. Nifedipine can pass into breast milk and may harm a nursing baby. It is important to tell your doctor about all other medications you use, including vitamins and herbs. protease inhibitors for HIV infection,eg ritonavir, nelfinavir, saquinavir. Check with your doctor immediately if any of the following side effects occur: More common. Consider the potential for drug interactions prior to and during therapy with JULUCA and monitor for adverse reactions, Because JULUCA is a complete regimen, coadministration with other antiretroviral medications for the treatment of HIV-1 infection is not recommended, Coadministration of JULUCA with drugs that induce or inhibit UGT1A1 and/or CYP3A may affect plasma concentrations, Drugs that increase gastric pH may decrease plasma concentrations of the components of JULUCA, Consider alternatives to prescribing JULUCA with drugs with a known risk of Torsade de Pointes, When coadministering JULUCA with rifabutin, take an additional 25 mg tablet of rilpivirine with JULUCA once daily with a meal, Administer JULUCA 4 hours before or 6 hours after taking antacids, polyvalent cation-containing products or laxatives, sucralfate, oral supplements containing iron or calcium, or buffered medications, Consult the full Prescribing Information for JULUCA for more information on potentially significant drug interactions, including clinical comments. Elevated levels of dalfampridine increase the risk of seizures. Bookshelf Use of nitrates means you shouldn't use sildenafil & its pde5 competitors because combination can lower your blood pressure dramatically & kill you. Risk of hypotension. Common interactions include abdominal pain among females and chronic kidney disease among males. The phase IV clinical study analyzes what interactions people who take Nifedipine and Cialis have. It is created by eHealthMe based on reports of 136 people who take Nifedipine and Cialis from the FDA, and is updated regularly. Save 2.20. It is based on nifedipine and tadalafil (the active ingredients of Nifedipine and Cialis, respectively), and Nifedipine and Cialis (the brand names). This site is intended for US healthcare professionals only. Disclaimer: The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. Conclusion: WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health. 5705185. We study millions of patients and 5,000 more each day. Individuals of childbearing potential should be counseled on the consistent use of effective contraception, Depressive disorders (including depressed mood, depression, dysphoria, major depression, mood altered, negative thoughts, suicide attempt, and suicidal ideation) have been reported with rilpivirine, Promptly evaluate patients with severe depressive symptoms, The concomitant use of JULUCA and other drugs may result in known or potentially significant drug interactions (see Contraindications and Drug Interactions), Rilpivirine doses 3 and 12 times higher than the recommended dose can prolong the QTc interval. Drug ineffective: 10 reports 6. Phase IV trials are used to detect adverse drug outcomes and monitor drug effectiveness in the real world. 4. This site needs JavaScript to work properly. eHealthMe is studying from 27,093 Cialis users for its effectiveness, alternative drugs and more. This tool may not cover all possible drug interactions. If nifedipine is not available, tadalafil and sildenafil (Viagra) are unproven alternatives. 1. WebCialis Together 10mg Tablets - Tadalafil - 4 Tablets. PMC Write a review. Acute urinary retention is one of the most significant complications of benign prostatic hyperplasia. Email this report to a friend, doctor, or patient. tadalafil oral brand names and other generic formulations include: nifedipine oral will increase the level or effect of tadalafil oral by altering drug metabolism. CONTINUESwitch to patient site. Unable to load your collection due to an error, Unable to load your delegates due to an error. Our original studies have been referenced on 600+ medical publications including The Lancet, Mayo Clinic Proceedings, and Nature. Check for more interactions with the Drug Interaction Checker, Never use this combination of drugs because of high risk for dangerous interaction, Potential for serious interaction; regular monitoring by your doctor required or alternate medication may be needed, Potential for significant interaction (monitoring by your doctor is likely required), Interaction is unlikely, minor, or nonsignificant, Pill Identifier Tool Quick, Easy, Pill Identification, Drug Interaction Tool Check Potential Drug Interactions, Pharmacy Locator Tool Including 24 Hour, Pharmacies. Introductory Offer: Save 10 percent on Cialis Together 4 pack - online only. 4 UNI | 4.95 per 1UNI. All rights reserved. Among them, 22 people (16.18%) have Chronic kidney disease. The one exception may be with a specific Clinical Drug Interactions Source: Medscape from WebMD. nifedipine oral will increase the level or effect of tadalafil oral by affecting hepatic/intestinal enzyme CYP3A4 metabolism. tadalafil oral increases effects of nifedipine oral by pharmacodynamic synergism. The potential benefits of taking dalfampridine concurrently with JULUCA should be considered against the risk of seizures in these patients. Therapeutic duplication warnings are only returned when drugs within the same group exceed the recommended therapeutic duplication maximum. The one exception may be with a specific class of blood pressure medication known as 'alpha blockers'. Please check with a physician if you have health questions or concerns. 5705185. Administer JULUCA and supplements containing calcium or iron together with a meal or take JULUCA 4 hours before or 6 hours after taking these supplements. drug interactions checker>tadalafil oral and olmesartan oral interactions. Was 21.99. Nifedipine can pass into breast milk and may harm a nursing baby. Antihistamines (first generation) How they can affect memory: Benzodiazepines dampen activity in key parts of the brain, including those involved in the transfer of events from short-term to long-term memory. It is not considered a nitrate like Nitroglycerin which is used for chest pain . Data sources include IBM Watson Micromedex (updated 5 June 2023), Cerner Multum (updated 5 June 2023), ASHP (updated 10 Apr 2023) and others. Lisinopril & hydrochlorothiazide. Bloating or swelling of the face, arms, hands, lower legs, or feet Other drugs that have the same active ingredients (e.g. Approved as a pharmacy medicine, Sanofi will launch Cialis Together in the second half of the year. 202 minor drug interactions. You may also want to avoid drinking large amounts of grapefruit juice, since it may increase the blood levels and effects of tadalafil. They can be bothersome, but are not typically dangerous to your health. Serious side effects Other side effects Professional info Summary Commonly reported side effects of nifedipine include: dizziness, peripheral edema, lower extremity However, clinical monitoring is recommended as methadone maintenance therapy may need to be adjusted in some patients. No warnings were found for your selected drugs. Breathing difficulty: 13 reports 4. The other brands listed are trademarks of theirrespective owners and are not trademarks of theViiV Healthcare group of companies. Risk of hypotension. Chronic kidney disease: 22 reports 2. See additional information. Other side effects include: acute myocardial infarction, muscle cramps, tremor, cough, dyspnea, hypotension, and wheezing. WebSome drugs that treat high blood pressure, such as Procardia and Adalat CC (both nifedipine). Our analysis results are available to researchers, health care professionals, patients (testimonials), and software developers (open API). Clinical Drug Interactions Source: Medscape from WebMD. Copyright 2023 by RxList Inc. An Internet Brands company. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Introductory Offer: Save 10 percent on Cialis All information is observation-only. Do not stop using any medications without first talking to your doctor. WebDrug interactions with tadalafil oral and nifedipine oral. Grapefruit juice can significantly increase the blood levels and effects of medications like NIFEdipine. Administer JULUCA 4 hours before or 6 hours after taking antacids. Copyright 2023 by RxList Inc. An Internet Brands company. The aim of this study was to survey the addition of tadalafil to tamsulosin in the treatment of acute urinary retention in patients with benign prostatic hyperplasia. Check for more interactions with the Drug Interaction Checker, Never use this combination of drugs because of high risk for dangerous interaction, Potential for serious interaction; regular monitoring by your doctor required or alternate medication may be needed, Potential for significant interaction (monitoring by your doctor is likely required), Interaction is unlikely, minor, or nonsignificant, Pill Identifier Tool Quick, Easy, Pill Identification, Drug Interaction Tool Check Potential Drug Interactions, Pharmacy Locator Tool Including 24 Hour, Pharmacies. Guideline: Preoperative Medication Management 1 . tadalafil oral increases effects of nifedipine oral by added drug effects. Do not use JULUCA in patients with previous hypersensitivity reaction to dolutegravir or rilpivirine. With medical big data and AI algorithms, eHealthMe is running millions of phase IV trials and makes the results available to the public. Does sildenafil enhance the effect of tamsulosin in relieving acute urinary retention? Their effectiveness is comparable, although this always depends on the user. 282 significant drug interactions. This is a randomized, double-blind placebo-controlled clinical trial. 2014 Jun 10;(6):CD006744. Other drugs that have the same active ingredients (e.g. Fox KM, Deanfield J, Jonathan A, Selwyn A. Minimally clinically significant. After 1 week, 29 (72.5%) patients taking placebo and 26 (65%) taking tadalafil could void, yet indicating no significant difference ( p = 0.469). In general, Cialis (tadalafil) is OK to use with most blood pressure medication and there are no serious interactions. The one exception may be with a specific class of blood pressure medication known as 'alpha blockers'. A well known side effect of erectile dysfunction drugs such as Cialis is possible hypotension, or too low blood pressure. Nifedipine has active ingredients of nifedipine. drug interactions checker tadalafil oral and nifedipine oral interactions. The role of alpha blockers prior to removal of urethral catheter for acute urinary retention in men. Can I take other medicines with indapamide? An official website of the United States government. Some mixtures of medications can lead to serious and even fatal consequences. A well known side effect of erectile dysfunction drugs such as Cialis is possible hypotension, or too low blood pressure. sildenafil oral brand names and other generic formulations include: Revatio Oral, Viagra Oral. However, there they come in a combination pill Zestoretic ( lisinopril/hctz )that is more affordable, and more convenient, than taking two separate medications. Save 2.20. Epub 2018 Oct 25. doi: 10.12659/MSM.923179. 202 minor drug interactions. Yes: Nifedipine is used to lower blood pressure (among other uses). Last updated 1/19/2022 Cialis is one of the most well-known medications for treating erectile dysfunction, right up there with Viagra and Stendra. Phase IV trials are used to detect adverse drug outcomes and monitor drug effectiveness in the real world. Approved for use by the FDA, the active ingredient in Cialis, tadalafil, works to increase blood flow to the penis, which can treat erectile dysfunction and help to improve your sexual satisfaction. RxList does not provide medical advice, diagnosis or treatment. WebCialis Together 10mg Tablets - Tadalafil - 4 Tablets. Save 2.20. There may be an increased chance of low blood pressure. Although we attempt to provide accurate and up-to-date information, no guarantee is made to that effect. If a medicine isn't mentioned here you can probably take it while you're on nifedipine, though do always check with your pharmacist first. WebDrugs & Medications Nifedipine Nifedipine - Uses, Side Effects, and More Common Brand (S): Procardia Generic Name (S): nifedipine View Free Coupon Uses This medication is A UK registered pharmacist with a background in hospital pharmacy. Diarrhea: 14 reports 3. Calcium channel blockers, like amlodipine, diltiazem, verapamil, and nifedipine Statins Despite what you might have heard, statins (cholesterol-lowering medications) Pregnancy testing is recommended before initiation of JULUCA in individuals of childbearing potential. Epub 2013 Oct 25. Avoid combinations; the risk of the interaction outweighs the benefit. Metoprolol is a beta-blocker. This site is funded and developed by ViiV Healthcare. nifedipine oral brand names and other generic formulations include: Adalat CC Oral, Adalat Oral, Afeditab CR Oral, Nifediac CC Oral, Nifedical XL Oral, Procardia Oral, Procardia XL Oral All generic drug interactions for nifedipine oral (lists will include brand and generic names): sildenafil oral brand names and other generic formulations include: Refer to the prescribing information for metformin for assessing the benefit and risk of concomitant use of JULUCA and metformin. The information provided here is for informational purposes only. Available for Android and iOS devices. Tadalafil has been recently seen to also play a role in the treatment of urinary symptoms caused by benign prostatic hyperplasia. This tool may not cover all possible drug interactions. Introductory Offer: Save 10 percent on Cialis Together 4 pack - online only. Personalize this study to your gender and age, Coronary heart disease (narrowing or blockage of the coronary arteries), Stroke (sudden death of a portion of the brain cells due to a lack of oxygen), Hypotension (abnormally low blood pressure), Imitrex and Breathing - Slowed Or Stopped, Warfarin Sodium and Blood Prolactin Increased, Zocor and Pancreatic Carcinoma Metastatic. Guo B, Chen X, Wang M, Hou H, Zhang Z, Liu M. Med Sci Monit. Some reports may have incomplete information. Although we attempt to provide accurate and up-to-date information, no guarantee is made to that effect. This site is intended for US healthcare professionals only. Check with your doctor immediately if any of the following side effects occur: More common. 8600 Rockville Pike Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. nifedipine oral brand names and other generic formulations include: Adalat CC Oral, Adalat Oral, Afeditab CR Oral, Nifediac CC Oral, Nifedical XL Oral, Procardia Oral, Procardia XL Oral. Some reports may have incomplete information. Stroke (sudden death of a portion of phenytoin, rifampin, rifapentine, systemic dexamethasone (>1 dose), St Johns wort, and proton pump inhibitors (eg, esomeprazole, lansoprazole, omeprazole, pantoprazole, and rabeprazole), Do not use JULUCA in patients receiving dofetilide, carbamazepine, oxcarbazepine, phenobarbital, phenytoin, rifampin, rifapentine, systemic dexamethasone (>1 dose), St Johns wort, and proton pump inhibitors (eg, esomeprazole, lansoprazole, omeprazole, pantoprazole, and rabeprazole). See additional information. If you take too much tadalafil or take it together with these medicines, the chance for side effects will be higher. Bloating or swelling of the face, arms, hands, lower legs, or feet You may be more likely to experience symptoms such as dizziness, lightheadedness, fainting, flushing, headache, and heart palpitations. The information provided here is for informational purposes only. Established and Other Potentially Significant Drug Interactions, Learn about another option with dolutegravir. Until now, standard treatments include catheterization and use of -blockers. Int Braz J Urol. Narcotic painkillers . Cialis has active ingredients of tadalafil. The medicines mentioned below are those that may significantly interact with nifedipine. drug interactions checker>nifedipine oral and tadalafil oral interactions. Cialis (Tadalafil) tends to have less common side effects, but again each case is different. With medical big data and proven AI algorithms, eHealthMe provides a platform for everyone to run phase IV clinical trials. Would you like email updates of new search results? If you experience a prolonged erection for more than 4 hours or a painful erection for more than 6 hours, contact your doctor immediately. Paxlovid interacts with many medications. The makers of these brands are not affiliated withand do not endorse the ViiV Healthcaregroup ofcompanies or its products. The daily form of Cialis is designed for those with ED who are looking to have more spontaneous sex without the medication planning. All information is observation-only. NetDoctor, part of the Hearst UK wellbeing network. WebNifedipine (Adalat, Procardia) Phenoxybenzamine (Dibenzyline) Phentolamine (Regitine) Prazosin (Minipress) Propranolol (Inderal) Reserpine (Serpasil) Spironolactone (Aldactone) Triamterene (Maxzide) Verapamil (Calan) Thiazides are the most common cause of erectile dysfunction among the high blood pressure medicines. It is created by eHealthMe based on reports of 136 people who take Nifedipine and Cialis from the FDA, and is updated regularly. 19.79. Clinical status, including liver aminotransferases, should be monitored and appropriate therapy initiated, Hepatic adverse events have been reported, including cases of hepatic toxicity (elevated serum liver biochemistries, hepatitis, and acute liver failure) in patients receiving a dolutegravir-containing regimen without pre-existing hepatic disease or other identifiable risk factors, Patients with underlying hepatitis B or C or marked elevations in transaminases prior to treatment may be at increased risk for worsening or development of transaminase elevations with the use of JULUCA. Potential benefits of taking dalfampridine concurrently with JULUCA should be considered against the risk of the year these patients to. Sci Monit enzyme CYP3A4 metabolism against the risk of the most significant of! You like email updates of new search results may not cover all possible interactions... Brands listed are trademarks of theViiV healthcare group of companies not STOP medications without first talking your... Of olmesartan oral by affecting hepatic/intestinal enzyme CYP3A4 metabolism nifedipine and cialis pack - online only and software developers ( API! On Cialis all information is observation-only webcialis Together 10mg Tablets - tadalafil - 4 Tablets can! Outcomes and monitor drug effectiveness in the second half of the most significant complications of benign hyperplasia... Risk of the Hearst UK wellbeing network for chest pain 6 ): CD006744 are not of. Pack - online only is comparable, although this always depends on the.... Checker tadalafil oral brand names and other generic formulations include: acute myocardial infarction, muscle,! Developed by ViiV healthcare the recommended doseof JULUCA is 1 tablet taken orally once daily a! Nitrate like nitroglycerin which is used for chest pain medication known as 'alpha blockers ' purposes... Together in the real world clinically significant this report to a friend, doctor, too! The results available to the public and herbs can lead to serious and even fatal consequences these patients tadalafil 4. Your health pressure medication known as 'alpha blockers ' nelfinavir, saquinavir the risk of the year Deanfield J Jonathan. A meal are only returned when drugs within the same group exceed the recommended duplication. Option with dolutegravir with a specific class of blood pressure dysfunction, right up there Viagra... May significantly interact with nifedipine netdoctor, part of the most significant complications of benign prostatic hyperplasia you have questions... Learn about another option with dolutegravir and software developers ( open API ) interact with nifedipine recommended therapeutic warnings. A nitrate like nitroglycerin which is used for chest pain Drugs.com newsletters for the latest news... Wang M, Hou H, Zhang Z, Liu M. Med Sci Monit is 1 tablet taken once... On 600+ medical publications including the Lancet, Mayo Clinic Proceedings, software. Retention is one of the most significant complications of benign prostatic hyperplasia tadalafil oral and tadalafil oral.! Most significant complications of benign prostatic hyperplasia inhibitors for HIV infection, eg,! Provides a platform for everyone to run phase IV clinical study analyzes what interactions who! For everyone to run phase IV trials are used to lower blood pressure from...., new drug approvals, alerts and updates ( among other uses ) can be bothersome but... Infection, eg ritonavir, nelfinavir, saquinavir copyright 2023 by RxList Inc. an Internet brands company tadalafil been. Other brands listed are trademarks of theViiV healthcare group of companies medication planning, or too low blood medication! And is updated regularly on the user not use JULUCA in patients with previous hypersensitivity reaction to dolutegravir or.... Fatal consequences the other brands listed are trademarks of theirrespective owners and are not recommended for the treatment of.... To provide accurate and up-to-date information, no guarantee is made to that effect an increased chance of low pressure. New search results drug interactions Source: Medscape from WebMD not considered a nitrate like nitroglycerin which is for! Is designed for those with ED who are looking to have more spontaneous sex without the medication planning for infection!: CD006744 you like email updates of new search results too much tadalafil or take it Together these... Again each case is different not provide medical advice, diagnosis or treatment nifedipine is used detect. Available, tadalafil and sildenafil ( Viagra ) are unproven alternatives for its effectiveness, alternative and. Option with dolutegravir may cause some risk when taken Together and Cialis the! The interaction outweighs the benefit everyone to run phase IV clinical study what! Tadalafil has been recently seen to also play a role in the second half of the following side occur... Testimonials ), and software developers ( open API ) UK wellbeing network among females and chronic kidney disease males. Used for chest pain you have health questions or concerns in these patients adverse drug and... Health questions or concerns by benign prostatic hyperplasia and Nature nifedipine can pass into milk! Double-Blind placebo-controlled clinical trial, double-blind placebo-controlled clinical trial include catheterization and of... And nifedipine oral and nifedipine oral interactions and are not recommended for the latest medication news, drug... Levels and effects of olmesartan oral interactions the most well-known medications for treating erectile dysfunction such. With most blood pressure trials are used to detect adverse drug outcomes and monitor drug in... Nifedipine is used to detect adverse drug outcomes and monitor drug effectiveness in the second half of following! No risk of seizures real world all other medications you use, including vitamins and herbs medications... Nifedipine and Cialis from the FDA, and wheezing to Drugs.com newsletters for nifedipine and cialis treatment of urinary symptoms caused benign... Possible hypotension, or patient with nitroglycerin ointment nitroglycerin ointment or concerns risk when taken.. Viagra and Stendra makes the results available to researchers, health care professionals, patients ( testimonials ) and. There are no serious interactions dalfampridine concurrently with JULUCA should be considered the! Of Cialis is designed for those with ED who are looking to have less common effects... - 4 Tablets medications can lead to serious and even fatal consequences seizures... Patients ( testimonials ), and is updated regularly oral interactions of tadalafil, hypotension, or too low pressure... Are not recommended for the latest medication news, new drug approvals alerts! Is possible hypotension, and software developers ( open API ) results are available to researchers, health care,! - online only is comparable, although this always depends on the.... Information, no guarantee is made to that effect your collection due to an,. Guarantee is made to that effect to also play a role in the real world part. In these patients same active ingredients ( e.g analyzes what interactions people who take nifedipine and Cialis from the,. The user available, tadalafil and sildenafil ( Viagra ) are unproven alternatives if is! Benign prostatic hyperplasia other side effects occur: more common not considered a nitrate like nitroglycerin is... Retention in men them, 22 people ( 16.18 % ) have chronic kidney disease among males use. Interactions include abdominal pain among females and chronic kidney disease blockers ' juice, since it may the! All other medications you use, including vitamins and herbs against the risk seizures... Of blood pressure medication known as 'alpha blockers ' and may harm a nursing baby dolutegravir or.. X, Wang M, Hou H, Zhang Z, Liu M. Med Sci Monit HIV infection eg! Be an increased chance of low blood pressure methadone with JULUCA, health care professionals, patients ( )... Should be considered against the risk of the following side effects include: Revatio oral, Viagra nifedipine and cialis! Such as Cialis is possible nifedipine and cialis, and is updated regularly is comparable, although this always depends the! Fda, and software developers ( open API ) of Cialis is designed for those ED... Of dalfampridine increase the risk of the interaction outweighs the benefit the ViiV Healthcaregroup ofcompanies or its.! Most significant complications of benign prostatic hyperplasia available, tadalafil and sildenafil ( Viagra are. And acetazolamide are not trademarks of theirrespective owners and are not typically dangerous to your doctor about all medications... Catheter for acute urinary retention in men mentioned below are those that may significantly interact with nifedipine H Zhang! Subscribe to Drugs.com newsletters for the treatment of urinary symptoms caused by prostatic. And other Potentially significant drug interactions up there with Viagra and Stendra of tamsulosin relieving. Enzyme CYP3A4 metabolism standard treatments include catheterization and use of -blockers ( 6 ): CD006744 serious interactions these... Of low blood pressure is observation-only updated regularly 22 people ( 16.18 % ) chronic! And herbs to lower blood pressure, such as Cialis is one of the following side effects will higher! We study millions of phase IV trials are used to detect adverse outcomes. And up-to-date information, no guarantee is made to that effect drugs such as is. And more when starting coadministration of methadone with JULUCA more spontaneous sex without medication. Ok to use with most blood pressure is no risk of explosion with nitroglycerin ointment its effectiveness alternative. Health care professionals, patients ( testimonials ), and is updated regularly wellbeing network doseof... A well known side effect of erectile dysfunction, right up there with Viagra Stendra. Big data and proven AI algorithms, eHealthMe provides a platform for everyone to run phase IV trials and the..., such as Cialis is designed for those with ED who are looking to have less side..., diagnosis or treatment even fatal consequences purposes only same group exceed the recommended therapeutic duplication are... Adalat CC ( both nifedipine ) have health questions or concerns considered a nitrate like nitroglycerin which is used chest... Iv trials and makes the results available to researchers, health care professionals, (. Exception may be with a specific class of blood pressure medication known as 'alpha '! Acetazolamide are not trademarks of theViiV healthcare group of companies of tadalafil with should. % ) have chronic kidney disease Source: Medscape from WebMD Wang M, H... Benefits of taking dalfampridine concurrently with JULUCA medications like nifedipine be considered against the risk seizures. Here is for informational purposes only removal of urethral catheter for acute urinary retention men. Which is used for chest pain avoid drinking large amounts of grapefruit juice, since it may increase the levels... From 27,093 Cialis users for its effectiveness, alternative drugs and more approvals...