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Does Cialis Lower Blood Pressure and Interact with BP Medicines

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Cialis is one of the most widely recommended medications for Erectile Dysfunction (ED).

It differs from other ED medications, such as Viagra and Levitra.

While other ED pills are taken before sexual activity, Cialis doses can be taken as needed or once daily.

Also, Cialis can last up to 36 hours, while other ED medications only last for a few hours.

Although it has several advantages, it also has certain disadvantages.

Cialis may not work or be appropriate for people who take certain medications or have certain medical conditions. 

Does Cialis lower blood pressure? Can people on blood pressure medication take Cialis? This article looks at the link between Cialis and blood pressure.

Does Cialis lower blood pressure

Yes, Cialis lowers blood pressure because of its working mechanism.

Cialis contains the active ingredient Tadalafil, which is a Phosphodiesterase-5 (PDE5) inhibitor. 

It inhibits the action of the PDE5 enzyme, which leads to the dilation of blood vessels.

This dilation improves blood flow to the penis. Thus, helping men get and maintain an erection.

Cialis can increase blood flow in the penis, but it can also increase blood flow in other body parts.

This leads to a slight decrease in blood pressure.

The drop in blood pressure is mild and temporary in most patients and won’t likely lead to serious health problems.  

Most people experience symptoms when they undergo a sudden blood pressure decrease of 20 mm hg

Clinical trials found that Cialis only lowers blood pressure by 0.8 mm Hg (lying down) and 4.6 mm Hg (standing). 

Yet, Tadalafil can cause a significant decrease in pulmonary blood pressure. It is the pressure of the blood flowing in the lungs. 

As the lungs have a high concentration of PDE5, Tadalafil can help lower pulmonary blood pressure. 

Due to this, Tadalafil is also prescribed to treat Pulmonary Arterial Hypertension (PAH).

Fact:
Pulmonary blood pressure is different from systemic blood pressure.
Systemic blood pressure is the force of the blood moving through your blood vessels to the body. Pulmonary blood pressure is the force of the blood moving through the lungs.
Tadalafil can help treat high pulmonary blood pressure. It is not the standard choice for treating high systemic blood pressure.

Effects of Cialis on people with low blood pressure

As discussed, Cialis can cause a slight decrease in blood pressure. It does not affect most healthy men as blood pressure drops are minimal and temporary. 

However, it may be dangerous for people with clinically low or uncontrolled blood pressure. 

If people with low blood pressure take Tadalafil, it can lead to Hypotension (extremely low blood pressure).

This sudden drop in blood pressure might lead to cardiovascular issues. It may also result in a heart attack.

People with low or uncontrolled blood pressure who have ED should consult a doctor about their treatment options. It may be unsafe for them to take Cialis or other PDE5 inhibitors.

People with high blood pressure may take Cialis if their condition is controlled by medication.

Can you take Cialis with blood pressure medication

Effects of Cialis on people with low blood pressure
Cialis pills

It is usually safe to take Cialis and blood pressure medication together if your condition is under control. 

Combining Cialis with high blood pressure medicines like Beta-blockers, ACE inhibitors, or Diuretics may not risk your health.

There is a slight possibility of experiencing a sudden drop in blood pressure. But you can manage this risk by starting with a low dose and slowly increasing the dose as needed. 

You should only adjust your dose with a doctor’s prescription. Your physician may ask you to record your blood pressure readings after taking a pill.

However, if you are taking medicines like Nitrates and Alpha-Blockers, you should avoid using Cialis.

Tadalafil interacts with Nitrates and can result in dangerously low blood pressure. 

If you take Alpha-blockers, your doctor may prescribe the lowest possible dose of Cialis. 

Combining alpha-blockers with Cialis can result in a sudden reduction of blood pressure. You should only combine the two medicines if your physician permits it. 

Have you ever wondered if blood pressure medicines can treat ED? Read this article to know- Amlodipine Helps Erectile Dysfunction: Is it True

Side effects of Cialis on blood pressure

Headache (medicine side effect)Source: m-gucci_from_Getty_Images
Headache (medicine side effect)

As mentioned earlier, Cialis can lower blood pressure and potentially lead to a risk of Hypotension.

Aside from the above, the medication has a few other side effects associated with blood pressure. Some of the common side effects include:

  • Headaches
  • Flushing of the face, ears, and neck
  • Blurred or changing vision
  • Stuffy nose
  • Nosebleeds

Cialis may also have severe but rare side effects like Priapism and Dyspepsia.

Since Tadalafil acts as a vasodilator, it can reduce blood pressure. But it won’t cause a  significant impact on your levels if you have normal blood pressure and don’t take Nitrates or Alpha-Blockers.

Glossary
Priapism: A prolonged and painful erection that lasts for over 4 hours.
Dyspepsia: It refers to a discomfort in your abdomen or Indigestion.

Does Cialis lower blood pressure — the outlook

While Cialis has the potential to lower blood pressure, it is not a concerning issue for healthy men.

Yet, certain health conditions and medications can enhance the blood pressure-lowering effects of Cialis. The hypotensive effects can be dangerous in some cases.

It is essential to inform your physician of your current prescriptions and health history before starting Cialis. 

After analyzing your health, your doctor may be able to provide the best ED treatment for you.

If you’re currently taking both Lisinopril and Cialis or are considering taking both medications, we recommend reading our recommended resources on the interaction between the two drugs.

It is important to understand how these medications may interact and affect your health, so be sure to consult with your doctor before taking both drugs simultaneously.

Not sure which doctors to approach for your ED? Check out this articleErectile Dysfunction Doctors: Know the Top 3 Experts.

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  • Frequently Asked Questions

    How much does Cialis lower your blood pressure?

    Cialis causes a slight decrease in blood pressure. The clinical trials of Cialis 20 mg showed a blood pressure decrease of 0.2/4.6 mmHg while standing and 1.6/0.8 mmHg while lying down.
    There was no report of a significant drop in blood pressure.

    Can I take Cialis for high blood pressure?

    Cialis is an Erectile Dysfunction medication. Though it may help lower blood pressure, it is not the appropriate medication for high blood pressure. 
    Getting a prescription for more suitable high-blood pressure medications may be the best.

    How does Cialis affect blood pressure?

    Cialis causes a mild reduction in blood pressure. The drop in blood pressure is minimal and does not affect most men.
    People who take Nitrates for blood pressure or Angina may experience exaggerated effects on taking Cialis.

    Which is safer: Viagra or Cialis?

    Cialis and Viagra are both safe medications if taken as prescribed. Before using either ED medication, consult your doctor about your symptoms and overall health.

    Citations: Cheap Medicine Shop only refers to credible, authoritative sources for our content. If you’re curious about how we ensure the integrity of our content, we encourage you to read our Content Information Policy.

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    Photo of author Janet Fudge
    Jim Carson is a highly skilled and dedicated medical writer passionate about advancing medical practice. With years of experience in the field of medical sciences, Jim has made significant contributions to various studies aimed at improving healthcare outcomes. He currently writes for Cheapmedicineshop.com, providing expert insights and knowledge on various topics. Jim's expertise extends to various areas, including drug interactions, dosages, side effects, and best practices for medication use. In Los Angeles, Jim lives with his loving wife, children, and beloved pets. He deeply values spending time with his family and cherishes their presence. When he's not writing, Jim enjoys watching football games and staying updated with the latest sports news. Jim's writing shines through his commitment to advancing medical practice and improving healthcare outcomes. Readers can trust Jim's articles to be informative, accurate, and reliable, making him a trusted pharmaceutical information source for the website's audience.
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