Tadalafil Contraindications: When to Avoid the Medication

Tadalafil, a popular medication for treating erectile dysfunction, has helped many men regain their sexual confidence. However before purchasing Tadalafil online, it is important to note that it is not suitable for everyone. Understanding when to avoid Tadalafil is essential for maintaining your health and well-being. This article will provide an in-depth look at Tadalafil contraindications, helping you make an informed decision about whether this treatment is right for you.

What is Tadalafil?

Tadalafil is an effective medication often prescribed for the treatment of erectile dysfunction. It belongs to a class of drugs known as phosphodiesterase type 5 (PDE5) inhibitors. Tadalafil works by improving blood flow to the penis, making it easier to achieve and maintain an erection.

How Does Tadalafil Work?

Tadalafil operates by inhibiting the phosphodiesterase type 5 (PDE5) enzyme, which is responsible for the breakdown of a substance known as cyclic guanosine monophosphate (cGMP). By inhibiting this enzyme, Tadalafil allows cGMP to persist longer, prolonging the vasodilatory effect of nitric oxide. This ultimately leads to increased blood flow to the penis and facilitates an erection in the presence of sexual stimulation.

The Importance of Knowing Tadalafil Contraindications

Before you start taking Tadalafil, it’s crucial to understand any potential contraindications. A contraindication is a specific situation in which a drug, procedure, or surgery should not be used because it may be harmful to the patient. Knowing these helps to avoid unnecessary health risks.

Contraindications for Tadalafil

Certain health conditions and other factors may make Tadalafil less suitable or potentially dangerous. Here are the main contraindications:

Heart-Related Conditions

Patients with heart problems, such as heart disease or a history of heart attacks, should avoid Tadalafil. The medication can cause an extra strain on the heart, leading to potentially serious complications.

Use of Nitrate Medication

Combining Tadalafil with nitrate medications (like nitro-glycerine, isosorbide dinitrate, and isosorbide mononitrate) can cause a sudden and severe drop in blood pressure. If you are on these drugs, Tadalafil should be avoided.

Liver or Kidney Disease

Patients with severe liver or kidney disease may need to avoid Tadalafil or use a lower dose. The drug is processed by these organs, and if they’re not functioning correctly, it could lead to increased side effects.

Precautions When Taking Tadalafil

Beyond contraindications, there are several precautions to be aware of when considering Tadalafil:

Alcohol Consumption

Excessive alcohol consumption can increase the chances of experiencing side effects, such as dizziness, headache, increased heart rate, or lowered blood pressure.

Grapefruit and Grapefruit Juice

Grapefruit products can interact with Tadalafil and lead to unwanted side effects. Avoid the consumption of grapefruit products while taking this medication.

Further Examination of Tadalafil Contraindications

Let’s delve deeper into some of the contraindications mentioned earlier to fully understand the risks involved.

Heart-Related Conditions

Tadalafil can potentially affect blood pressure. It’s known to mildly decrease systemic blood pressure at recommended doses due to its vasodilatory effects. In most patients, the decrease isn’t significant and doesn’t cause any symptoms. However, for people with heart conditions, the effects could be more pronounced and potentially dangerous. Therefore, those with severe cardiac conditions, like severe heart failure, unstable angina, or recent myocardial infarction, should abstain from using Tadalafil.

Use of Nitrate Medication

The danger of combining Tadalafil and nitrate medications stems from their similar effects on the body. Both cause the blood vessels to expand, which can lead to a dangerous drop in blood pressure. Symptoms of low blood pressure include dizziness, fainting, light-headedness, and, in extreme cases, loss of consciousness or even death.

Liver or Kidney Disease

For people with severe liver or kidney disease, Tadalafil may stay longer in the body. This could increase the risk of experiencing side effects. Your doctor may start you on a reduced dose to see how your body reacts to the medication.

Precautions: Other Factors to Consider

While contraindications are specific conditions under which a drug should not be used, precautions are issues that warrant caution but not necessarily avoidance of the medication.

Vision Loss

In rare cases, men taking PDE5 inhibitors, including Tadalafil, reported a sudden decrease or loss of vision in one or both eyes. It’s not clear whether these events are related directly to the PDE5 inhibitors or to other factors. If you experience sudden decrease or loss of vision, stop taking Tadalafil and contact a healthcare provider right away.

Hearing Loss

Similarly, sudden decrease or loss of hearing has been reported in some instances. This is often accompanied by tinnitus and dizziness. If you encounter these symptoms, discontinue Tadalafil and seek immediate medical attention.

Lifestyle Factors and Tadalafil Use

Although not contraindications per se, certain lifestyle choices can impact how Tadalafil works in your body, and vice versa. You should also consider these factors when discussing Tadalafil use with your healthcare provider.

Alcohol Consumption

While moderate alcohol consumption is unlikely to interfere with Tadalafil, excessive drinking can potentially cause or worsen erectile dysfunction. Additionally, alcohol can augment the blood pressure-lowering effect of Tadalafil, leading to symptoms like dizziness and fainting. If you’re a heavy drinker, your healthcare provider may advise you to limit your alcohol consumption or abstain altogether while taking this medication.

Smoking

Cigarette smoking can harm nearly every organ in your body, including your blood vessels, and increase your risk of erectile dysfunction. It can also worsen the side effects of Tadalafil, particularly those related to the circulatory system. Quitting smoking can improve your overall health and, consequently, your response to Tadalafil.

Potential Interactions with Other Medications

While we’ve already mentioned nitrate medications, it’s important to note that Tadalafil can interact with several other medications, potentially altering their effectiveness or increasing your risk of side effects.

Alpha-blockers

These medications, often prescribed for prostate problems or high blood pressure, can interact with Tadalafil. Taking them together can cause a significant drop in blood pressure.

Certain Antifungal and Antibiotic Medications

Some antifungal and antibiotic medications can increase the levels of Tadalafil in your blood, leading to a higher risk of side effects. If you’re taking these medications, your healthcare provider might adjust your dosage or choose a different treatment option.

HIV Protease Inhibitors

These medications used for treating HIV can also increase the amount of Tadalafil in your blood. As a result, your doctor may recommend a lower dose of Tadalafil to prevent potential side effects.

When in Doubt, Consult Your Healthcare Provider

The information presented here is not exhaustive, and other contraindications or precautions may exist. That’s why it’s always important to discuss your full medical history with your healthcare provider before starting any new medication. This way, potential risks can be identified, and your treatment plan can be adjusted accordingly.

Summary

Using Tadalafil safely means understanding not just the contraindications, but also its potential side effects and precautions, as well lifestyle factors that can influence its effects. By fully disclosing your health history and current lifestyle habits to your healthcare provider, you can work together to create an effective and safe treatment plan for managing erectile dysfunction. As always, if you have any doubts or concerns about Tadalafil, don’t hesitate to discuss them with your healthcare provider.

Although all of our content is written and reviewed by healthcare professionals, it should not be substituted for or used as medical advice. If you have any questions about your health, please speak to your doctor.

Authored May 12, 2023 by Joseph Issac, MPharm
Reviewed May 12, 2023 by Prabjeet Saundh, MPharm