Can You Take Cialis with Grapefruit? Know the Risks

Can You Take Cialis with Grapefruit? Know the Risks
Published : Feb 04, 2024
Last Updated : Jan 07, 2025

Yes, grapefruit and grapefruit juice can interact with Cialis (Tadalafil).

Grapefruit inhibits the enzyme CYP3A4, which slows the breakdown of Tadalafil in your body.

The interaction between Cialis and Grapefruit can increase the risk of side effects like low blood pressure, dizziness, or headaches.

While Cialis is effective for Erectile dysfunction, certain foods, like Grapefruit, can interfere with how it works.

This blog will explain why this interaction happens, the risks involved, and what you should avoid while taking Tadalafil.

How can Grapefruit affect Cialis?

The American Journal of Cardiovascular Drugs study shows that grapefruit juice may interact with certain drugs. Erectile dysfunction medication like Cialis is one of them.

Grapefruit juice can interfere with how Cialis (Tadalafil) is metabolised in the body.

It inhibits the enzyme CYP3A4 in the intestines, which normally helps break down Cialis.

The combined use can lead to higher drug levels in the bloodstream, increasing both its effects and the risk of side effects.

Similar interactions can occur with other ED medications like Viagra and Levitra tablets.

Please don't take Grapefruit or its juice while taking Cialis to avoid complications.

What Are the Potential Risks of Combining Cialis and Grapefruit?

Combining Cialis with Grapefruit can increase Tadalafil’s bioavailability, meaning more of the drug enters your bloodstream.

The combined use raises the risk of side effects or even overdose.

Common adverse symptoms include low blood pressure (hypotension), headache, dizziness, flushing, and irregular heartbeat.

In severe cases, it may lead to fainting or serious cardiovascular issues.

Know why and when Cialis can affect blood pressure.

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How long can Grapefruit affect Cialis?

In a study published by American Family Physician, an 8-oz glass of Grapefruit can stay up to 72 hours in your digestive system.

So, drinking or eating Grapefruit or its juice for 3 days is not recommended before taking this ED medication.

If you take Cialis daily for the treatment, which is 5mg per day, you should not consume Grapefruit at all.

Also, consult a doctor to learn more about possible tadalafil interactions.

Who Should Avoid Grapefruit While Taking Cialis?

Not everyone using Cialis faces the same risk as Grapefruit, but the warning applies to combined use.

Older adults and those with liver problems are more vulnerable as their bodies process drugs more slowly.

Higher doses, like 20 mg, increase the risk of side effects from grapefruit interactions compared to lower doses, like 2.5 mg. You can explore the Cialis dosage.

All users, especially those in high-risk groups, should avoid Grapefruit while taking Cialis to stay safe.

What are the Safe Practices for Patients on Cialis(Tadalafil)?

Follow these practices, which will help patients on Cialis (Tadalafil) to prevent risks while using it:

  • Avoid grapefruit entirely while taking Cialis, and do not just limit it.
  • Choose safe alternatives like apples, berries, and oranges instead of grapefruit.
  • Watch for side effects such as dizziness, headache, or irregular heartbeat if an interaction occurs.
  • Report any unusual symptoms to your doctor immediately while using Cialis.
  • Follow your doctor’s guidance on diet and medication use closely to proceed with the treatment safely.

Conclusion:

Cialis is an effective ED treatment that boosts blood flow and offers additional health benefits.

However, users should avoid grapefruit, as it can interfere with Tadalafil and increase the risk of side effects.

Please consult your doctor to understand how Cialis works and how to use it safely.

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Faq

No, avoiding grapefruit entirely while Cialis is in your system is best. The combined use can increase drug levels and the risk of side effects, even if you take it after hours.
 

Yes, grapefruit juice typically has a higher compound concentration that inhibits drug metabolism. The interaction of grapefruit juice with Cialis is more likely than eating whole grapefruit.
 

Cialis can remain active in your system for up to 36 hours. The interaction of grapefruit may last even longer, so grapefruit should be avoided during this entire period.

Take Cialis(Tadalafil) at least 30 minutes before sex, ideally 1–2 hours prior, as it peaks around that time. Avoid heavy meals, alcohol, and grapefruit, and follow your prescribed dose for best results.

Cialis may stop working due to underlying health issues like poorly managed blood pressure, diabetes, high cholesterol, or weight gain. These factors can reduce blood flow and interfere with the drug’s effectiveness. Please consult a doctor if you see no improvement or if Cialis has stopped working for you.