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This study included 510 men with BPH. All men reported urinary symptoms as well as erectile dysfunction. Men were randomly assigned to treatment groups. 153 men were treated with high-dose tamsulosin (0.4 mg) plus tadalafil (5 mg). 164 men were treated with low-dose tamsulosin (0.2 mg) plus tadalafil (5 mg). 162 men were treated with tadalafil alone (5 mg). Flomax Interactions. There are 302 drugs known to interact with Flomax (tamsulosin), along with 4 disease interactions, and 2 alcohol/food interactions. Of the total drug flomax with cialis drug interactions Erectile dysfunction meds, like Viagra and Cialis, can help maintain an erection. However, the side effects, dosage schedule, and other factors are different for each. The effects of Cialis can last up to 36 hours, but the highest amount of the drug can typically be found in the bloodstream between 30 minutes and six hours after taking Cialis. However, because Cialis remains in the body for longer than other ED medications, it is important not to take Cialis more than once every 24 hours. You must check to make sure that it is safe for you to take this medicine (tadalafil tablets) with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor. Related/similar drugs tamsulosin, finasteride, sildenafil, tadalafil, Flomax, Cialis, prazosin