Cialis Super Active with the birth control pill
Many women of reproductive age take a combined or progestogen-only oral contraceptive while also using a chronic medication such as Cialis Super Active (Tadalafil). The combination is generally fine at 20mg, but a small number of medications can reduce contraceptive efficacy meaningfully and need either a backup method or a switch.
How Cialis Super Active can affect contraceptive efficacy
Combined and progestogen-only contraceptives are metabolised through CYP3A4. Strong CYP3A4 inducers (some antiepileptics, rifampicin, St John's Wort) lower contraceptive plasma levels and reduce efficacy. Whether Tadalafil acts on CYP3A4 determines whether Cialis Super Active affects contraception. Most agents in Erectile Dysfunction (ED) have no clinically meaningful effect on the pill at 20mg.
Practical guidance
According to the prescribing information for Tadalafil, women on hormonal contraception should review Cialis Super Active with the prescribing pharmacist or doctor. Where an interaction is documented, additional barrier contraception or switching to a non-oral method (IUD, implant) for the duration of Cialis Super Active therapy is the standard mitigation.
Frequently asked questions
Will Cialis Super Active make my pill less effective? ▾
Most Erectile Dysfunction (ED) medications at 20mg do not affect oral contraceptive efficacy. The exceptions are CYP3A4-inducing drugs and a small number of others. The prescribing information for Tadalafil states whether the interaction is meaningful.
Do I need a backup contraceptive on Cialis Super Active? ▾
Backup contraception is needed only when there is a documented interaction between Cialis Super Active and the contraceptive method. For most users at 20mg, no backup is required. The pharmacist confirms whether Tadalafil interacts with hormonal contraception.
More on Cialis Super Active
- With alcoholCialis Super Active and alcohol — is it safe to drink?
- With foodShould Cialis Super Active be taken with food?
- Side effectsCialis Super Active side effects: common, rare and warning signs
- Dosage guideCialis Super Active dosage guide: how much to take and when
- OnsetHow fast does Cialis Super Active start working?
- DurationHow long does Cialis Super Active last?
The information on this website is provided for reference and educational purposes only. It does not replace consultation with a qualified healthcare professional.