Can You Take Cialis with Hepatitis B and Normal Liver Function? - Gastroenterology and Hepatology

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Can a person with hepatitis B take Cialis?


If liver function is normal, is it safe to take Cialis 5mg, or is it not recommended?

Xiao Xiang, 30~39 year old female. Ask Date: 2024/07/19

Dr. Cai Jinji reply Gastroenterology and Hepatology


Hello Mr.
Hsiao-Hsiang: Cialis is primarily metabolized by the liver.
The condition of hepatitis B and the liver should be assessed through blood tests and ultrasound.
Normal liver enzyme levels do not necessarily indicate that there are no issues.
It is recommended to first confirm the status of the liver, and you may consult your attending physician.
Director Cai Jin-ji, Department of Hepatobiliary and Gastroenterology, Nantou Hospital.

Reply Date: 2024/07/19

More Info


When considering the use of Cialis (tadalafil) in patients with Hepatitis B, it is essential to understand the implications of liver function on the metabolism of this medication. Cialis is primarily metabolized in the liver, and any liver condition, including Hepatitis B, can potentially affect how the drug is processed in the body.

In your case, you mentioned that your liver function is normal. This is a crucial factor because normal liver function suggests that your liver is adequately processing medications. However, it is important to note that "normal" liver function should be confirmed through comprehensive liver function tests, including measurements of liver enzymes (such as ALT and AST), bilirubin levels, and possibly other tests like prothrombin time (PT).
If your liver function tests are indeed within the normal range, taking Cialis at a low dose, such as 5 mg, is generally considered safe. However, it is always advisable to consult with your healthcare provider before starting any new medication, especially if you have a history of liver disease. Your doctor can provide personalized advice based on your overall health, the specifics of your Hepatitis B status, and any other medications you may be taking.

Additionally, it is worth noting that while Cialis is not contraindicated in patients with Hepatitis B, there are other factors to consider. For instance, if you have any other underlying health conditions, are taking other medications, or have experienced any complications related to your Hepatitis B, these could influence the safety and efficacy of Cialis.

Moreover, Hepatitis B can sometimes lead to liver complications, even if liver function tests appear normal at a given time. Therefore, ongoing monitoring of liver function is essential for anyone with a history of Hepatitis B. If your liver function were to decline in the future, your healthcare provider might reassess the appropriateness of continuing Cialis.

In summary, if your liver function is confirmed to be normal, taking Cialis 5 mg is likely safe. However, always consult your healthcare provider for tailored advice and to ensure that it is appropriate for your specific health situation. Regular follow-ups and liver function monitoring are also recommended to ensure ongoing safety while using any medication.

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