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If you notice any changes in your vision while taking this drug, call your doctor or health care professional as soon as possible. Stop using this medicine and call your health care provider right away if you have a loss of sight in one or both eyes.

Contact you doctor or health care professional right away if the erection lasts longer than 4 hours or if it becomes painful. This may be a sign of serious problem and must be treated right away to prevent permanent damage.

If you experience symptoms of nausea, dizziness, chest pain or arm pain upon initiation of sexual activity after taking this medicine, you should refrain from further activity and call your doctor or health care professional as soon as possible. Do not drink alcohol to excess (examples, 5 glasses of wine or 5 shots of whiskey) when taking this medicine. When taken in excess, alcohol can increase your chances of getting a headache or getting dizzy, increasing your heart rate or lowering your blood pressure.
Using this medicine does not protect you or your partner against HIV infection (the virus that causes AIDS) or other sexually transmitted diseases.
What side effects may I notice from this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
breathing problems
changes in hearing
chest pain
fast, irregular heartbeat


Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

back pain
dizziness
flushing
headache
indigestion
muscle aches
stuffy or runny nose

This list may not describe all possible side effects.
Where should I keep my medicine?

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.

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TADALAFIL is used to treat erection problems in men. Also, it is currently in Phase 3 clinical trials for treating pulmonary arterial hypertension.
What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

eye or vision problems, including a rare inherited eye disease called retinitis pigmentosa
heart disease, angina, a history of heart attack, irregular heart beats, or other heart problems
high or low blood pressure
kidney or liver disease
stroke
an unusual or allergic reaction to tadalafil, other medicines, foods, dyes, or preservatives

How should I use this medicine?

Take this medicine by mouth with a glass of water. You may take this medicine with or without meals. The dose is usually taken 30 to 60 minutes before sexual activity. You should not take this dose more than once per day. Do not take your medicine more often than directed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others. What if I miss a dose?

If you miss a dose, you may take it when you remember but do not take more than one dose per day.
What may interact with this medicine?

Do not take this medicine with any of the following medications:

nitrates like amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin
This medicine may also interact with the following medications:

certain drugs for high blood pressure
certain drugs for the treatment of HIV infection or AIDS
certain drugs used for fungal or yeast infections, like fluconazole, itraconazole, ketoconazole, and voriconazole
certain drugs used for seizures like carbamazepine, phenytoin, and phenobarbital grapefruit juice
macrolide antibiotics like clarithromycin, erythromycin, troleandomycin medicines for prostate problems
rifabutin, rifampin or rifapentine

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In the treatment of the erectile dysfunction when optional assistance in the achievement and preservation of erection is needed Cialis is used. The medication refers to phosphodiesterase inhibitors and it works in a way that helps muscles to become more relaxed therefore enhancing the flow of blood to some body parts.

The administration does not presuppose dosing schedule but if used on a regular basis should be taken only one time a day. Remember that Tadalafil Cialis just serves as an assistant providing there is sexual stimulation and it is not a tablet for an instant erection.
You might need a consultation with your healthcare provider or pharmacist provided you have got angina, troubles with heart, liver, kidneys or blood pressure, suffer from a stomach ulcer and etc. The therapy with the medicine is better to be discussed with your doctor if you are or going to become pregnant or nursing. Nitrate drugs such as nitroglycerin and others are not compatible with the medication. It is recommended to refrain from optional medicines for impotence cure, alcohol and be careful with grapefruit products while taking Cialis.

There might be a chance of intolerance response to the drug. If this to be the case apply to your physician at once.

Generic Cialis is the phosphodiesterase inhibitor used for the treatment of problems related to the sexual functions such as impotency or erectile dysfunction. The medication is not meant for safeguarding any other sexually transmitted diseases like HIV-AIDS. For better safety against such disease the best way is using latex condoms while sexual activities like intercourse. Before Buy Cialis Tadalafil tablet or any such medication it is always advisable to consult your physician to know about the probable interaction of this medicine with other medicines like nitroglycerines or any other nitrate based drugs etc.