Cialis (tadalafil) is popularly prescribed medicine intended for the treatment of erectile dysfunction that can be caused by both psychological and physical reasons. This drug is supposed to be taken by males only as it has not been designed for female patients. Before starting the treatment you will need to inform your health care provider of the fact of having any bleeding disorder, a history of a heart attack, kidney disease, chest pain, high or low blood pressure, retinitis pigmentosa, blood cell disorder, liver disease, stomach ulcer, a recent history of a stroke, heart disease, congestive heart failure, or physical deformity of the penis. Take Cialis about 30 to 60 minutes before having sex and make sure there is a certain amount of sexual stimulation, as otherwise Cialis may not work for you. Never take it along with any nitrate-based drugs prescribed for chest pain and tell your doctor if you are taking erythromycin, heart or blood pressure medications, diclofenac, seizure medications, doxazosin, imatinib, ketoconazole, itraconazole, dalfopristin, antidepressants, telithromycin, HIV/AIDS medicines, conivaptan, clotrimazole, clarithromycin, voriconazole, rifampin, or isoniazid. Mild side effects are a lot more likely and can include muscle pain, cough, diarrhea, headache, indigestion, pain in the stomach, heartburn, and flushing.

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