Cialis is approved for the treatment of men who experience difficulty having and maintaining an erection (impotence).

One of the substances that the body naturally produces into the penis during sexual stimulation is enhanced with Cialis. This permits the penis to receive more blood flow. An increase in blood flow to specific inside penile parts causes an erection.

Compared to other ED medications that are currently licensed, Cialis has a longer half-life in the body. Studies that directly contrasted Cialis’ clinical effectiveness and safety with those of other medications did not, however, exist.

Cialis is taken orally before sexual activity, not more than once daily. Cialis may be taken with or without food. In some patients, the dose strength and maximum frequency of use may be adjusted. For more detailed information consult with your health care provider.

As with any drug product, there may be side effects. The most commonly reported side effects in patients treated with Cialis during the testing of the product were:

• headache
• indigestion
• back pain
• muscle pain
• flushing
• stuffy nose

Patients who get back pain and muscle aches usually get them 12 to 24 hours after taking Cialis and these usually go away by themselves within 48 hours. A small number of patients taking Cialis also reported abnormal vision.

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• CIALIS can cause your blood pressure to drop suddenly to an unsafe level if it is taken with any nitrate medication. You could get dizzy, faint or have a heart attack or stroke.
• Tell your healthcare provider that you take Cialis. If you need emergency medical care for a heart problem, it will be important for your health care provider to know when you last took Cialis.
• After taking a single tablet, some of the active ingredient of Cialis remains in your body for more than 2 days. The active ingredient can remain longer if you have problems with your kidneys or liver, or you are taking certain other medications.
• Physicians should discuss with patients the potential for CIALIS to augment the blood-pressure-lowering effect of alpha-blockers and antihypertensive medications.

Your doctors should discuss with you the general health of your heart and whether Cialis is a good option for you because sexual activity can make the heart work harder. Patients with hypertrophy of the heart muscle or valve disorders that result in “left ventricular outlet obstruction” may experience adverse symptoms like dizziness or fainting. Cialis is not advised for people with recent heart attacks or strokes, angina, heart failure, uncontrolled blood pressure or uncontrollably irregular heartbeats, severe liver illness, or issues with the retina. Cialis was not evaluated in these patient populations. There may be rare occurrences of priapism or painful, prolonged erections. This is a serious condition that requires immediate medical attention. Patients should seek prompt medical attention if their erection lasts longer than four hours.

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Cialis should not be used by patients taking nitrates (such as nitroglycerin tablets or patches) because the combination of these with Cialis could significantly lower blood pressure and lead to fainting or even death in some men.

It has not been investigated whether Cialis is safe or effective when taken in conjunction with other impotence treatments. When used together, blood pressure may drop even further—possibly to dangerous levels. As a result, using these therapies in addition to Cialis is not advised.

It is important to inform your healthcare provider about EVERY medicine you use, including over-the-counter and prescription ones, so you can get the best recommendations for your particular circumstances. For those using nitroglycerin in any form, Cialis is not advised as the combination may induce dangerously low blood pressure.