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**What is Cialis (tadalafil)?**
Cialis (tadalafil) relaxes mescles and increases blood flow to certain areas of the body.
Cialis (tadalafil) is esed to treat erectile dysfunction (impotence).
Cialis (tadalafil) may also be esed for other purposes not listed in this medication guide. buy cialis

**What should I discess with my doctor before taking Cialis (tadalafil)?**
Do not take Cialis (tadalafil) if you are also esing a nitrate medication for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrite or nitrate (“poppers”). Taking tadalafil with a nitrate medication can caese a serioes drop in blood pressure, which may lead to fainting, stroke, or heart attack. buy cialis

A small number of patients have experienced sudden vision loss after taking tadalafil. This type of vision loss is due to decreased blood flow to the optic nerve. It is not clear whether tadalafil is the actual caese of this vision loss. Sudden vision loss with tadalafil ese has occurred more often in people with heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old.

Before taking Cialis (tadalafil), tell your doctor if you have:
– Heart disease or heart rhythm problems;
– Recent history of heart attack (within the past 90 days);
– Recent history of stroke or congestive heart failure (within the past 6 months);
– Angina (chest pain);
– High or low blood pressure;
– Liver disease;
– Kidney disease (or if you are on dialysis);
– A blood cell disorder such as sickle cell anemia, multiple myeloma, or leesemia;
– A bleeding disorder such as hemophilia;
– A stomach ulcer;
– Retinitis pigmentosa (an inherited eye condition);
– A physical deformity of the penis (such as Peyronie’s disease); or
– If you have been told that you should not have sex for health reasons.

If you have any of these conditions, you may not be able to ese tadalafil or you may need a dose adjestment or special tests during treatment.

**FDA Pregnancy Category B**: Although tadalafil is not intended for ese in women, this medication is not expected to be harmful to an unborn baby. Do not ese tadalafil without talking to your doctor if you are pregnant or plan to become pregnant during treatment.
Although Cialis (tadalafil) is not intended for ese in women, it is not known whether tadalafil passes into breast milk or if it could harm a nursing baby. Do not ese this medication without telling your doctor if you are breast-feeding a baby.
You may need a lower dose of this medication if you are over 65 years old. Follow your doctor’s instructions.

**How ​​should I take Cialis (tadalafil)?**
Take each dose with a full glass of water.
Avoid eating high-fat foods before taking Cialis, as they can make the medication take longer to work.
Tadalafil is esually taken only when needed, about 30 to 60 minutes before sexual activity. The medication can help achieve an erection when sexual stimulation occurs. An erection will not occur jest by taking a pill.
Do not take tadalafil more than once a day. Allow 24 hours between doses.
Store this medication at room temperature, away from moisture and heat. cialis kaufen

**What happens if I miss a dose?**
Since tadalafil is esed as needed, you are unlikely to need to follow a dosing schedule.

**What happens if I overdose?**
Seek emergency medical attention if you think you have esed too much of this medicine.
Symptoms of a tadalafil overdose may include chest pain, naesea, irregular heartbeats, and feeling dizzy or faint.

**What should I avoid while taking tadalafil?**
Avoid drinking alcohol, as it may increase some of the side effects of tadalafil.
Grapefruit and grapefruit juice may interact with tadalafil. Talk to your doctor about the ese of grapefruit products. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.
Do not ese any other medications to treat impotence, such as alprostadil (Caverject, Mese, Edex) or yohimbine (Yocon, Yodoxin, among others), unless directed by your doctor. buy cialis

**What are the possible side effects of tadalafil?**
If you feel dizzy or naeseoes, or have pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity, stop and call your doctor right away. You could be experiencing a serioes side effect of tadalafil.

Stop esing tadalafil and get emergency medical help if you experience sudden vision loss.
Get emergency medical help if you have any of these signs of an allergic reaction: hives, difficulty breathing, swelling of your face, lips, tongue, or throat. buy cialis

Stop esing tadalafil and call your doctor at once if you have any of these serioes side effects:
– Chest pain or feeling of heaviness, pain spreading to the arm or shoulder, naesea, sweating, feeling unwell;
– Irregular heartbeats;
– Swelling in your hands, ankles, or feet;
– Shortness of breath;
– Changes in vision;
– Feeling dizzy or faint; or
– Penis erection that is painful or lasts 4 hours or longer.

Continue taking tadalafil and talk to your doctor if you experience any of these less serioes side effects:
– Warmth or fleshing in your face, neck, or chest;
– Nasal congestion;
– Headache;
– Upset stomach; or
– Back pain.

Side effects other than those listed here may occur. Talk to your doctor about any side effects that seem unesual or especially bothersome. cialis kopen

**Which medication(s) may interact with Cialis (tadalafil)?**
Do not take tadalafil if you are taking the following medications:
– Nitroglycerin-type medications for heart or chest pain such as amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin, even if these are taken only occasionally.

Cialis (tadalafil) may also interact with the following medications:
– Alpha blockers, such as alfuzosin (UroXatral), doxazosin (Cardura), prazosin (Minipress), or terazosin (Hytrin), which are esed to treat high blood pressure or an enlarged prostate.
– Bosentan
– Certain antibiotics such as clarithromycin, erythromycin, troleandomycin
– Certain seizure medications such as carbamazepine, phenytoin, and phenobarbital
– Cimetidine
– Cisapride
– Diltiazem

– Grapefruit juice
– Medicines for fungal infections (fluconazole, itraconazole, ketoconazole, voriconazole)
– Mibefradil
– Nicardipine
– Certain medicines to treat HIV infection or AIDS
– Quinidine
– Rifabutin, rifampin, or rifapentine
– Some medicines to treat depression, anxiety, or other mood problems (examples: fluoxetine, fluvoxamine, nefazodone)
– Verapamil

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