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Patient information
The most common side effects with Cialis are headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose. These side effects usually go away after a few hours. Patients who get back pain and muscle aches usually get it 12 to 24 hours after taking Cialis. Back pain and muscle aches usually go away by themselves within 48 hours. Call your doctor if you get a side effect that bothers you or one that will not go away.

Precautions
Before taking Cialis, tell your doctor about all your medical problems, including if you have heart problems such as angina, heart failure, irregular heartbeats, or have had a heart attack; have low blood pressure or have high blood pressure that is not controlled; have had a stroke; have liver problems; have kidney problems or require dialysis; have retinitis pigmentosa, a rare genetic (runs in families) eye disease; have stomach ulcers; have a bleeding problem; have a deformed penis shape or Peyronie's disease; have had an erection that lasted more than 4 hours or have blood cell problems such as sickle cell anemia, multiple myeloma, or leukemia.

Drug interactions
Tell your doctor about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements. Cialis and other medicines may affect each other. Always check with your doctor before starting or stopping any medicines. Especially tell your doctor if you take any of the following medicines including nitrates; alpha blockers (including Hytrin?(terazosin HCl), Flomax?(tamsulosin HCl), Cardura?(doxazosin mesylate), Minipress?(prazosin HCl) or Uroxatral?(alfuzosin HCl); ritonavir (Norvir? or indinavir (Crixivan?; ketoconazole or itraconazole (such as Nizoral?or Sporanox?; erythromycin; or other medicines or treatments for ED.

This website provides detailed information on CIALIS - including how CIALIS can help both you and your partner enjoy sexual intimacy when the moment is right, how it's different than other treatments for ED and how to determine if CIALIS is right for you. Remember, your doctor or other healthcare professional is always the best source for appropriate treatment options.

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CIALIS?(tadalafil), an oral treatment for erectile dysfunction, is a selective inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5). Tadalafil has the empirical formula C₂₂H₁₉N₃O₄ representing a molecular