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    This brand of the drug is not usually used in women. Always ask your health care professional for complete information about this product and your specific health needs. Before using this medication, tell your doctor or pharmacist your medical history, especially of heart problems (such as heart attack or life-threatening irregular heartbeat in the past 6 months, chest painangina, heart failure), stroke in the past 6 months, kidney disease, liver disease, high or low blood pressure, a severe loss of body water (dehydration), penis conditions (such as angulation, fibrosisscarring, peyronies disease), history of painfulprolonged erection (priapism), conditions that may increase the risk of priapism (such as sickle cell anemia, leukemia, multiple myeloma), eye problems (such as retinitis pigmentosa, sudden decreased vision, naion), bleeding disorders, active stomach ulcers. Many people using this medication do not have serious side effects. A very serious allergic reaction to this drug is rare.

    The medication can start working in as little as 30 minutes, so its also possible to have spontaneous sexual encounters. You may report side effects to health canada at. . Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). The first way is to take it as needed, usually at least 30 minutes before sexual activity.

    Tell your doctor if your condition does not improve or if it worsens. The effects of the medication can last up to 36 hours, so you can enjoy the effects of the medication for more than one day. You will not get an erection until you are sexually stimulated. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. Drug interactions drug interactions may change how your medications work or increase your risk for serious side effects. Overdose if overdose is suspected, contact a poison control center or emergency room immediately. Cialis interferes with the production of a hormone called pde5. You have a slightly greater chance of developing naion if you have heart disease, diabetes, high cholesterol, certain other eye problems (crowded disk), high blood pressure, if you are over 50, or if you smoke. Tell your doctor is you have cardiovascular issues, chest pain, heart disease, arrhythmia, heart attack, high blood pressure, low blood pressure, liver damage, kidney damage, ulcers, bleeding problems, cancer, sickle cell anemia, or if your penis is anatomically deformed. Do not use tadalafil with any of the following certain drugs used to treat chest painangina (nitrates such as nitroglycerin, isosorbide), recreational drugs called poppers containing amyl or butyl nitrite.

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