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Most important fact about Cialis

Generic Cialis causes a proper erection only during sexual excitement. Cialis generic does not work in the absence of arousal and does not increase sexual desire.

How should you take Cialis (tadalafil)?

Take one Cialis pill before sexual activity, with or without food. The best time to take Cialis depends on how and when the drug works for you, but some men are able to have an erection 30 minutes after taking it. Other men are able to wait up to 36 hours after taking Cialis before engaging in sexual activity.

What side effects may occur?

Side effects cannot be anticipated. If any develop or change in intensity, tell your medition as soon as possible. Only your doctor can determine if it is safe to continue using Cialis pills.
More common side effects may include:
Back pain, headache, arm and leg pain,, nasal congestion, flushing, indigestion, muscle aches.
The list of side effects is not complete. If you have any questions about side effects you should consult your doctor.

Why should Cialis generic not be prescribed?

Do not take Cialis drug if you are taking any nitrate-based drug, including nitroglycerin patches, nitroglycerin ointment, nitroglycerin pills (Nitro-Bid, Nitrostat), and isosorbide pills (Dilatrate-SR, Isordil, Sorbitrate). This also includes street drugs known as "poppers," including amyl nitrate and butyl nitrate. Combining Cialis with any of these drugs can cause a dangerous drop in blood pressure.
Likewise, do not take Cialis pills with certain blood pressure and prostate drugs known as alpha-blockers, including Cardura (doxazosin), Hytrin (terazosin), Minipress (prazosin), and Uroxatral (alfuzosin). However, you can take the alpha-blocker Flomax (tamsulosin) at a dose of 0.4 milligrams once a day.
If Cialis gives you an allergic reaction, do not use it again. You can chose some other ed pills suchs as Levitra or Kamagra.

Recommended dosage of Cialis

Adult males.
Doses range from 5 milligrams to 20 milligrams, depending on the drug's effect. The recommended starting dose is 10 milligrams.
Take Cialis pills only before sexual activity. The manufacturer recommends a maximum of one dose per day. If you're taking certain medications that affect the liver, such as ritonavir (Norvir) or ketoconazole (Nizoral), the maximum recommended dose is 10 milligrams no more than once every 3 days.
If you have moderate kidney impairment, the recommended starting dose is 5 milligrams once a day, up to a maximum of 10 milligrams once every 2 days. If you have severe kidney impairment or need dialysis, the maximum recommended dose is 5 milligrams once a day. No dosage adjustment is required if you have mild kidney problems.
If you have mild or moderate liver impairment, your total daily dose should not exceed 10 milligrams once a day. If your liver is severely impaired, you will not be able to use Cialis drug.