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Generic Cialis offers an effective option for the ED sufferers
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There is a cheap option available to all such sufferers who
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What should I tell my health care provider
before I take this medicine?
They need to know if you have any of these conditions:
 eye or vision problems, including a rare inherited eye
disease called retinitis pigmentosa
 heart disease, angina, a history of heart attack, irregular
heart beats, or other heart problems
 high or low blood pressure
 kidney or liver disease
 stroke
 an unusual or allergic reaction to tadalafil, other
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How should I use this medicine?
Take this medicine by mouth with a glass of water. You
may take this medicine with or without meals. The dose is
usually taken 30 to 60 minutes before sexual activity. You
should not take this dose more than once per day. Do not
take your medicine more often than directed.
Overdosage: If you think you have taken too much of this
medicine contact a poison control center or emergency
room at once.
What if I miss a dose?
If you miss a dose, you may take it when you remember
but do not take more than one dose per day.

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What may interact with this medicine?
Do not take this medicine with any of the following
medications:
• nitrates like amyl nitrite, isosorbide dinitrate, isosorbide
mononitrate, nitroglycerin
This medicine may also interact with the following
medications:
• certain drugs for high blood pressure
• certain drugs for the treatment of HIV infection or AIDS
• certain drugs used for fungal or yeast infections, like
fluconazole, itraconazole, ketoconazole, and voriconazole
• certain drugs used for seizures like carbamazepine,
phenytoin, and phenobarbital
• grapefruit juice
• macrolide antibiotics like clarithromycin, erythromycin,
troleandomycin
• medicines for prostate problems
• rifabutin, rifampin or rifapentine
This list may not describe all possible interactions. Give your
health care provider a list of all the medicines, herbs, non-
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What should I watch for while using this
medicine?
If you notice any changes in your vision while taking this
drug, call your doctor or health care professional as soon as
possible. Stop using this medicine and call your health care
provider right away if you have a loss of sight in one or both
eyes.
Contact you doctor or health care professional right away if
the erection lasts longer than 4 hours or if it becomes
painful. This may be a sign of serious problem and must be
treated right away to prevent permanent damage.
If you experience symptoms of nausea, dizziness, chest pain
or arm pain upon initiation of sexual activity after taking
this medicine, you should refrain from further activity and
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Do not drink alcohol to excess (examples, 5 glasses of wine
or 5 shots of whiskey) when taking this medicine. When
taken in excess, alcohol can increase your chances of getting
a headache or getting dizzy, Increasing your heart rate or
lowering your blood pressure.
Using this medicine does not protect you or your partner
against HIV infection (the virus that causes AIDS) or other
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Where should I keep my medicine?
Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59
and 86 degrees F). Throw away any unused medicine after
the expiration date.

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