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* Cialis may also be toughened representing purposes other than those listed in this medication guide.
What should I debate with my healthcare provider before taking Cialis?
* Do not take up Cialis if you are also using a nitrate psychedelic benefit of strongbox trouble 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 set up in some recreational drugs such as amyl nitrate or nitrite (“poppers”). Winsome Cialis with a nitrate medicine can ideal a pensive reduction in blood exigencies, matchless to fainting, feat, or pump attack.
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* Cialis is all things considered infatuated only when needed, just in the vanguard erotic activity. The medication can help achieve an erection when procreant stimulation occurs. An erection when one pleases not occur just during taking a pill. Ape your doctor's instructions.
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* Correspond with your doctor or pursue emergency medical distinction if your erection is unpleasant or lasts longer than 4 hours. A prolonged erection (priapism) can impair the penis.
* Store this medication at cell temperature away from moisture and heat.
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o irregular heartbeat;
o bump in your hands, ankles, or feet;
o shortness of zephyr;
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o feeling light-headed, fainting; or
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o erythromycin (E-Mycin, Eryc, Ery-Tab) or clarithromycin (Biaxin);
o doxazosin (Cardura), prazosin (Minipress), terazosin (Hytrin);
o HIV medicines such as amprenavir (Agenerase), tipranavir (Aptivus), darunavir (Prezista), efavirenz (Sustiva), nevirapine (Viramune), indinavir (Crixivan), saquinavir (Invirase, Fortovase), lopinavir/ ritonavir (Kaletra), fosamprenavir (Lexiva), ritonavir (Norvir), atazanavir (Reyataz), or nelfinavir (Viracept);
o itraconazole (Sporanox) or ketoconazole (Nizoral);
o carbamazepine (Tegretol), phenobarbital (Luminal), or phenytoin (Dilantin); or
o rifampin (Rifadin, Rimactane).
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* If you grow dizzy or nauseated, or contain hurt, numbness, or tingling in your strongbox, arms, neck, or jaw during sex occupation, stop and command your doctor honourable away. You could be having a consequential side effect of Cialis.
* Do not contain a withstand Cialis more than one time a day. Countenance 24 hours to pass between doses.
* Communication your doctor or seek emergency medical notice if your erection is stinging or lasts longer than 4 hours. A prolonged erection (priapism) can destruction the penis.
* A small slew of patients be enduring had a surprising set-back of eyesight after winning Cialis. This type of vision detriment is caused by decreased blood superabundance to the optic daring of the eye. It is not unencumbered whether Cialis is the true cause of such perception loss. Hasty revenant breakdown with Cialis put to use has occurred most in many cases in people with courage disease, diabetes, steep blood albatross, violent cholesterol, or certain pre-existing examine problems, and in those who smoke or are once again 50 years old.
* Stop using Cialis and shoot emergency medical help if you comprise sudden vision loss.
What is Cialis?
* Cialis relaxes muscles and increases blood trickle to separate areas of the body.
* Cialis is toughened to handle erectile dysfunction (inefficacy).
* Cialis may also be used seeking purposes other than those listed in this medication guide.
What should I discuss with my healthcare provider formerly winsome Cialis?
* Do not take up Cialis if you are also using a nitrate drug benefit of chest smarting or sensitivity 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 nitrate or nitrite (“poppers”). Bewitching Cialis with a nitrate panacea can occasion a solemn curtailment in blood pressurize, matchless to fainting, feat, or heart attack.
* A minuscule number of patients tease had a rapid extermination of eyesight after enchanting Cialis. This typeface of shade impairment is caused sooner than decreased blood gurgle to the optic boldness of the eye. It is not comprehensible whether Cialis is the existing induce of such envisaging loss. Unexpected plan loss with Cialis fritter away has occurred most time after time in people with heart complaint, diabetes, excessive blood arm-twisting, extreme cholesterol, or certain pre-existing partiality problems, and in those who smoke or are through 50 years old.
* Before captivating Cialis, release your doctor if you bear:
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o a brand-new history a heart malign (within the former 90 days);
o a current history of touch or congestive heart folding (within the former 6 months);
o angina (chest wretchedness);
o great or rude blood straits;
o liver disease;
o kidney infirmity (or if you are on dialysis);
o a blood room disturbance such as sickle chamber anemia, multiple myeloma, or leukemia;
o a bleeding affray such as hemophilia;
o a yearning canker;
o retinitis pigmentosa (an inherited term of the eye);
o a medico deformity of the penis (such as Peyronie's affliction); or
o if you own been told you should not own earthy intercourse for the purpose healthfulness reasons.
* If you from any of these conditions, you may not be clever to abuse Cialis or you may indigence a dosage to rights or best tests during treatment.
* FDA pregnancy category B: Although Cialis is not in behalf of handle in women, this medication is not expected to be harmful to an unborn baby. Do not take Cialis without weighty your doctor if you are fruitful or programme to happen to eloquent during treatment.
* Although Cialis is not in place of use in women, it is not known if Cialis passes into tit milk or if it could misfortune a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
* You may indigence a lower dispense of this medication if you are older than 65. Be guided by your doctor's instructions.
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* Take Cialis certainly as it was prescribed for you. Do not accede to b assume it in larger doses or in favour of longer than recommended next to your doctor.
* Rob each dispense with a sated glass of water.
* Cialis can be captivated with or without food.
* Cialis is all things considered infatuated only when needed, just in the vanguard voluptuous activity. The medication can better reach an erection when sexual stimulation occurs. An erection when one pleases not occur just by taking a pill. Support your doctor's instructions.
* Do not become airborne Cialis more than once a day. Allow 24 hours to pass between doses.
* Correspond with your doctor or seek exigency medical prominence if your erection is unpleasant or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.
* Keep this medication at dwell temperature away from moisture and heat.
What happens if I feel nostalgia for a dose?
* Since Cialis is utilized as needed, you are not in all probability to be on a dosing schedule.
What happens if I overdose?
* Seek predicament medical notice if you contrive you have worn too much of this medicine.
* Symptoms of a Cialis overdose may contain breast wretchedness, nausea, irregular heartbeat, and feel light-headed or fainting.
What should I sidestep while attractive Cialis?
* Refrain from drinking demon rum, which can widen some of the side effects of Cialis.
* Grapefruit and grapefruit vitality may interact with Cialis. Consult on the use of grapefruit products with your doctor. Do not swell or contract the amount of grapefruit products in your reduce without opening talking to your doctor.
* Do not take any other dull to upon inefficacy, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others), unless your doctor tells you to.
What are the practicable side effects of Cialis?
* If you fit feather-headed or offended, or have misery, numbness, or tingling in your coffer, arms, neck, or jaw during lustful interest, sojourn and collect your doctor perfect away. You could be having a serious side power of Cialis.
* Bar using Cialis and climb danger medical facilitate if you bring into the world hasty apparition loss.
* Receive pinch medical help if you demand any of these signs of an allergic compensation: hives; painfulness breathing; distension of your fa‡ade, lips, tongue, or throat.
* Leave off using Cialis and term your doctor at once if you have any of these dangerous side effects:
o trunk pain or lowering sensitivity, agony spreading to the arm or candidly, nausea, sweating, overall uncertain sense;
o haphazard heartbeat;
o protuberance in your hands, ankles, or feet;
o shortness of gust;
o perspective changes;
o feeling light-headed, fainting; or
o penis erection that is sharp or lasts 4 hours or longer.
* Continue irresistible Cialis and talk with your doctor if you contain any of these less alarming side effects:
o heartiness or redness in your face, neck, or case;
o stuffy nose;
o bother;
o unsettle bay window; or
o chasing pain.
* Side effects other than those listed here may also occur. Talk to your doctor to any side effect that seems unusual or that is remarkably bothersome.
What other drugs will trouble Cialis?
* Before taking Cialis, spill one's guts your doctor if you are using any of the following medications:
o cimetidine (Tagamet, Tagamet HB);
o erythromycin (E-Mycin, Eryc, Ery-Tab) or clarithromycin (Biaxin);
o doxazosin (Cardura), prazosin (Minipress), terazosin (Hytrin);
o HIV medicines such as amprenavir (Agenerase), tipranavir (Aptivus), darunavir (Prezista), efavirenz (Sustiva), nevirapine (Viramune), indinavir (Crixivan), saquinavir (Invirase, Fortovase), lopinavir/ ritonavir (Kaletra), fosamprenavir (Lexiva), ritonavir (Norvir), atazanavir (Reyataz), or nelfinavir (Viracept);
o itraconazole (Sporanox) or ketoconazole (Nizoral);
o carbamazepine (Tegretol), phenobarbital (Luminal), or phenytoin (Dilantin); or
o rifampin (Rifadin, Rimactane).
* If you are using any of these drugs, you may not be able to take Cialis, or you may want dosage adjustments or precise tests during treatment.
* There may be other drugs not listed that can affect Cialis. Disclose your doctor wide all the drug and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed beside other doctors. Do not start using a new medication without letting the cat out of the bag your doctor.
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What is the most important news I should know hither Cialis?
* Do not swallow Cialis if you are also using a nitrate drug as coffer 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 base in some recreational drugs such as amyl nitrate or nitrite (“poppers”). Taking Cialis with a nitrate physic can well-spring a pensive wane in blood stress, unrivalled to fainting, stroke, or will attack.
* If you turn dizzy or airsick, or have trial, numbness, or tingling in your strongbox, arms, neck, or jaw during sensual venture, prohibition and command your doctor high-mindedness away. You could be having a thoughtful side effectuate of Cialis.
* Do not make Cialis more than now a day. Countenance 24 hours to pass between doses.
* Junction your doctor or be after crisis medical notice if your erection is excruciating or lasts longer than 4 hours. A prolonged erection (priapism) can destruction the penis.
* A pint-sized crowd of patients be enduring had a quick loss of eyesight after fascinating Cialis. This breed of eyesight squandering is caused by decreased blood superabundance to the optic spirit of the eye. It is not clear whether Cialis is the existent induce of such perception loss. Sudden vision breakdown with Cialis profit has occurred most often in people with determination disease, diabetes, hilarious blood exigency, expensive cholesterol, or settled pre-existing examine problems, and in those who smoke or are for 50 years old.
* Impede using Cialis and hurt difficulty medical steal if you bear abrupt foresightedness loss.
What is Cialis?
* Cialis relaxes muscles and increases blood flow to particular areas of the body.
* Cialis is familiar to investigate erectile dysfunction (inefficacy).
* Cialis may also be old for purposes other than those listed in this medication guide.
What should I consult on with my healthcare provider before enchanting Cialis?
* Do not get Cialis if you are also using a nitrate psychedelic benefit of chest smarting 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 nitrate or nitrite (“poppers”). Taking Cialis with a nitrate panacea can occasion a solemn reduction in blood vexation, leading to fainting, stroke, or heart attack.
* A midget swarm of patients be experiencing had a precipitate extermination of eyesight after taking Cialis. This typeface of vision loss is caused alongside decreased blood progress to the optic spirit of the eye. It is not clear whether Cialis is the current basis of such vision loss. Hasty wraith shrinkage with Cialis usability has occurred most often in people with heart disorder, diabetes, high blood burden, high cholesterol, or indisputable pre-existing partiality problems, and in those who smoke or are down 50 years old.
* Previously captivating Cialis, tell your doctor if you bear:
o sensibility complaint or heartlessness measure problems;
o a fresh r‚sum‚ a heart attack (within the days of old 90 days);
o a recent history of touch or congestive resolution failure (within the past 6 months);
o angina (coffer depress);
o capital or abysmal blood weight;
o liver cancer;
o kidney disease (or if you are on dialysis);
o a blood cell disturbance such as sickle chamber anemia, multiple myeloma, or leukemia;
o a bleeding disarray such as hemophilia;
o a yearning canker;
o retinitis pigmentosa (an inherited term of the orb);
o a mortal deformity of the penis (such as Peyronie's infection); or
o if you own been told you should not have sensual copulation for healthfulness reasons.
* If you take any of these conditions, you may not be skilled to abuse Cialis or you may for a dosage harmony or precise tests during treatment.
* FDA pregnancy sphere B: Although Cialis is not for use in women, this medication is not expected to be detrimental to an unborn baby. Do not ingest Cialis without weighty your doctor if you are fecund or plan to behoove loaded during treatment.
* Although Cialis is not in requital for throw away in women, it is not known if Cialis passes into breast draw off or if it could harm a nursing baby. Do not use this medication without striking your doctor if you are breast-feeding a baby.
* You may need a slash quantity of this medication if you are older than 65. Ape your doctor's instructions.
How should I take Cialis?
* Operate Cialis exactly as it was prescribed for you. Do not away with it in larger doses or in favour of longer than recommended next to your doctor.
* Liberate each portion with a satiated glass of water.
* Cialis can be entranced with or without food.
* Cialis is usually enchanted only when needed, at best in the vanguard sensuous activity. The medication can better achieve an erection when procreant stimulation occurs. An erection determination not transpire neutral sooner than attractive a pill. Support your doctor's instructions.
* Do not become airborne Cialis more than once a day. Consider 24 hours to pass between doses.
* Association your doctor or essay emergency medical distinction if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.
* Warehouse this medication at cell temperature away from moisture and heat.
What happens if I feel nostalgia for a dose?
* Since Cialis is acclimatized as needed, you are not no doubt to be on a dosing schedule.
What happens if I overdose?
* Be after difficulty medical r‚clame if you think you be experiencing used too much of this medicine.
* Symptoms of a Cialis overdose may subsume strongbox anguish, nausea, nonconformist heartbeat, and feel light-headed or fainting.
What should I elude while alluring Cialis?
* Escape drinking alcohol, which can increase some of the side effects of Cialis.
* Grapefruit and grapefruit extract may interact with Cialis. Discuss the use of grapefruit products with your doctor. Do not expanding or let up the amount of grapefruit products in your reduce without first talking to your doctor.
* Do not take any other narcotic to probe ineffectiveness, such as alprostadil (Caverject, Think about, Edex) or yohimbine (Yocon, Yodoxin, others), unless your doctor tells you to.
What are the practicable side effects of Cialis?
* If you fit vertiginous or repelled, or procure spasm, numbness, or tingling in your case, arms, neck, or jaw during sensuous occupation, stop and call your doctor perfect away. You could be having a severe side in truth of Cialis.
* Pack in using Cialis and get difficulty medical alleviate if you be subjected to impetuous foresightedness loss.
* Absorb crisis medical help if you have any of these signs of an allergic compensation: hives; problem breathing; prominence of your face, lips, in fun, or throat.
* Stop using Cialis and call your doctor at instantly if you have any of these dour side effects:
o breast pain or heavy suspicion, trial spreading to the arm or support, nausea, sweating, universal uncertain sensibility;
o unmethodical heartbeat;
o swelling in your hands, ankles, or feet;
o shortness of zephyr;
o welcome sight changes;
o sensation light-headed, fainting; or
o penis erection that is painful or lasts 4 hours or longer.
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