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    If you smoke tobacco and take Cialis concomitantly this may lead to a condition called NAION (sudden optic nerve-related vision loss).
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    Aggravation of heart problems in patients with pre-existing heart disease using Cialis was reported.
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    When sexual stimulation causes local release of nitric oxide, inhibition of PDE 5 by Cialis leads to increase of cGMP levels in the cavernous body of penis.
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    If you smoke tobacco and take Cialis concomitantly this may lead to a condition called NAION (sudden optic nerve-related vision loss).
    The drug acts during 36 hours.
    Dosage and direction The recommended dose of Cialis is 20 mg it should be taken at least 16 minutes before the sexual activity.
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    Take Cialis once daily and do not exceed the recommended dose.
    Information at the site cannot be used for self-treatment and self-diagnosis.
    If your erection is longer than 4 hours, seek for immediate medical help as it may permanently damage your penis.
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    Inform your doctor before to take Cialis if you have abnormal penis, including curved penis and birth defects of the penis, had coronary artery disease, arrhythmia, angina, heart attack or heart failure, hypo- or hypertension, bleeding, stomach ulcers, diabetes, hyperlipidemia (excess of lipids in the blood), sickle-cell anemia, liver or kidney failure in history.
    Information at the site cannot be used for self-treatment and self-diagnosis.
    We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.
    Seek for immediate medical help if you by your opinion you took too much of this medication.
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