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    Cialis improves erection and lets achieve a successful sexual intercourse.
    It results in relaxation of arterial smooth muscles and blood flow to the tissues of the penis that causes erections.
    Cialis has no effect when sexual stimulation is absent.
    The drug acts during 36 hours.
    If sexual arousal is present the effect appears even after 16 minutes after the medication was taken.

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    The effect persists during 36 hours.
    Take Cialis once daily and do not exceed the recommended dose.
    If you smoke tobacco and take Cialis concomitantly this may lead to a condition called NAION (sudden optic nerve-related vision loss). 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.
    In more rare cases low blood pressure, blurred vision and changes in color vision, and abnormal ejaculation may occur.
    Prolonged erections or priapism (painful erections lasting more than 6 hours) are also possible.
    If your erection is longer than 4 hours, seek for immediate medical help as it may permanently damage your penis.
    Aggravation of heart problems in patients with pre-existing heart disease using Cialis was reported.
    Avoid taking Calis with medications such as Erythrityl Tetranitrate, Isosorbide Dinitrate, Isosorbide Mononitrate, Nitroglycerin, Pentaerythritol Tetranitrate.

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