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Cialis is manufactured by Eli Lilly and Company limited and contains the active ingredient Tadalafil. It is supplied in 2.5mg, 5mg, 10mg and 20mg formulations. It is used in the treatment of erectile disfunction. It is a prescription only medicine and as such can only be acquired with a valid prescription or via an online consultation service.Always take Cialis exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure. You should not take Cialis more than once a day. You should take Cialis at least 30 minutes before you plan to have sex. Swallow the tablet whole with a glass of water. If you have the impression that the effect of Cialis is too strong or too weak, talk to your doctor or pharmacist. Cialis will only help you to get an erection if you are sexually stimulated. The amount of time Cialis takes to work varies from person to person, but it normally takes a maximum of half an hour. If Cialis does not help you to get an erection, or if your erection does not last long enough for you to complete sexual intercourse you should tell your doctor. You should not use Cialis more than once a day. If you take more Cialis than you should: you may experience an increase in side effects and their severity. You should not take more tablets than your doctor tells you to.In clinical studies, tadalafil was shown to augment the hypotensive effects of nitrates. This is thought to result from the combined effects of nitrates and tadalafil on the nitric oxide/cGMP pathway. Therefore, administration of CIALIS to patients who are using any form of organic nitrate is contraindicated.Agents for the treatment of erectile dysfunction, including CIALIS, must not be used in men with cardiac disease for whom sexual activity is inadvisable. Physicians should consider the potential cardiac risk of sexual activity in patients with pre-existing cardiovascular disease.The following groups of patients with cardiovascular disease were not included in clinical trials and the use of tadalafil is therefore contraindicated:• Patients with a stroke within the last 6 months.CIALIS is contraindicated in patients who have loss of vision in one eye because of non-arteritic anterior ischaemic optic neuropathy (NAION), regardless of whether this episode was in connection or not with previous PDE5 inhibitor exposure

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