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Other side effects include back pain and muscle aches which usually come on 12-24 hours after taking Cialis but dissipate within a couple of daysMost other side effects disappear within a few hourshoweverrarely a prolonged and painful erection lasting longer than four hours may occurIf this happens to youor you have any other side effects of concernseek urgent medical help.
Nitrates dilateopen upblood vessels around the heart and are used in conditions such as angina and coronary artery diseaseCombining Cialisor any other pill for erectile dysfunctionwith a nitrate could cause a massive and potentially fatal drop in blood pressureRecreational drugs such as amyl or butyl nitrate may also have this effect when mixed with Cialis.
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Make sure you mention any medication you are currently taking to your doctor when requesting a prescription for CialisCialis interacts with some types of medicationwhich could result in serious side effectsParticular caution is requiredif you are already taking some form of nitrate medicationsuch as glyceryl trinitrate or isosorbide mononitrate dinitratewhich is used to treat heart failureThe same appliesif you are taking nicorandil or amyl nitratesYou must also refrain from taking Cialis if you are taking a course of the antibiotics erythromycinclarithromycin or rifampicinThe antifungal drugs ketoconazole and itraconazole are also known to interact with Cialisas are the antivirals amprenavirritonavir and saquinavirYou cannot take Cialis if you are taking alpha-blockers.
Alcohol and grapefruit juice can increase the level of the active ingredient tadalafil in your bloodwhich means you are more likely to experience serious side effectsAvoid consuming grapefruitgrapefruit juice or alcohol during your treatment with Cialis.
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