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Cialis dosage

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    Nitrates: CIALIS is contraindicated in patients using any form of organic nitrate, either regularly and/or intermittently, as the combination could cause a sudden, unsafe drop in blood pressure.
    Hypersensitivity Reactions: CIALIS is contraindicated in patients with a known serious hypersensitivity to CIALIS or ADCIRCA (tadalafil). Hypersensitivity reactions have been reported, including Stevens-Johnson syndrome and exfoliative dermatitis.
    Guanylate Cyclase (GC) Stimulators: CIALIS is contraindicated in patients using a GC stimulator, such as riociguat.
    PDE5 inhibitors, including CIALIS, may potentiate the hypotensive effects of GC stimulators.
    Cardiovascular: Physicians should consider the cardiovascular status of their patients, since there is a degree of cardiac risk associated with sexual activity.
    Treatments for erectile dysfunction (ED), including CIALIS, should not be used in men for whom sexual activity is inadvisable as a result of their underlying cardiovascular status.
    Patients who experience symptoms upon initiation of sexual activity should be advised to refrain from further sexual activity and seek immediate medical attention.

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    Phosphodiesterase 5 (PDE5) inhibitors, including CIALIS, are mild systemic vasodilators.
    Patients with left ventricular outflow obstruction (e.
    Caution is advised when CIALIS is used as a treatment for ED in men taking alpha-blockers.
    CIALIS for once daily use provides continuous plasma tadalafil levels.
    Physicians should consider this when evaluating the potential for interactions.
    Combination with other PDE5 inhibitors : CIALIS is also marketed as ADCIRCA for the treatment of pulmonary arterial hypertension.
    Instruct patients not to take CIALIS in combination with ADCIRCA or other PDE5 inhibitors.
    Potent inhibitors of CYP3A4 : For patients taking potent inhibitors of CYP3A4, dose should be adjusted: CIALIS for use as needed: 10 mg no more than once every 72 hours.
    CIALIS for once daily use: the maximum recommended dose is 2.5 mg.

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