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    See full prescribing information for CIALIS. CIALIS (tadalafil) tablets, for oral use Initial U.S. Approval: 2003 RECENT MAJOR CHANGES.

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    Nov 2011). European Urology 60 (5): pp.
    Tadalafil: Uses, Dosage, Side Effects - Drugs.
    Tadalafil increases blood flow to particular areas of the body and is used to treat erectile dysfunction.
    Learn about side effects, interactions and indications.
    Tadalafil relaxes muscles of the blood vessels and increases blood flow to particular areas of the body.
    Do not take tadalafil if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs such as "poppers". Taking tadalafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure.
    Some medicines can cause unwanted or dangerous effects when used with tadalafil.
    Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours.
    A prolonged erection (priapism) can damage the penis.

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    Get medical help at once if you have nausea, chest pain, or dizziness during sex.
    Stop using tadalafil and get emergency medical help if you have sudden vision loss.
    You should not take tadalafil if you are allergic to it.
    Taking tadalafil with certain other medicines can cause a sudden and serious decrease in blood pressure.
    Some tadalafil can remain in your bloodstream for 2 or more days after each dose you take (longer if you have liver or kidney disease). Avoid nitrate use during this time.
    Sudden vision loss has occurred in a small number of people taking medicines like tadalafil (Viagra or others). Most of these people already had certain eye problems or risk factors for blood vessel disorders (heart disease, diabetes, high blood pressure, high cholesterol, coronary artery disease, smoking, or being over 50 years old). It is not clear whether the medicine was the actual cause of vision loss.
    Tadalafil is not expected to harm an unborn baby.
    Tell your doctor if you are pregnant or plan to become pregnant.
    It is not known whether tadalafil passes into breast milk or if it could affect the nursing baby.

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