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<br> <br>Cialis' active ingredient (tadalafil) increases blood flow to the penis. When you’re sexually stimulated Cialis helps the blood vessels in your penis to relax enabling a firmer, longer-lasting erection. ED drugs can also be dangerous if you have certain conditions, like heart disease. They can interact with other medicines you take, BUY XANAX WITHOUT PRESCRITION such as blood thinners and some alpha blockers, which are used to treat high blood pressure and prostate conditions. Erectile Dysfunction So consuming alcohol while taking this drug may increase your risk of having very low blood pressure. The generic version of Cialis is tadalafil, which is also the active ingredient in Cialis. Because tadalafil contains an exact copy of the active drug in Cialis, the side effects for both drugs are the same. Taking Cialis can cause a prolonged erection that lasts more than 4 hours. Tadalafil is also used in both men and women to treat the symptoms of pulmonary arterial hypertension to improve your ability to exercise. This is high blood pressure that occurs in the main artery that carries blood from the right side of the heart (the ventricle) to the lungs. When the smaller blood vessels in the lungs become more resistant to blood flow, the right ventricle must work harder to pump enough blood through the lungs. Tadalafil works on the PDE5 enzyme in the lungs to relax the blood vessels. This will increase the supply of blood to the lungs and reduce the workload of the heart. What should I do for a missed dose of tadalafil? This is especially helpful when you first start taking a new drug or using a combination of treatments. Talk with your doctor or pharmacist if you have questions about the potential side effects of Cialis or Viagra. On the other hand, a common side effect reported by people taking Cialis in studies was pain in the arms and legs. This side effect was not reported by people who took Viagra. These side effects were rarely reported in the drug’s studies. How tadalafil works Combining tadalafil with alpha-blockers for treatment of BPH is not recommended. Do not use this medicine if you are also using riociguat (Adempas®) or a nitrate medicine, often used to treat angina (chest pain). Nitrate medicines include nitroglycerin, isosorbide, Imdur®, Nitro-Bid®, Nitrostat®, Nitro-Dur®, Transderm Nitro®, Nitrol® Ointment, and Nitrolingual® Spray. Some illegal ("street") drugs called "poppers" (such as amyl nitrate, butyl nitrate, or nitrite) also contain nitrates. If you need to use a nitrate medicine, take it at least 48 hours after your last dose of tadalafil. Tadalafil is also used to treat men who have signs and symptoms of benign prostatic hyperplasia (BPH). You’ll still need to answer a few questions when ordering Cialis Together online or buying in your local pharmacy. Our clinicians will make sure you’re taking the right dose for you. You won’t have an erection that lasts for 36 hours, instead you’ll be able to get an erection over a 36 hour period after taking one tablet. Cialis is also used to treat an enlarged prostate and sometimes high blood pressure. <br>