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Cialis should not be taken if you have any of the following:
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history of chest pain called unstable angina, sudden numbness/weakness with muscle spasm on one side, and short duration without warning symptoms
uncontrolled congestive heart failure due to left ventricular impairment (unable to pump enough fluid), reduced ejection fraction (the amount pumped out of the heart to the rest of the body), or a history of arrhythmias
uncontrolled high blood pressure (hypertension)
severe liver problems and certain hereditary degenerative eye diseases such as retinitis pigmentosa
low levels of the male hormone testosterone due to surgery (penectomy), injury, disease, or other causes
Cialis can also cause an erection to last for more than four hours. Taking the two medications together can result in a fainting, headache, and stomach upset.
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Viagra is known to interact adversely with certain drugs and substances:
you should avoid grapefruit - when combined with sildenafil, the fruit can cause low blood pressure
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if you have used other erectile dysfunction treatments such as Cialis or Levitra it is recommended to wait at least 24 hours (36 hours for Cialis) before using Viagra
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A 10mg or 20mg tablet taken on Friday evening will usually remain active through a whole weekend until Sunday morning, hence the name. You take this at the same time every day, and it will mean you don’t need to plan your dose in advance of when you want to have sex. The end result is an erection. Inducing criteria that reduce over the will is a . In this case, no increased sexual desire will appear, since Viagra has no effect on libido.
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