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When Cialis (Tadalafil) is coadministered with an alpha blocker in patients being treated for ED, patients should be stable on alpha-blocker therapy prior to initiating treatment, and Cialis should be initiated at the lowest recommended dosage. Cialis (Tadalafil) is not recommended for use in combination with alpha blockers for the treatment of BPH.

Cialis has been assigned to pregnancy category B by the FDA. There are no data on the excretion of Cialis in human milk.

Cialis for Use as Needed in Renal Impairment: Benign Prostatic Hyperplasia and Erectile Dysfunction/Benign Prostatic Hyperplasia - Creatinine clearance 30 to 50 mL/min: A starting dosage of 2.5 mg is recommended. An increase to 5 mg may be considered based on individual response. Creatinine clearance less than 30 mL/min or on hemodialysis: Cialis for once daily use is not recommended.

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The most common side effects with Cialis (Tadalafil) are headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose. These side effects usually go away after a few hours. Talk to your healthcare professional, if you have questions about the way of taking Cialis (Tadalafil). Consult your physician before eating grapefruit or drinking grapefruit juice while using Cialis (Tadalafil).

Cialis (Tadalafil) for Use as Needed in Hepatic Impairment: Mild or moderate (Child Pugh Class A or B): The dosage should not exceed 10 mg once per day. The use of Cialis (Tadalafil) once per day has not been extensively evaluated in patients with hepatic impairment and therefore, caution is advised. Severe (Child Pugh Class C): The use of Cialis (Tadalafil) is not recommended.

Do not take Cialis (Tadalafil) more than once a day. Allow 24 hours to pass between doses. 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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Cialis (Tadalafil) Ocular side effects have included blurred vision, changes in color vision, conjunctivitis (including conjunctival hyperemia), eye pain, increased lacrimation, and swelling of the eyelids. Cialis can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking Cialis (Tadalafil), most of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old. Stop using Cialis and get emergency medical help if you have sudden vision loss.

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Do not take Cialis if you are allergic to tadalafil. Cialis (Tadalafil) should not be used together with nitrate medication, such as nitroglycerin (Nitro Dur, Nitrolingual, Nitrostat, Transderm Nitro, and others), isosorbide dinitrate (Dilatrate, Isordil, Isochron), isosorbide mononitrate (Imdur, ISMO, Monoket), or recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking Cialis (Tadalafil) with a nitrate medicine for chest pain or heart problems can cause a sudden and serious decrease in blood pressure.

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