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    Our free Discount Rx savings card can help you and your family save money on your prescriptions. This card is accepted at all major chain pharmacies, nationwide. Enter your name and email address to receive your free savings card. Our free Discount Rx savings card can help you and your family save money on your prescriptions. This card is accepted at all major chain pharmacies, nationwide. Enter your name and email address to receive your free savings card. (tadalafil) a man is prescribed, such as if any other medical conditions are present, the usual starting dose is 10 mg. — When CIALIS 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 dose As with other PDE5 inhibitors, tadalafil has mild systemic vasodilatory properties that may result in transient decreases in blood pressure. In a clinical pharmacology study, tadalafil 20 mg resulted in a mean maximal decrease in supine blood pressure, relative to placebo, of 1.6/0.8 mm Hg in healthy subjects . While this effect should not be of consequence in most patients, prior to prescribing CIALIS, physicians should carefully consider whether their patients with underlying cardiovascular disease could be affected adversely by such vasodilatory effects. Patients with severely impaired autonomic control of blood pressure may be particularly sensitive to the actions of vasodilators, including PDE5 inhibitors. Physicians should be aware that CIALIS for once daily use provides continuous plasma tadalafil levels and should consider this when evaluating the potential for interactions with medications (e.g., nitrates, alpha-blockers, anti-hypertensives and potent inhibitors of CYP3A4) and with substantial consumption of alcohol There have been rare reports of prolonged erections greater than 4 hours and priapism (painful erections greater than 6 hours in duration) for this class of compounds. Priapism, if not treated promptly, can result in irreversible damage to the erectile tissue. Patients who have an erection lasting greater than 4 hours, whether painful or not, should seek emergency medical attention.

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    Cialis is available in four different dosages of 2.5mg, 5mg, 10mg and 20mg. When you get a prescription for Cialis, your doctor or online doctor will recommend the dosage that is best for you. As with many medications, the effectiveness of Cialis differs between men. While most men find that a 10mg dosage suits them well, others find that the 20mg dosage works better for them.10mg is the recommended starting dose for Cialis. If you have never taken Cialis before, it is likely that your doctor will prescribe this dosage. If you find that the 10mg tablet is too weak, you can ask your doctor if you can take the 20mg dose instead. When you get your prescription, your doctor will ask you a range of questions about your health to determine which dose you can take. We make it affordable for everyone to take advantage of the benefits of generic ED medications from India by being 95-98% cheaper than the brand drug. We ensure that purity and potency of generics are consistent to that of the branded version. Cialis is a very popular medicine for the treatment of erectile dysfunction (ED). It has the longest action time (about 1.5 days) and has a mild effect. The cost of the original Cialis is quite high, but there are generics with more affordable cost. It is manufactured in India, has a high quality and efficiency, which has been tested over years. Cialis 20 mg is an effective drug created on Tadalafil base. Its formula and action exactly match the original Cialis. The mean will help to improve erection, if the problems with potency are associated with such factors: If a man has sexual excitement, then there is 90% chance, that the mean will help him.

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