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Cialis 60 mg is an effective drug for enhancing male potency, which even in difficult cases of sexual impotence is able to provide a stable erection during 36 hours after taking it. Due to this therapeutic effect, an increasing number of men suffering from sexual disorders prefer to use this drug to solve problems associated with unstable erection.

The drug effect can be explained by the fact that its active substance, tadalafil, in the presence of sexual stimulation, has a relaxing effect on the smooth muscles of the genital organs, which facilitates blood flow to the penis and causes a natural erection sufficient for a full sexual intercourse. Cialis 60mg does not affect male libido, therefore, it is advisable to use this remedy only in the presence of sexual desire.

Do not take tadalafil if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate. Nitrates are also found in some recreational drugs such as amyl nitrate, butyl nitrate or nitrite (“poppers”). Taking tadalafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure.

Precautions

Tell your doctor if you have ever had:

  • heart problems (chest pain, a heart rhythm disorder, heart failure);
  • a heart attack or stroke;
  • high or low blood pressure;
  • liver disease;
  • kidney disease (or if you are on dialysis);
  • retinitis pigmentosa (an inherited condition of the eye);
  • blindness in one or both eyes;
  • hearing problems;
  • blood circulation problems;
  • a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;
  • pulmonary veno-occlusive disease (PVOD);
  • a physical deformity of the penis (such as Peyronie’s disease), or an erection lasting longer than 4 hours;
  • a stomach ulcer; or
  • health problems that make sexual activity unsafe.

A small number of people taking tadalafil have had sudden vision loss. Most of these people already had eye problems, or had diabetes or other health conditions that can affect blood vessels in the eyes. It is not clear whether tadalafil causes vision loss.

Side Effects

Taking tadalafil, or Cialis, with a nitrate medication can cause a serious and sudden drop in blood pressure, or hypotension.

A man who is taking a nitrate drug prescription for heart problems or chest pain should not use tadalafil.

The producers of the drug, Eli Lilly, warn that if the following symptoms occur during sexual activity, they could be a sign of a serious complication. Immediate medical assistance should be sought:

  • dizziness
  • nausea
  • numbness, tingling or pain the jaw, arms, chest, or neck

If an erection lasts for more than 4 hours, this is known as priapism. It can damage the penis, so medical assistance is necessary.

In rare cases, Cialis can undermine the blood flow to the optic nerve of the eye, causing sudden loss of vision. This is more likely in patients with hypertension, diabetes, high cholesterol, pre-existing eye problems, or heart disease.

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