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Most usual side effects of Cialis are facial flushing (reddening), headaches, stomach upset, diarrhea, flu-like symptoms and nausea. In more rare cases low blood pressure, blurred vision and changes in color vision, and abnormal ejaculation may occur. Prolonged erections or priapism (painful erections lasting more than 6 hours) are also possible. If your erection is longer than 4 hours, seek for immediate medical help as it may permanently damage your penis. Aggravation of heart problems in patients with pre-existing heart disease using Cialis was reported. buy levitra canada If you are older than 65 or have liver problems, your doctor may start you on a lower dose of Levitra.have had an erection that lasted for more than 4 hoursUncommonAdditionally, it has been approved to treat signs and symptoms of benign prostatic hyperplasia (BPH), or enlargement of the prostate. hoarseness

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Figure 5: Mean IPSS Changes in BPH Patients by Visit in Study JCytochrome P450 Inhibitors — Cialis is a substrate of and predominantly metabolized by CYP3A4. Studies have shown that drugs that inhibit CYP3A4 can increase tadalafil exposure.

Inform patients that there have been rare reports of prolonged erections greater than 4 hours and priapism (painful erections greater than 6 hours in duration) for Levitra and this class of compounds. In the event that an erection persists longer than 4 hours, the patient should seek immediate medical assistance. If priapism is not treated immediately, penile tissue damage and permanent loss of potency may result. cialis online australia Uncommon (0.1% to 1%): Rash, urticaria, hyperhidrosis (sweating)The most commonly reported adverse reaction is headache.[Ref]

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