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May also be referred to as: Tadalafil Cialis® is used to treat erectile dysfunction (ED) in men. The active ingredient in Cialis® tablets, tadalafil, belongs to a group of medicines called phosphodiesterase type 5 inhibitors. Following sexual stimulation, Cialis® works by helping the blood vessels in your penis to relax, allowing the flow of blood into your penis. The result is improved erectile function. Online Consultation Accurate information is required before any physician can write a prescription for any illness or condition. A licensed physician will review your online consultation and either approve or decline your prescription. If you are declined there will be no charge to you. If you are approved, you will be charged only for the cost of your product and its associated shipping and consultation fee, there are no hidden costs. How to take this medication Cialis® can be taken with or without food and should not be taken more than once every 24 hours. For most men Cialis® begins working within 30 minutes and can last up to 36 hours. Sexual stimulation is needed to achieve erection. Side Effects The most common side effects with Cialis® are headache, upset stomach, back pain, and muscle aches. These side effects usually go away after a few hours. Patients who get back pain and muscle aches usually get it 12 to 24 hours after taking Cialis® Back pain and muscle aches usually go away by themselves within 48 hours. Call your doctor or other healthcare professional if side effects continue to bother you. Precautions Before taking Cialis®, tell your doctor or other healthcare professional about your medical history, including any heart problems (such as angina, heart failure, irregular heart beats), low blood pressure or high blood pressure that is not controlled, history of a stroke, liver problems, kidney problems or require dialysis, retinitis pigmentosa (a rare eye disease that is genetic), stomach ulcers, bleeding problems, history of painful or prolonged erections (Peyronie’s disease or priapism), blood cell problems such as sickle cell anemia, multiple myeloma, or leukemia. Drug Interactions Tell your online doctor of all nonprescription and prescription medication you may use, especially any medicines called “nitrates”. Do not take Cialis® if you use recreational drugs called “poppers” (like amyl nitrate and butyl nitrate) or take medicines called alpha blockers (other than Flomax® 0.4mg daily. Missed Dose If you miss a dose, do not double the next dose. Instead, skip the missed dose and resume your usual dosing schedule. Storage Store at room temperature between 59 and 86 degrees F (15-30 degrees C) away from light and moisture. All prescription medications must be kept out of reach of children. Requires an Adult Signature Upon Delivery