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Cialis (tadalafil) can be used for the treatment of impotence in males. This drug can be used for erectile dysfunction cases caused by a variety of reasons bit physical and psychological. You will need to take Cialis once every 24 hours or less often – this remedy is supposed to be taken on the when needed basis and provides you with up to 36 hours of efficiency. Your doctor will need to know if you have heart disease, a recent history a heart attack, stroke or congestive heart failure, liver disease, bleeding disorder, physical deformity of the penis, stomach ulcer, heart rhythm problems, high or low blood pressure, blood cell disorder, kidney disease, or angina, as any of those conditions may require a dose adjustment or careful monitoring by your doctor. Never use more of Cialis than necessary and report any cases of an overdose straight to your local emergency center. Such symptoms as headache, priapism, muscle pain, stuffy or runny nose, indigestion, pain in the back, heartburn, or flushing may indicate an overdose. Avoid drinking alcohol as it can make side effects of Cialis worse.