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Cialis is used to treat erectile dysfunction (impotence) and symptoms of benign prostatic hypertrophy (enlarged prostate). So if you drink alcohol while taking this medication, it’s recommended that you don’t drink too much. This may help prevent your blood pressure from becoming too low. For more information, see the "Cialis and alcohol" section above.

Do not take tadalafil if you are also using certain medicines for chest pain or heart problems called nitrates. These include 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 can cause a sudden and serious decrease in blood pressure. Cialis is a prescription medication, and you should take only the prescribed amount. The dose may be 10 or 20 mg for occasional use before sexual activity or 2.5 or 5 mg for ongoing daily use.

And for a natural boost to your sexual function, there are some lifestyle changes that can make a difference. When combining alcohol and Cialis, common side effects are headache, facial flushing, and chest pain. Taking large quantities of alcohol alongside any medication has the potential to be dangerous, so always exercise caution with alcohol use.

This signal cascade is attenuated by PDE5 which breaks the phosphodiester bond of cGMP, converting it to GMP. Inhibition of PDE5 by tadalafil increases signaling via the PKG cascade which supports penile smooth muscle relaxation during sexual arousal by decreasing Ca2+ entry into smooth muscle cells. This smooth muscle relaxation allows blood to fill the corpus cavernosum thereby producing an erection.

Other drugs may interact with tadalafil, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide. Do not take Cialis if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs such as "poppers".

Because Cialis and Tadalafil are medically equivalent, they both have the same common side effects, including headaches, muscle aches, back pain, facial flushing and indigestion. In most cases, these symptoms subside within an hour of you taking the pill. They work slightly quicker, sometimes in as little as 15 minutes.

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