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Evaluation of erectile dysfunction, the possible causes and determine appropriate treatment after an appropriate medical setting.
Before you start treatment for erectile dysfunction doctors should be the patient's blood stream, because the degree of cardiac risk during sexual activity.
The safety and efficacy of tadalafil with other treatments for erectile dysfunction have not been studied. Thus, the use of such combinations is not recommended.
Priapism was other FDE 5 inhibitors such as tadalafil. To develop the patient's erections for 4 hours or more the need to consult a doctor. If priapism is treated immediately, it can damage the penile tissue and long-term energy strategy for the loss.

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It should be used with caution in patients with Cialis online conditions that could create the conditions to priapism (such as sickle cell anemia, multiple myeloma, leukemia, and in patients with anatomical deformation of the penis (such as angulation, cavernosal fibrosis or Peyronie's disease).
Since it has no information about the appointment of Cialis online in patients with severe hepatic impairment (Child-class C-Pu (Child-Pugh), this group of patients is Cialis online with caution.
Should be used with caution in patients Viagra may have 1blokatory (doxazosin), because some patients, concomitant use of these drugs can cause low blood pressure. In clinical pharmacology studies and received simultaneously on a single tamsulosin and Cialis online and alpha-blockers, which involved 18 volunteers, hypotension has been observed.
As with other FDE-5 inhibitors, the characteristics of the system, tadalafil ratio dilated blood vessels, which may result in temporary reductions in blood pressure. Before Cialis online, your doctor will evaluate patients with cardiovascular disease accounted for vazodilyatornym side effects.
Use during pregnancy and lactation.
Erectile dysfunction is not intended to be used by women. Investigation of tadalafil in pregnant women has not been made.
Effects on ability to drive a car or other technical means.
Cialis is little or no control is a minor impact on the ability to drive and machines and mechanisms.

Tadalafil in healthy men does not lead to significant changes in systolic and diastolic compared to placebo in supine position (the largest average decrease of 1.6/0.8 mm Hg) and standing (maximum average decrease 0.2/4.6 mm Hg, respectively). Tadalafil is not cause significant changes in heart rate.

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Tadalafil is not involve any change in the recognition of colors (blue / green), which explains its low affinity for FDE6. In addition, had no effect on vision tadalafil electroretinograms, intraocular pressure, and the pupil size.

No clinically significant effect on the characteristics of sperm production in men tadalafil daily doses for 6 months, were observed.
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