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You may be able to have sexual activity at 30 minutes after taking CIALIS and up to 36 hours after taking it. Your healthcare provider willprescribe the dose that is right to take it less often, because ofmedical conditions or medicines they take.

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Patients should australia cialis online counseled that concomitant use of CIALIS with nitrates could cause blood pressure to suddenly drop to an unsafe level, resulting in dizziness, syncope, or even heart attack or stroke. Physicians should discuss with patients the contraindication of CIALIS with regular and/or intermittent use of organic nitrates.

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Once-daily tadalafil therapy is not recommended in patients with creatinine clearance less than 30 mL/minute or those on hemodialysis. In patients with mild creatinine clearance of 51-80 mL/minute or moderate creatinine clearance of 31-50 mL/minute renal impairment, tadalafil should be initiated at a dosage of 20 mg once daily for the treatment of PAH; dosage may be increased to 40 mg once daily based on patient response and tolerance.

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You are taking or have recently taken nitrates such as isosorbide dinitrate Isordil isosorbide mononitrate Imdur, ISMO and nitroglycerin Nitro-BID, Nitro-Dur, Nitroquick, Nitrostat Ask your doctor if you are not sure whether australia cialis online of your medications contain nitrates.

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