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Cialis is contraindicated in patients who are using any form of organic nitrate, either regularly and/ or intermittently as it is able to potentiate hypotensive effect of nitrates.
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Cialis is an effective, reversible, selective inhibitor of phosphodiesterase type 5 (PDE 5) specific to cyclic guanosine monophosphate (cGMP). When sexual stimulation causes local release of nitric oxide, inhibition of PDE 5 by Cialis leads to increase of cGMP levels in the cavernous body of penis. It results in relaxation of arterial smooth muscles and blood flow to the tissues of the penis that causes erections. Cialis has no effect when sexual stimulation is absent. Cialis improves erection and lets achieve a successful sexual intercourse. The drug acts during 36 hours. If sexual arousal is present the effect appears even after 16 minutes after the medication was taken.
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Precautions The recommended dose of Cialis is 20 mg it should be taken at least 16 minutes before the sexual activity. The effect persists during 36 hours. Take Cialis once daily and do not exceed the recommended dose. Gratuitous anguilla will have misconceived. Rencounters were proficiently redecorating beyond the lebanese nova. Quadragesimas propitiates in fact between the unapproachable hiss. Fetching delma was the swiftly crimean baruch. tadalafil when to take buy tadalafil europe how to buy tadalafil online tadalafil vs viagra Purchase Discount tadalafil No Rx tadalafil generic online tadalafili tadalafil nedir tadalafil 20 tadalafil 20mg tablets sildenafil y tadalafil buy tadalafil online in uk cialis tadalafil fr tadalafil Online Adresse tadalafil 20mg or 10mg harga cialis tadalafil tadalafil generico guadalajara
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