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However it is very important to consult with the medical specialist regarding the current medicationsthat are taken.

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When you take CIALISyou have two dosing optionsCIALIS for daily use and CIALIS for use as needed.

Prolonged ErectionThere have been rare reports of priapism with this class of compoundsPatients should be advised to seek immediate medical attention should this occurUse CIALIS with caution in patients who have conditions that might predispose them to priapism.

CIALIS 5 mg for once daily use is the only medication approved to treat both ED and the symptoms of BPH 1-5.

Nitrates dilateopen upblood vessels around the heart and are used in conditions such as angina and coronary artery diseaseCombining Cialisor any other pill for erectile dysfunctionwith a nitrate could cause a massive and potentially fatal drop in blood pressureRecreational drugs such as amyl or butyl nitrate may also have this effect when mixed with Cialis.

PDE5 inhibitors improve symptoms of erectile dysfunction by preventing the breakdown of a substance called cyclic GMPcGMPcGMP acts as a vasodilatorwhich means it relaxes smooth muscle and widens blood vessels allowing more blood flow into tissueThis also increases blood flow into the corpus cavernosumthese are the sponge-like chambers of erectile tissue inside the penis that fill with blood during an erection.

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the specialist will have a compete report and be able to obtain a thorough history and so a good physical exam.

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