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According to research results, it can help: patients with psychogenic erectile dysfunction; with diabetes; with atherosclerosis; with damage to the nerves leading to the vessels of the penis; with spinal cord injury and other concomitant clinical conditions; people taking a variety of medicines at the same time, etc.

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But, unfortunately, all types of erectile dysfunction pills are not able to cure. In any case, before taking any drugs, you need to consult with your doctor. When do you need to be careful? About this drug have heard everything. But few people know about the side effects and the serious consequences of uncontrolled reception.

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Caution in the application is necessary for people who are going after the reception to manage various kinds of mechanisms. Sometimes after taking the drug, a person may experience a rapidly passing change in color perception with a predominance of blue colors. In this regard, the leadership of one of the American airlines has banned its pilots to take Cialis an hour before the flight.

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Especially careful people with severe cardiovascular diseases (heart failure, angina, impaired cerebral circulation) need to be. They need constant medical supervision. Sexual intercourse is a serious exercise for a person with cardiac problems. This should be remembered if symptoms such as pains in the heart occur during physical exertion and / or at rest, memory and mental performance problems that have progressed over the past few months. A serious approach to the issue is also for those who have suffered a heart attack or stroke. This means that it is imperative to consult with your doctor about the advisability of taking the drug.

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There are some men who should not take this drug. Since Cialis is involved in the biochemical processes associated with the exchange of nitric oxide, it can interact with other drugs, called nitrates, which are used to treat heart disease. Therefore, any man who takes nitrates in any form should not take tadalafil under any circumstances.

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Caution should be exercised in those patients who have previously had priapism. Although to date there have been no reports of the occurrence of priapism while taking tadalafil, patients who have a predisposition to its occurrence also need serious medical supervision.

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With regard to the impact on healthy men who have heard about the miraculous drug and want to satisfy curiosity, then, according to experts of the company, the developer, the drug has no effect on them! That is, if using a pill you felt some kind of revolutionary breakthrough in your own sexuality, it means that you should go for a consultation with an andrologist. This does not necessarily mean the presence of any disease, but the examination does not hurt.

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The most common side effects are: headache; sudden redness of the face and neck; lack of smell and redness of the nasal cavity. These side effects were, as a rule, transient in nature, mild and moderately severe, and did not dictate the need to discontinue treatment. From the foregoing, it can be concluded that the current knowledge about this drug allows it to be prescribed to patients, both for occasional and for long-term treatment of erectile dysfunction. Of course, with all the precautions.