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The use of Cialis offers no protection against sexually transmitted diseases. Counseling of patients about the protective measures necessary to guard against sexually transmitted diseases, including Human Immunodeficiency Virus (HIV) should be considered.

Side Effects of Viagra? cialis substitute When you must not take it Physicians should advise patients to stop use of all PDE5 inhibitors, including Cialis, and seek medical attention in the event of a sudden loss of vision in one or both eyes. Such an event may be a sign of non-arteritic anterior ischemic optic neuropathy (NAION), a cause of decreased vision, including possible permanent loss of vision, that has been reported rarely postmarketing in temporal association with the use of all PDE5 inhibitors. It is not possible to determine whether these events are related directly to the use of PDE5 inhibitors or to other factors. Physicians should discuss with patients the increased risk of NAION in individuals who have already experienced NAION in one eye. Physicians should also discuss with patients the increased risk of NAION among the general population in patients with a "crowded" optic disc, although evidence is insufficient to support screening of prospective users of PDE5 inhibitors, including Cialis, for this uncommon condition [see Warnings and Precautions (5.4) and Adverse Reactions (6.2)].Comment: Consider that this drug has shown to improve erectile dysfunction up to 36 hours following dosing, when used as needed.

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cheap levitra online sudden hearing decrease or hearing loss. Some people may also have ringing in their ears (tinnitus) or dizziness. If you have these symptoms, stop taking Viagra and contact a doctor right away.Hepatic impairment

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