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    Cialis Soft Tabs are indicated for the treatment of erectile dysfunction. Cialis Soft Tab is a phosphodiesterase type 5 (PDE5) inhibitor. It works by helping to increase blood flow into the penis during sexual stimulation. This helps you to achieve and maintain an erection.

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    • For use as needed: If you miss a dose of Cialis Soft Tabs and you still intend to engage in sexual activity, take it as soon as you remember. Continue to take it as directed by your doctor.
    • For daily use: If you miss a dose of Cialis Soft Tabs, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

    DOSAGE

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    Ask your health care provider any questions you may have about how to use Cialis Soft Tabs.

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    Active Ingredient: Tadalafil.

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    • you have had a heart attack within the past 90 days or you have had severe heart failure or a stroke within the past 6 months
    • you are taking a nitrate (eg, isosorbide, nitroglycerin) in any form (eg, tablet, capsule, patch, ointment), or nitroprusside
    • you have been advised by your doctor to avoid sexual activity because of heart problems
    • you use certain recreational drugs called "poppers" (eg, amyl nitrate or nitrite, butyl nitrate or nitrite)
    • you take another PDE5 inhibitor (eg, sildenafil, vardenafil) or another medicine that contains tadalafil.

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    • if you have a deformed penis (eg, Peyronie disease, cavernosal fibrosis), blood cell problems (eg, sickle cell anemia, leukemia, multiple myeloma), or any other condition that may increase the risk of a prolonged erection (priapism)
    • if you have a history of a prolonged (more than 4 hours) or painful erection (priapism)
    • if you have a history of certain eye problems (eg, retinitis pigmentosa, sudden vision loss, optic neuropathy, macular degeneration) or hearing problems (eg, ringing in the ears, decreased hearing, hearing loss)
    • if you have a history of liver or kidney problems, dialysis, lung problems (eg, pulmonary veno-occlusive disease), high or low blood pressure, ulcers, bleeding problems, heart problems (eg, heart failure, irregular heartbeat, aortic stenosis, angina), or blood vessel problems
    • if you have a history of heart attack, stroke, or life-threatening irregular heartbeat.

    Some medicines may interact with Cialis Soft Tabs. Tell your health care provider if you are taking any other medicines, especially any of the following:

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    • Azole antifungals (eg, itraconazole), HIV protease inhibitors (eg, ritonavir), macrolide antibiotics (eg, erythromycin), or telithromycin because they may increase the risk of Cialis Soft Tabs's side effects
    • Barbiturates (eg, phenobarbital), carbamazepine, phenytoin, or rifampin because they may decrease Cialis Soft Tabs's effectiveness.

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    • Do not drink large amounts of alcohol (eg, 5 drinks or more) while you take Cialis Soft Tabs. Doing so may increase your risk of dizziness, headache, fast heartbeat, and low blood pressure.
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    • Cialis Soft Tabs may rarely cause a prolonged (eg, more than 4 hours) or painful erection. This could happen even when you are not having sex. If this is not treated right away, it could lead to permanent sexual problems such as impotence. Contact your doctor right away if this happens.
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  • All medicines may cause side effects, but many people have no, or minor, side effects.

    Check with your doctor if any of these most common side effects persist or become bothersome:

    Dizziness; flushing; headache; heartburn; mild back or muscle pain; stomach upset; stuffy or runny nose.

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    Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; fainting; fast or irregular heartbeat; memory loss; numbness of an arm or leg; one-sided weakness; prolonged, painful erection; red, swollen, blistered, or peeling skin; ringing in the ears; seizures; severe or persistent back or muscle pain; severe or persistent dizziness; severe or persistent vision changes; sudden decrease or loss of hearing; sudden decrease or loss of vision in one or both eyes.

    This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider.