Common uses: This medicine is a phosphodiesterase inhibitor used to treat sexual function problems such as impotence or erectile dysfunction. In combination with sexual stimulation, this medicine works by helping the blood flow into the penis to achieve and maintain an erection. This medicine is not intended for use in women or children. This medicine will not protect against sexually transmitted diseases including HIV infection. Use "safe sex" practices such as latex condoms. Contact your doctor or pharmacist for more details.

Chemical Name: TADALAFIL (tah-DA-la-fil)

[Cialis]. Medications should only be taken in accordance with the advice of your medical professional.

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Cautions: DO NOT TAKE THIS MEDICINE if you have had an allergic reaction to it or are allergic to any ingredient in this product. THIS MEDICINE MAY RARELY CAUSE DIZZINESS OR VISION CHANGES. DO NOT DRIVE, OPERATE MACHINERY, OR DO ANYTHING ELSE THAT COULD BE DANGEROUS until you know how you react to this medicine. Using this medicine alone, with other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks. TO MINIMIZE DIZZINESS OR LIGHTHEADEDNESS, sit up or stand slowly when rising from a seated or lying position. Alcohol may increase your risk for side effects, including headache, dizziness, or lightheadedness. AVOID EXCESSIVE AMOUNTS of alcohol when using this medicine. Ask your doctor or pharmacist for more information. DO NOT EXCEED THE RECOMMMENDED DOSE without checking with your doctor. Your dose is based on your medical condition, response to therapy, and the other medicines you are taking. SEXUAL ACTIVITY may put extra strain on your heart, especially if you have heart problems. If you have heart problems and experience any serious side effects while having sex, stop having sex and tell your doctor immediately. These side effects include severe dizziness, fainting, chest pain, or nausea. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. CAUTION IS ADVISED WHEN USING THIS MEDICINE IN THE ELDERLY because they may be more sensitive to the side effects of this medicine. THIS MEDICINE SHOULD NOT BE USED IN WOMEN OR CHILDREN.

Before using: Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. DO NOT TAKE THIS MEDICINE if you are also taking or using any form of nitroglycerin, other nitrates such as isosorbide, nitroprusside or any "nitric oxide donor" medicine, or recreational drugs called "poppers" containing amyl or butyl nitrate because very serious interactions may occur. If you are not sure whether a certain medicine is a nitrate, contact your doctor or pharmacist before taking this medicine. DO NOT TAKE THIS MEDICINE if you are taking certain alpha-blocker medicines such as alfuzosin, doxazosin, prazosin, or terazosin. If you are taking any of these medicines, contact your doctor or pharmacist before taking this medicine. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking any other medicine for erectile dysfunction; certain antifungal medicines such as itraconazole or ketoconazole; macrolide antibiotics such as clarithromycin or erythromycin; medicine for high blood pressure; or HIV protease inhibitors such as ritonavir or indinavir. DO NOT START OR STOP any medicine without doctor or pharmacist approval. Inform your doctor of any other medical conditions including penis problems; history of painful or prolonged erection; any heart problems; kidney problems; stomach ulcers; bleeding problems; blood cell problems such as sickle cell anemia, leukemia, or myeloma; eye diseases, especially retina diseases such as retinitis pigmentosa; uncontrolled high blood pressure; or allergies. USE OF THIS MEDICINE IS NOT RECOMMENDED if you have a history of angina or chest pain, heart attack, stroke, low blood pressure, severe liver problems, or if you have been told by your healthcare provider to not have sexual activity because of certain health problems. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.

Directions: Follow the directions for using this medicine provided by your doctor. This medicine comes with a patient information leaflet. Read it carefully. Ask your doctor, nurse, or pharmacist any questions that you may have about this medicine. TAKE THIS MEDICINE by mouth as needed before sexual activity as directed by your doctor. DO NOT TAKE THIS MEDICINE more often than once daily. If you are taking certain other medicines you may only be able to take this medicine one time every two or three days. Contact your doctor or pharmacist for more information. This medicine may be taken on an empty stomach or with food. STORE THIS MEDICINE at room temperature 77 degrees F (25 degrees C) in a tightly-closed container, away from heat and light. Brief storage between 59 and 86 degrees F (15 and 30 degrees C) is permitted.

Drug interactions: Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Use our drug interaction checker to find out if your medicines interact with each other. Check drug interactions

Possible side effects: SIDE EFFECTS that may occur while taking this medicine include headache, flushing, stomach upset or nausea, heartburn, stuffy or runny nose, back pain, muscle pain, or vision changes such as trouble telling the difference between blue and green or seeing a blue tinge to objects. If these continue or are bothersome, check with your doctor. In the unlikely event that you have a painful or prolonged erection (lasting more than 4 hours), stop using this medicine and seek immediate medical attention or permanent problems may occur. AN ALLERGIC REACTION to this medicine is unlikely but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash, itching, unusual swelling, severe dizziness, or trouble breathing. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

Additional information: If your symptoms do not improve or if they become worse, check with your doctor. DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed, since they may have a problem that is not effectively treated with this medicine, or they may have a condition that is complicated by this medicine. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children and pets. IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, obtain refills before your supply runs out.

If you take too much: If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include back pain, muscle pain, and abnormal vision.

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Why do people purchase generic drugs online? Generic medications are often available at discount prices when compared to the original brand name prescription drugs. Purchasing generic Cialis at a reliable, discreet and secure online pharmacy store can be a useful way to reduce the cost of the health care pills that you require. There is no expensive doctor’s consultation charge required to complete the order process, and you do not need to provide proof of your prescription to the overseas pharmacist or doctor before you place your order. Purchases are reviewed for free.

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Prescription drug, medication and remedy information provided on this site is for informational purposes only and is not to be used as a substiture for the medical advice or consultation of a medical doctor, physician or other qualified medical professional. Prescription medications may have serious side effects, adverse effects, interactions and use of brand name and generic pharmaceuticals should be under the supervision of a medical professional. Patients must ensure that pills and medicine comply with the advice of medical authorities. Online pharmacy sites offer pharmacist drugs medications prescription meds with no proof of prescription required at time of purchase. Discount drug prices, diet pills may be found over the Internet, with secure online purchase and discreet delivery to your home via International Mail Order. Information contained herein is not to be used for the diagnosis or treatment of health problems, diseases or disorders or for prescription of medications. Read all product packaging, information and inserts.

(Reuters Health) - Children's visits to the emergency room for serious food-allergy reactions may be on the rise, if the experience of one major U.S. medical center is an indicator. Researchers at Children's Hospital Boston found that the number of food-induced allergic reactions treated in their ER more than doubled over six years -- from 164 cases in 2001, to 391 in 2006. There was an even sharper increase in the number of more serious, and sometimes life-threatening, reactions known as anaphylaxis. Signs and symptoms of anaphylaxis include skin reactions like hives and flushed or pale skin; nausea, vomiting or diarrhea; dizziness or fainting; difficulty breathing; and a sudden drop in blood pressure that can lead to shock. In 2001, the current study found, there were 78 cases of food-induced anaphylaxis; in 2006, that number was 207. That corresponded to a rate of 15 anaphylaxis cases for every 10,000 ER visits in 2001, and a rate of 38 per 10,000 in 2006, the researchers report in the Journal of Allergy and Clinical Immunology. The reasons for the increases cannot be gleaned from the data. But the findings are in line with studies pointing to a general increase in food allergies among U.S. children in recent years, first author Dr. Susan A. Rudders told Reuters Health in an email. According to the U.S. Centers for Disease Control and Prevention, 3 million school-aged children in the U.S. had a food allergy in 2007, which was up 18 percent from 10 years earlier.

Any person who suspects they are suffering from a medical condition, problem, disorder should prompty seek the assistance of a professional and qualified health care provider.