Follow your doctor’s directions carefully, and ask your doctor or pharmacist to explain any part you do not understand. Since caffeine, alcohol, the Nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. What should I do if I forget a dose? Dizziness, fainting spells, heart attack, or stroke may be experienced. Tell your doctor if any of these symptoms are severe or do not go away: headache.CIALIS for Use as Needed. Creatinine clearance 30 to 50 mL/min: A starting dose of 5 mg not more than once per day is recommended, and the maximum dose is 10 mg not more than once in every 48 hours. Creatinine clearance less than 30 mL/min or on hemodialysis: The maximum dose is 5 mg not more than once in every 72 hours [see . Tadalafil belongs to a group of medications called phosphodiesterase type 5 inhibitors. It is used to treat erectile dysfunction (male impotence). It helps to achieve and maintain an erection sufficient for sexual activity to occur. It does this by allowing a greater flow of blood into the penis when a man taking the medication is sexually aroused. You can buy Cialis and tadalafil online from Canada Pharmacy Delivery saving up to 90% on the price of your medication. Cialis is a prescription medication used to treat erectile dysfunction and the symptoms of an enlarged prostate (benign prostatic hyperplasia or BPH). This erectile dysfunction medication increases the blood flow to the .

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