There are some strict rules which you are to be aware of before starting taking Cialis. Do not take Cialis if you are taking nitrate drugs for curing chest pain or heart problems which contain indlude nitroglycerin, isosorbide dinitrate or isosorbide monitarte. The thing is that taking Cialis and any kind of nitrate medicines at the same time can cause serious changes in blood pressure and it can result in a stroke or even heart-attack. You are to be aware of inevitable necessity to contact the doctor or call the emergency if you are experiencing pain, numbness or tingling in your chest, arms, neck. Moreover you are to apply for medical help when your erection is painful and lasts more then 4 hours. Such period of erection, so called priapism, can damage the penis.

It is necessary to admit that Cialis has a power to decrease the level of blow flow to the eyes nerves, causing a temporary vision loss. The factors which make the risk of vision loss higher (for men taking Cialis) are the following: heart diseases, diabetes, high blood pressure, high cholesterol, some kinds of eyes problems, smoking habits and age range( over 50 years old). Once again you are to contact immediately your doctor and apply for emergency medical help if you have a vision loss out of a sudden.

Note, that you are you are to consult you doctor before starting taking Cialis if you suffer from any kind of drug allergy or of you have:

• heart disease or heart rhythm problems;

• a recent history a heart attack (within the past 90 days);

• a recent history of stroke or congestive heart failure (within the past 6 months);

• angina (chest pain);

• high or low blood pressure;

• liver disease;

• kidney disease (or if you are on dialysis);

• a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;

• a bleeding disorder such as hemophilia;

• a stomach ulcer;

• retinitis pigmentosa (an inherited condition of the eye);

• a physical deformity of the penis (such as Peyronie’s disease); or

• if you have been told you should not have sexual intercourse for health reasons.

Rules How to Take Cialis( Ïðàâèëà ïðèåìà Cialis)

Cialis should be taken according to the way it was prescribed to you. It is strongly recommended not to take it in larger doses or for longer period than it described in instruction label. It is better to take Cialis with a glass of water. Cialis can be taken during the meal or without food. Cialis is used to be taken when there is a necessity, right before the intercourse. This medicine helps penis to become erected when you experience sexual stimulation. An erection will not occur just by taking a pill, you are to be involved in sexual activity for expected result to visible. Do not take Cialis more than once a day. 24 hours are to pass between the taken doses. This drug should be kept at room temperature, at the distance from moisture and heat.

It is strongly recommended to reduce or even better to avoid alcohol drinking when taking Cialis in order not to provoke the side effects of Cialis appearing. It is clinically proved that Grapefruit and grapefruit juice may interact with Cialis. Contact your doctor before taking Cialis if you are about to change your diet and increase the quantity of grapefruit containing products. Moreover, you to avoid combining taking Cialis and other medicines to treat erectile dysfunction, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin) at the same time.