Because patients with recent heart attacks or stroke, heart pains angina , heart failure, uncontrolled blood pressure or uncontrolled irregular heart beats, severe liver disease, and retinal eye problems were not studied with Cialis, Cialis is not recommended for these patients. Sexual activity may be a strain on your heart, especially if you have heart disease. These medicines prevent an enzyme called phosphodiesterase type-5 from working too quickly. To provide you with the most relevant and helpful information, and understand which information is beneficial, we may combine your email and site usage information with other information we have about you. If you are thinking about using tadalafil please discuss it with your doctor. If you need emergency medical care for a heart problem, it will be important for your health care provider to know when you last took Cialis. Follow your doctor’s directions carefully, and ask your doctor or pharmacist to explain any part you do not understand.Tadalafil (Cialis) is used to treat erectile dysfunction (ED, impotence; inability to get or keep an erection), and the symptoms of benign prostatic hyperplasia (BPH; an enlarged prostate) which include difficulty urinating (hesitation, dribbling, weak stream, and incomplete bladder emptying), painful urination, and urinary frequency and urgency in adult men. The most commonly reported side effects in patients treated with Cialis during the testing of the product were: headache. indigestion. back pain. muscle pain. flushing. stuffy nose. Patients who. Tadalafil online 20mg | 10mg,5mg,40mg. If you experience any one of the complying with serious adverse effects of Tadalafil cease using this drug, Buy Tadalafil Generics Online. To measure the effect, test strips or a glucometer are turned on.