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<br><br><br>Cialis belongs to a group of medications called phosphodiesterase 5 (PDE5) inhibitors. And when you have more cyclic GMP, the blood vessels and muscles in your penis relax. A clinical trial was done in people with ED who had surgery to have their prostate removed. The people used either Cialis or a placebo (treatment with no active drug) as needed.<br>Cialis and medications that lower blood pressure<br>The generic version of Cialis is tadalafil, which is also the active  ingredient in Cialis. Because tadalafil contains an exact copy of the active drug in Cialis, the side effects for both drugs are the same. Call your doctor right away or  buy xanax without prescrition go to a hospital if you have an erection that lasts longer than 4 hours.<br>High or low blood pressure<br>The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.<br><br>Tadalafil (Adcirca) is used to treat pulmonary arterial hypertension (PAH). Tadalafil is used to treat men who have erectile dysfunction (also called sexual impotence). Tadalafil belongs to a group of medicines called phosphodiesterase 5 (PDE5) inhibitors.<br>If you need to use a nitrate medicine, take it at least 48 hours after your last dose of tadalafil. Individuals who take these alpha-blockers should be on a stable dose of the alpha-blocker before tadalafil is started. In such situations, tadalafil should be started at the lowest dose. If the patient is already taking tadalafil, the alpha-blocker should be started at the lowest dose. Combining tadalafil with alpha-blockers for treatment of BPH is not recommended.<br><br>