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Cialis (tadalafil) should be used in accordance with your doctor’s recommendations to treat erectile dysfunction. There are a number of health problems that can make your treatment less efficient. These health problems should be therefore reported to your doctor that you will be asking for a prescription. The following diseases and conditions should be reported to your health care provider if you want to avoid serious side effects when taking Cialis: cavernosal fibrosis, penis angulation, high or low blood pressure, Peyronie's disease, irregular heartbeat, heart disease, ulcers in the stomach or intestine, blood cell problems, a history of a heart attack or stroke, eye disease running in your family or a history of sudden vision loss, diabetes, high cholesterol, chest pain or bleeding disorder, liver or kidney disease. Being allergic to the active ingredient of this medicine – tadalafil – is a direct contraindication for taking this medicine. Make sure you tell your health care provider if you have ever been allergic to the active ingredient of Cialis or to any other drugs intended for the treatment of erectile dysfunction. If you had a history of priapism (prolonged and painful erection than lasts for 4 hours in a row) the probability of developing this rare side effect is higher for you. Make sure you discuss with your health care provider any such episodes before starting to take Cialis. You can ask your pharmacist of your doctor any questions you have about your treatment or if you are in doubt about taking a dosage of Cialis.