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Cialis (tadalafil) is a phosphodiesterase (PDE) inhibitor specially designed for patients that have trouble getting and maintaining an erection sufficient for having sex. This medicine should be taken an hour before having sex. Before you start taking Cialis discuss with your doctor the fact of having physical deformity of the penis, high or low blood pressure, heart disease, liver disease, bleeding disorder, blood cell disorder, angina, stomach ulcer, heart rhythm problems, a recent history a heart attack, stroke or congestive heart failure, or kidney disease, as those conditions may affect the dose of Cialis you are prescribed or require additional monitoring of your health condition. Tell your doctor if you have bleeding disorder, a stroke, ulcers, diabetes, blood cell problems, chest pain, cavernosal fibrosis, high cholesterol, Peyronie's disease, eye disease, a heart attack, high or low blood pressure, angulation, liver, kidney, or heart disease, severe vision loss, or irregular heartbeat. Any drugs you are using are also supposed to be reported, especially any of the following ones: antibiotics, antifungal medications, HIV/AIDS medicine, isoniazid, antidepressants, diclofenac, seizure medications, doxazosin, rifampin, conivaptan, imatinib, heart or blood pressure medications.