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For use as needed take cialis extra dosage at least 30 minutes before sexual activity, as directed by your doctor.

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It may also be a sign of stress or anxietya side effect of certain pillsor an early symptom of a neurological disorder such as Multiple Sclerosis or Parkinson’s DiseaseSmokingbeing overweight and excessive alcohol intake can all negatively impact on sexual function as wellWhich is why an initial assessment by a doctor is so importantYour doctor will conduct a physical exam and possibly run a few tests to attempt to find a cause for your EDFor most menthe cause is usually found to be a combination of medical and psychological issues.

Againdo not use these ED medications if you take nitratessuch as nitroglycerin or a similar medicinefor chest painBut there are other situations that may make these medications unsafe as wellBefore you take Viagra or one of the otherstell your doctor:

The producers of the drugEli Lillywarn that if the following symptoms occur during sexual activitythey could be a sign of a serious complicationImmediate medical assistance should be sought:

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this medication was prescribed for me as recommended by a pharmacist, that was acting as a diabetic management specialist through my family doctors practice.

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