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Before Using Cialis

Tell your doctor if you have allergies to any other medicines, foods, preservatives or dyes. For those who are lactose intolerant, be aware that CIALIS tablets contain a small amount of lactose (approximately 200mg for the 10mg tablet and 250mg for the 20mg tablet). Tell your doctor if you have or have had any of the following medical conditions:

• you have a heart condition, including angina (chest pain), arrhythmia (changes in the rhythm or rate of the heart beat), heart failure or if you have had a heart attack. Sexual activity carries a possible risk to patients with heart condition because it puts extra strain on your heart;
• you have had a stroke;
• you have low blood pressure or uncontrolled high blood pressure;
• you have a serious liver or kidney problem;
• you have sickle cell anaemia (an abnormality of red blood cells), multiple myeloma (cancer of the bone marrow), leukaemia (cancer of the blood cells);
• you have any deformation of your penis.

If you have not told your doctor about any of the above, tell them before you start taking CIALIS. CIALIS is not intended for use by women or by children under the age of 18 years. No special consideration is needed for the elderly or people with diabetes.