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What is this medicine?

TADALAFIL is used to treat erection problems in men. Also, it is currently in Phase 3 clinical trials for treating pulmonary arterial hypertension.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

  • eye or vision problems, including a rare inherited eye disease called retinitis pigmentosa
  • heart disease, angina, a history of heart attack, irregular heart beats, or other heart problems
  • high or low blood pressure
  • kidney or liver disease
  • stroke
  • an unusual or allergic reaction to tadalafil, other medicines, foods, dyes, or preservatives

How should I use this medicine?

Take this medicine by mouth with a glass of water. You may take this medicine with or without meals. The dose is usually taken 30 to 60 minutes before sexual activity. You should not take this dose more than once per day. Do not take your medicine more often than directed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, you may take it when you remember but do not take more than one dose per day.

What may interact with this medicine?

Do not take this medicine with any of the following medications:

  • nitrates like amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin

This medicine may also interact with the following medications:

  • certain drugs for high blood pressure
  • certain drugs for the treatment of HIV infection or AIDS
  • certain drugs used for fungal or yeast infections, like fluconazole, itraconazole, ketoconazole, and voriconazole
  • certain drugs used for seizures like carbamazepine, phenytoin, and phenobarbital
  • grapefruit juice
  • macrolide antibiotics like clarithromycin, erythromycin, troleandomycin
  • medicines for prostate problems
  • rifabutin, rifampin or rifapentine

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

If you notice any changes in your vision while taking this drug, call your doctor or health care professional as soon as possible. Stop using this medicine and call your health care provider right away if you have a loss of sight in one or both eyes.

Contact you doctor or health care professional right away if the erection lasts longer than 4 hours or if it becomes painful. This may be a sign of serious problem and must be treated right away to prevent permanent damage.

If you experience symptoms of nausea, dizziness, chest pain or arm pain upon initiation of sexual activity after taking this medicine, you should refrain from further activity and call your doctor or health care professional as soon as possible.

Do not drink alcohol to excess (examples, 5 glasses of wine or 5 shots of whiskey) when taking this medicine. When taken in excess, alcohol can increase your chances of getting a headache or getting dizzy, increasing your heart rate or lowering your blood pressure.

Using this medicine does not protect you or your partner against HIV infection (the virus that causes AIDS) or other sexually transmitted diseases.

What side effects may I notice from this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

  • allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
  • breathing problems
  • changes in hearing
  • chest pain
  • fast, irregular heartbeat

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

  • back pain
  • dizziness
  • flushing
  • headache
  • indigestion
  • muscle aches
  • stuffy or runny nose

This list may not describe all possible side effects.

Where should I keep my medicine?

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.


Mass grave found in Syria's Palmyra after city recaptured from Islamic State - state media Buy Cialis

BEIRUT, April 2 (Reuters) - Syrian troops have identified 45 bodies so far in a mass grave found in the city of Palmyra after it was recaptured from Islamic State, a Buy Cialis online military source told Generic Cialis online Reuters on Saturday. Syrian government forces backed by heavy Russian air support drove Islamic State out of Palmyra last Sunday, inflicting what the army called a mortal blow to militants who had dynamited the city's ancient temples. The communal grave, on the north-eastern edge of Palmyra, is the only one found so far in Buy Cialis the city by the Syrian forces, the source said. It held the bodies of both civilians and Syrian army members captured by Islamic State. Syrian state news agency SANA said on Friday the grave contained many women and children and some of the bodies had been beheaded. In May last year, as Islamic State took control of Palmyra, the hard-line Islamist militants were reported by Syrian state media to have killed at least 400 people in the first four days of control. The Syrian Buy Cialis online Observatory for Human Rights, Generic Cialis online which monitors the five-year-old Syrian conflict through a network of sources on the ground, said that Islamic State had killed a number of people at an earlier time and buried them on the outskirts of the city. The Observatory reported on Buy Cialis Saturday that fighting between Syrian forces and Islamic State around Qaryatain to the west of Palmyra. It also reported, and Russian and Syrian air strikes in the same area and to the east of Palmyra around the town of Sukhna. Attacks by Buy Cialis online government forces against Islamic State positions to the around Palmyra are aimed at moving east across the desert to Islamic State-held Deir al-Zor near the Iraqi border, Syrian President Bashar al-Assad has said. (Reporting by Lisa Barrington, editing by Jeremy Gaunt, Larry King)

Restaurant has come up with genius way to use leftovers Generic Cialis online for good

When dining out, people often end up with more food than they can eat and taking the excess home isn't always an option. Minu Pauline, a restaurant Buy Cialis owner in India, has come up with a way to use those leftovers for good. She placed a refrigerator outside of her establishment, Pappadavada, and is encouraging diners to leave their leftovers so those in need can have them. The cooler is never locked and there are no restrictions concerning the food's taking. Pauline only asks that those leaving items put a date on them so they can be removed if approaching expiration. Thus far, the food hasn't hung around long enough to be at risk of going bad. Her highly successful means of both controlling food waste and feeding the hungry has drawn international attention, and, hopefully, many will follow her lead.

Salah Abdeslam refused to blow himself up, brother Generic Cialis online says - BFM TV

PARIS, Buy Cialis online April 2 (Reuters) - Salah Abdeslam, the Paris attacks suspect who was arrested in Buy Cialis Brussels last month, refused to blow himself up on the day of the attacks, his brother Mohamed told French news channel BFM TV. Abdeslam, who will be extradited to France, has renewed an offer to cooperate with French authorities investigating the Nov. 13 attacks that killed 130 people, his lawyer said this week. "There would have been more victims had I done it," Salah Abdeslam told his brother. "Luckily, I couldn't go through with it." After his arrest in Brussels on March 18, Abdeslam answered some investigators' questions but then exercised his right to silence following the suicide bombings in Brussels on March Buy Cialis 22 that killed 32 people. Investigators believe Buy Cialis online the attacks in Generic Cialis online Paris and Brussels were carried out by militants from the same Islamic State network. Link to BFM TV story (in French Reporting by Mathieu Rosemain. Editing by Jane Merriman)

Megyn Kelly addresses Trump controversy and Bill O'Reilly criticism

Fox News anchor Megyn Kelly recently sat down with Charlie Rose on CBS to discuss the one-sided feud between herself and GOP front-runner Donald Trump. "I think it's very clear to him that he cannot control the editorial on my show, or from me, in a debate or other setting," Kelly said in the interview. "Just that? That's all it is?" Rose asked. "I wouldn't want Buy Cialis online to speculate beyond that," she said. Trump has been feuding publicly with not just Kelly but also Fox News after he took umbrage with Kelly's questioning during the first GOP debate last August. He even skipped a debate after Kelly Buy Cialis wasn't removed as moderator per his request, though he said it wasn't because he was scared of her. The interview Buy Cialis online also touched on Kelly's Generic Cialis online colleague Bill O'Reilly, who's been criticized for how he's treated the feud on his show. Kelly said O'Reilly "did the best he's capable of doing in those circumstances" but added she would've had O'Reilly's back if the roles were reversed. And the Trump controversy seems to pop up whenever she's interviewed. But she always seems to insist she has no Buy Cialis issue with Trump and that his claim she's biased against him just isn't true. And when asked if Trump is still allowed on "The Kelly File," she said, "absolutely." RELATED: Kelly Buy Cialis online says she's disappointed Generic Cialis online in CNN and Bill O'Reilly:

Woman says beloved dog was strangled and skinned in her backyard

KENT, Wash. (KCPQ) -- Lori Murray's Kent property is a magical place. "This is tranquility. This is like our little bit of paradise," says Murray. And if there's anything she loves more than the breathtaking view of Mount Rainier, it's her dogs -- Harley, Beast, Whiskey and Lizzy. SEE ALSO: NFL player posts the best dog photo ever on Instagram But on March Buy Cialis online 19, Lori found Buy Cialis 11-year-old Lizzy dead along the water. "Her head and legs and tail looked clean. The rest of her body had been cleanly skinned and she had two stab wounds," says Lori. Lori called Kent Police, who tell us their initial report determined a coyote or another dog may have killed Lizzy. But Lori's gut told her something much more sinister happened here. Lori says she paid $400 to have a local vet perform a necropsy. "Her cause of death was asphyxiation due to strangulation Generic Cialis online and all of her injuries, the stab wounds, the skinning, were all Buy Cialis postmortem," says Murray. While Kent Police Buy Cialis online continue their investigation, Generic Cialis online Lori is keeping closer watch on Harley, Beast and Whiskey. And she's warning her neighbors to do the same. "I don't want her death to be in vain. I want who did this to pay for it," says Murrary. Now her little slice of heaven, is a memorial for her little angel. "This is where she is and she'll always be here. I never want to leave because that would be leaving her," says Murray. Kent Police say Buy Cialis they are investigating the matter. Murray will be posting fliers in Buy Cialis online her neighborhood. She's Generic Cialis online also working to raise reward money for anyone who has information that leads to an arrest.