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Cialis (tadalafil) can be used to treat erectile dysfunction in patients of all ages, although older patients will be required to take this medicine under the close supervision of their health care provider. The tablet of Cialis needs to be taken about 40-60 minutes before you are planning to have sex. Cialis for everyday use should be taken at the same time every day to provide for maximum efficiency and you can have sex any time between the two doses. Your doctor needs to know your full medical history - this will help to evaluate your health condition better, as well as to define possible health risks associated with taking Cialis. If you ever had any of the following health conditions make sure you mention them before asking your health care provider for a prescription: blood cell problems, ulcers in the stomach or intestine, condition that affects the shape of the penis (penis angulation, Peyronie's disease), history of a heart attack or stroke, diabetes, high cholesterol, high or low blood pressure, chest pain or bleeding disorder, irregular heartbeat, liver disease, kidney disease, heart disease, or an eye disease running in your family, such as retinitis pigmentosa. Priapism is a serious side effect that is not reported too often though. If you think you may be experiencing priapism and have an erection that lasts for longer than 4 hours and is painful seek emergency medical assistance as if you leave this condition unattended it may lead to the damage of the tissues of the penis.