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Cialis (tadalafil) is available by prescription and recommended to men diagnosed with impotence. It’s very important that every patient would visit a doctor before making up his mind about taking this drug. As all phosphodiesterase inhibitors, Cialis can sometimes cause dangerous side effects that only a qualified professional will be able to prevent. Nitrates (nitroglycerin, isosorbide dinitrate, isosorbide mononitrate and some recreational drugs) should not be combined with certain medicines, especially Cialis. Avoid combining Cialis with any other medications unless your doctor instructed you otherwise. Although Cialis is commonly well-tolerated some mild side effects may be experienced. One of the most serious side effects of Cialis is sudden vision loss. Although this side effect is reported by people with a number of risk factors (age – over 50, bad habits, high cholesterol and high blood pressure, diabetes and heart disease), make sure you report any unusual symptoms you have to your health care provider to make sure they do not harm your health. If you experience sudden vision loss make sure you seek emergency medical help to prevent the situation from getting worse.