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An example is directed against periventricular malacia, a primary lung disease. I was quite successful in my youth, I must admit. But life goes on and we grow old. As a result of this sad process, I found out that my penis is not that brave as it used to be.

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Sometimes, patients with certain health problems may also develop NAION, a sudden loss of sight in both the eyes or one eye. As sexual activity can put extra stress on your heart, especially if you have heart disease or are over 50 years of age, you should seek medical help if you experience chest pain, fainting, or severe dizziness during sex.

If you have a prolonged and painful erection for 4 hours or longer, you should stop taking Cialis and inform your doctor about your condition. If you experience sudden hearing problem or ringing in your ears, you should stop using Cialis and consult your doctor.

In that case, you should stop using the drug immediately and seek medical help, as your doctor will either advise you to stop the medicine or decrease its dosage. Cialis does not provide protection against diseases like HIV, syphilis, gonorrhea, or hepatitis B, and so, you should practice safe sex by using a barrier form of contraception like condoms.

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Back pain and muscle aches can occur 12 to 24 hours after taking the drug, and the symptom usually disappears after 48 hours. In May , the U. Food and Drug Administration found that tadalafil along with other PDE5 inhibitors was associated with vision impairment related to NAION non-arteritic anterior ischemic optic neuropathy in certain patients taking these drugs in the post-marketing outside of clinical trials setting. Given the small number of NAION events with PDE5 use fewer than one in one million , the large number of users of PDE5 inhibitors millions and the fact that this event occurs in a similar population to those who do not take these medicines, the FDA concluded that they were not able to draw a cause and effect relationship, given these patients underlying vascular risk factors or anatomical defects.

However, the label of all three PDE5 inhibitors was changed to alert clinicians to a possible association. In October , the FDA announced that the labeling for all PDE5 inhibitors, including tadalafil, requires a more prominent warning of the potential risk of sudden hearing loss as the result of postmarketing reports of deafness associated with use of PDE5 inhibitors. Using poppers such as the sex drug amyl nitrite within this timeframe may increase the risk of life-threatening hypotension.

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