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The most common side effects when using Cialis are headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose. These side effects usually go away after a few hours. Patients who get back pain and muscle aches usually get it 12 to 24 hours after taking the drug, and the symptom usually goes away after 48 hours.
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It works by inhibiting an enzyme known as PDE5. A 20 mg dose of Cialis is comparable to a 100 mg dose of sildenafil (Viagra).
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Side effects
Since PDE5 inhibitors such as Cialis may cause transiently low blood pressure (hypotension), organic nitrates should not be taken for at least 48 hours after taking the last dose of Cialis.
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