Always talk to your doctor before starting Cialis 20mg, especially if you have pre-existing health conditions.
Specific Situations Requiring Medical Consultation
- Heart problems: If you have a history of heart disease, angina, irregular heartbeat, or have experienced a heart attack or stroke, Cialis may increase your risk of cardiovascular events. Your doctor needs to assess your suitability. Low blood pressure: Cialis can lower blood pressure, potentially causing dizziness or fainting. Discuss this with your doctor if you already have low blood pressure. Liver or kidney disease: Your doctor will need to adjust the dosage or recommend an alternative treatment if you have impaired liver or kidney function. Eye problems: Certain rare eye problems like non-arteritic anterior ischemic optic neuropathy (NAION) have been associated with Cialis. Disclose any eye conditions to your physician. Blood cell disorders: If you have sickle cell anemia, multiple myeloma, or leukemia, using Cialis could increase your risk of complications. Discuss your condition with your doctor. Use of other medications: Cialis can interact with other drugs, including nitrates, alpha-blockers, and some antifungals. Provide your doctor with a complete list of medications, supplements, and herbal remedies you are taking.
Symptoms Requiring Immediate Medical Attention
Sudden vision loss. Prolonged erection (priapism) lasting more than four hours. Sudden hearing loss. Severe chest pain. Severe dizziness.
If you experience any of these symptoms while taking Cialis 20mg, seek immediate medical attention. Your doctor can help determine the cause and provide appropriate treatment.


