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Do not take this medicine if the packaging is torn or if the seals over the carton ends are missing or broken. There are no seals over the carton ends of the 5mg physician sample pack. Tell your doctor if you have allergies to any other medicines, foods, preservatives or dyes. You have a higher chance of experiencing side effects like dizziness and diarrhoea. Tell your doctor if you have or have had any of the following medical conditions:any deformation of the penis such as angulation, cavernosal fibrosis or Peyronie's disease If you have not told your doctor or pharmacist about any of the above, tell them before you start taking CIALIS.

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Cases of sudden hearing loss have been reported after the use of tadalafil. Although other risk factors were present in some cases such as age, diabetes, hypertension and previous hearing loss history patients should be advised to stop taking tadalafil and seek prompt medical attention in the event of sudden decrease or loss of hearing. Due to increased tadalafil exposure AUClimited clinical experience and the lack of ability to influence clearance by dialysis, once-a-day dosing of CIALIS is not recommended in patients with severe renal impairment.

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  • Mean tadalafil concentrations measured after the administration of a single oral dose of 20 mg and single and once daily multiple doses of 5 mg, from a separate study, see Figure 4 to healthy male subjects are depicted in Figure 4.

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