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?It can be caused physically - for example by hormonal changes or surgery, or conditions such as diabetes, arthritis or cancer Uncommon (0.1% to 1%): Hypotension

The efficacy of the coadministration of an alpha-blocker and Cialis for the treatment of BPH has not been adequately studied, and due to the potential vasodilatory effects of combined use resulting in blood pressure lowering, the combination of Cialis and alpha-blockers is not recommended for the treatment of BPH. [see Dosage and Administration (2.7), Drug Interactions (7.1), and Clinical Pharmacology (12.2.)].For Cialis for use as needed in men with ED, patients should be instructed to take one tablet at least 30 minutes before anticipated sexual activity. In most patients, the ability to have sexual intercourse is improved for up to 36 hours. levitra 100mg warmth or redness in your face, neck, or chest;Alpha-Blockers: Caution is advised when PDE5 inhibitors are co-administered with alpha-blockers. PDE5 inhibitors, including Levitra and alpha-adrenergic blocking agents are both vasodilators with blood-pressure-lowering effects. When vasodilators are used in combination, an additive effect on blood pressure may be anticipated. Clinical pharmacology studies have been conducted with co-administration of vardenafil with alfuzosin, terazosin or tamsulosin. [See Dosage and Administration (2.4), Warnings and Precautions (5.6), and Clinical Pharmacology (12.2).]Interactions

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What are the precautions when taking sildenafil citrate (Viagra)?medicines called nitrates (see "What is the most important information I should know about Viagra?")