The root cause of the narrowing of the arteries is caused by atheroma. Atheroma is like fatty patches or plaques that develop within the inside lining of arteries. (This is similar to water pipes that get furred up with scale.) Plaques of atheroma may gradually form over a number of years in one or more places in the body, commonly in arteries going to the heart, brain, legs and penis. In time, these can become bigger and cause enough narrowing of one or more of the arteries to cause symptoms and problems. tentex royal review If you have not told your doctor or pharmacist about any of the above, tell them before you start taking CIALIS.
If you have an erection which lasts longer than 4 hours you should contact a doctor immediately.
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Endpoint [Change from baseline] 12.7 [-1.6] 22.8 [6.8]
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