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I have used a 50 mg Cialis and i notice an increase in bloodflow and a better stamina. As an side-effect I noticed that my nose clogs up like if i had an cold for an hour or so after taking one pill. No other side-effects than that. - John B

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Usual dose	50 milligrams (mg) a day	20 milligrams (mg) a day	20 milligrams (mg) a day

Maximum doses	100 milligrams (mg) a day	20 milligrams (mg) a day	20 milligrams (mg) a day

Available as	100 mg, 50 mg tablets	20 mg tablets	20 mg tablets

How to take	Without food	Without food	With or without food

When to take	25 to 60 minutes before sexual activity	25 to 60 minutes before sexual activity	25 minutes before sexual activity

Duration of effects	Up to four hours	Up to four hours	24 to 36 hours

How often to use	Up to once a day	Up to once a day	Up to once a day

Side effects	Headache, flushing of the face, indigestion, stuffy or runny nose, upset stomach, diarrhea	Headache, flushing of the face, indigestion, stuffy or runny nose, upset stomach, dizziness	Headache, indigestion, back pain, muscle aches, flushing of the face, stuffy or runny nose

Warnings	Dont take with nitrates (Nitro-Dur, others), or if you have certain heart valve problems. Should be used with caution or not used at all with alpha blockers. Should not be used with some antibiotic, antiviral or antifungal medications. There is a potential risk for cardiac problems of sexual activity in patients with preexisting cardiovascular disease.	Dont take with nitrates (Nitro-Dur, others) or alpha blockers (Hytrin, Cardura, others), or if you have certain heart valve problems. Should be used with caution or not used at all with alpha blockers. Should not be used with some antibiotic, antiviral or antifungal medications. There is a potential risk for cardiac problems of sexual activity in patients with preexisting cardiovascular disease	Dont take with nitrates (Nitro-Dur, others) or alpha blockers (Hytrin, Cardura, others), or if you have certain heart valve problems. Should be used with caution or not used at all with alpha blockers. Should not be used with some antibiotic, antiviral or antifungal medications. There is a potential risk for cardiac problems of sexual activity in patients with preexisting cardiovascular disease

Shelf life	2 years	3 years	1 year

Alcohol interaction	Not recomended	Not recomended	Not recomended

Special conditions	Sexual stimulation	Sexual stimulation	Sexual stimulation

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