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The direct contraindication for Cialis use is heart failure II stage, angina, complex forms of arrhythmias, resistant hypertension, and states associated with a drop in blood pressure.

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The physician should prescribe Cialis with caution if there is leukemia and anemia in the patient's history. Cialis can be prescribed for patients with chronic renal insufficiency after additional research.

The special caution should be given at combination of hormones and erythromycin group of antibiotics.


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The level of Cialis absorption is greatly reduced at the treatment of peptic ulcer of the stomach by the drugs reducing acidity. It is undesirable to combine the use of this drug and the medicines lowering blood pressure.

Overdosage It is possible the development of adverse reactions and negative effects at increasing dose over the therapeutic one.


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Some groups of medicines were being consumed similarly in the Baltic States, but other had worthwhile consumption differences, as case, antidepressants, anxiolytics, sleep and sedative medicines and statins.

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Initial stimulation is embark at the scant aim of these ranges and slowly adjusted beyond time on the point of departure of patient tolerance and response.

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