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    Cialis is available in four different dosages of 2.5mg, 5mg, 10mg and 20mg. When you get a prescription for Cialis, your doctor or online doctor will recommend the dosage that is best for you. As with many medications, the effectiveness of Cialis differs between men. While most men find that a 10mg dosage suits them well, others find that the 20mg dosage works better for them.10mg is the recommended starting dose for Cialis. If you have never taken Cialis before, it is likely that your doctor will prescribe this dosage. If you find that the 10mg tablet is too weak, you can ask your doctor if you can take the 20mg dose instead. When you get your prescription, your doctor will ask you a range of questions about your health to determine which dose you can take. This medicine should be used with caution in patients having a physical deformity of the penis which may be due to Angulation, Cavernosal Fibrosis or Peyronie disease. The risk of permanent loss of sexual potency is high in such cases. This medicine should be used with caution if you have had a painful erection lasting for more than 4 hours. This may be due to an underlying condition like Sickle cell anemia, Multiple Myeloma or Leukemia. This medicine may cause a sudden loss of vision in one or both the eyes. It may also cause an impairment in color differentiation capacity. It should be used with extreme caution in patients suffering from this rare genetic disorder of the retina called Retinitis Pigmentosa This medicine should be used with caution in you have a condition of the heart and blood vessels.

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