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Prior to taking Cialis as prescribed, you will should inform your medical professional if you have leukemia, chest discomfort, irregular heartbeats, sickle cell anemia, a past of a heart attack, renal or liver issues, retinitis pigmentosa, heart failure, low blood tension, serious eyesight loss, multiple myeloma, flawed penis form, stroke, hypertension or an allergic reaction to tadalafil, as well as if you are currently utilizing voriconazole, HIV or AIDS medications, barbiturates, prazosin, miconazole, rifapentine, antibiotics, ketoconazole, heart medications or carbamazepine.