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Cialis (tadalafil) can be prescribed by your health care provider if after evaluating your health condition he comes to the conclusion you need this medicine to help you obtain firmer erections. If you experience any strange symptoms when having sex, tell your health care provider about it. Such symptoms as chest pain and tingling or numbness if your neck or jaw may indicate serious effects of Cialis and need to be reported immediately to your doctor. If you develop any new side effects or the ones you had (diarrhea, indigestion, cough, heartburn, flushing, muscle and back pain with late onset) change in intensity or become bothersome let your health care provider know about it as soon as possible. Your dosage may be adjusted or you will be recommended to take Cialis less often to get rid of these side effects.