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If you experience any light-headedness, vision changes, heart attack symptoms, or painful cialis soft and prolonged (more than 4 hours) erection, contact your doctor immediately. Sildenafil is most active over the course of 4 hours. Is Tadalafil (generic Cialis) better than Sildenafil (generic Viagra)? If you are having sex more than twice a week, you can take a lower dosage of Cialis,.5mg or 5mg, online at the same time each day to improve erectile function. Its effects can be felt for up to 36 hours. Cialis 10mg or 20mg are to be taken on an as-needed basis and are effective for 36hrs. Cialis is also available in daily dosage formats.5mg and 5mg. Cialis can provide long lasting effects for up to 36 hours in men. Cialis is a PDE5 inhibitor. Taking Cialis and Viagra will not double the effects, but rather can dangerously lower your blood pressure. If you do not see positive results, consult your doctor as you may need an adjustment to your cialis dosage. 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