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CIALIS was studied in 4 clinical studies of 12 weeks duration enrolling over 1500 patients with signs and symptoms of benign prostatic hyperplasia. The improvement in the total international prostate symptom score with CIALIS 5mg in the four studies were -4.8, -5.6, -6.1 and -6.3 compared to -2.2, -3.6, -3.8 and -4.2 with placebo. The improvements in total international prostate symptom score occurred as early as 1 week. In one of the studies, which also included tamsulosin 0.4 mg as an active comparator, the improvement in total international prostate symptom score with CIALIS 5mg, tamsulosin and placebo were -6.3, -5.7 and -4.2 respectively. levitra sales Ask your healthcare provider if your heart is healthy enough for sexual activity. stomach discomfort, upset, or painDrink prudently when taking Viagra. Alcohol and Viagra share major side effects - dizziness, headaches, upset stomach - and combining them only intensifies these effects.Taking Viagra twice a day is not necessarily a problem for some people. For example, they have dosage forms in 25 mg, 50 mg, and 100 mg. Obviously, if someone were to take a 25 mg tablet once in the morning and once at night, they would not be exceeding maximum daily dosage. I will say that it is important to use the lowest effective dose possible when using this medication, and it is important to use it "sparingly" (only when you need it). There have been some patients that have built a tolerance to this medication and have found that even though they were able to get an erection before utilizing it, they no longer are able to do so without the assistance of the ED medication. In addition, this medication is very similar to nitroglycerin with regard to what it does to the circulatory system, for obvious reason, taking a medication such as this off and on off and on haphazardly can have some potential rebound effects. I hope that helps answer your question. stomach upset

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