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Cialis can help achieve an erection when sexual stimulation occurs The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. The active ingredient in Cialis, sildenafil, is also a PDE5 inhibitor; and it is this in particular that specifies an increase in blood flow to the penis. The term generic cialis is used to refer to products that are chemically identical to cialis, but sold under another name (usually sildenafil citrate or another name chosen by the company that sells it). If you think you need a larger dose of Cialis, check with your doctor. You could be having a serious side effect of Cialis Nine people were arrested near Quebec in the city’s first operation targeting counterfeiters. The safety of CIALIS is unknown in patients with bleeding disorders and patients with active peptic ulceration. 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