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  • Semi-rigid implants – can be appropriate for older men who don’t have regular sex
  • Inflatable implants – made up of two or three parts that are inflated to maintain a more natural erection. They are often very expensive.

  About 5% of men who have penile implants experience mechanical issues with the implants within five years.

  Side Effects and Warnings

  Men who have cardiovascular disease including conditions like coronary heart disease, should use PDE-5 inhibitors with caution. Speak to your doctor if this applies to you. Sex can be a good way to improve your cardiovascular health, but you need to ensure that you are fit enough to take the medication safely.

  If you have an anatomical issue with your penis, like Peyronie’s Disease, again you need to consult your doctor to see if it is safe for you to take an erectile dysfunction treatment. 

  If you are taking medicines (for example, to treat angina) or using recreational drugs (such as butyl nitrate, also known as poppers) that contain nitrates, then you must not take PDE-5 inhibitors. Using the two drugs together can be very dangerous for your heart. 

  If you suffer from priapism (a painful erection that lasts several hours), or if you are taking long-lasting alpha-blockers (a type of medication used to treat high blood pressure), then, again, you need to be very cautious about taking any erectile dysfunction treatment, so speak to your doctor first. 

  Unless your doctor has said you can, do not take PDE-5 inhibitors if you:

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  • Erection that will not go away (priapism). If you have an erection that lasts more than 4 hours, seek medical help immediately. Priapism can permanently damage your penis. 
  • Sudden vision loss in one or both eyes. Sudden vision loss in one or both eyes can be a sign of a serious eye problem called non-arteritic anterior ischemic optic neuropathy (NAION). Stop taking Cialis and call your healthcare provider right away if you have sudden vision loss in one or both eyes. 
  • Sudden hearing decrease or hearing loss. Some people may also have ringing in their ears (tinnitus) or dizziness. If you experience these symptoms, stop taking Cialis and contact a doctor right away.

  For a full list of side effects, please read the patient information leaflet.

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  Info Leaflet

  Before taking any medication, it is important to read the Patient Information Leaflet. You can find information leaflets for your medicines by typing them into the search bar at medicines.org, or by contacting us.

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• are using any other ED treatments
• are allergic to Tadalafil / Cialis
• have had a recent stroke or heart attack
• have or have had low blood pressure 
• are taking medication for high blood pressure
• have a family history of eye degeneration
• have ever had loss of vision due to damage of the optic nerve due to insufficient blood supply
• have severe heart problems
• have liver problems
• have kidney problems