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Cialis (tadalafil) is a prescription drug that can be recommended to treat male impotence. When you are done having sex your erection will go away just like it usually does, but if this does not happen and your erection lasts for longer than 4 hours this may a case or priapism. This condition is described as a painful erection that lasts for longer than normal. It can led to the permanent damage on the penis tissues and render the patient even more impotent than before. This symptom must be reported to your local emergency room and you need urgent medical help immediately after noticing this symptom. Do not take any other medicines intended for the treatment of erectile dysfunction especially soon after you have taken Cialis. If you think you are not benefitting from the treatment first talk to your doctor about an alternative and only then switch to some new treatment method. In some rare cases people taking Cialis have reported a serious side effect that may have to do with taking this medicine. Sudden vision loss is reported by patients older than 50, smokers and people with a number of health conditions that may contribute to the development of the symptom. People from the risk group are often diagnosed with diabetes, high blood pressure, heart problems, high cholesterol or have pre-existing eye problems, especially if they run in the family. This is why it is so important that you tell your health care provider about any medical conditions you have or that run in your family as this information may prevent you from safely taking this medicine.