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    If you become dizzy or nauseated during sexual activity, or if you have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away.
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    The dose may be increased to 20 mg or decreased to 5 mg, based on individual efficacy and tolerability.
    The CIALIS dose for once daily use may be increased to 5 mg, based on individual efficacy and tolerability.
    CIALIS may be taken without regard to food.

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    Creatinine clearance 30 to 50 mL/min: A starting dose of 2.5 mg is recommended.
    Mild or moderate (Child Pugh Class A or B): The dose should not exceed 10 mg once per day.
    Keep out of reach of children.
    A causal relationship of these events to CIALIS is uncertain.
    Most, but not all, of these patients had preexisting cardiovascular risk factors.
    CIALIS without sexual activity.

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