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The most commonly reported adverse events of Cialis are headache and dyspepsia occurring in approximately in 11% and 7% of patients, respectively. The reported adverse events with Tadalafil were generally mild or moderate, transient and decreased with continued dosing.

Other common adverse effects are back pain, myalgia, nasal congestion and flushing.

Swelling of eyelids, sensations described as eye pain, conjunctival hyperemia and dizziness are uncommon adverse events.

In post-marketing surveillance, adverse events that have been reported very rarely in temporal association in patients taking Cialis include: • Body as a whole: hypersensitivity reactions including rash, urticartia (hives, rash), and facial edema, Stevens-Johnson syndrome and exfoliative dermatitis • Cardiovascular and cerebrovascular: serious cardiovascular events, incuding myocardial infarction, sudden cardiac death, stoke, chest pain, palpitations and tachycardia, have been reported post-marketing in temporal association with the use of Tadalafil. Mot of the patients in whom these events have been reported had preexisting cardiovascular risk factors. However, it cannot definitively determine whether these events are related directly to these risk factors, to Cialis, to sexual activity or to a combination of these or other factors • Hypotension (more commonly reported when Tadalafil is given to patients who are already taking antihypertensive agents), hypertension and syncope • Gastrointestinal: abdominal pain and gastroesophageal reflux • Skin and subcutaneous tissues: hyperhidrosis (sweating) • Urogenital: priapism and prolonged erection • Special senses: blurred vision, nonarteritic anterior ischemic optic neuropathy, retinal vein occlusion, visual field detect • Otologic: loss or sudden decrease of hearing. Medical conditions and other factors were reported to have played a role in the otologic adverse events in some cases. In a lot of cases, medical follow-up information was limited. It is not possible to determine whether these events are related directly to the use of Cialis, to the patient’s underlying risk factors for hearing loss, or a combination of these factors or other factors.