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Cialis and Viagra are both phosphodiesterase type 5 (PDE5) inhibitors. PDE5 is an important enzyme involved in erections that s one of the biggest culprits behind ED. Here s how Cialis and Therefore, administration of CIALIS to patients who are using any form of organic nitrate is contraindicated ( see section 4.5). CIALIS, must not be used in men with cardiac disease for whom sexual activity is inadvisable. Physicians should consider the potential cardiac risk of sexual activity in patients with pre-existing cardiovascular disease. While the manufacturer suggests that a 30-day supply of daily Cialis should cost about the same as eight pills of 36-hour Cialis a month, there’s no way to enforce this. Check your insurance policy and local pharmacies for price information.

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