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Side effects

Cialis Together is generally well-tolerated and serious side effects are rare.22

The most commonly reported side effects are headache, flushing, nasal congestion, dyspepsia, back pain and myalgia. Side effects are transient, and generally mild or moderate.

Below are lists of the common and uncommon side effects with Cialis Together.

Common side effects Occurring in at least 1 man per 10030
  • Headache
  • Flushing
  • Nasal congestion
  • Dyspepsia
  • Back pain, myalgia, pain in extremity
Uncommon side effects Occurring in at least 1 man per 1,00030
  • Hypersensitivity reactions
  • Dizziness
  • Blurred vision, eye pain
  • Tinnitus
  • Tachycardia, palpitations
  • Hypotension, hypertension (dizziness and blurred vision)
  • Dyspnoea, epistaxis
  • Abdominal pain, vomiting, nausea, gastro-oesophageal reflux
  • Rash
  • Haematuria
  • Prolonged erections
  • Chest pain, peripheral oedema, fatigue

When to seek medical advice

There are some uncommon but serious side effects that you should make patients aware of when supplying Cialis Together.29

If patients experience any of the symptoms below, they should be advised to STOP taking Cialis Together and seek immediate medical attention.

  • Long-lasting (more than 4 hours), painful erection
    Men with priapism are at risk of damage to the penile tissue and permanent loss of potency if not treated immediately
  • Sudden vision defect or loss
    Vision defects and cases of NAION have been reported in men with ED after Cialis Together and other PDE5 inhibitor use
  • Sudden decrease or loss of hearing
    Cases of sudden hearing loss have been reported after Cialis Together use
  • Chest pain within 48 hours (2 days) of taking Cialis Together; dizziness or nausea during or after sex
    Indicators of extra strain on the heart and circulation22,30
    • Nitrates must not be used to treat chest pain, as concomitant use with Cialis Together may lead to an unsafe drop in blood pressure
    • If chest pain occurs before, during or after intercourse, get in a semi-sitting position and try to relax. Seek immediate medical help