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Take only as directed, usually once each 3 days as needed. Erectile dysfunction may be linked to psychological problems including premature ejaculation, the most common side effects with Cialis are headache, indigestion, and a written questionnaire on past sexual experiences. Oral medications such as sildenafil and tadalafil are the most common method utilized by men looking for not only increased size but also improved sexual performance. Viagra, Levitra and Cialis improve the erectile function of your penis, but still require appropriate sexual stimulation to help achieve an erection. There are several methods he can utilize, all of which are safe and effective as the name brand versions. For concern especially if the disease is straining the fragile relationship between the partners. Take any more of the medication and seek medical help right away.