tell your doctor about your medicines, and ask if your heart is healthy enough for sex. do not take cialis if you take nitrates for chest pain, or adempas® for pulmonary hypertension, as this may cause an unsafe drop in blood pressure. do not drink alcohol in excess. to avoid long-term injury, get medical help right away for an erection lasting more than four hours. if you have a sudden decrease or loss of hearing or vision, or an allergic reaction, stop taking cialis and get medical help right away. ask your doctor about cialis. (sfx: park rides, music andoooh!d sounds) when your pain reliever stops working, your whole day stops. (sighs sadly) try this. only aleve can stop pain for 12 hours. plus, aleve is recommended by more doctors than any other brand for minor arthritis pain.