Cialis is made by the pharmaceutical company Lilly. Cialis side effects can happen and the drug can interact with other medications causing side effects such as headache, stomach upset, muscle pain, stuffy nose, flushing or dizziness. When administered in combination with aspirin, tadalafil 20 mg did not prolong bleeding time, relative to aspirin alone. If you are taking tadalafil on a regular schedule, take it at around the same time every day. Combined with Cialis, which may also lower blood pressure, excessive drinking a blood alcohol level over 0.CIALIS for Use as Needed. Creatinine clearance 30 to 50 mL/min: A starting dose of 5 mg not more than once per day is recommended, and the maximum dose is 10 mg not more than once in every 48 hours. Creatinine clearance less than 30 mL/min or on hemodialysis: The maximum dose is 5 mg not more than once in every 72 hours [see . Cialis Pills for men – Generic Tadalafil 5mg/10mg/20mg Online. The course of achalasia cardia is slowly progressive. Untimely treatment of the pathology is fraught with bleeding, perforation of the esophageal wall, the development of mediastinitis, and general exhaustion. After pneumocardiodilation, a recurrence of achalasia of the cardia after. What is Cialis? Cialis relaxes muscles of the blood vessels and increases blood flow to particular areas of the body. Cialis is used to treat erectile dysfunction (impotence) and symptoms of benign prostatic hypertrophy (enlarged prostate).