Only your doctor can really determine if You can use Cialis. Tadalafil can cause mild, temporary lowering of your blood pressure. You will need to have a thorough medical examination in order to diagnose your erectile dysfunction and to find out if you can safely take Cialis alone or with your other medications.
Your doctor should then decide whether or not your heart is healthy enough to handle the extra strain of having sexual intercourse with your partner. Be sure to tell your doctor if you have had:
Any heart problems (e.g., angina, chest pain, heart failure, irregular heart beats, or heart attack), have ever had a stroke.
Tell the doctor about any Low or high blood pressure,
the rare inherited eye disease called retinitis pigmentosa,
Any kidney problems or any liver problems you have,
Any blood problems, including sickle cell anemia or leukaemia,
Allergies to Tadalafil or any of the other ingredients of Cialis tablets,
A deformed penis, Peyronie's disease, or if you have ever had an erection that lasted more than 5 hours, Stomach ulcers or any types of bleeding problems
Or, if you are taking any other medicines. Cialis could well be the medication that will work best for you...