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Cialis 20mg increases blood flow to the penis, and this enables a man to achieve an erection. It does not lead to sexual arousal. It should be used with caution, and only under medical supervision. In rare cases, Cialis 20mg can undermine the blood flow to the optic nerve of the eye, causing sudden loss of vision. This is more likely in patients with hypertension, diabetes, high cholesterol, pre-existing eye problems, or heart disease.
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