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Libido began to decline at 63 and by 65 my ability to maintain an erection was hit or miss at best. mostly misses. My wife is 9 years younger than me so I was having a problem with it.

1,2 The longer duration of action of Cialis means it is at higher risk for drug interactions, 1 and dosages may need reducing in men with kidney or liver disease. Cialis is not recommended in men who have had a heart attack or stroke within the past 6 months, with either uncontrolled high blood pressure or severely low blood pressure, unstable angina, or other conditions that make sexual activity inadvisable. 1,6. References.

All three of these drugs interact with nitrates.]