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Aside from a prolonged erection, which is an emergency, possible side effects of Cialis include flushing, headache, nasal congestion, heartburn, back pain, and muscle pain. I do this beause of the price of the medicine and the fact that 1/2 the pill works. An erection will not occur just by taking a pill.. It can be used up to 36 hours before sexual activity. Here's what you can try. The effect of one tablet lasts for up to 36 hours.. I'm am not a doctor yet but am in school to become one. Viagra (sildenafil) and Order Cipro Ear Drops Levitra (vardenafil) are similar to Cialis, but the major difference Cialis London Drugs is that Cialis can last up to 36 hours Apr 24, 2014 · I use Cialis when needed and cut the 20 mg in half with a pill cutter I purchased from the drugstore. My insurance pays for six pills per month and I pay for the other 24 out of pocket. 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