Medically they are the same, having the same active ingredient, the medical name of which is sildenafil.
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Cialis should not be taken if you have any of the following:
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uncontrolled congestive heart failure due to left ventricular impairment (unable to pump enough fluid), reduced ejection fraction (the amount pumped out of the heart to the rest of the body), or a history of arrhythmias
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People should always follow the doctorâ€™s instructions, as they may increase or decrease the dose depending on how the personâ€™s body responds to treatment. How effective the medication is, what it does inside your body, how safe it is, and possible side effects are all the same. 5 May 2016