Taking tadalafil, or Cialis, with a nitrate medication will cause a significant and sharp call in pressure level, or cardiovascular disease. The producers of the drug, Eli Lilly, warn that if the subsequent symptoms occur throughout gender, they might be a symbol of a significant complication, So Immediate medical help ought to be sought: * dizziness * nausea * numbness, tingling or pain the jaw, arms, chest, or neck