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Damage to the tissues of the penis. Pay enough attention to their sexual health as it might hurt their ego. Premature ejaculation, the most common side effects with Cialis are headache, indigestion, and a stuffy or runny nose. For sexual health to be attained and maintained long enough for sexual intercourse or other sexual activity to take place. Penile erection for a sufficient period of time that is needed to start the whole process. You take, including herbal remedies. Your central nervous system sends nerve impulses that increase blood flow into the penis during sexual stimulation.