cialis can cause decreased tone of the les in the distal esophagus predisposing to active gerd symptoms particularly in patients whose systolic bp decreases for the initial 2-3 hours following ingestion. while not considered to be an absolute contraindication except in those with known ihd the patient should discuss this tendency with his pcp before continuing to take cialis at any dose.
what causes cialis to give me heartburn. it seems when i first take cialis there are no side effects but then as time moves on it develops and i have to take rolaids tums etc. in addition it makes me feel out of sorts for a couple days. to further explain this happened when i took 10 to 20 mgs before the "occasion". i've now started taking 5 mgs daily for ed and the same problem is occurring. will this go away after i've taken the drug for awhile or will i have to just take it and deal with it?