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 제목 : 3/2 주님 내가 여기 있사오니(몽골 탐방 보고)
 
이름 : 최인환 2008-03-01 21:49:39, 조회 : 8,238, 추천 : 323

성경말씀 : 사도행전 1장 8절  
    
설교제목 : 주님 내가 여기 있사오니

외노센터 최인환, 조진희 부장 몽골탐방기(08년 2월 18 - 23일)


불교사원방문.
큰 향로 안에서 향을 피우고 중간중간 나있는 구멍사이로 손을 넣어 향을 맡으며 돌면 염불을
외우는 것과 같다고 한다.


울람바타르 시내에서 가장 큰 장그라식(?)사원이며 건물안에는 밑에 보이는 큰 불상이 서있다.
세계 어딜가나 기복신앙이 근간을 이루듯 여기도 복을 빌기 위해 온 신도들로 상당히 붐볐다.


울랍바타를르시내를 거닐다 보면 몽골이라는 생각보다는 한국의 시골에 와있는 느낌이다.
일본차와 한국차가 거의 반반일 정도로 한국차가 많이 돌아다니고 시내 곧곧에는 한글이 써있다.




몽골의 "우체국" 정도로 보면 될 듯하다. 우편제도가 많이 발달 하지 않아 우리나라처럼 우편물이 집으로
배달 되는것이 아니라 우편물을 맡기고 또 주인이 와서 찾아가곤 한다. 여기는 특히 한국에서 오는 물건을
맡아두는 우체국이로 태국기가 벽에 걸려있고 제주도 그림등 한국 사무실 냄새가 물씬 풍긴다.
사무실을 찍고 싶었으나 거부하셔서 벽에 태극기만 찍을 수 있었다.


몽골 도심의 간판 모습.


몽골의 슈퍼에는 어디든 한국 물품이 가득했다. 라면 고추장 심지어 김치까지 한국에서 먹던 대부분을 어렵지 않게
구할수도 있다. 그만큼 한국과 몽골이 가깝다는 것을 느낄수 있는 부분 중 하나였다.


'저르산' 이라는 곳으로 러시아와 중국의 동맹 기념으로 세워진 기념 탑으로 울람바타르 시내를 한눈에
내려다 볼 수있는 위치에 있다.


울람비타르 시내 전경. 겨울철 아파트가 아닌 대부분의 가정에서는 석탄 연료로 써서 공기가  뿌옇게 흐려있다.



우리나라의 길가 돌탑처럼 돌을 던지고 복을 비는 곳이다. 몽골을 다니며 많이 본 풍경 중 하나이다


우리와 함께 한국에서 간 몽골 국제결혼 이주여성 채린(본명: 체렌수렌)씨다.
그녀가 가리키는 곳은 그녀가 다니던 대학이다.


몽골식당에서의 첫 식사. 양고기 냄새가 특이하고 쉽게 적응하기 힘들었다.


몽골의 스키장 겸 눈썰매장이다. 한국의 눈썰매장 크기로 눈은 자연눈을 그대로 이용한다.
리프트나 야간스키를 기대하기보다는 어렸을적 비료포대를 타고 즐거웠던 기억을 생각하며
탄다면 더없이 즐거울 것이다.



맨 오른쪽이 운전으로 함께 고생해준 바트씨, 털모자 쓰신분이 우리에게 숙식을 제공해주신 엄바씨


보드카를 뿌리고 돌 3개를 한바퀴 돌때마다 던지면서 여행길의 안전을 비는 모습. 길 옆 곳곳에서 자주 볼수있다.




몽골의 게스트 하우스 같은 곳으로 땅이 넓어 먼길을 가야하는 여행객들이 들러 잠을 자기도 하고
먹을것도 먹으며 쉬어가는 곳.




7시간을 달려 도착한 '아르바힛' - 우리나라의 소도시와 같은 곳이다.


유목민족이라 예전에는 대부분 몽골 전통 집인 게르에 살았지만 산업화가 진행되면서 게르와
일반 주택이 혼용되어 살아가고 있다. 전통과 현재의 공존을 느낄수 있는 부분이다.


채린씨의 이모님들과 친적들. 가운데는 근래 신장병으로 고생하고 계신 할머니의 모습
채린씨는 할버니의 병세 악화 소식을 듣고 한국에서 많이 걱정 했었는데 얼굴을 뵈니 그나마 안심이
된다고 하였다.


한국의 맥주도 일반 가정에서 쉽게 볼수있다. 가운데 보이는 몽골 만두는 몽골 사람들이 놀러갈때,
손님을 대접할때, 또 자신들이 주식으로 많이 사용하며 만두 속은 양고기로 꽉차있다.


우리나라의 시청과 같이 아르바힛 시의 관공서로 이날 어린이 대상으로 공연이 있어 많은 어린이들이 모여 있었다.


천진난만하게 놀고 있는 아이들과 함께 어우러져 사진 한컷.


유목민족 답게 말을 굉장히 중요시한다. 특히 이 말은 대회에서 연속 우승한 준마를 기념해 동상을 세웠다.


몽골 전통 집인 겔의 내부 모습이다.
아기자기하게 생활할 수있는 대부분의 물품이 잘 정돈되어있다.


몽골 불교의 정신적 지주 달라이라마


한국에서 일한 경험이 있거나 가려고 준비중인 마을 사람들 60~70명이
모여주어 채린씨의 통역 도움으로 상담 및 활동 소개를 실시하였다.






몽골의 "EAGLES" 방송사와 인터뷰


울람바타르의 자연사 박물관을 구경해 보았다. 넓은 땅과 다양한 기후 속에서 살아가던 많은 동식물들을 볼수있다.




우리나라의 청와대와 같은 곳으로 몽골 대통령이 근무하는 곳이다. 우리나라와 같이 경비가 삼엄하지 않고
서울 시청처럼 큰 광장과 연결 되어있다. 가운데 동상은 칭기즈칸로 몽골인에게 칭기스칸이라는 인물의 존재감에
대해 느낄 수 있던 곳이었다.






몽골의 여승사원이다. 이날은 여승사원에서 특별 기도가 있는 날이라 하여 복을 빌고자 하는 많은 신도들이 모여있었다.


몽골의 라디오 인터뷰 모습.





몽골의 여당 당사.


한국의 예술의 전당과 같은격의 공연장이다. 이날 코미디 뮤지컬이 하는날이라 하여 그동안 우리의 일정을 도와준
분들을 대접하고자 함께 공연을 보게되었다. 비용은 일인당 몽골돈으로 5500원.


운전으로 도와주심 감바씨.


채린씨의 작은아버지댁 식구들이다. 왼쪽에서 3번재가 채린씨 작은어머니며 오른쪽에서 3번재가 사촌 오빠이다.
채린씨 작은 어머니는 한국에서 노동자로 일하셨던 경험이 있으셔서 한국 노래를 곧잘 부르시곤 했다. 사촌 오빠는
몽골 대학의 교수라고 한다.


~후기~

우리의 일정은 호텔이나 전문 식당을 가볼수 있는 여행이 아니었다.
몽골 사람들이 실제 살아가고 있는 집에서 그들과 먹을 것을 함께 먹으며 일정을 지내왔다.
그렇게 경험하게 된 몽골은 현재 한국과 상당히 가까운 나라로 생각된다.
생김새도 비슷해 서양인들과는 달리 큰 이질감이 없고 한국에서 이주노동자로 한국 문화를 경험하고 돌아갔던 사람들로 인해 곳곳에서 한국이라는 문화 코드와 쉽게 접할 수 있었기때문이다.    
또한 한국과 몽골과의 경제적 연합의 가능성도 논의 되고있는 것으로 알고있다.
물론 이것은 정치적 문제이겠지만 이러한 논의가 오갈 정도로 두 나라는 상당히 가깝게 존재하고 있다.
하지만 구 러시아의 영향을 받은 몽골과 한국의  문화적 차이는 분명했다.
한국의 문화가 주요 트렌드로 자리잡고있긴 했지만 이것은 그들의 전통이 아닌 하나의 흐름으로 지나갈 수  있을 것이라는 생각이 든다.

이번 탐방을 통해 몽골이라는 새로운 문화와의 중요한 만남과 더불어 그들 속의 한국을 볼 수 있어 좋은 기회였다.
하지만 우리가 맹종하는 서구의 문화와 달리 너무도 가까이있는 이들의 문화에 맹인인 우리의 모습을 바라보며 '한국에서 외국인 노동자라는 이유로 무시하며 이들의 존중받아야 할 문화까지 무시해왔던 것은  아닐까?' 라는 씁쓸한 생각을 하며 나름의 반성을 해보게 되었다.

외노센터 실무자로서 좁은 견문을 넓힐 수 있도록 기회를 주신 소장님과 자리를 비운사이 고생해주신 실무자님들, 그리고 안전한 탐방이 될 수 있도록 기도와 마음으로 함께 해주신 모든 분들께 감사를 드립니다.  

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FAQs
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IMPORTANT SAFETY INFORMATION
|
HEALTHCARE PROFESSIONALS

Prescribing Information
|
Patient Information
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En espaol

CIALIS (tadalafil) tablets
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HOME
ABOUT ED AND BPH
TREATMENT OPTIONS
GETTING CIALIS
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Home / Treatment options

Treatment options
2 ways to take CIALIS for ED
CIALIS for daily use (5 mg) for ED and the signs and symptoms of BPH
CIALIS side effects

Treatment options

Click on the tabs below to find a range of information about the different CIALIS treatment options, including how soon you can see results, how to take CIALIS, and tips for remembering to take it.

CIALIS for daily
use for ED
36-hour CIALIS
for ED
CIALIS for daily use (5 mg) for both ED and
the signs and symptoms of BPH

CIALIS for daily use (2.5 mg, 5 mg) for erectile dysfunction (ED)
You don’t have to plan sex around a pill

You take 1 tablet once a day at about the same time every day, so you can be ready anytime the moment is right*no matter when that might be. With CIALIS for daily use, men with ED can be more confident in their ability to be ready.

*Individual results may vary. Not studied for multiple attempts per dose.
How soon can I see results?

CIALIS for daily use should be taken once a day, every day at about the same time. Avoid skipping doses and do not split tablets.* It may take up to 4 to 5 days before CIALIS for daily use may start to work for your ED and you are able to have successful intercourse, or you may get results earlier. If you are not satisfied with the results, talk to your doctor or healthcare provider, who may recommend an adjustment to your CIALIS dosage.

*The impact of a missed day of therapy has not been studied, but impact on efficacy is likely to vary by patient. Some patients may notice reduced efficacy from missing a single dose, while others may not.
CIALIS for daily use for ED is available in 2 doses as 2.5 mg and 5 mg tablets

Your healthcare provider may start you on one dose and then adjust it, depending on how your body responds to the medicine. Both doses have been approved for men, whether their ED is mild, moderate, or severe. The recommended starting dose of CIALIS for daily use for the treatment of ED is 2.5 mg.

Do not take CIALIS for daily use more than one time each day, and do not take 36-hour CIALIS*† for use as needed or any other ED treatments while taking CIALIS for daily use. Taking an amount other than the dose prescribed can be dangerous, ineffective, or both.

*Individual results may vary. Not studied for multiple attempts per dose.

†In clinical trials, 36-hour CIALIS taken as needed was shown to improve, up to 36 hours after dosing, the ability of men with ED to have a single successful intercourse attempt.
The most important information you should know about CIALIS

CIALIS can cause your blood pressure to drop suddenly to an unsafe level if it is taken with certain other medicines. You could get dizzy, faint, or have a heart attack or stroke.

Do not take CIALIS if you take any medicines called "nitrates." Nitrates are commonly used to treat angina. Angina is a symptom of heart disease and can cause pain in your chest, jaw, or down your arm.

Medicines called nitrates include nitroglycerin that is found in tablets, sprays, ointments, pastes, or patches. Nitrates can also be found in other medicines such as isosorbide dinitrate or isosorbide mononitrate. Some recreational drugs called “poppers” also contain nitrates, such as amyl nitrite and butyl nitrite
Ask your healthcare provider or pharmacist if you are not sure if any of your medicines are nitrates (See Who should not take CIALIS?)

Tell all of your healthcare providers that you take CIALIS. If you need emergency medical care for a heart problem, it is important for your healthcare provider to know when you last took CIALIS.

After taking a single tablet, some of the active ingredient of CIALIS remains in your body for more than 2 days. The active ingredient can remain longer if you have problems with your kidneys or liver, or you are taking certain other medications.

Stop sexual activity and get medical help right away if you get symptoms such as chest pain, dizziness, or nausea during sex. Sexual activity can put an extra strain on your heart, especially if your heart is already weak from a heart attack or heart disease. (See What are the possible side effects of CIALIS?)
Do not take CIALIS if you:

Take any medicines called "nitrates"
Use recreational drugs called "poppers" like amyl nitrite and butyl nitrite (See What is the most important information I should know about CIALIS?)
Are allergic to CIALIS or ADCIRCA® (tadalafil), or any of its ingredients. Symptoms of an allergic reaction may include:
Rash
Hives
Swelling of the lips, tongue, or throat
Difficulty breathing or swallowing

Call your healthcare provider or get help right away if you have any of the symptoms of an allergic reaction listed above.
Information about other medicines that can affect CIALIS

Tell your healthcare provider about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements. CIALIS and other medicines may affect each other. Always check with your healthcare provider before starting or stopping any medicines. Especially tell your healthcare provider if you take any of the following*:

Medicines called nitrates (See What is the most important information I should know about CIALIS?)
Medicines called alpha-blockers. These include Hytrin® (terazosin HCl), Flomax® (tamsulosin HCl), Cardura® (doxazosin mesylate), Minipress® (prazosin HCl), Uroxatral® (alfuzosin HCl), Jalyn® (dutasteride and tamsulosin HCl), and Rapaflo® (silodosin). Alpha-blockers are sometimes prescribed for prostate problems or high blood pressure. If CIALIS is taken with certain alpha-blockers, your blood pressure could suddenly drop. You could get dizzy or faint
Other medicines to treat high blood pressure (hypertension)
Medicines called human immunodeficiency virus (HIV) protease inhibitors, such as ritonavir (Norvir®) or lopinavir/ritonavir (Kaletra®)
Some types of oral antifungals such as ketoconazole (Nizoral®) or itraconazole (Sporanox®)
Some types of antibiotics such as clarithromycin (Biaxin®), telithromycin (Ketek®), erythromycin (several brand names exist; please consult your healthcare provider to determine if you are taking this medicine)
Other medicines or treatments for ED
CIALIS is also marketed as ADCIRCA for the treatment of pulmonary arterial hypertension. Do not take both CIALIS and ADCIRCA. Do not take sildenafil citrate (Revatio®) with CIALIS

*The brands listed are trademarks of their respective owners and are not trademarks of Eli Lilly and Company. The makers of these brands are not affiliated with and do not endorse Eli Lilly and Company or its products.
How to take CIALIS for daily use (2.5 mg, 5 mg) for ED

Take CIALIS exactly as your healthcare provider prescribes it. Your healthcare provider will prescribe the dose that is right for you. Do not take CIALIS more than one time each day
CIALIS for daily use should be taken once a day, every day at about the same time. Avoid skipping doses and do not split tablets*
If you miss a dose, take it when you remember. However, do not take CIALIS more than one time each day
Some men can only take a low dose of CIALIS or may have to take it less often, because of medical conditions or medicines they take
Do not change your dose or the way you take CIALIS without talking to your healthcare provider. Your healthcare provider may lower or raise your dose, depending on how your body reacts to CIALIS and your health condition
CIALIS may be taken with or without meals
If you take too much CIALIS, call your healthcare provider or emergency room right away
Some form of sexual stimulation is needed for an erection to happen with CIALIS

*The impact of a missed day of therapy has not been studied, but the impact on efficacy is likely to vary by patient. Some patients may notice reduced efficacy from missing a single dose, while others may not.
What to avoid when taking CIALIS

Do not use other ED medicines or ED treatments while taking CIALIS
Avoid drinking too much alcohol (for example, 5 glasses of wine or 5 shots of whiskey) when you take CIALIS. Drinking too much alcohol may cause a headache or dizziness, an increase in your heart rate, or a drop in your blood pressure
Do not split CIALIS tablets. CIALIS tablets are not scored down the middle, so you may not be able to break one exactly in half. If a CIALIS tablet is not split exactly in half, you may not receive an adequate dose or you may receive a larger dose than you need. If you do not get the proper dose, you may not get the results you are hoping for

Tips for remembering to take CIALIS for daily use (2.5 mg, 5 mg) for ED

The following suggestions may help you remember to take your CIALIS for daily use for ED every day. You can use any of these tips, or find your own personal way to remember to take your CIALIS for daily use, so that you can be ready anytime the moment is right.*†

*Individual results may vary. Not studied for multiple attempts per dose.

†In clinical trials, 36-hour CIALIS taken as needed was shown to improve, up to 36 hours after dosing, the ability of men with ED to have a single successful intercourse attempt.

Make it a part of your routine Take your CIALIS for daily use with your favorite morning beverage or evening meal.

Keep track of your daily dose When you receive your CIALIS for daily use at the pharmacy, your pharmacist may give you CIALIS packaged in a blister pack with the days of the week printed on the back to make it easier to know if you missed a dose. If your pharmacist dispenses the tablets in a bottle instead, you can mark the calendar to help you remember that you've taken your CIALIS. Do not take CIALIS more than one time each day.

Keep your CIALIS in a convenient spot It's understandable that you may not want to leave your CIALIS out in plain view for everyone to see, but you should find a location within your home that is a convenient place for you to take your medication every day. Always store CIALIS in its original package at room temperature, between 59°F and 86°F (15°C and 30°C), and keep CIALIS and all medicines out of the reach of children. Try keeping CIALIS:

In your nightstand
In your dresser
Inside your grooming kit

Take it with you when you travel When you're away from home, store your CIALIS for daily use in your grooming kit. That way, when you brush your teeth in the morning or before bed, you'll remember to take it. The grooming kit should not be stored in a bathroom if it does not meet the room temperature requirements.

Mark your calendar Make a small "x" on the day's date as soon as you take CIALIS for daily use to help remind you that you took it.

Be a techie You can add notes or set a reminder on your mobile phone to alert you when it is time to take your CIALIS.

Don't wait until the last minute to get a refill Plan ahead so that you won't miss a dose of CIALIS for daily use.

Sign up for refill notices If your local pharmacy offers a prescription reminder program, you can receive notices when it's time to pick up your next refill.

Get 30 tablets of CIALIS for daily use for FREE.

BACK: How CIALIS for daily
use (5 mg) may
treat the signs and
symptoms of BPH
NEXT: 2 ways to take CIALIS
for ED

CIALIS is approved to treat erectile dysfunction (ED), the signs and symptoms of benign prostatic hyperplasia (BPH), and both ED and the signs and symptoms of BPH. Taking CIALIS with finasteride when starting BPH treatment has been studied for 26 weeks. CIALIS is not for women or children.
Important Safety Information for CIALIS® (tadalafil) tablets

What Is The Most Important Information I Should Know About CIALIS?

Do not take CIALIS if you:

take medicines called “nitrates” such as isosorbide dinitrate or isosorbide mononitrate which are often prescribed for chest pain as the combination may cause an unsafe drop in blood pressure
use recreational drugs called “poppers” like amyl nitrite and butyl nitrite
are allergic to CIALIS or ADCIRCA® (tadalafil), or any of its ingredients. Call your healthcare provider or get help right away if you experience any symptoms of an allergic reaction, such as rash, hives, swelling of the lips, tongue or throat, or difficulty breathing or swallowing

After taking a single tablet, some of the active ingredient of CIALIS remains in your body for more than 2 days. The active ingredient can remain longer if you have problems with your kidneys or liver, or you are taking certain other medications.

Stop sexual activity and get medical help right away if you get symptoms such as chest pain, dizziness, or nausea during sex. Sexual activity can put an extra strain on your heart, especially if your heart is already weak from a heart attack or heart disease.

What Should I Tell My Healthcare Provider Before Taking CIALIS?

CIALIS is not right for everyone. Only your healthcare provider and you can decide if CIALIS is right for you. Ask your healthcare provider if your heart is healthy enough for you to have sexual activity. You should not take CIALIS if your healthcare provider has told you not to have sexual activity because of your health problems. Before taking CIALIS, tell your healthcare provider about all your medical problems, particularly if you have or ever had:

heart problems such as chest pain (angina), heart failure, irregular heartbeats, or have had a heart attack
high or low blood pressure or have high blood pressure that is not controlled
stroke
liver or kidney problems or require dialysis
retinitis pigmentosa, a rare genetic (runs in families) eye disease
severe vision loss, including a condition called NAION
stomach ulcers or a bleeding problem
a deformed penis shape or Peyronie's disease
an erection that lasted more than 4 hours
blood cell problems such as sickle cell anemia, multiple myeloma, or leukemia

Can Other Medicines Affect CIALIS?

Tell your healthcare provider about all the medicines you take especially if you take:

medicines called “nitrates” which are often prescribed for chest pain
alpha-blockers often prescribed for prostate problems
blood pressure medications
medicines for HIV or some types of oral antifungal medications
some types of antibiotics such as clarithromycin, telithromycin, erythromycin (several brand names exist, please contact your healthcare provider to determine if you are taking this medicine)
other medicines or treatments for erectile dysfunction (ED)
CIALIS is also marketed as ADCIRCA for the treatment of pulmonary arterial hypertension. Do not take both CIALIS and ADCIRCA. Do not take sildenafil citrate (Revatio®)* with CIALIS.

What Should I Avoid While Taking CIALIS?

Do not use other ED medicines or ED treatments while taking CIALIS.
Do not drink too much alcohol when taking CIALIS (for example, 5 glasses of wine or 5 shots of whiskey). Drinking too much alcohol can increase your chances of getting a headache or getting dizzy, increasing your heart rate, or lowering your blood pressure.

What Are The Possible Side Effects Of CIALIS?

The most common side effects with CIALIS are: headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose. These side effects usually go away after a few hours. Men who get back pain and muscle aches usually get it 12 to 24 hours after taking CIALIS. Back pain and muscle aches usually go away within 2 days. Call your healthcare provider if you get any side effect that bothers you or one that does not go away.

Uncommon but serious side effects include:

An erection that won't go away: If you get an erection lasting more than 4 hours, seek immediate medical help to avoid long-term injury.

In rare instances, men taking prescription ED tablets, including CIALIS, reported a sudden decrease or loss of vision or hearing (sometimes with ringing in the ears and dizziness). It's not possible to determine if these events are related directly to the ED tablets or to other factors. If you have a sudden decrease or loss of vision or hearing, stop taking any ED tablet, including CIALIS and call a healthcare provider right away.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

CIALIS does not:

cure ED
increase a man’s sexual desire
protect a man or his partner from sexually transmitted diseases, including HIV
serve as a male form of birth control

CIALIS is available by prescription only. For additional information, talk to your healthcare provider and see full Patient and Prescribing Information.

*The brand listed is a trademark of its respective owner and is not a trademark of Eli Lilly and Company. The maker of this brand is not affiliated with and does not endorse Eli Lilly and Company or its products.

TD Con-F ISI 03FEB2012
Ask Lilly | Privacy Statement | Terms of Use | Copyright | Site Map

2014, Lilly USA, LLC. All rights reserved. This site is intended for use by United States residents aged 18 or older.

TD87975 01/2014
Lilly

CIALIS is approved to treat erectile dysfunction (ED), the signs and symptoms of benign prostatic hyperplasia (BPH), and both ED and the signs and symptoms of BPH. Taking CIALIS with finasteride when starting BPH treatment has been studied for 26 weeks. CIALIS is not for women or children.
Important Safety Information for CIALIS® (tadalafil) tablets

What Is The Most Important Information I Should Know About CIALIS?

Do not take CIALIS if you:

take medicines called “nitrates” such as isosorbide dinitrate or isosorbide mononitrate which are often prescribed for chest pain as the combination may cause an unsafe drop in blood pressure
use recreational drugs called “poppers” like amyl nitrite and butyl nitrite
are allergic to CIALIS or ADCIRCA® (tadalafil), or any of its ingredients. Call your healthcare provider or get help right away if you experience any symptoms of an allergic reaction, such as rash, hives, swelling of the lips, tongue or throat, or difficulty breathing or swallowing

After taking a single tablet, some of the active ingredient of CIALIS remains in your body for more than 2 days. The active ingredient can remain longer if you have problems with your kidneys or liver, or you are taking certain other medications.

Stop sexual activity and get medical help right away if you get symptoms such as chest pain, dizziness, or nausea during sex. Sexual activity can put an extra strain on your heart, especially if your heart is already weak from a heart attack or heart disease.

What Should I Tell My Healthcare Provider Before Taking CIALIS?

CIALIS is not right for everyone. Only your healthcare provider and you can decide if CIALIS is right for you. Ask your healthcare provider if your heart is healthy enough for you to have sexual activity. You should not take CIALIS if your healthcare provider has told you not to have sexual activity because of your health problems. Before taking CIALIS, tell your healthcare provider about all your medical problems, particularly if you have or ever had:

heart problems such as chest pain (angina), heart failure, irregular heartbeats, or have had a heart attack
high or low blood pressure or have high blood pressure that is not controlled
stroke
liver or kidney problems or require dialysis
retinitis pigmentosa, a rare genetic (runs in families) eye disease
severe vision loss, including a condition called NAION
stomach ulcers or a bleeding problem
a deformed penis shape or Peyronie's disease
an erection that lasted more than 4 hours
blood cell problems such as sickle cell anemia, multiple myeloma, or leukemia

Can Other Medicines Affect CIALIS?

Tell your healthcare provider about all the medicines you take especially if you take:

medicines called “nitrates” which are often prescribed for chest pain
alpha-blockers often prescribed for prostate problems
blood pressure medications
medicines for HIV or some types of oral antifungal medications
some types of antibiotics such as clarithromycin, telithromycin, erythromycin (several brand names exist, please contact your healthcare provider to determine if you are taking this medicine)
other medicines or treatments for erectile dysfunction (ED)
CIALIS is also marketed as ADCIRCA for the treatment of pulmonary arterial hypertension. Do not take both CIALIS and ADCIRCA. Do not take sildenafil citrate (Revatio®)* with CIALIS.

What Should I Avoid While Taking CIALIS?

Do not use other ED medicines or ED treatments while taking CIALIS.
Do not drink too much alcohol when taking CIALIS (for example, 5 glasses of wine or 5 shots of whiskey). Drinking too much alcohol can increase your chances of getting a headache or getting dizzy, increasing your heart rate, or lowering your blood pressure.

What Are The Possible Side Effects Of CIALIS?

The most common side effects with CIALIS are: headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose. These side effects usually go away after a few hours. Men who get back pain and muscle aches usually get it 12 to 24 hours after taking CIALIS. Back pain and muscle aches usually go away within 2 days. Call your healthcare provider if you get any side effect that bothers you or one that does not go away.

Uncommon but serious side effects include:

An erection that won't go away: If you get an erection lasting more than 4 hours, seek immediate medical help to avoid long-term injury.

In rare instances, men taking prescription ED tablets, including CIALIS, reported a sudden decrease or loss of vision or hearing (sometimes with ringing in the ears and dizziness). It's not possible to determine if these events are related directly to the ED tablets or to other factors. If you have a sudden decrease or loss of vision or hearing, stop taking any ED tablet, including CIALIS and call a healthcare provider right away.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

CIALIS does not:

cure ED
increase a man’s sexual desire
protect a man or his partner from sexually transmitted diseases, including HIV
serve as a male form of birth control

CIALIS is available by prescription only. For additional information, talk to your healthcare provider and see full Patient and Prescribing Information.

*The brand listed is a trademark of its respective owner and is not a trademark of Eli Lilly and Company. The maker of this brand is not affiliated with and does not endorse Eli Lilly and Company or its products.

TD Con-F ISI 03FEB2012
OPEN

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