Certain exercises such as meditation have helped him in one way or the other but there has always been a search to help men in his erectile dysfunction in one visit, but follow-up visits may be necessary. Call your doctor if you get a side effect. This allows you to achieve and maintain a penile erection sufficient for sexual performance. Ask your pharmacist any questions you have about refilling your prescription. Cialis can cause your blood pressure so caution is advised when using this medicine in the elderly because they may be more sensitive to the side effects of Cialis.