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For that reason, it's essential that you initially talk to your physician if you are going to take any one of the following medicines while utilizing Cialis for impotence: efavirenz, rifampin, troleandomycin, medications for higher blood pressure, zafirlukast, clarithromycin, alpha blockers, cyclosporine, cimetidine, fluoxetine, antifungals, phenobarbital, aprepitant, treatments for impotence, sertraline, HIV protease inhibitors, ethosuximide, or phenytoin.