52 per pill KamaSutra Dotted Condoms KamaSutra Dotted Condoms have specially moulded dots on the outside to stimulate and intensify. 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. You are supposed to take the tablet about 40 minutes before having sex and can expect for up to 36 hours of efficiency, although this period can be different for different people. Taking Cialis with a nitrate can cause cialis tarnijad a serious decrease in blood pressure, leading to fainting, stroke, or heart attack.