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I would like to say it has been difficult for me to discuss this subject. I am 57 and it has been about 4 years of struggling. Now I find that cialis 20mg works pretty well for me. Better than viagra which work 60% of the time, cialis is like 90% effective. However, several times now after using it I get pains in the left side of my head later it will go into my upper left teeth and gum. My MD gave me tegretol which takes it away after a day or two but I don't think this is a neuralgia deal. I hate to give up cialis but it certainly seems to be in the picture everytime I get the headpain. I actually feel dizzy and numb two when it hurts. Any similar expreiences and advice appreciated. ray