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This can lower blood flow to your penis and affect your ability to feel physical sensation, including in your penis and surrounding tissue. ED is often an early warning sign ofunderlying cardiovascular disease, such as clogged arteries. Remember that even if you decide to go for another option like erectile dysfunction medication or devices like implants orpenis pumps, these can be used long term as well. Interestingly, once a day Cialis is not just an FDA approved treatment for ED. Rare side effects of all PDE5 inhibitors include a sudden loss of vision in one or both eyes nonarteritic anterior ischemic optic neuropathy and sudden loss of hearing.