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Side Effects It’s important to be aware of any possible side effects from generic Vidalista 40 Cialis. Although many users tolerate the medication well, there are both frequent and rare adverse effects to consider. Commonly detrimental effects might consist of: Headache: Once the medication starts working, this frequent side effect generally goes away. Flushing: The most typical areas to notice a heated or reddening of the skin are the face and neck. A runny or stuffy nose is an indication of nasal congestion. Back pain: Mild to moderate back pain is a possibility for certain persons. Some individuals may experience these side effects differently, even though they are usually mild and quite frequent. Crucially, these adverse effects usually improve when your body adjusts to the medication.