There are major disruptions of power or water supply as the Caribbean island of St Vincent has been covered in a layer of ash after a volcano began erupting there on Friday.
The eruption of the La Soufrière volcano has forced indian cialis generic around 16,000 people to evacuate their homes.
People living on the nearby island of Barbados have also been told to stay indoors as the ash spreads through the air.
The volcano was dormant for decades but started to become active in December. Scientists low price cialis warn that eruptions could continue for days, or even weeks.