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Precautions

Do NOT use Tadalis SX if:

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• you are allergic to any ingredient in Tadalis SX
• you have severe kidney or liver problems, certain hereditary eye problems (eg, retinitis pigmentosa), or if you are well on dialysis

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• you've pulmonary veno-occlusive disease (PVOD)
• you please take a nitrate (eg, isosorbide, nitroglycerin) in all forms (eg, tablet, capsule, patch, spray, ointment), or nitroprusside

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• you adopt another medicine that contains tadalafil, another PDE5 inhibitor (eg, sildenafil, vardenafil), an azole antifungal (eg, itraconazole, ketoconazole), or rifampin

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• you use certain recreational drugs called "poppers" (eg, amyl nitrate or nitrite, butyl nitrate or nitrite).

Contact your medical professional or doctor immediately if all of these sign up for you.

Some medical conditions may connect to Tadalis SX. Tell your doctor or pharmacist for those who have any health conditions, particularly when any with the following affect you:

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• if you're taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• when you have allergies to medicines, foods, or other substances

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• for those who have a good reputation for a protracted (greater than 4 hours) or painful erection (priapism)

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• if you have a deformed penis (eg, Peyronie disease, cavernosal fibrosis), certain blood cell problems (eg, sickle cell anemia, leukemia, multiple myeloma), or any other conditions that may increase the probability of a prolonged or painful erection (priapism)

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• when you have low blood pressure levels, uncontrolled high blood pressure, circulation problems, angina (chest pain), heart disease (eg, heart valve disease, congestive heart failure, irregular heartbeat) or even a reputation these conditions

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• for those who have a history of cardiac event, stroke, life-threatening irregular heartbeat, liver or kidney problems, dialysis, ulcers, or bleeding problems

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• in case you have a history of eye or vision problems (eg, decreased vision or vision loss, optic nerve problems, retina problems) or loss of hearing (eg, ringing in the ears, decreased hearing, hearing problems)

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• if you take medicine for impotence problems (ED).

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Some medicines may communicate with Tadalis SX. Tell your medical provider if you take another medicines, especially any from the following:

• Alpha-blockers (eg, doxazosin), medicines for high hypertension, or nitrates (eg, isosorbide, nitroglycerin) because severe low blood pressure levels with dizziness, lightheadedness, and fainting may occur

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• Azole antifungals (eg, itraconazole, ketoconazole), HIV protease inhibitors (eg, ritonavir), macrolide antibiotics (eg, erythromycin), or telithromycin simply because they might increase the likelihood of Tadalis SX's unwanted effects

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• Barbiturates (eg, phenobarbital), bosentan, carbamazepine, hydantoins (eg, phenytoin), or rifampin simply because they may decrease Tadalis SX's effectiveness.

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This may not be a complete listing of all interactions which could occur. Ask your doctor if Tadalis SX may connect to other medicines that you're taking. Check with your health care provider before you start, stop, or customize the dose of any medicine.

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 Important safety information:

• Tadalis SX may cause dizziness, drowsiness, fainting, or blurred vision. These effects may be worse should you go on it with alcohol or certain medicines. Use Tadalis SX with caution. Do not drive or perform other possible unsafe tasks and soon you discover how you react to it.

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• Tadalis SX could cause dizziness, lightheadedness, or fainting; alcohol, warm weather, exercise, or fever may increase these effects. To prevent them, crunches or stand slowly, especially inside morning. Sit or lay down with the first manifestation of any of these effects.
• Do not drink huge amounts of alcohol (eg, four or five drinks or maybe more) while you're taking Tadalis SX. Doing so may raise your risk of dizziness, headache, fast heartbeat, and low hypertension.
• Patients with heart problems having Tadalis SX could be at increased risk for heart-related unwanted effects, including heart attack or stroke. Symptoms of a cardiac event can sometimes include chest, shoulder, neck, or jaw pain; numbness associated with an branch; severe dizziness, headache, nausea, stomach pain, or vomiting; fainting; or vision changes. Symptoms of a stroke might include confusion; vision or speech changes; one-sided weakness; or fainting. Contact your medical professional or seek medical help straight away should you experience these symptoms.

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• Tadalis SX may rarely cause an extended (eg, over 4 hours) or painful erection. This could happen even if you are not making love. If this is not treated right away, it could possibly cause permanent sexual problems like impotence. Contact your medical professional immediately if this happens.

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• Tadalis SX may uncommonly cause mild, temporary vision changes (eg, blurred vision, sensitivity to light, blue/green color tint to vision). Contact your doctor if vision changes persist or are severe.

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• Rarely, an eye fixed problem called nonarteritic anterior ischemic optic neuropathy (NAION) continues to be reported in patients who took Tadalis SX. This may result in decreased vision or permanent decrease of vision in some cases. If you notice a sudden decrease in vision or loss in vision a single or both eyes, contact your doctor straight away.
• Sudden decreases in hearing and lack of hearing are already reported in most patients who may have taken Tadalis SX. Sometimes they also noticed ringing inside ears or dizziness. If you notice a sudden decrease or loss in hearing, get hold of your doctor without delay.
• Do not use medicines or control of ED while you are taking Tadalis SX without first checking together with your doctor.
• Use Tadalis SX with caution inside the elderly; they could possibly be more sensitive to its effects.

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• Use Tadalis SX with careful attention in youngsters younger 18 years; safety and effectiveness in kids are not confirmed.

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