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Precautions

Do NOT use Tadalis SX if:

• you are allergic to your ingredient in Tadalis SX
• you've got severe kidney or liver problems, certain hereditary eye problems (eg, retinitis pigmentosa), or if happen to be on dialysis
• you've got pulmonary veno-occlusive disease (PVOD)
• you have a nitrate (eg, isosorbide, nitroglycerin) of any type (eg, tablet, capsule, patch, spray, ointment), or nitroprusside
• you take another medicine made up of tadalafil, another PDE5 inhibitor (eg, sildenafil, vardenafil), an azole antifungal (eg, itraconazole, ketoconazole), or rifampin
• you use certain recreational drugs called "poppers" (eg, amyl nitrate or nitrite, butyl nitrate or nitrite).

Contact your physician or physician without delay if any of these apply to you.

Some medical conditions may communicate with Tadalis SX. Tell your medical professional or pharmacist for those who have any health conditions, particularly if any from the following apply to you:

• if you adopt any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• for those who have allergies to medicines, foods, and other substances
• in case you have a good reputation for an extended (more than 4 hours) or painful erection (priapism)
• for those who have a deformed penis (eg, Peyronie disease, cavernosal fibrosis), certain blood cell problems (eg, sickle cell anemia, leukemia, multiple myeloma), or other conditions that will increase the risk of an extended or painful erection (priapism)
• in case you have low blood pressure levels, uncontrolled high blood pressure, circulatory problems, angina (chest pain), cardiovascular disease (eg, heart valve disease, congestive heart failure, irregular heartbeat) or perhaps a reputation these conditions
• for those who have a history of heart attack, stroke, life-threatening irregular heartbeat, liver or kidney problems, dialysis, ulcers, or bleeding problems
• for those who have a good eye or vision problems (eg, decreased vision or vision loss, optic nerve problems, retina problems) or hearing difficulties (eg, ringing inside ears, decreased hearing, hearing problems)
• if you're taking medicine for erection dysfunction (ED).

Some medicines may talk with Tadalis SX. Tell your health care provider if you take some other medicines, especially any in the following:

• Alpha-blockers (eg, doxazosin), medicines for high blood pressure level, or nitrates (eg, isosorbide, nitroglycerin) because severe low blood pressure with dizziness, lightheadedness, and fainting may occur
• Azole antifungals (eg, itraconazole, ketoconazole), HIV protease inhibitors (eg, ritonavir), macrolide antibiotics (eg, erythromycin), or telithromycin because they might increase the probability of Tadalis SX's negative effects
• Barbiturates (eg, phenobarbital), bosentan, carbamazepine, hydantoins (eg, phenytoin), or rifampin because they may decrease Tadalis SX's effectiveness.

This might not be a complete report on all interactions that will occur. Ask your medical provider if Tadalis SX may connect to other medicines that you are taking. Check together with your physician before you decide to start, stop, or customize the dose from a medicine.

 Important safety information:

• Tadalis SX could potentially cause dizziness, drowsiness, fainting, or blurred vision. These effects could possibly be worse should you get it with alcohol or certain medicines. Use Tadalis SX with caution. Do not drive or perform other possible unsafe tasks until you discover how you reply to it.
• Tadalis SX could potentially cause dizziness, lightheadedness, or fainting; alcohol, warm weather, exercise, or fever may increase these effects. To prevent them, crunch or stand slowly, especially within the morning. Sit or take a nap at the first symbol of any of these effects.
• Do not drink considerable amounts of alcohol (eg, 4 or 5 drinks or maybe more) while you are taking Tadalis SX. Doing so may enhance your risk of dizziness, headache, fast heartbeat, and low blood pressure level.
• Patients with cardiovascular disease who take Tadalis SX could be at increased risk for heart-related unwanted side effects, including cardiac event or stroke. Symptoms of a cardiac arrest can sometimes include chest, shoulder, neck, or jaw pain; numbness of the branch; severe dizziness, headache, nausea, stomach pain, or vomiting; fainting; or vision changes. Symptoms of a stroke can include confusion; vision or speech changes; one-sided weakness; or fainting. Contact your physician or seek medical attention without delay in case you experience these symptoms.
• Tadalis SX may rarely cause a prolonged (eg, longer than 4 hours) or painful erection. This could happen even though you may are not having sex. If this is not treated immediately, it may cause permanent sexual difficulties for example impotence. Contact a medical expert straight away if this happens.
• 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.
• Rarely, a watch problem called nonarteritic anterior ischemic optic neuropathy (NAION) continues to be reported in patients who took Tadalis SX. This may lead to decreased vision or permanent lack of vision sometimes. If you notice an abrupt decrease in vision or loss of vision in a single or both eyes, contact your doctor without delay.
• Sudden decreases in hearing and loss of hearing are actually reported in some patients who've taken Tadalis SX. Sometimes additionally, they noticed ringing within the ears or dizziness. If you notice an unexpected decrease or loss of hearing, contact your doctor immediately.
• Do not use medicines or control of ED while you're taking Tadalis SX without first checking together with your doctor.
• Use Tadalis SX with caution in the elderly; they could possibly be more understanding of its effects.
• Use Tadalis SX with extreme caution in youngsters younger 18 years; safety and effectiveness in children have not been confirmed.