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Precautions

Do NOT use Tadalis SX if:

• you are allergic to your ingredient in Tadalis SX
• you have 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 take a nitrate (eg, isosorbide, nitroglycerin) of any type (eg, tablet, capsule, patch, spray, ointment), or nitroprusside
• you adopt another medicine that contains 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 doctor without delay if some of these sign up for you.

Some medical ailments may communicate with Tadalis SX. Tell your doctor or pharmacist in case you have any medical conditions, particularly when any from the following sign up for you:

• if you are taking 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 a protracted (more than 4 hours) or painful erection (priapism)
• when you have a deformed penis (eg, Peyronie disease, cavernosal fibrosis), certain blood cell problems (eg, sickle cell anemia, leukemia, multiple myeloma), and other conditions that will increase the likelihood of a prolonged or painful erection (priapism)
• when you have low blood pressure, uncontrolled high hypertension, circulatory problems, angina (chest pain), heart problems (eg, heart valve disease, congestive heart failure, irregular heartbeat) or perhaps a reputation these conditions
• in case you have a reputation heart attack, stroke, life-threatening irregular heartbeat, liver or kidney problems, dialysis, ulcers, or bleeding problems
• if you have a good reputation for eye or vision problems (eg, decreased vision or vision loss, optic nerve problems, retina problems) or the loss of hearing (eg, ringing within the ears, decreased hearing, hearing problems)
• if you adopt medicine for erectile dysfunction (ED).

Some medicines may talk with Tadalis SX. Tell your doctor if you adopt some other medicines, especially any of the following:

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

This is probably not an entire set of all interactions that may occur. Ask your medical provider if Tadalis SX may interact with other medicines that you are taking. Check along with your doctor prior to deciding to start, stop, or customize the dose from a medicine.

 Important safety information:

• Tadalis SX could cause dizziness, drowsiness, fainting, or blurred vision. These effects may be worse in case you go with alcohol or certain medicines. Use Tadalis SX with caution. Do not drive or perform other possible unsafe tasks before you know how you react to it.
• Tadalis SX might cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, crunches or stand slowly, especially in the morning. Sit or lie down at the first manifestation of some of these effects.
• Do not drink considerable amounts of alcohol (eg, 4 or 5 drinks or higher) while you are taking Tadalis SX. Doing so may enhance your likelihood of dizziness, headache, fast heartbeat, and low blood pressure.
• Patients with heart problems having Tadalis SX could be at increased risk for heart-related side effects, including heart attack or stroke. Symptoms of a heart attack may 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 may include confusion; vision or speech changes; one-sided weakness; or fainting. Contact your doctor or seek medical help right away in case you experience these symptoms.
• Tadalis SX may rarely cause a protracted (eg, more than 4 hours) or painful erection. This could happen even if you aren't making love. If this is not treated immediately, it could possibly lead to permanent sexual dysfunctions including impotence. Contact your doctor without delay in such a circumstance.
• Tadalis SX may uncommonly cause mild, temporary vision changes (eg, blurred vision, sensitivity to light, blue/green color tint to vision). Contact a medical expert if vision changes persist or are severe.
• Rarely, an eye fixed problem called nonarteritic anterior ischemic optic neuropathy (NAION) may be reported in patients who took Tadalis SX. This may lead to decreased vision or permanent loss of vision in some cases. If you notice an abrupt decrease in vision or loss of vision a single or both eyes, contact your doctor without delay.
• Sudden decreases in hearing and decrease of hearing are already reported in most patients who may have taken Tadalis SX. Sometimes additionally, they noticed ringing inside ears or dizziness. If you notice an abrupt decrease or loss of hearing, speak to your doctor immediately.
• Do not use medicines or treating ED when you are taking Tadalis SX without first checking using your doctor.
• Use Tadalis SX with caution in the elderly; they might be more sensitive to its effects.
• Use Tadalis SX with warning in children younger 18 years; safety and effectiveness in kids have not been confirmed.