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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 you are on dialysis
• you've got pulmonary veno-occlusive disease (PVOD)
• you take a nitrate (eg, isosorbide, nitroglycerin) in any form (eg, tablet, capsule, patch, spray, ointment), or nitroprusside
• you adopt another medicine which has 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 health care provider straight away if these apply to you.

Some medical ailments may talk with Tadalis SX. Tell a medical expert or pharmacist if you have any health conditions, especially if any with the following affect you:

• if you take any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• for those who have allergies to medicines, foods, or other substances
• in case you have a good reputation for a prolonged (over 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), and other conditions that will increase the probability of a protracted or painful erection (priapism)
• for those who have low blood pressure level, uncontrolled high hypertension, blood vessel problems, angina (chest pain), cardiovascular disease (eg, heart valve disease, congestive heart failure, irregular heartbeat) or perhaps a reputation these conditions
• in case you have a good reputation for cardiac event, stroke, life-threatening irregular heartbeat, liver or kidney problems, dialysis, ulcers, or bleeding problems
• when you have a good reputation for 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 loss)
• if you're taking medicine for erection dysfunction (ED).

Some medicines may interact with Tadalis SX. Tell your medical provider if you adopt any other medicines, especially any in 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
• Azole antifungals (eg, itraconazole, ketoconazole), HIV protease inhibitors (eg, ritonavir), macrolide antibiotics (eg, erythromycin), or telithromycin because they could raise the probability of Tadalis SX's unwanted side effects
• Barbiturates (eg, phenobarbital), bosentan, carbamazepine, hydantoins (eg, phenytoin), or rifampin because they may decrease Tadalis SX's effectiveness.

This may not be a whole list of all interactions which could occur. Ask your medical provider if Tadalis SX may talk with other medicines that you take. Check with your physician before you start, stop, or customize the dose associated with a medicine.

 Important safety information:

• Tadalis SX might cause dizziness, drowsiness, fainting, or blurred vision. These effects may be worse if you get 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 respond to it.
• Tadalis SX may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, crunch or stand slowly, especially inside morning. Sit or lay down at the first symbol 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 probability of dizziness, headache, fast heartbeat, and low hypertension.
• Patients with heart problems who take Tadalis SX might be at increased risk for heart-related unwanted effects, including cardiac event or stroke. Symptoms of a heart attack can sometimes include chest, shoulder, neck, or jaw pain; numbness of your branch; severe dizziness, headache, nausea, stomach pain, or vomiting; fainting; or vision changes. Symptoms of a stroke can sometimes include confusion; vision or speech changes; one-sided weakness; or fainting. Contact your medical professional or seek medical attention straight away in case you experience these symptoms.
• Tadalis SX may rarely cause a protracted (eg, over 4 hours) or painful erection. This could happen even when you are certainly not making love. If this is not treated straight away, it could possibly lead to permanent sexual difficulties like impotence. Contact your physician straight away 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 your medical professional if vision changes persist or are severe.
• Rarely, an eye problem called nonarteritic anterior ischemic optic neuropathy (NAION) has been reported in patients who took Tadalis SX. This may bring about decreased vision or permanent loss of vision sometimes. If you notice a rapid loss of vision or loss of vision in a single or both eyes, contact your doctor without delay.
• Sudden decreases in hearing and lack of hearing happen to be reported in a few patients that have taken Tadalis SX. Sometimes additionally, they noticed ringing inside ears or dizziness. If you notice a sudden decrease or loss of hearing, speak to your doctor straight away.
• Do not use medicines or treatments for ED while you're taking Tadalis SX without first checking together with your doctor.
• Use Tadalis SX with caution in the elderly; they may be more understanding of its effects.
• Use Tadalis SX with extreme caution in youngsters younger 18 years; safety and effectiveness in youngsters have not been confirmed.