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Precautions

Do NOT use Tadalis SX if:

• you are allergic to the 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 pulmonary veno-occlusive disease (PVOD)
• you have 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 medical professional or physician right away if some of these affect you.

Some medical ailments may connect to Tadalis SX. Tell a medical expert or pharmacist when you have any health concerns, especially if any of the following connect with you:

• if you adopt any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• in case you have allergies to medicines, foods, or other substances
• in case you have a good a prolonged (greater than 4 hours) or painful erection (priapism)
• in case you have a deformed penis (eg, Peyronie disease, cavernosal fibrosis), certain blood cell problems (eg, sickle cell anemia, leukemia, multiple myeloma), or other conditions which could increase the likelihood of a prolonged or painful erection (priapism)
• if you have low blood pressure levels, uncontrolled high blood pressure, circulatory problems, angina (chest pain), heart related illnesses (eg, heart valve disease, congestive heart failure, irregular heartbeat) or possibly a history of these conditions
• for those who have a good reputation for cardiac arrest, stroke, life-threatening irregular heartbeat, liver or kidney problems, dialysis, ulcers, or bleeding problems
• for those who 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 loss)
• if you take medicine for erectile dysfunction (ED).

Some medicines may communicate with Tadalis SX. Tell your health care provider if you're taking another medicines, especially any in the following:

• Alpha-blockers (eg, doxazosin), medicines for high hypertension, 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 could raise the chance of Tadalis SX's side effects
• Barbiturates (eg, phenobarbital), bosentan, carbamazepine, hydantoins (eg, phenytoin), or rifampin because they may decrease Tadalis SX's effectiveness.

This is probably not a whole list of all interactions which could occur. Ask your medical provider if Tadalis SX may connect to other medicines that you take. Check together with your health care provider when you start, stop, or customize the dose from a medicine.

 Important safety information:

• Tadalis SX might cause dizziness, drowsiness, fainting, or blurred vision. These effects might be worse if 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 know how you answer it.
• Tadalis SX could potentially cause dizziness, lightheadedness, or fainting; alcohol, warm weather, exercise, or fever may increase these effects. To prevent them, crunches or stand slowly, especially within the morning. Sit or lay down in the first sign of any of these effects.
• Do not drink a lot of alcohol (eg, 4 to 5 drinks or maybe more) while you take Tadalis SX. Doing so may improve your risk of dizziness, headache, fast heartbeat, and low blood pressure level.
• Patients with heart related illnesses having Tadalis SX may be at increased risk for heart-related negative effects, including cardiac arrest or stroke. Symptoms of a cardiac event may include chest, shoulder, neck, or jaw pain; numbness associated with an arm or; 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 physician or seek medical assistance immediately in the event you experience these symptoms.
• Tadalis SX may rarely cause a protracted (eg, more than 4 hours) or painful erection. This could happen even when you are not making love. If this is not treated right away, it could possibly bring about permanent sexual problems including impotence. Contact your doctor immediately 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) may be reported in patients who took Tadalis SX. This may bring about decreased vision or permanent loss in vision occasionally. If you notice an abrupt decline in vision or loss of vision in a single or both eyes, speak to your doctor without delay.
• Sudden decreases in hearing and loss of hearing are actually reported in a few patients that have taken Tadalis SX. Sometimes in addition they noticed ringing in the ears or dizziness. If you notice an unexpected decrease or decrease of hearing, get hold of your doctor without delay.
• Do not use medicines or treating ED while you're taking Tadalis SX without first checking using your doctor.
• Use Tadalis SX with caution inside elderly; they may be more responsive to its effects.
• Use Tadalis SX with warning in kids younger 18 years; safety and effectiveness in youngsters have not been confirmed.