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Precautions

Do NOT use Tadalis SX if:

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• you are allergic to the ingredient in Tadalis SX

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• you've 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 got pulmonary veno-occlusive disease (PVOD)

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• you require a nitrate (eg, isosorbide, nitroglycerin) in any form (eg, tablet, capsule, patch, spray, ointment), or nitroprusside

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• you take another medicine made up of 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).

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Contact your doctor or health care provider without delay if any of these connect with you.

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Some medical conditions may talk with Tadalis SX. Tell your medical professional or pharmacist in case you have any health conditions, in particular when any from the following connect with you:

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• if you adopt any prescription or nonprescription medicine, herbal preparation, or dietary supplement

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• in case you have allergies to medicines, foods, or another substances

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• in case you have a history of an extended (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 another conditions that may increase the chance of a protracted or painful erection (priapism)

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• when you have low blood pressure level, uncontrolled high hypertension, circulation system problems, angina (chest pain), heart related illnesses (eg, heart valve disease, congestive heart failure, irregular heartbeat) or a good reputation for these conditions

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

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• when you have a good eye or vision problems (eg, decreased vision or vision loss, optic nerve problems, retina problems) or loss of hearing (eg, ringing within the ears, decreased hearing, hearing difficulties)

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

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• 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 given that they might increase the chance of Tadalis SX's unwanted side effects

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

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This will not be a whole report on all interactions that could occur. Ask your health care provider if Tadalis SX may interact with other medicines that you adopt. Check using your health care provider before you start, stop, or change the dose of the medicine.

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 Important safety information:

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

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• Tadalis SX might cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially inside the morning. Sit or lie down with the first sign of all of these effects.

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• Do not drink considerable amounts of alcohol (eg, four to five drinks or maybe more) while you adopt Tadalis SX. Doing so may enhance your likelihood of dizziness, headache, fast heartbeat, and low blood pressure levels.

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• Patients with heart disease having Tadalis SX could be at increased risk for heart-related negative effects, including cardiac arrest or stroke. Symptoms of a cardiac arrest can sometimes include chest, shoulder, neck, or jaw pain; numbness of the arm or; 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 a medical expert or seek medical attention straight away should you experience these symptoms.

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• Tadalis SX may rarely cause an extended (eg, longer than 4 hours) or painful erection. This could happen even though you may are certainly not having sexual intercourse. If this is not treated right away, it could bring about permanent sexual difficulties like impotence. Contact your medical professional without delay should this happen.

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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 physician if vision changes persist or are severe.

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• Rarely, a watch problem called nonarteritic anterior ischemic optic neuropathy (NAION) may be reported in patients who took Tadalis SX. This may result in decreased vision or permanent lack of vision occasionally. If you notice an abrupt decrease in vision or loss in vision in a single or both eyes, speak to your doctor immediately.

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• Sudden decreases in hearing and lack of hearing are actually reported in most patients who have taken Tadalis SX. Sometimes additionally, they noticed ringing in the ears or dizziness. If you notice a rapid decrease or loss in hearing, speak to your doctor without delay.

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• Do not use medicines or treatments for ED if you are taking Tadalis SX without first checking using your doctor.

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• Use Tadalis SX with caution in the elderly; they might be more responsive to its effects.

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• Use Tadalis SX with careful attention in kids younger 18 years; safety and effectiveness in kids weren't confirmed.

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