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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 you are on dialysis
• you've pulmonary veno-occlusive disease (PVOD)
• you require a nitrate (eg, isosorbide, nitroglycerin) in all forms (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 a medical expert or doctor straight away if any of these apply to you.

Some medical ailments may connect to Tadalis SX. Tell your medical professional or pharmacist if you have any medical conditions, especially if any from the following sign up for you:

• if you're taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, and other substances
• when you have a good reputation for a prolonged (a lot 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), or another conditions which could increase the likelihood of an extended or painful erection (priapism)
• in case you have low blood pressure levels, uncontrolled high blood pressure level, circulatory problems, angina (chest pain), heart disease (eg, heart valve disease, congestive heart failure, irregular heartbeat) or possibly a reputation these conditions
• if you have a good reputation for heart attack, stroke, life-threatening irregular heartbeat, liver or kidney problems, dialysis, ulcers, or bleeding problems
• when you have a good eye or vision problems (eg, decreased vision or vision loss, optic nerve problems, retina problems) or hearing problems (eg, ringing inside ears, decreased hearing, hearing problems)
• if you take medicine for erection dysfunction (ED).

Some medicines may connect to Tadalis SX. Tell your health care provider if you are taking another medicines, especially any of the following:

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

This will not be a complete list of all interactions that will occur. Ask your medical provider if Tadalis SX may interact with other medicines that you take. Check using your health care provider prior to deciding to start, stop, or change the dose of the medicine.

 Important safety information:

• Tadalis SX may cause dizziness, drowsiness, fainting, or blurred vision. These effects could 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 discover how you reply to it.
• 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 in the morning. Sit or lay down in the first manifestation of some of these effects.
• Do not drink large amounts of alcohol (eg, 4 or 5 drinks or more) while you're taking Tadalis SX. Doing so may enhance your chance of dizziness, headache, fast heartbeat, and low blood pressure levels.
• Patients with heart disease who take Tadalis SX could be at increased risk for heart-related side effects, including cardiac arrest or stroke. Symptoms of a cardiac arrest can include chest, shoulder, neck, or jaw pain; numbness of an arm or leg; 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 help without delay in the event you experience these symptoms.
• Tadalis SX may rarely cause a prolonged (eg, over 4 hours) or painful erection. This could happen even if you are not making love. If this is not treated straight away, it might cause permanent sexual difficulties including impotence. Contact your physician without delay should this happen.
• 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, a close look problem called nonarteritic anterior ischemic optic neuropathy (NAION) has become reported in patients who took Tadalis SX. This may lead to decreased vision or permanent lack of vision in some cases. If you notice a rapid reduction in vision or decrease of vision in one or both eyes, get hold of your doctor right away.
• Sudden decreases in hearing and loss of hearing happen to be reported in most patients who have taken Tadalis SX. Sometimes additionally they noticed ringing within the ears or dizziness. If you notice an unexpected decrease or decrease of hearing, contact your doctor without delay.
• Do not use medicines or treating ED if you are taking Tadalis SX without first checking along with your doctor.
• Use Tadalis SX with caution within the elderly; they could possibly be more sensitive to its effects.
• Use Tadalis SX with warning in children younger 18 years; safety and effectiveness in kids weren't confirmed.