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Tadalafil is a potent phosphodiesterase (PDE5 inhibitors) enzyme inhibitor that works by dilating blood vessels in the penis, increasing blood flow to this region helping to get and maintain an erection in response to arousal.
Do not take tadalafil if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs such as "poppers". Taking tadalafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure.
Some medicines can cause unwanted or dangerous effects when used with tadalafil. Tell your doctor about all your current medicines, especially riociguat (Adempas).
Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.
Get medical help at once if you have nausea, chest pain, or dizziness during sex.
How to take it. Swallow your tablets whole with a drink of water or juice (but not grapefruit juice). For erectile dysfunction, take 1 tablet at least 30 minutes before you want to have sex.
Each tablet contains 20 mg of tadalafil and the following inactive ingredients: croscarmellose sodium, hydroxypropyl cellulose, lactose monohydrate, magnesium stearate, microcrystalline cellulose, sodium lauryl sulfate. The coating material contains hypromellose, lactose monohydrate, titanium dioxide and triacetin.
Common Tadalafil Side Effects:
Headaches, Flushing, Nosebleeds, Runny/stuffy nose, Upset stomach, Dizziness, Nausea, Muscle pain / Back Pain, Red and/or warm skin
Serious Side effects:
The side effects listed below are rare but more serious, and you should stop taking Tadalafil, and report these to your doctor immediately.