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cialis drug Fil in the blood. If these drugs are being used at the same time as tadalafil cialis drug, the dose of tadalafil should be reduced in order to avoid side effects from high levels of tadalafil. Tadalafil exaggerates the increases in heart rate and lowering of blood pressure caused by nitrates cialis drug, e.g. nitroglycerin cialis drug, isosorbide dinitrate (Isordil) cialis drug, isosorbide mononitrate (Imdur cialis drug, Ismo cialis drug, Monoket) cialis drug, nitroglycerin (Nitro-Dur cialis drug, Transderm-Nitro) that are used primarily for treating heart pain (angina). In patients who take nitrates for angina cialis drug, tadalafil could cause heart pain or possibly even a heart attack by exaggerating the increase in heart rate and the lowering of blood pressure cialis drug.

cialis drug . Therefore cialis drug, tadalafil should not be used with nitrates. Tadalafil also exaggerates the blood pressure lowering effects of some alpha-blocking drugs e.g. cialis drug, terazosin (Hytrin) that primarily are used for treating high blood pressure or enlargement of the prostate. Individuals who take these alpha-blockers should be on a stable dose of the alpha-blocker before tadalafil is started. In such situations cialis drug, tadalafil should be started at the lowest dose. If the patient is already taking tadalafil cialis drug, the alpha-blocker should be started at the lowest dose. Tadalafil and alcohol both lower blood pressure. Therefore cialis drug, combining tadalafil with alcohol may cause excessive drops in blood pressure and cause dizziness cialis drug, headaches and increased heart rate. PREGNANCY: Tadalafil is not approved for use in women. NURSING MOTHERS: Tadalafil has not been evaluated in women who are breastfeeding. SIDE EFFECTS: The most common side effects of tadalafil are facial flushing (reddening) cialis drug, headaches cialis drug, stomach upset cialis drug, diarrhea cialis drug, flu-like symptoms and nausea. Tadalafil also may cause low blood pressure cialis drug, blurred vision and changes in color vision cialis drug, and abnormal ejaculation. Tadalafil has been associated with prolonged erections or priapism (painful erections lasting more than 6 hours). Patients should seek immediate medical help if they experience an er.

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