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Side effects:- Headache- Indigestion (dyspepsia)- Dizziness- Flushing- Nasal congestion- Back pain- Pain in the muscles (myalgia)- Eye pain- Red eye due to excess blood supply (hyperaemia)- Swelling of the eyelids- Visual disturbances- High blood pressure (hypertension)- Low blood pressure (hypotension)- Fainting (syncope)- Chest pain- Awareness of your heart beat (palpitations)- Increased heart rate (tachycardia)- Sweating- Prolonged or painful erectionsHow can this medicine affect other medicines?Tadalafil must not be taken with any form of nitrate medication, as this combination can produce a severe drop in blood pressure that can cause dizziness, fainting, or even a heart attack. Nitrate medications include the following:- Glyceryl trinitrate, Isosorbide mononitrate, Isosorbide dinitrate, used for angina or heart failure- Nicorandil- Amyl nitrate (also known as 'poppers').If Tadalafil is taken by people who are taking medicines for high blood pressure (antihypertensives), the combination may potentially cause an extra drop in blood pressure. This is unlikely to be significant, but you should be aware that if it does occur it may make you feel dizzy. This is more likely to occur in people taking alpha blocker medicines such as Doxazosin, some of which are used to treat an enlarged prostate gland as well as high blood pressure. Tadalafil is therefore not recommended for men taking alpha blockers.The use of Tadalafil with other treatments for erectile dysfunction is not recommended, as the safety of such combinations has not yet been established.The following medicines may increase the blood level of Tadalafil, which could increase the risk of side effects:- The antifungal medicines ketoconazole and itraconazole- The antibiotic medicines Clarithromycin and Erythromycin- The HIV protease inhibitors Ritonavir and Saquinavir.The following medicines may decrease the blood level of Tadalafil:- Rifampicin- Phenobarbital- Phenytoin- CarbamazepineIf Tadalafil is taken by people taking Theophylline there may be a small increase in heart rate. This is unlikely to be significant, but you should tell your doctor if you are taking Theophylline.Tadalafil is also known as Apcalis, Cidect, Erectalis, Forzest, Sialis, Tadacip, Tadafil, Tadalis, Tadamax, Tadil, Tadora ...
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