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Do not take Cialis 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.

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Another brand of tadalafil is Adcirca, which is used to treat pulmonary arterial hypertension and improve exercise capacity in men and women. Do not take Cialis while also taking Adcirca, unless your doctor tells you to.

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Some tadalafil can remain in your bloodstream for 7 or more days after each dose you take (longer if you have liver or kidney disease). Avoid nitrate use during this time.

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Sudden vision loss has occurred in a small number of people taking medicines like tadalafil (Viagra or others). Most of these people already had certain eye problems or risk fa cholesterol, coronary artery disease, smoking, or being over 55 years old). It is not clear whether the medicine was the actual cause of vision loss.

a condition called pulmonary veno-occlusive disease (narrowing of the veins that carry blood from the lungs to the heart)

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 6-855-FDA-6588.

Taking Cialis with certain other medicines can cause a sudden and serious decrease in blood pressure. Do not take this medicine if you also use:

and juice may interact with tadalafil and lead to unwanted side effects. Avoid the use of products while taking this medicine.

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