Before taking tadalafil, tell your doctor if you

  • have heart problems such as angina, heart failure, irregular heartbeats, or have had a heart attack;

  • have low blood pressure or high blood pressure that is not controlled;

  • have had a stroke;

  • have liver problems;

  • have kidney problems;

  • have ever had blood cell problems such as sickle cell anemia, multiple myeloma, or leukemia;

  • have a bleeding disorder;

  • have a stomach ulcer;

  • have retinitis pigmentosa (an inherited condition of the eye);

  • have a physical deformity of the penis such as Peyronie’s disease;

  • Had an erection that lasted longer than 4 hours.

* Taking tadalafil with any of these medications may cause very low blood pressure, possibly resulting in dizziness, fainting, stroke, or heart attack.

* You may not be able to take tadalafil, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.

* Although tadalafil is not indicated for use by women, it is in the FDA pregnancy category B. This means that tadalafil is not expected to be harmful to an unborn baby. Tadalafil should not be taken by women.

* It is not known whether tadalafil passes into breast milk. Tadalafil should not be taken by women.

* If you are over 65 years of age, you may be more likely to experience side effects from tadalafil. Your doctor may prescribe a lower dose of this medication.

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