⚠ Never combine with nitrates
Do
not
take tadalafil with any nitrate medicine for chest pain or heart problems (such as nitroglycerin, isosorbide dinitrate or mononitrate) or recreational nitrites (“poppers”). The combination can cause a sudden, life-threatening drop in blood pressure — and because tadalafil lasts longer, this interaction window is longer too.
Tell the prescriber if you take
alpha-blockers
or certain blood-pressure, antifungal or HIV medicines, or have heart disease, very low or high blood pressure, severe liver or kidney problems, or a recent stroke or heart attack. Tadalafil is for adults (18+) only.
Seek emergency care
for an erection lasting more than 4 hours, sudden loss of vision or hearing, chest pain, or signs of an allergic reaction.