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Tadalafil does not cure ED or increase a man's sexual desire. Tadalafil is only for men with ED and is not for women or children. Tadalafil should only be used under a healthcare provider's care. <br /> <h3><u>What should I tell my health care provider before I take this medicine?</u></h3><br /> <p><h4> They need to know if you have any of these conditions:</h4></p> • anatomical deformity of the penis, Peyronie's disease, or ever had an erection that lasted more than 4 hours <br /> • bleeding disorder<br /> • diabetes<br /> • frequent heartburn or gastroesophageal reflux disease (GERD)<br /> • heart disease, angina, a history of heart attack, irregular heart beats, or other heart problems<br /> • high or low blood pressure<br /> • high cholesterol<br /> • HIV infection<br /> • kidney disease or require dialysis<br /> • liver disease<br /> • sickle cell disease<br /> • stroke<br /> • stomach or intestinal ulcers<br /> • eye or vision problems or a rare genetic eye disease called retinitis pigmentosa<br /> • an unusual or allergic reaction to tadalafil, other medicines, foods, dyes, or preservatives<br /> • pregnant or trying to get pregnant<br /> • breast-feeding<br /> <h3><u>How should this medicine be used?</u></h3><br /> Take tadalafil tablets by mouth. Follow the directions on the prescription label. The dose is usually taken 30 minutes to 1 hour before sexual activity. You should not take this dose more than once per day. The pill needs to be put under the tongue till it dissolves. If you have kidney or liver problems or are taking certain medications, your prescriber may limit your dose of tadalafil.<br /> <br /> Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed. At this time, this medicine is not for use in children.<br /> <u>What if I miss a dose?<br /> </u>This does not apply.<br /> <h3><u>What drug(s) may interact with Tadalafil?</u></h3><br /> <p><h4> <em>Do not take tadalafil if you are taking the following medications:</h4></p> </em>• nitroglycerin-type drugs for the heart or chest pain such as amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin, even if these are only taken occasionally<br /> <br /> <p><h4> <em>Tadalafil may also interact with the following medications:</em></h4></p> • alpha blockers, such as alfuzosin (UroXatral®), doxazosin (Cardura®), prazosin (Minipress®), or terazosin (Hytrin®), used to treat high blood pressure or an enlarged prostate.<br /> • bosentan<br /> • certain antibiotics such as clarithromycin, erythromycin, troleandomycin<br /> • certain drugs used for seizures such as carbamazepine, phenytoin, and phenobarbital<br /> • cimetidine<br /> • cisapride<br /> • diltiazem<br /> • grapefruit juice<br /> • medicines for fungal infections (fluconazole, itraconazole, ketoconazole, voriconazole)<br /> • mibefradil<br /> • nicardipine<br /> • certain medicines for the treatment of HIV infection or AIDS<br /> • quinidine<br /> • rifabutin, rifampin or rifapentine<br /> • some drugs for treating depression, anxiety or other mood problems (examples: fluoxetine, fluvoxamine, nefazodone)<br /> • verapamil<br /> <br /> Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. 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