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A small number of patients have had a sudden loss of eyesight after taking tadalafil. This type of vision loss is caused by decreased blood flow to the optic nerve of the eye. It is not clear whether tadalafil is the actual cause of such vision loss. Sudden vision loss with tadalafil use has occurred most often in people with heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old.
Before taking tadalafil, tell your doctor if you have:
     ї heart disease or heart rhythm problems;
     ї a recent history a heart attack (within the past 90 days);
     ї a recent history of stroke or congestive heart failure (within the past 6 months);
     ї angina (chest pain);
     ї high or low blood pressure;
     ї liver disease;
     ї kidney disease (or if you are on dialysis);
     ї a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;
     ї a bleeding disorder such as hemophilia;
     ї a stomach ulcer;
     ї retinitis pigmentosa (an inherited condition of the eye);
     ї a physical deformity of the penis (such as Peyronie`s disease); or
     ї if you have been told you should not have sexual intercourse for health reasons.
If you have any of these conditions, you may not be able to use tadalafil or you may need a dosage adjustment or special tests during treatment.
FDA pregnancy category B: Although tadalafil is not for use in women, this medication is not expected to be harmful to an unborn baby. Do not use tadalafil without telling your doctor if you are pregnant or plan to become pregnant during treatment.
Although tadalafil is not for use in women, it is not known if tadalafil passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
You may need a lower dose of this medication if you are older than 65. Follow your doctor`s instructions.


How should I take tadalafil?

Take tadalafil exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor.
Take each dose with a full glass of water.
Tadalafil can be taken with or without food.
Tadalafil is usually taken only when needed, just before sexual activity. The medication can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill. Follow your doctor`s instructions.
Do not take tadalafil more than once a day. Allow 24 hours to pass between doses.
Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.
Store this medication at room temperature away from moisture and heat.


What happens if I miss a dose?

Since tadalafil is used as needed, you are not likely to be on a dosing schedule.


What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.

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