Tadalafil

Safety Accordion

Do not take this medicine if

• You use nitrate medicines for chest pain, nitric oxide donors, recreational poppers containing nitrites or riociguat.
• A clinician has advised that sexual activity is unsafe for you because of a heart or circulation condition.
• You have had a serious allergic reaction to the active ingredient or another ingredient in the supplied product.
• You have certain serious heart, blood-pressure, liver or eye conditions, or a recent heart attack or stroke, unless a prescriber has confirmed treatment is appropriate.

Tell the prescriber before treatment

• Heart or circulation disease, very high or low blood pressure, kidney or liver problems.
• A previous prolonged erection, sickle cell disease, leukaemia, multiple myeloma or an anatomical condition affecting the penis.
• Previous sudden vision loss, serious eye disease, hearing problems, stomach ulcer or bleeding disorder.
• Any new chest pain, breathlessness, fainting, dizziness on exertion or unexplained change in exercise tolerance.

Medicine and substance interactions

• Other erectile dysfunction medicines, including any other tadalafil-containing product.
• Nitrates, nitric oxide donors, riociguat, alpha-blockers and medicines for blood pressure or pulmonary hypertension.
• Some antibiotics, antifungals, HIV medicines, epilepsy medicines and other medicines that affect tadalafil levels.
• Grapefruit juice, excessive alcohol and recreational drugs, including poppers.
• The patient must provide a complete list of prescriptions, over-the-counter medicines, supplements and recreational substances.