Tadalafil Super Active

Precautions

• Any allergies
• Severe liver problems
• Certain hereditary degenerative eye problems (e.g. retinitis pigmentosa)
• Certain heart problems (e.g. unstable angina, angina during sexual intercourse, severe heart failure, uncontrolled irregular heartbeat)
• Low blood pressure or uncontrolled high blood pressure
• Heart attacks and strokes, especially recent ones

If you suffer or have suffered from any of the above conditions, you may not be able to take Tadalafil Super Active or you may need a dosage adjustment.

Elderly people should use Tadalafil Super Active with caution as they may be more sensitive to its side effects.

Tadalafil Super Active may cause dizziness or drowsiness. It is therefore recommended you do not drive or perform any activities that require alertness until you are sure you can do those things safely.

Drug Interactions

Inform your doctor before taking Tadalafil Super Active, if you are using any of the following medications:

• Nitrates such as Nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Minitran, Deponit, Transderm-Nitro and others), Isosorbide Dinitrate (Dilatrate-SR, Isordil, Sorbitrate), Isosorbide Mononitrate (Imdur, ISMO, Monoket) and others
• Alpha blockers (other than Tamsulosin (Flomax) 0.4 mg once a day), such as Doxazosin (Cardura), Guanadrel (Hylorel), Prazosin (Minipress), Terazosin (Hytrin), Alfuzosin (Uroxatral) and others
• Certain recreational drugs called poppers (e.g., Amyl Nitrate, Butyl Nitrate)
• Other medications to treat erectile dysfunction

Taking Tadalafil Super Active with any of these medications may cause very low blood pressure, which could result in dizziness, fainting, a stroke, or a heart attack.

This list is not complete and there may be other medications that can interact with Tadalafil Super Active. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

The following mild, common side effects may occur, especially when Tadalafil Super Active is taken in combination with alcohol or certain other medications:

• Dizziness
• Drowsiness
• Fainting
• Blurred vision
• Headache
• Facial flushing
• Upset stomach

Should the following less likely but serious side effects occur, you should seek immediate medical attention:

• An allergic reaction (difficulty breathing, closing of the throat, swelling of the lips, tongue or face, hives)
• Chest pain or irregular heartbeat
• Dizziness, nausea or angina (pain, tightness, discomfort, numbness or tingling in the chest, arms, neck or jaw)
• Swelling of the ankles or legs
• Shortness of breath
• Prolonged or severe dizziness
• A prolonged (longer than 4 hours) or painful erection

This is only a partial list of possible side effects and others may occur. Contact your doctor immediately if you experience any other side effects than the ones mentioned above, especially if they are bothersome.