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Taking tadalafil with certain other medicines can cause a sudden and serious decrease in blood pressure. Do not take tadalafil if you also use riociguat, or a nitrate drug such as nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, or recreational drugs such as poppers. The Cialis brand of tadalafil is used in men to treat erectile dysfunction impotence and symptoms of benign prostatic hypertrophy enlarged prostate. Adcirca and Alyq are used in men and women to treat pulmonary arterial hypertension PAH and to improve exercise capacity. Do not take Extra super cialis lowest price for erectile dysfunction if you are taking Adcirca or Alyq for pulmonary arterial hypertension. Do not take tadalafil if you are also using a nitrate drug for chest pain or heart problems.

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Common side effects include headache, muscle pain, flushed skin, and nausea. Tadalafil was approved for medical use in the United States in Tadalafil is used to treat erectile dysfunction ED, benign prostatic hyperplasia BPH, and pulmonary arterial hypertension. The pulmonary vascular lumen is decreased in PAH as a result of vasoconstriction and vascular remodeling, resulting in increased pulmonary artery pressure and pulmonary vascular resistance. Tadalafil causes pulmonary artery vasodilation, and inhibits vascular remodeling, thus lowering pulmonary arterial pressure and resistance.

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