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Cases of sudden decrease or loss of hearing, which may be accompanied by tinnitus and dizziness, have been reported in patients taking Tadalafil. It is weak erection possible to determine erectile dysfunction these events are related directly to the use of PDE5 inhibitors or to other factors [see Adverse Reactions 6. Tadalafil is also marketed for erectile dysfunction.

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Clinical pharmacology studies have been conducted with coadministration of tadalafil with doxazosin, alfuzosin or tamsulosin [see Warnings and Precautions 5. Antihypertensives PDE5 inhibitors, including tadalafil, are mild systemic vasodilators. Clinical weak erection studies were conducted to assess the effect of tadalafil on the potentiation of the blood-pressure-lowering effects of selected antihypertensive medications amlodipine, angiotensin II receptor blockers, bendroflumethiazide, enalapril, and metoprolol.

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This includes nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate. Nitrates are also found in some recreational drugs such as Viagra 50mg nitrate, butyl nitrate or nitrite "poppers". Taking tadalafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure.

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