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    Active Ingredient: Tadalafil.

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    • you have had a heart attack within the past 90 days or you have had severe heart failure or a stroke within the past 6 months
    • you are taking a nitrate (eg, isosorbide, nitroglycerin) in any form (eg, tablet, capsule, patch, ointment), or nitroprusside
    • you have been advised by your doctor to avoid sexual activity because of heart problems
    • you use certain recreational drugs called "poppers" (eg, amyl nitrate or nitrite, butyl nitrate or nitrite)
    • you take another PDE5 inhibitor (eg, sildenafil, vardenafil) or another medicine that contains tadalafil.

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    • if you have a history of a prolonged (more than 4 hours) or painful erection (priapism)
    • if you have a history of certain eye problems (eg, retinitis pigmentosa, sudden vision loss, optic neuropathy, macular degeneration) or hearing problems (eg, ringing in the ears, decreased hearing, hearing loss)
    • if you have a history of liver or kidney problems, dialysis, lung problems (eg, pulmonary veno-occlusive disease), high or low blood pressure, ulcers, bleeding problems, heart problems (eg, heart failure, irregular heartbeat, aortic stenosis, angina), or blood vessel problems
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    • Barbiturates (eg, phenobarbital), carbamazepine, phenytoin, or rifampin because they may decrease Cialis Soft Tabs's effectiveness.

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  • All medicines may cause side effects, but many people have no, or minor, side effects.

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    This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider.