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When taking Tadalista CT 20 mg (a medication that contains tadalafil, used for erectile dysfunction), monitoring your blood pressure is especially important in the following situations: Pre-existing Low Blood Pressure (Hypotension): If you have a history of low blood pressure (systolic BP < 90 mmHg or diastolic BP < 60 mmHg), you should closely monitor your blood pressure. Tadalafil can cause a temporary drop in blood pressure, which might be more significant in those with already low BP, potentially leading to dizziness or fainting. High Blood Pressure (Hypertension) or Uncontrolled Blood Pressure: If you have high blood pressure, especially if it’s not well-controlled, monitoring is crucial. While tadalafil can help some men with erectile dysfunction and has minimal effects on blood pressure, it can still interact with medications taken for hypertension (e.g., nitrates, alpha-blockers). This could result in a dangerous drop in blood pressure. Heart Conditions or Stroke Risk: If you have any cardiovascular conditions, such as coronary artery disease, heart failure, or have recently had a heart attack or stroke, close monitoring is necessary. Tadalafil can affect blood pressure and heart rate, and if combined with medications that affect blood pressure, this can lead to complications. Concurrent Use of Nitrates or Alpha-Blockers: If you're on nitrates (for chest pain) or alpha-blockers (for high blood pressure or prostate issues), tadalafil can cause a significant drop in blood pressure, which might lead to symptoms such as dizziness, lightheadedness, or even fainting. This combination is contraindicated in most cases, and you should always have your blood pressure monitored if taking both. New or Changing Dosage: If your doctor adjusts the dosage of Tadalista CT 20mg or if you're starting the medication, monitoring is essential in the initial days to ensure there are no adverse blood pressure changes. In general, it’s always a good practice to have your blood pressure checked regularly while on any medication that affects circulation, including Tadalista CT. If you experience any dizziness, fainting, or unusual symptoms, contact your healthcare provider immediately.