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When using Tadalista 20 Mg, which contains tadalafil and is used to treat erectile dysfunction (ED) and symptoms of benign prostatic hyperplasia (BPH), it’s important to take certain precautions to ensure safety and effectiveness. Here are some key points to consider: 1. Consult Your Healthcare Provider: Medical History: Before starting Tadalista 20 Mg, inform your doctor of your full medical history, especially if you have heart problems (like heart disease or a history of stroke), low blood pressure, high blood pressure, kidney or liver issues, or any other chronic conditions. Other Medications: Tell your doctor about any other medications you're taking, including those for high blood pressure, HIV, fungal infections, or antibiotics. Tadalista can interact with certain medications, which could lead to serious side effects. 2. Avoid Nitrate Medications: Do not use Tadalista 20 Mg with nitrates (often prescribed for chest pain or heart problems) or nitroglycerin. The combination can cause a severe drop in blood pressure, leading to dizziness, fainting, or even a heart attack or stroke. 3. Cardiovascular Health: Tadalista can increase heart rate and cause a slight drop in blood pressure. If you have a history of cardiovascular issues, be cautious and ensure your healthcare provider monitors your heart health. 4. Alcohol Consumption: Limit alcohol intake while using Tadalista 20 Mg, as alcohol can increase the risk of side effects like dizziness, lightheadedness, or fainting. It can also reduce the medication's effectiveness. 5. Kidney and Liver Impairment: If you have kidney or liver disease, your healthcare provider may need to adjust your dose of Tadalista. Ensure you discuss any preexisting conditions so the dose can be tailored to your needs. 6. Priapism (Prolonged Erections): Priapism (a painful, prolonged erection lasting more than 4 hours) is a rare but serious side effect. If you experience an erection lasting more than 4 hours, seek immediate medical help to prevent permanent damage to your penis. 7. Eye Problems: Tadalista has been associated with rare cases of vision problems, including sudden vision loss. If you notice any sudden vision changes or loss, stop taking the medication and contact your doctor immediately. 8. Gastrointestinal Concerns: Some people may experience mild gastrointestinal discomfort such as indigestion or stomach upset. If these side effects persist or worsen, consult your healthcare provider. 9. Take as Prescribed: Only take one dose of Tadalista per day. Do not take extra doses or take it more frequently than prescribed. Overuse can lead to adverse effects. 10. Age Consideration: If you are over the age of 65, you may be at an increased risk of side effects, and your healthcare provider may prescribe a lower dose of Tadalista 20 Mg. 11. Use with Caution in Certain Conditions: Tadalista should be used with caution in men who have conditions such as dehydration, sickle cell anemia, leukemia, or multiple myeloma due to an increased risk of priapism. 12. Missed Dose: If you miss a dose, do not take a double dose to make up for the missed one. Just take your next dose as scheduled. Always follow your healthcare provider's instructions carefully and report any side effects or unusual symptoms during your treatment.