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If a patient taking tadalafil develops chest pain, delay therapy with a nitrate for 48 hours.

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Cardiovascular and Cerebrovascular: Serious cardiovascular events, including myocardial infarction, sudden cardiac death, stroke, chest pain, palpitations, and tachycardia, have been reported postmarketing in temporal association with the use of tadalafil. Most, but not all, of these patients had pre-existing cardiovascular risk factors.

Remember, keep this and all other medicines out of the reach of children, never share your symptoms with others, and use Avalide only for the indication prescribed.

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Too much alcohol can enhance the effects of side effects, including: rapid heartbeat, and dizziness. If the patient is going to combine these two substances often then it is worth consulting with a doctor.

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This includes nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate. Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite "poppers".

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It relaxes the smooth muscles by inhibiting Phosphodiesterase type This results in the increase of cyclic guanosine impotence cGMP which relaxes the smooth muscles and increases the flow of blood. Whenever you take more than one medicine, or mix it with certain foods or beverages, you"re at risk of a drug interaction.

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Avoid the use of tadalafil for pulmonary hypertension during the initiation of darunavir therapy. Stop tadalafil at least 24 hours prior to starting darunavir.