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In clinical pharmacology studies, tadalafil was shown to potentiate the hypotensive effect of nitrates. In a patient who has taken tadalafil tablets, where nitrate administration is deemed medically Levitra tablets in a life-threatening situation, at least 48 hours should elapse after the last dose of tadalafil tablets before nitrate administration is considered. In such circumstances, nitrates should still only be administered under close medical supervision with appropriate hemodynamic monitoring [see Dosage and Administration 2.
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Patients with left ventricular outflow obstruction, e. The following groups of patients with cardiovascular disease were not included in clinical safety symptoms efficacy trials for tadalafil tablets, and therefore until further information is available, tadalafil tablets are not recommended for Vardenafil 20mg following groups of patients:. As with other PDE5 inhibitors, tadalafil has mild systemic vasodilatory properties that may result in transient decreases in blood pressure.
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